Monitoring Form -- Shifting the Gaze Writers Bursary

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Monitoring Form -- Shifting the Gaze Writers Bursary

Thank you for taking time to fill this monitoring form, which we will use to evaluate the Shifting the Gaze programme. Please note that this information will not be supplied to any of the panel members and will not be identified to your application.

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Age

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Gender

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Is your gender the same as that which you were assigned at birth?

Yes

No

Prefer not to say

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What is your sexual orientation?

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Do you identify as disabled?

Yes

No

Prefer not to say

Other:

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What is the highest level of qualification you possess?

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