MEMBERSHIP APPLICATION

DIVERSITY MONITORING

TO ASSIST US TO MONITOR DIVERSITY IN THE CONSTRUCTION INDUSTRY,

PLEASE COMPLETE THE FOLLOWING SECTION:

* Ethnic origin

White Black African Black Caribbean Black – Other

Chinese Indian Other Asian Other

Prefer not to disclose Not provided (internal)

* Indicates required

* Are you registered disabled?

No Yes Prefer not to disclose Not provided (internal)

* Indicates required

* Sexual orientation

Heterosexual Gay Lesbian Other

Prefer not to disclose Not provided (internal)

* Indicates required

The Chartered Institute of Building, 1 Arlington Square

CIOB210/ 0615

Downshire Way, Bracknell, Berkshire, RG12 1WA, UK

t: +44 (0)1344 630 700
e: reception@ciob.org.uk w: www.ciob.org
Registered charity in England and Wales (280795)
and in Scotland (SC041725)