Equal Opportunities Monitoring Form

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Oldham Coliseum Theatre is committed to providing equal opportunities for everyone regardless of their gender identity, marital status, ethnicity, disability, age, class, sexual orientation or background.

For us to effectively monitor our objectives as an Equal Opportunities employer, please provide the information requested below. All information is anonymous and confidential and will be treated in line with the requirements of GDPR legislation.

If you require any further information with regard to the requested information, please email info@coliseum.org.uk.

Your Age

Under 19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75+

Prefer not to say

Clear selection

Your Ethnicity

Asian/Asian British - Bangladeshi

Asian/Asian British - Chinese

Asian/Asian British - Indian

Asian/Asian British - Pakistani

Any other Asian Background

Black/Black British - Black African

Black/Black British - Black Caribben

Any other Black background

Mixed Background - Asian and white

Mixed Background - Black African and white

Mixed Background - Black Caribbean and white

Any other Mixed background

White/White British - Gypsy, Roma or Irish traveller

White/White British - White British

White/White British - White Irish

Any other White background

Any other background - Arab

Any other background - Latin American

Any other background

Prefer not to say

Not known

Prefer to self-describe (please specify below)

Clear selection

Ethnicity - Prefer to Self Describe

Gender Identity

Male

Female

Non-binary

Trangender

Transexual

Other (please specify below)

Prefer not to say

Clear selection

Gender Identity - Prefer to self describe

Sexual Orientation

Bi-Sexual

Gay Man

Gay Woman (Lesbian)

Heterosexual/Straight

Pansexual

Transexual

Other (please specify below)

Prefer not to say

Clear selection

Sexual Orientation - Prefer to self describe

Do you identify as a D/deaf and/or disabled person or have a long term health condition?

Yes

Prefer not to say

Clear selection

Do you identify as neurodivergent (this could include Dyslexia, ADHD)?

Yes

Prefer not to say

Clear selection

Submit

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