This site is for testing only
Email recipient override enabled
Log in
Register
Apply For Housing
Equality and Diversity - Equality and Diversity - Main Applicant
Enter-key submission button
What is your age?
16-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Prefer not to say
Please choose the option which best describes your belief or religion:
Buddhism
Christianity
Catholic
Protestant
Other
Hinduism
Islam
Judaism
Sikhism
Other religion
No specific belief in religion
(for example, atheism or agnosticism)
Other belief
(for example, humanism)
Prefer not to say
Please state what religion
Are you a disabled person?
Yes
No
Prefer not to say
Please select the boxes for the category (or categories) you would use:
Autoimmune
(for example, multiple sclerosis, HIV, Crohn’s/ulcerative colitis)
Learning difficulties
(for example, Down’s Syndrome)
Mental health issue
(for example, depression, bi-polar)
Neuro-divergent condition
(for example, autistic spectrum, Dyslexia, dyspraxia)
Physical impairment
(for example, wheelchair-user, cerebral palsy)
Sensory hearing impairment
(for example deafness, partial hearing loss)
Sensory visual impairment
(for example blindness, partial sight loss)
Other
Prefer not to say
Please specify the nature of your impairment:
Please choose the option that best describes your particular group:
African
African, African Scottish or African British
Other African background
Asian, Scottish Asian, Asian British
Bangladeshi, Bangladeshi Scottish or Bangladeshi British
Indian, Indian Scottish or Indian British
Pakistani, Pakistani Scottish or Pakistani British
Chinese, Chinese Scottish or Chinese British
Other Asian background
Black or Caribbean
Caribbean, Caribbean Scottish or Caribbean British
Black, Black Scottish or Black British
Other Caribbean or Black background
Mixed Groups
Mixed or multiple ethnic group
White
English
Gypsy Traveller
Irish
Polish
Roma
Scottish
Welsh
Other British
Other ethnic group
Prefer not to say
Please specify your ethnic group:
Are you pregnant?
Yes
No
Prefer not to say
Have you taken maternity or paternity leave in the past year?
Yes
No
Prefer not to say
What is your sex?
Female
Male
Intersex
Prefer not to say
Do you consider yourself to be a trans person?
Yes
No
Prefer not to say
What is your sexual orientation?
Bisexual
Gay man
Heterosexual/straight
Lesbian/gay woman
Other
Prefer not to say
Save and continue
Cancel and return
