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Equalities Monitoring Form - Job
Help Creative Lives to monitor the diversity of its job applicants by filling in the details below.
1.
What is the title of the job you are applying for?
2.
What is your gender?
Female
Male
Prefer not to say
Self define
3.
What age range do you find yourself in?
Under 18
19-25
26-35
36-45
46-60
61-75
76 or over
Prefer not to say
4.
What is your ethnicity?
White (incl. English, Welsh, Scottish, Northern Irish, British, Irish, Gypsy or Traveller, Other)
Dual / multiple (incl. White and Black Caribbean, White and Black African, White and Asian, Other)
Asian / Asian British (Indian, Pakistani, Bangladeshi, Chinese, Other)
Black / African / Caribbean / Black British (incl. African, Caribbean, Other)
Other ethnicity (incl. Arab)
Prefer not to say
Self define
5.
What is your current occupation?
6.
Where do you live? (Postcode and place name is useful)
7.
What is your sexual orientation?
Bisexual
Heterosexual / Straight
Homosexual / Gay
Prefer not to say
Prefer to self-describe...
8.
Do you consider yourself to have a disability?
Yes
No
Prefer not to say
