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Pavilion Dance South West Equal Opportunities form (Job applicants) 2023/24
Hello! This form will take a minute or so to complete.
Thank you for taking the time to tell us about yourself - it is important to us to have lots of ideas and perspectives and people from varied backgrounds as part of our team. Collecting data is one of the ways we can make a difference, as each response helps us to reflect on the work we do and who we do it with.
We'll hold your individual data securely and only the Executive Director, who is responsible for our Equal Opps monitoring, will have access to it. Anonymised and combined data from responses received will be used to monitor our reach, be reported to Trustees, and may be published annually on our website as part of our Equality Action Plan progress report.
You choose what to answer and 'prefer not to say' is always an option.
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* Indicates required question
Email
*
Your email
What is your name? (We ask this so we only ask you once to fill in the form. We will extract your name from the data so it can't be traced back to you)
*
Your answer
What is the job or role you are applying for?
*
Your answer
How did you find out about the job or role?
*
Your answer
Do you identify as...
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Male
Female
Non-Binary
Prefer not to say
Other - I will write it below
Gender Question - only answer if you chose 'Other' above and please write it here:
Your answer
Sexual Orientation
*
Bisexual
Gay Man
Gay Woman / Lesbian
Heterosexual/ Straight
Queer
Prefer not to say
Age
*
16-19
20-34
35-49
50-64
65-74
75+
Prefer not to say
How do you identify?
*
As a deaf or disabled person, or as having a long-term health condition
Neurodivergent
As having an invisible disability
Non-Disabled
Prefer not to say
Ethnicity: Please tick the ethnic category that best represents you. As you make your decision, please think about what ethnic group means to you, that is, how you see yourself. Your ethnic category is a mixture of culture, religion, skin colour, language and the origins of yourself and your family. It is not the same as nationality.
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White / English / Welsh / Scottish/ Northern Irish / British
White / Irish
White / Irish Traveller
Asian / Asian British: Bangladeshi
Asian / Asian British: Indian
Asian / Asian British: Pakistani
Asian / Asian British: Chinese
Black or Black British: African
Black or Black British: Caribbean
Mixed: White and Black Caribbean
Mixed: White and Black African
Mixed: White and Asian
Arab
Roma/Romani
Latin American
Prefer not to say
I identify as something not on this list - and will write it in the box below
Any other ethnic group - please write it here:
Your answer
Socio Economic Background: Thinking back to when you were aged about 14, which best describes the sort of work the main/highest income earner in your household did in their main job?
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Modern Professional Occupation e.g. teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer
Clerical and Intermediate Occupations e.g. secretary, personal assistant, clerical worker, call centre agent, nursing auxiliary, nursery nurse
Senior Managers and Administrators - Usually responsible for planning, organising and co-ordinating work and for finance such as finance manager, chief executive, etc.
Technical and Craft Occupations e.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver
Semi-routine Manual and Service Occupations e.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant
Routine Manual and Service Occupations e.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff
Middle or Junior Managers e.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican
Traditional Professional Occupations e.g. accountant, solicitor, medical practitioner, scientist, civil/mechanical engineer
Short term unemployed - claimed Jobseekers Allowance or earlier unemployment benefit for a year or less
Long term unemployed - claimed Jobseekers Allowance or earlier unemployment benefit for more than a year
Retired
Non applicable
I don't know
I prefer not to say
Other - I will write it in the box below
Socio Economic Question - only answer if you chose 'Other' above and please state:
Your answer
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