Equal Opportunities and Diversity Monitoring Form

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We would really appreciate it if you could answer these few questions on diversity. This helps us to understand if we are reaching and including people from the full range of diversity in our society. There are 'prefer not to say' options if you wish to opt out. Tick the relevant box to select your answer.

Which role are you applying for? *

Centre Manager

Customer Service & Community Engagement Coordinator

Ethnicity *

Asian / Asian British - Indian

Asian / Asian British - Pakistani

Asian / Asian British - Bangladeshi

Asian / Asian British - Chinese

Asian / Asian British - Other

Black/Black British - African

Black/Black British - Caribbean

Black/Black British - Other

Dual - Black Caribbean and White

Dual - Black African and White

Dual - Asian and White

Dual - Chinese and White

Any other mixed ethnic background

Other: Arab

Other: Prefer not to say

White - British

White - Irish

White - Gypsy or Irish traveller

Any other white background

Other:

Required

Age *

16-19

20-24

25-39

40-59

60-64

65 and older

Prefer not to say

Required

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

Disabled

D/deaf

Neurodivergent

Long term health condition

N/A

Required

Gender Identity *

Male (including female-to-male trans men)

Female (including male-to-female trans women)

Non-binary (for example, androgyne people)

Prefer not to say

Required

Sexual Orientation *

Heterosexual/straight

Gay, Lesbian,

Bisexual

Prefer not to say

Other:

Required

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