Equal Opportunities Monitoring Form

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If you have submitted an application/expression of interest for an opportunity with Curious Arts, please complete the following form to support our equal opportunities monitoring and reporting to our funders and stakeholders.

All information shared is anonymous.

Thank you for your interest in working with us and your time completing this form.

If you have any queries about the content of this form, please contact: hello@curiousarts.org.uk

1. Role / Opportunity Applied for: *

2. Which of the following options best describes your Gender Identity? *

Agender

Bigender

Gender fluid

Man (incl. Trans Man)

Non - Binary

Woman (incl. Trans Woman)

Prefer not to say

I describe my gender identity in another way

3. Is your Gender Identity the same gender you were assigned at birth? *

Yes

Prefer not to say

4. Which of the following options best describes your Sexual Orientation? *

Asexual

Bisexual

Gay

Heterosexual or Straight

Lesbian

Queer

Pansexual

Prefer not to say

I describe my sexual orientation in another way

5. How old are you? *

Under 18

18 - 24

25 - 34

35 - 44

44 - 54

55 - 64

65+

Prefer not to say

6. Please tick the Ethnic category that you feel best describes you: *

Asian or Asian British

Asian Bangledeshi

Asian Indian

Asian Pakistani

Another Asian Background

Black African

Black or Black British

Black Caribbean

Another Black Background

Chinese or Chinese British

White British

White Irish

White Scottish

White Welsh

Another White Background

Dual Heritage: Asian & White

Dual Heritage: Black African & White

Dual Heritage: Black Caribbean & White

Dual Heritage: Chinese & White

Prefer not to say

I describe my ethnicity in another way

7. Do you have a disability or long term health condition? *

Yes

Prefer not to say

If yes please give details (Optional)

8. What is your current Marital Status? *

In a Civil Partnership

Divorced

Married

Single

Widowed

Prefer not to say

I describe my status in another way

9. How do you identify your Religious Beliefs? *

Christian

Buddhist

Hindu

Jewish

Muslim

Sikh

Spiritual

Not Religious

Prefer not to say

In another way

10. Where did you find out about this opportunity? *

11. I declare that the information on this form is true and complete? *

Yes

12. Date of completion: *

YYYY

Thank you for your interest in this opportunity and your time taken to complete this form.

A member of the Curious Arts team will be in touch to progress your application.

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