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Equality and Diversity Form
Trauma Recovery CIC wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the workforce in encouraging equality and diversity. Completing this form is entirely voluntary. If you are happy to take part in our equality monitoring, please complete this form.
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* Indicates required question
Gender:
*
Male
Female
Intersex
Non-binary
Prefer not to say
Is the gender you identify with the same as your gender registered at birth?
*
Yes
No
Prefer not to say
Age:
*
16 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65+
Prefer not to sat
How would you describe your ethnicity?
*
White (English, Welsh, Scottish, Northern Irish, Irish, Gypsey or Irish Traveller, any other White background)
Asian / Asian British (including Chinese, Indian, Pakistani, Bangladeshi and any other Asian background)
Black / African / Caribbean / Black British
Mixed / Mulitple Ethnic Groups (White & Black Caribbean, White & Black Asian, White and Asian, Anu ther mixed / multtple ethnic backgroudn)
Other Ethnic Group
Prefer not to say
Do you consider yourself to have a disability?
*
Yes
No
Prefer not to say
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