Equal Opportunities Monitoring Form

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This information will be used to monitor implementation of Lewisham Youth Theatre’s Equal Opportunities Policies. We will separate this part of the form from your application form. It will not form part of the selection process.

We would be grateful if you could complete the following questions. Please leave blank any question you prefer not to answer.

Your Name

Post Applied For *

Date

YYYY

ETHNIC GROUP

BLACK

British

African

Caribbean

Other:

ASIAN

British

Indian

Pakistani

Bangladeshi

Other:

MIXED

White/Black Caribbean

White/Black African

White/Asian

Other:

WHITE

British

Irish

Eastern European

Greek Cypriot

Turkish Cypriot

Other:

EAST ASIAN

British

Chinese

Vietnamese

Other:

Any other way of describing your ethnicity

EMPLOYMENT STATUS

Please indicate your employment status

Full-Time

Part-Time

Seeking work

Self Employed

Student

Carer

Homemaker

Retired

Government Training Scheme

Incapacity Benefit

Other

Clear selection

Please indicate your sex

Female

Male

Non-binary

Other:

Clear selection

Does your gender correspond to the sex assigned at birth

Yes

Please indicate your age group

16-25

26-35

36-50

51-65

65+

Other:

Do you consider yourself to have a disability?

Yes

Sexuality

Heterosexual

Gay

Lesbian

Bisexual

Queer

Other:

Clear selection

Please indicate your religious affiliation (if any):

How did you find out about this post

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