IGNITE IMAGINATIONS EQUAL OPPORTUNITIES MONITORING FORM

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The information given will be used in compliance with the Ignite Imaginations Data Protection Policy that meets the requirements set out in the Data protection Act 1998 and GDPR. Analysis of the data in this form will be pseudonymised. You can choose NOT to complete this form

Position in Ignite:

Job applicant

Staff

Trustee

Artist

Workshop Assistant

Volunteer

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Ethnicity

Asian or Asian British - Bangladeshi

Asian or Asian British - Indian

Asian or Asian British - Pakistani

Asian or Asian British - other Asian background *

Black or Black British - African

Black or Black British - Caribbean

Black or Black British - other black background *

Chinese

Mixed - White and Black African

Mixed - White and Black Caribbean

Mixed - White and Asian

Mixed - other mixed background *

Somali

South East Asian

White - British

White - Irish

White - East European

White - other white background *

Yemeni

other Arab origin *

Any other ethnic group *

Prefer not to say

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* If you selected the 'other' box you can specify here:

Religious belief

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

None

Any other religion *

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* If you selected the 'other' box you can specify here:

Do you consider yourself to have a disability?

Yes

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Which gender do you identify as?

Female

Intersex

Male

Non-binary

Transgender

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Other:

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Age

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70+

Prefer not to say

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Sexual Orientation

Asexual

Bisexual

Heterosexual

Lesbian/Gay

Other sexuality

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