Associated British Ports Application Form

Section A

Age: 16-2526-3536-4546-5556-6565+prefer not to say

National Identity Which of the following do you feel you most identify with? British/English/Northern Irish/Scottish/WelshDual Nationality: British and Other (specify below if you wish)Any other nationality (specify below if you wish)Prefer not to say If you selected Other above, please specify:

Ethnic background Which of the following do you feel you most identify with? BangladeshiChineseIndianPakistaniAny other Asian background (please specify if you wish)AfricanCaribbeanAny other Black background (please specify if you wish)Asian and WhiteBlack African and WhiteBlack Caribbean and WhiteAny other Mixed background (please specify if you wish)Any White background (please specify if you wish)ArabGypsy or Irish TravellerLatin AmericanRomaAny other ethnic background (please specify if you wish)Prefer not to say If you selected Other above, please specify:

Disability

The Equality Act 2010 deﬁnes a person with a disability as someone who has a physical or mental impairment that has a more than minor adverse effect on their ability to carry out normal day-to-day activities, that has lasted or is likely to last for at least 12 months. These include mental health conditions, neurodiverse conditions such as dyslexia and long-term health conditions.

Do you consider yourself to have a disability? Yes (specify below if you wish)NoPrefer not to say If you selected Yes above, please specify:

Sex Sex: FemaleMalePrefer not to say

Sexual Orientation Which of the following do you feel you most identify with? Bi/bisexualGay/lesbianHeterosexual/straightPrefer to self-describe (please specify if you wish)Prefer not to say If you selected Other above, please specify:

Gender Identity Which of the following do you feel you most identify with? ManWomanPrefer to self-describe (please specify if you wish)Prefer not to say Do you identify as trans? YesNoPrefer not to say Is your gender identity the same that you were assigned at birth? YesNoPrefer not to say

Religion or belief Religion or belief: which of the following do you most identify with? AgnosticismAtheismBuddhismChristianityHinduismJudaismIslamNo religionSikhismOther (please specify if you wish)Prefer not to say If you selected Other above, please specify:

Caring responsibilities Caring responsibilities: do you have any dependants?
(children under 16, disabled children under 18 and adults in need of care) YesNoPrefer not to say

Social mobility What type of school did you mainly attend between the ages of 11 and 16? State-run or state-funded school – selective on academic, faith or other groundsState-run or state-funded school – non-selectiveIndependent or fee-paying school – bursaryIndependent or fee-paying school – no bursaryAttended school outside the UKDon’t knowPrefer not to sayOther What is the highest level of qualifications achieved by either of your parent(s) or guardian(s) by the time you were 18? At least one has a degree level qualificationQualifications below degree levelNo formal qualificationsDon’t knowNot applicablePrefer not to sayOther Thinking back to when you were aged about 14, which best describes the sort of work the main/highest income earner in your household did in their main job? Professional occupations such as: accountant, solicitor, teacher, nurse, social worker, musician, police officer, software designerIntermediate occupations/junior managers such as: secretary, office clerk, call centre agent, nursery nurse, restaurant manager, warehouse manager,Senior managers and administrators usually responsible for planning, organising and co-ordinating work and for finance such as: finance manager, chief executiveTechnical, service and craft occupations such as: mechanic, fitter, plumber, printer, gardener, train driver, postal worker, machine operative, security guardRoutine manual and service occupations such as: HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, bar staffUnemployedRetiredNot applicableDon’t knowPrefer not to sayOther Were you eligible for Free School Meals at any point during your school years? YesNoNot applicable (finished school before 1980 or went to school overseas)Don’t knowPrefer not to say Compared to people in general, would you describe yourself as coming from a disadvantaged background? YesNoDon’t knowPrefer not to say

Application Form

Personal Details

Diversity Monitoring Form

Section A

Section B

Section C

Section D

Section E

Section F

Section G

Section H

Section I

Section J