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NORWICH FRINGE DIVERSITY AND INCLUSION FORM
Applications for Norwich Fringe Festival 2021
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By completing this form you are helping us measure our own efforts in recruitment for events. You are completing this form anonymously and it in no way affects your application. If you would like this form in another format, please email
info@norwichfringe.org.uk
.
1. Do you consider yourself to have a disability or long-term condition?
Yes
No
Rather not say
Clear selection
2. Do you need, or would you like, extra support or assistance at the event itself?
No
Yes
Clear selection
If you answered yes to the question above, please tell us what extra support you would like.
Your answer
3. Your gender - please choose which is closest to how you describe yourself or write in your own words in 'Other'
Male
Female
Rather not say
Non binary
Other:
Clear selection
4. Age band
18-24
25-34
35-44
45-54
55-64
65+
Clear selection
5. Is there anyone at home who relies on you for day-to-day care or attention?
Child or children
An adult in need/family member/partner
Other:
Clear selection
6. Which option describes your sexuality most closely?
Persons of the opposite gender
Persons of the same gender
Persons of the same and opposite gender
Rather not say
None of your business, it doesn't matter
7. Your ethnicity - Ethnic origins are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong. Please write in your own words - or leave blank if you don't know.
Your answer
Thank you for taking the time to complete this form.
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