Equal Opportunities Monitoring Form

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Yorkshire Artspace Society Limited is an equal opportunity organisation. The aim of our policy
is to ensure that no job applicant, employee, volunteer or tenant receives less favourable
treatment because of age, disability, gender reassignment, marriage and civil partnership,
pregnancy or maternity, race, religion or belief, sex or sexual orientation.

We will use this data to inform our statistics and reporting on the representation of the categories
of individual as shown below. This information will be detached from any other information you
provide and filed anonymously. This information will not be shared with third parties.

What is your ethnicity?

White British

White Irish

White Gypsy or Irish Traveller

Any other White background

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed background

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Black African

Black Caribbean

Any other Black background

Arab

Other

Prefer not to say

Clear selection

What is your age?

0-19

20-34

35-49

50-64

65+

Prefer not to say

Clear selection

Please indicate the gender you most identify with:

Male (including trans men)

Female (including trans women)

Non-binary (for example, androgyne)

Prefer not to say

Clear selection

Please indicate how you identify in relation to Disability:

Deaf or Disabled

Having a longterm health condition

Non-Disabled

Prefer not to say

Clear selection

What is your sexual orientation?

Bisexual

Gay man

Gay woman / Lesbian

Heterosexual / Straight

Queer

Prefer not to say

Clear selection

Please indicate how you identify in relation to neurodiversity.

Neurodiverse

Non-Neurodiverse

Clear selection

What was the occupation of the main/highest income earner in your household when you were 14?

Modern professional occupations

Clerical and intermediate

Senior managers and administrators

Technical and craft occupations

Semi-routine manual and service

Routine manual and service

Middle and junior managers

Traditional professional occupations

Short-term unemployed

Long-term unemployed

Retired

Don't know / Prefer not to say

Other

Clear selection

Submit

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