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Equalities Monitoring Form
Please fill out this form to help us record who we are reaching with our programmes of work.
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* Indicates required question
What are you applying for?
*
Job role
Performance programme
Research and Development programme
Other:
If you answered 'Job Role' to the above, please tell us which role you are applying for here:
Your answer
Where did you hear about this opportunity?
*
Facebook
Twitter
Instagram
Exeter Fringe email newsletter
Another email newsletter
Radio Coverage
Exeter Fringe Website
Word of Mouth
Publication (Exeter Living etc.)
Other:
Required
How do you identify your gender?
*
Female
Male
Non Binary
Prefer not to say
Other:
Is your gender identity different to the one assigned to you at birth?
*
Same
Different
Prefer not to say
What is your sexual orientation?
*
Asexual
Bisexual
Gay Man
Gay Woman/Lesbian
Heterosexual
Queer +
Pansexual
Prefer not to say
Other:
Do you consider yourself to have a disability?
*
Yes
No
Prefer not to say
If you answered 'yes' what is the nature of your disability?
Blind/visual impairment
D/Deaf/Hearing impairment
Learning Difficulty
Mental Health
Mobility
Speech Impairment
Prefer not to say
Other:
What is your nationality?
*
Your answer
How would you describe your ethnicity?
*
Asian or Asian British - Bangladeshi
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Chinese
Other Asian Background
Mixed - Asian & White
Mixed - Black African & White
Mixed - Black Caribbean & White
Black or Black British - African
Black or Black British - Caribbean
Other Black Background
White - British
White - Irish
White - Gypsy or Irish Traveller
White - European
White - Other
Arab
Latin
Prefer not to say
Other:
What is your religious belief?
*
Buddhist
Christian
Hindu
Jewish
Muslim
Non-religious (Atheist, humanist etc.)
Sikh
Prefer not to say
Other:
Do you have any caring responsibilities?
*
Non
Primary carer of a child/children under 18
Primary carer of a disabled child/children under 18
Primary carer of a disabled adult (18 and over)
Primary carer of an older person (65 and over)
Secondary carer
Prefer not to say
Other:
What type of school did you go to?
*
State-run or state-funded school - selective
State-run or state-funded school - non-selective
Independant or fee-paying school
Independant or fee-paying school on a scholarship
Prefer not to say
Other:
Did you receive free school meals during your time at school?
*
Yes
No
Not applicable (finished school before 1980 or went to school overseas)
Don’t know
Prefer not to say
What is your highest level of academic qualification?
*
No formal qualifications
Secondary school level
ESOL/Literacy qualifications
Further education (AS, A Level, Diploma or NVQ Level 2/3)
Higher Education - Graduate
Higher Education - Postgraduate & Doctoral
Vocational training
Prefer not to say
Other:
What is/was the highest level of academic qualification of your parents/care-givers?
*
No formal qualifications
Secondary school level
ESOL/Literacy qualifications
Further education (AS, A Level, Diploma or NVQ Level 2/3)
Higher Education - Graduate
Higher Education - Postgraduate & Doctoral
Vocational training
Prefer not to say
Other:
Did you go to university?
*
Yes
No
Prefer not to say
What kind of work did your primary care-giver do when you were 14 years old?
*
Routine manual and service occupations - e.g. van driver, cleaner, porter, labourer, waiter/waitress, bar staff
Semi-Routine manual and service occupations - e.g. postal worker, security guard, machine worker, receptionist, sales assistant
Technical and craft occupations - e.g. fitter, plumber, printer, electrician
Clerical and intermediate occupations - e.g. secretary, nursery nurse, office clerk, call centre agent
Middle or Junior Managers - e.g. office manager, warehouse manager, restaurant manager
Modern Professional Occupations - e.g. teacher, nurse, social worker, artist, musician, software designer
Traditional professional occupations - e.g. accountant, solicitor, scientist, medical practitioner
Senior managers or administrators - e.g. Finance Manager, Chief Executive, Director
Retired
Prefer not to say
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