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Equal Opportunities & Diversity Monitoring Form
Scarabeus Aerial Theatre are committed to being an inclusive organisation and we want to ensure that all
aspects of our work reflect diversity and support equality of opportunity.
Gathering the information on this form is therefore vital to measure our success in this area and we would therefore appreciate you taking the time to complete this section of the form after you have submitted your application.
Please note the information entered on this page will not be used to assess your application and is for anonymous statistical monitoring purposes only.
By completing this form you confirm that you are happy for us to store the data in the ways we have outlined above.
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* Indicates required question
Role / opportunity you are applying for
*
Your answer
What is the first line of your postcode?
*
Your answer
How would you describe your gender?
*
Female
Male
Transgender
Non - binary / Non - conforming
Bigender / Gender fluid
Prefer to use own term
Prefer not to say
Other:
Required
Is your gender identity the same one you were assigned at birth?
*
Yes
No
Prefer not to say
Required
Sexual Orientation
*
Bisexual
Heterosexual / Straight
Gay man
Gay woman / Lesbian
Queer
Asexual
Prefer to use own term
Prefer not to say
Other:
Required
What do you consider your ethnicity to be?
*
Asian / Asian British - Indian
Asian / Asian British - Chinese
Asian / Asian British - Bangladeshi
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 African / Caribbean background
White British
White Gypsy / Traveller
White Irish
White - Any other White background
Mixed British - Black Caribbean and White
Mixed British - Asian and White
Mixed British - Black African and White
Mixed British - Any other Mixed background
Other - Arab
Other - Any other ethnic group
Other - Not known
Other - Prefer not to say
Other:
Required
Disability: Please state which of the following you consider applies to you?
*
Visual impairment
Hearing impairment / Deaf
Speech impairment
Mobility impairment
Physical disabilities
Cognitive or learning disabilities
Mental health condition
Other long term / chronic conditions
Hard of hearing / deafened
Restricted growth
Don't identify as disabled
Other:
Age Range
*
Under 18
18-24
25-30
31-34
35-40
41-44
45-50
51-54
55-60
61-65
66-70
71+
Prefer not to say
Required
When you were aged about 14, which best describes the sort of work the main / highest income earner in your household did in their main job? If this questions does not apply to you, you can indicate this below.
*
Traditional professional occupations ( such as accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer)
Modern professional occupations (such as teacher, nurse, physiotherapist, social worker, musician, police officer, software designer)
Senior manager or administrators (such as usually responsible for planning, organisation and co-ordinating work, and for finance)
Middle or junior managers ( such as office manager, retail manager, bank manager, restaurant manager, warehouse manager)
Technical and craft occupations (such as motor mechanic, plumber, printer, electrician, gardener, train driver)
Clerical and intermediate occupations ( such as secretary, personal assistant, clerical worker, call centre agent, nursery nurse)
Semi - routine manual and service occupations (such as postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant )
Routine manual and service occupations (such as HGV driver, cleaner, porter, packer, labourer, waiter / waitress, bar staff)
Long term unemployment
I don't know
Prefer not to say
Other:
Required
If you would prefer to describe your social / economic class background, please enter here
Your answer
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