PREMIER LEAGUE

PREMIER LEAGUE
ACADEMY ETHNICITY MONITORING QUESTIONNAIRE
(Youth Development Rule 228)
PLYD Form 6
USE OF INFORMATION
Completion of this questionnaire is voluntary. If you provide the information it will be used as set out
below and will not be used for selection or any other purposes.
The information provided on this ethnicity questionnaire will be recorded on a computer system shared by the
Football Association Premier League Limited (“Premier League”) and The Football League Limited against the
Academy Player’s record and will be used:
• to help ensure compliance with the Premier League’s Anti-Discrimination Policy (a copy of which is in
Appendix 9 of the Premier League’s Rules)
• to compile aggregate statistics and reports
– on a club by club basis which we may wish to share with the relevant club only and The Football
Association Limited
– on a league basis which we may wish to publish for public interest and to share with other bodies that
have a legitimate interest in equal opportunities such as the Professional Footballers Association and
the Commission for Racial Equality
What is your ethnic group?
(Choose ONE section from A to E, then tick the appropriate box to indicate your cultural background)
A. White B. Mixed
please write in
please write in
C. Asian or Asian British D. Black or Black British
please write in please write in
E. Chinese or other ethnic group
please write in
Name of Academy Player
Signed Date
(Parent / Guardian to sign if Academy Player is a minor)
371
YOUTH DEVELOPMENT FORMS