BDN Equal Opportunities Monitoring Form
At Birmingham Dance Network we are fully committed to monitoring the reach and diversity of our projects and events.  We want to ensure that our opportunities are open to all members of the community, as well as to inform our funders about who engages with BDN's activities.

Your cooperation in completing this form as fully as possible would be greatly appreciated.

All information will be treated as confidential and held in accordance with BDN's privacy policy and the GDPR.
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Email *
Role/Workshop applied for *
Where did you hear about this opportunity? *
Sex/gender *
Does your answer to the above question match your sex/gender assigned at birth? *
Age *
How do you describe your ethnic identity? *
What is your nationality? *
Do you consider yourself to have a disability? Tick all that apply. *
The Equality Act 2010 defines a person with a disability as someone who has a physical or mental impairment that has a more than minor adverse effect on their ability to carry out normal day-to-day activities, that has lasted or is likely to last for at least 12 months. These include mental health conditions, neurodiverse conditions such as dyslexia, and long-term health conditions.
Required
Do you have caring responsibilities? Tick all that apply. *
Required
Sexual orientation *
First three/four characters of your postcode (for mapping purposes only).  If you are based outside of the UK please answer "non-UK".
A copy of your responses will be emailed to the address you provided.
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