Equal opportunities Form - applicants

Equal Opportunities Form

THIS INFORMATION IS CONFIDENTIAL.

We are committed to providing equality of opportunity.
We would ask you to complete the Equal Opportunities monitoring form to help us monitor the effectiveness of our policy by gaining a picture of all those applying for and obtaining roles at Deafinitely Theatre. The form also helps us ensure that we are complying with equality law.

The information you provide will be kept confidential and have no bearing on your application.

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* 1. Name

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* 2. Position applied for

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* 3. Age

0-19

20-34

35-49

50-64

65+

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* 4. Are you

Deaf

Hard of hearing

Hearing

Prefer not to say

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* 5. What is your gender identity

Female

Male

Prefer not to say

Other (please specify)

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* 6. What is your ethnic origin?

White - British

White - Irish

White – Other

Mixed – White & Black African

Mixed – White & Black Caribbean

Mixed – White & Asian

Mixed – Other

Asian or Asian British – Bangladeshi

Asian or Asian British – Indian

Asian or Asian British – Pakistani

Asian or Asian British – Other

Black or Black British – African

Black or Black British – Caribbean

Black or Black British – Other

Chinese

Not Known

Prefer not to say

Other (please specify)

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* 7. Nationaity.
If not from the UK, please tell us which country you are from.

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* 8. Disability.
Do you identify as someone who is disabled or who has a long term medical condition?

Yes

Prefer not to say

I identify as deaf but not disabled

I identify as deaf and disabled

Other (please specify)

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* 9. Religion / Faith

Atheist

Bahai

Buddhist

Christian

Hindu

Jain

Jewish

Muslim

Sikh

Bahai

Interfaith

No religion

Prefer not to say

Other (please specify)

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* 10. Sexual Orienatation

Heterosexual

Bisexual

Gay/ Lesbian

Prefer not to say

Other (please specify)

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* 11. Eligible to work in the uk?

Yes

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* 12. Employment Status

Paid Employment – 30 or more hours per week

Paid Employment – 16 or more hours per week, but less than 30

Paid Employment – 8 or more hours per week, but less than 16

Self-Employed

Not looking or not available for work (e.g. Student, Carer, long-term sick or disabled)

Aged 14-19 and not in Education, Employment or Training

None of the above

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* 13. How did you find out about this opportunity?

Friend

Leaflet

Work

School/College

Poster

Website

Other (please specify)

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* 1. Name

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* 2. Position applied for

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* 3. Age

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* 4. Are you

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* 5. What is your gender identity

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* 6. What is your ethnic origin?

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* 7. Nationaity. If not from the UK, please tell us which country you are from.

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* 8. Disability.Do you identify as someone who is disabled or who has a long term medical condition?

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* 9. Religion / Faith

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* 10. Sexual Orienatation

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* 11. Eligible to work in the uk?

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* 12. Employment Status

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* 13. How did you find out about this opportunity?

* 7. Nationaity.
If not from the UK, please tell us which country you are from.

* 8. Disability.
Do you identify as someone who is disabled or who has a long term medical condition?