New Writing South Equality and Diversity Form

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New Writing South is committed to equality and diversity in its broadest sense. The information collected below is for diversity monitoring records only. Thank you for completing the form.

Email *

Post Code: *

Please tell us which age bracket you are in *

0-19

20-34

35-49

50-64

65-74

75+

Prefer not to say

What best describes your gender *

Man

Woman

Non-binary

Prefer to Self Describe (below)

Prefer not to say

Gender self description

How would you describe your sexual orientation *

Bisexual

Gay Man

Gay woman/lesbian

Heterosexual/Stright

Queer

Prefer to self describe (below)

prefer not to say

Sexual Orientation self description

With which ethnicity do you identify? Please select one answer *

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 Caribbean

Any other Black background

Mixed background - Asian & white

Mixed background - Black African & white

Mixed background - Black Caribbean & 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 to self-describe (below)

Prefer not to say

Not known

Ethnicity self description

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

Yes

Prefer not to say

Do you identify as neurodivergent? Being Neurodivergent could include Dyslexia, ADHD etc.

Yes

Prefer not to say

What best describes your current or most recent occupation? *

Clerical and intermediate occupations such as: secretary, personal assistant, call centre agent, clerical worker, nursery nurse

Full-time education such as: studying for a degree or apprenticeship

Long term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)

Modern professional & traditional professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer

Retired

Routine, semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.

Senior, middle or junior managers or administrators such as: finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager

Small business owners who employed less than 25 people such as: corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner

Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver

Not applicable (eg not currently working and not claiming benefits related to unemployment)

Other – please specify (below)

Other current or most recent occupation

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