Equal Opportunities and Diversity Monitoring Form

The General Pharmaceutical Council is committed to promoting equality, valuing diversity and being inclusive in all our work as a health professions regulator and as an employer, including welcoming applications from all sections of the community.

This form will provide us with useful information for monitoring and reporting purposes and will be strictly confidential. Your information will not form part of any selection process and will not be shared with the selection panel. You do not have to complete this form, however you are encouraged to do so.

1. What is your full name?

You do not have to answer this question if you would prefer to remain anonymous, however we ask for your full name so that we can effectively monitor equal opportunities and diversity at every stage of the recruitment process and will only be able to do this if we can identify which candidates have progressed through the different stages.


2. Which role are you applying for? *


3. Which option best describes the role you have applied for? *


4. What is your gender? *


5. Are you married or in a civil partnership? *


6. Please select your age category? *


7. What is your ethnicity?

Ethnicity broadly defines as a multifaced dimension of an individual’s identity which may encompass nationality, place of birth, citizenship, ancestry, cultural influences, and the social and ethnic group an individual identifies with. *

  • Asian/Asian British
  • Black/African/Caribbean/Black British
  • Mixed/Multiple Ethnic Groups
  • Other Ethnic Groups
  • White

8. Do you consider yourself to have a disability or health condition as defined by the Equality Act 2010?

The Equality Act 2010 defines a person with a disability as, “someone who has a physical or mental impairment that has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities.” If YES, please tell us separately about any adjustments which you may require either to carry out the role or to participate in the selection process.

The information in this form is for monitoring purposes only. If you believe you need an adjustment, then please discuss this with us.


9. What is your sexual orientation? *


10. What is your religion or belief? *