Helix Arts Make it Happen Volunteers - Equal Opportunities Monitoring Form

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Please complete this form as part of your volunteer registration. Please mark 'prefer not the say' for any questions you do not wish to answer.

This is sensitive personal data and will be treated with the utmost confidentiality in line with the requirements of the Data Protection legislation. The data will only be used for general statistical and monitoring purposes.

Age *

16-25

26-35

36-45

46-55

56-65

Over 65

Prefer not to say

Ethnicity *

Arab/Arab British

Asian/Asian British - Bangladeshi

Asian/Asian British - Chinese

Asian/Asian British - Indian

Asian/Asian British - Pakistani

Asian/Asian British - any other Asian background

Black/Black British - African

Black/Black British - Caribbean

Black/Black British - Any other black background

Mixed heritage - White and Asian

Mixed heritage - White and Black African

Mixed heritage - White and Black Caribbean

Mixed heritage - Any other mixed background

White British

White Irish

White - Gypsy or Irish Traveller

White - Any other white background

Prefer not to say

Other:

Gender Identity *

Female

Male

Non-binary

Prefer not to say

Is your gender identity different to the sex you were assumed to be at birth? *

Yes

Prefer not to say

Disability *

Non-disabled

Visual impairment

Hearing impairment/deaf

Physical disabilities

Cognitive or learning disabilities

Mental health condition

Other long term/chronic conditions

Prefer not to say

Religion or belief *

Buddhist

Christian (including Church of England, Catholic, Protestant and all other Christian denominations)

Hindu

Jewish

Muslim

Sikh

No religion

Prefer not to say

Other:

Sexual Orientation *

Bisexual

Gay man

Gay woman/lesbian

Heterosexual

Prefer not to say

Other:

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