Dumfries & Galloway Arts Festival: Equality, Diversity & Inclusion Form

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Thank you for applying to one of our opportunities. This voluntary and anonymous Equality, Diversity & Inclusion form provides us with key information to improve our offers and services to ensure were being as inclusive as possible. We appreciate a moment of your time to fill this in.

What have you applied for?

Please state what you consider your ethnic origin to be. Ethnicity is distinct from nationality and the categories below, in alphabetical order, are based on the 2001 UK census.

Asian - Indian

Asian - Pakistani

Any other Asian background

Black - Carribbean

Black - African

Any other black background

Chinese or other ethnic group

Other Chinese background

Mixed - white and black Caribbean

Mixed - white and black African

Mixed - white and Asian

Any other mixed background

White - English

White - Scottish

White - Irish

White - Welsh

Any other white background

Prefer not to say

Clear selection

Please provide your age

16-24

25-34

35-44

45-54

55-64

65+

Prefer not to say

Clear selection

Please describe your gender identity

Female

Male

Non-binary

Transgender

Genderqueer

Intersex

Other gender identity

Prefer not to say

Clear selection

Which term best describes your sexual orientation?

Heterosexual

Bisexual

Gay

Lesbian

Pansexual

Other

Prefer not to say

Clear selection

Do you have caring responsibilities? Please tick all that apply

All

Primary carer of a child under 18

Primary carer of a disabled child under 18

Primary carer of a disabled adult

Primary carer of an older person

Secondary carer (another person carries out primary care)

None

Prefer not to say

Clear selection

Do you consider yourself to have a disability? Please select all that apply.

Visual impairment

D/deaf and hard of hearing impairment

Physical Disability

Cognitive or Learning Disability

Mental Health condition

Other long term/chronic condition

Not disabled

Prefer not to say

Clear selection

Submit

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