Equal Opportunities Monitoring

APEX HEALTHCARE SERVICES LIMITED committed to equal opportunities for all its employees and all prospective employees.

To ensure that all applicants are dealt with equally, we wish to monitor your recruitment process and would ask for your help by completing the details below by placing a v in the appropriate box. This will allow APEX HEALTHCARE SERVICES LIMITED to monitor its policies.

PLEASE NOTE

You do not have to complete this form. The information is given on a voluntary basis and the information provided will only be used for the monitoring purpose. Please note that your information will remain confidential. This information will be stored on a computer.

Phone *

First Name *

Last Name *

Email *

Please tick as appropriate

Gender

Male

Female

Registered Disabled

Yes

No

Marital Status

Married

Single

Divorced

Children

Yes

No

Other: Please Specify