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Equal opportunities form
Please complete this form to the best of your ability and if you have any questions please contact a memeber of the team -
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Gender
Non-Binary
Female
Male
Intersex
Prefer not to say
Clear selection
Is the gender you identify with the same as your gender registered at birth?
Yes
No
Prefer not to say
Clear selection
Age
16-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65+
Prefer not to say
Clear selection
What is your Ethnicity - Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please tick the appropriate.
Prefer not to say
Clear selection
Asian or Asian British
Indian
Pakistani
Bangladeshi
Chinese
Black, African, Caribbean or Black British
African
Caribbean
Mixed or Multiple ethnic group
White and Black Caribbean
White and Black African
White and Asian
Any other Mixed or Multiple ethnic background, please write here
Your answer
White
English
Welsh
Scottish
Northern Irish
Irish
British
Gypsy or Irish Traveller
Other ethnic group
Arab
Any other ethnic group, please write here
Your answer
Do you consider yourself to have a disability or health condition
Yes
No
Prefer not to say
What is your sexual orientation?
Hetrosexual
Gay
Lesbian
Bisexual
Asexual
Pansexual
Undecided
Prefer not to say
If you prefer to use your own identity, please write here:
Your answer
What is your religious belief
No religion or belief
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Prefer not to say
Other:
What is your working pattern?
Full-time
Part-time
Student
Prefer not to say
What is your flexible working arrangement?
None
Flexi-time
Staggered hours
Term-time hours
Annualised hours
Job share
Flexible shifts
Compressed hours
Homeworking
Part-time
Prefer not to say
Other:
Do you have caring responsibilities? If yes, please tick all that apply.
None
Primary carer of a child/children (under 18)
Primary carer of disabled child/children
Primary carer of disabled adult (18 and over)
Primary carer of older person
Secondary carer (another person carries out the main caring role
Prefer not to say
Other:
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