Producer (Maternity Cover) - Equal Opportunities Form

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Completion of this form anonymously helps us to make sure that across our practice we are recruiting/attracting the widest possible range of national diversity. We will ensure all demographic information is made completely anonymous before sharing a summary with our core funders, such as Arts Council England. You need not answer every question if you choose not to. Thank you.

How would you describe your gender?

Female

Male

Non-binary

Prefer not to say

Other:

Clear selection

Is your gender identity the same as the one assigned to you at birth?

Yes

Prefer not to say

Clear selection

What is your age range?

0-18

18-19

20-24

25-34

35-44

45-49

50-54

55-64

65+

Prefer not to say

Clear selection

How would you describe your ethnicity?

Arab

Asian or British Asian – Indian

Asian or British Asian – Pakistani

Asian or British Asian – Bangladeshi

Asian or British Asian – Chinese

Asian or British Asian - Other Asian background

Black or Black British – African

Black or Black British – Caribbean

Black or Black British - Other Black/African/Caribbean background

Latin

Mixed - Asian and White

Mixed - Black African and White

Mixed - Black Caribbean and White

Mixed - Other mixed/multiple ethnic background

White – British

White – Irish

White - Gypsy or Irish Traveller

White - Other White background

Any other ethnic background

Not known

Prefer not to say

Other:

Clear selection

Do you identify as disabled or do you have a long-term health condition?

Yes - Blind/Visual Impairment

Yes - d/Deaf/Hearing Impairment

Yes - Learning difficulty

Yes - Mental health

Yes - Mobility

Yes - Speech impairment

Prefer not to say

Other:

Clear selection

What was the occupation of the highest income earner in your household when you were 14 years old? Answering this question will help us to monitor the socio-economic diversity of our audiences and team members.

Modern Professional Occupations E.g. Teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer

Clerical and Intermediate Occupations E.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse

Senior Managers and Administrators Usually responsible for planning, organising and co-ordinating work for finance such as finance manages, chief executive etc

Technical and Craft Occupations E.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver

Semi-Routine Manual and Service Occupations E.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant

Routine Manual and Service Occupations E.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff

Middle or Junior Managers E.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican

Traditional Professional Occupations E.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer

Short Term Unemployed Claimed Jobseeker’s Allowance or earlier unemployment benefit for a year or less

Long Term Unemployed Claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year

Retired

Not applicable

Don’t know

Prefer not to say

Other:

Clear selection

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