ANONYMOUS




Equal opportunity: Survey of nominees


The Higher Education Academy is committed to implementing an Equal Opportunities Policy and

wishes to gather monitoring data. The answers you provide will be treated in the strictest confidence and will only be used for statistical monitoring. The information does not require you to identify yourself and will not be individually linked to your NTFS nomination. It is important to us to be sure we are reaching all communities and constituencies within the diverse Higher and Further Education sector. By collecting and analysing this information we will be better placed to answer a variety of statistical questions, and continually improve the National Teaching Fellowship Scheme.



1. Age


25 or under 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 over 65


2. Gender


Male Female


3. Ethnicity (categories used in the 2001 census)


White Mixed


(Asian or Asian British) Indian Pakistani Bangladeshi


Asian other – please specify:      


(Black or Black British) African Caribbean


Black other – please specify:      


Chinese


Other – please specify:      


4. Country of legal nationality (indicate UK if you have dual nationality with the UK)


UK Other EU Other – please specify:      


ANONYMOUS



5. Disability status


Do you consider yourself disabled? Yes No


6. Mode of employment


Full-time Part-time (0.5 FTE or more) Part-time (0.5 FTE or less)


Other – please specify:      



7. Terms of employment


Permanent contract Fixed-term contract Hourly-paid/casual


Other – please specify:      



8. Post classified as


Academic Academic-related/Academic support Non-academic


Management


Other – please specify:      



9. Principal employer


Pre-1992 university Post-1992 university HE college


FE College Other organisation Self-employed


Other – please specify:      


10. Length of employment in UK higher education


      years full-time       years part-time


Thank you for your time completing this form. Please email it to ntfsindividual@heacademy.ac.uk by 12 noon on Wednesday 3 February 2010. Further information is contained within the awards guidelines at www.heacademy.ac.uk/ntfsindividual.




NTFS Individual 2010 – Equal Opportunity Form Page 2 of 2