Little Bulb - Diversity and Inclusion Monitoring Form

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This form is designed to collect anonymised data for Little Bulb to understand where the company is now in relation to some protected characteristics. Widening the team presents an opportunity for Little Bulb to benefit from new and diverse perspectives. This data will help Little Bulb to create an Inclusion Action Plan which will be about how Little Bulb can best care for company members, and become a more inclusive company in the future. If you have any questions about how these questions were formulated or how the data will be used, you can email Little Bulb's producer Fiona Baxter at fi@fionabaxter.co.uk who is happy to talk to you in confidence.

What is the title of the role you are applying for? *

Do you identify as: *

Female

Male

Intersex

Prefer not to say

Not known

Let me type (please use 'Other' below)

Other:

Required

What is your gender identity? *

Woman

Man

Non-binary

I identify if another way

Prefer not to say

Not known

Is your gender identity different to your sex as registered at birth? *

Yes

Prefer not to say

Not known

What is your ethnic group? *

White: British

White: Irish

White: Gypsy, Roma or Traveller

Any other White background

Mixed: White and Black Caribbean

Mixed: White and Black African

Mixed: White and Asian

Any other Mixed/Multiple ethnic background

Asian/Asian British: Indian

Asian/Asian British: Pakistani

Asian/Asian British: Bangladeshi

Asian/Asian British: Chinese

Asian/Asian British: any other Asian background

Black/Black British: African

Black/Black British: Caribbean

Black/Black British: any other Black background

Other: Jewish

Other: Arab

Other: Latin American

Other: Any other Ethnic background

Prefer not to say

Not known

Other:

Do you identify as Neurodivergent? *

Yes

Prefer not to say

Not known

Do you identify as a D/deaf or disabled person, or have a long-term health condition? *

Yes

Prefer Not to Say

This question is about your sexual orientation. Do you identify as: *

bisexual

gay man

gay woman / lesbian

heterosexual / straight

Don't know

Prefer not to say

Other:

Age *

0-19

20-34

35-49

50-64

65-74

75+

Prefer not to say

Not known

What was the occupation of your main household earner when you were about 14? *

Modern and traditional professional occupations (such as teacher, nurse, physiotherapist, social worker, musician, police officer (seargeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil engingeer)

Senior, middle or or junior managers or administrators (such as finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager)

Clerical and intermediate occupations such as secretary, personal assistant, call centre agent, clerical worker, nursery nurse

Technical and craft occupations such as motor mechanic, plumber, printer, electrician, train driver, gardener

Small business owners (employed less than 25 people such as: corner shop owner, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner)

Routine, semi-routine manual and service occupations such as machine operative, postal worker, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter, bar staff)

Long-term unemployed (claimed Jobseeker's Allowance or earlier unemployment benefit for more than a year)

Short-term unemployed (claimed Jobseeker's Allowance or earlier unemployment benefit for less than a year)

Other (such as retired, this question doesn't apply to me, I don't know)

Prefer not to say

Submit

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