Equalities Data Monitoring Form

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Gapsquare is committed to ensuring that it is accessible to everyone regardless of gender, ethnicity or nationality, disability, religion, sexual orientation, gender reassignment, socioeconomic background or age. We aim to foster an environment free from harassment, unfair and unlawful discrimination where everyone is treated fairly. We gather and analyse diversity data to assess the extent to which we are achieving our diversity and inclusion aims. We use this information to review our processes to ensure they are fair and transparent, and do not have an adverse impact on any particular group.

All information provided will be treated as strictly confidential in accordance with Gapsquare’s Privacy Notice in line with the General Data Protection Regulations (GDPR) 2018. The information will only be used for statistical purposes only with access restricted to staff involved in processing and monitoring the data, and will not be associated with any employee or name. It will not be seen by anyone involved in any decision making during selection processes. No information will be published or used in any way that allows individuals to be identified.

We recognise that some people may regard this information as private and have therefore included the option of ‘prefer not to say’ in all categories. You do not have to complete the form but it will help us improve our services and processes if you can complete as much as possible.

To find out more about why we gather this information, or to ask any questions, contact: hello@gapsquare.com

What best describes your gender? *

Male

Female

Non-binary

I prefer to self-describe

Prefer not to say

If you prefer to self-describe, please provide here:

Do you identify as trans? *

Yes

Prefer not to say

What is your sexual orientation? *

Gay/lesbian

Heterosexual/straight

I prefer to self-describe

I prefer not to say

If you prefer to self-describe, please provide here:

What is your age? *

18-24

25-34

35-44

45-54

55-64

65+

Prefer not to say

Do you consider yourself to have a disability, impairment, learning difference or long term condition? The UK Equality Act 2010 defines a disability as a 'physical or mental impairment that has a 'substantial' or 'long-term' negative effect on your ability to do normal daily activities.' *

Yes

Prefer not to say

How would you describe your ethnicity? *

Arab

Asian or Asian British: India

Asian or Asian British: Pakistani

Asian or Asian British: Bangladeshi

Asian or Asian British: Chinese

Asian or Asian British: Other

Black or Black British: African

Black or Black British: Carribean

Black or Black British: Other

Mixed: White and Black Caribbean

Mixed: White and Black African

Mixed: White and Asian

Mixed: Other

White: British

White: Irish

White: Gypsy or Irish Traveller

White: Other

Other ethnic group

Prefer not to say

If 'other ethnic group' or if you prefer to use your own term, please provide this here

Religion and belief *

Buddhist

Christian

Hindu

Jewish

Muslim

Non-religious (Atheist, Humanist etc)

Sikh

Other

Prefer not to say

If you prefer to use your own definition, please provide this here

What type of school did you mainly attend between the ages of 11 and 18? *

Attended school outside of the UK

Independent or fee-paying school, bursary

Independent or fee-paying school, no bursary

State-run or state-funded school, non-selective

State-run or state-funded school, selective on academic, faith or other grounds

Don't know

Prefer not to say

Other

If other, please specify here

Please think about the parent or other care-giver who was the highest income earner in your house when you were around 14 years old. What kind of work did they do? If this question does not apply to you (because, for example, you were in care at this time) you can indicate this below *

Clerical and intermediate occupations e.g. secretary, personal assistant, nursery nurse, office clerk, call centre agent

Middle or junior managers e.g. office manger, warehouse manager, restaurant manager

Modern professional occupations e.g. teacher, nurse, social worker, artist, musician, software designer

Routine manual and service occupations e.g. van driver, cleaner, porter, waiter/waitress, bar staff

Semi-routine manual and service occupations e.g. postal worker, security guard, machine worker, receptionist, sales assistant

Senior managers and administrators e.g. finance manager, chief executive

Technical and craft occupations e.g. fitter, plumber, printer, electrician

Traditional professional occupation e.g. accountant, solicitor, scientist, medical practitioner

Long-term unemployment e.g. claimed Jobseeker's Allowance or earlier unemployment benefit for more than a year

This question does not apply to me

Prefer not to say

Were you born in the UK? *

Yes

Prefer not to say

If you were born in the UK, in which county or borough were you born?

Do you have caring responsibilities? If yes, please tick all that apply *

None

Primary carer of a child or children (under 18 years)

Primary carer of a disabled child or children

Primary carer or assistant for a disabled adult (18 years and over)

Primary carer or assistant for an older person or people (65 years and over)

Secondary carer (another person carries out main caring role)

Prefer not to say

Required

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