Open Eye Gallery - Equal Opportunities Monitoring Form

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To help Open Eye Gallery to implement our Equal Opportunities Policy we would be grateful if you would complete this form before working with us. The information will be confidential, and used to help ensure parity across our programme.

How would you describe your gender identity?

Man

Woman

Non-binary

Prefer not to answer

Prefer to self describe

Clear selection

If answered self describe, please enter your gender identity below

Transgender status – is your gender identity the same as the gender you were assigned at birth?

Yes

Prefer not to answer

Clear selection

How would you describe your ethnic origin?

What age group are you in?

0 - 19

20 - 34

35 - 49

50 - 64

65+

Prefer not to answer

Clear selection

Do you have a disability or health condition? Any information you provide here will be used for monitoring purposes only – please let us know on your application form if you need any adjustments to attend an interview.

Yes

Prefer not to answer

Clear selection

How would you describe your sexual orientation?

How would you describe your religious beliefs?

Would you describe yourself as coming from a lower socio-economic background?

Yes

Prefer not to answer

Clear selection

Submit

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