Coventry City of Culture Trust - Diversity and Equal Opportunities Form

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Coventry City of Culture Trust strives for Equal Opportunities in our recruitment process and working with artists to ensure that no person is unfairly discriminated against in recruitment and selection policies and procedures.

This form is a useful tool for us to assess how well we are achieving our aims so we encourage you to fill out it out honestly and completely, however it is not obligatory.

The information you supply WILL NOT be made available to anyone in any form other than anonymous data and is detached from the application form and not considered as part of any application.

Google Forms is strictly the method for collecting the data and periodically the data is downloaded to the Coventry City of Culture Trust's secure server and subsequently stored in line with the Trust's Privacy Policy - https://coventry2021.co.uk/privacy-policy/

What is the position, event or call out you are applying for? (Please include the full title of the event or call out). *

Age

What is your age bracket? *

0 - 19

20 - 34

35 - 49

50 - 64

65 +

Gender

Please indicate your gender: *

Female

Male

Non-binary

Other:

Is your gender identity different to the sex you were assumed to be at birth? *

Yes - Different

No - The Same

Prefer Not To Say

Classification of Disability

An internationally recognised definition of disability is:
“People with physical, mental or sensory disabilities: with hidden disabilities such as psoriasis, epilepsy, heart, chest conditions: people with disabilities linked to ageing: people suffering from a mental illness.”

Do you identify as disabled? *

Yes

Prefer Not To Say

Ethnic Origin and Cultural Background

Please indicate your ethnic origin and cultural background: *

White - British

White - Irish

White - Gypsy or Irish Traveller

Any Other White Background

Mixed or Multiple - White and Black Caribbean

Mixed or Multiple - White and Black African

Mixed or Multiple - White and Asian

Any Other Mixed Background

Asian or Asian British - Indian

Asian or Asian British - Pakistani

Asian or Asian British - Bangladeshi

Asian or Asian British - Chinese

Any Other Asian Background

Black or Black British - African

Black or Black British - Caribbean

Any Other Black Background

Other Ethnic Group - Arab

Any Other Ethnic Group

Prefer Not To Say

Sexual Orientation

Please indicate your sexual orientation: *

Bisexual

Gay Man

Gay Woman/Lesbian

Heterosexual/Straight

Queer

Prefer Not To Say

Other:

Other

Can you please tell us your postcode?

Can you please tell us where you saw this position advertised? *

Coventry 2021 Website

Coventry 2021 Newsletter

Social Media - Facebook

Social Media - Twitter

Social Media - Instagram

Word of Mouth

Job Listings Website (LinkedIn, The Guardian, The Stage, Arts Jobs etc.)

Local News (Coventry Telegraph etc.)

Partner Organisation

Other:

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