Homemakers Applicant Monitoring Form 2021

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Your contact details will only be used to contact you about the project you are participating in, unless you opt-in to the HOME mailing list. If you opt in to the mailing list, we will not share your information with any third parties.
Other personal data will be used for monitoring purposes only and will be anonymised. We use this information to produce anonymised statistical data on equalities, which is reported back to HOME's funders.
For information on HOME’s Privacy Policy, visit www.homemcr.org/about/policies/privacy

Email *

Name (please fill this in if you wish to be added to the mailing list)

Gender (I would describe myself as....) *

Date of Birth *

YYYY

Postcode *

Would you like to be added to our Talent Development mailing list? (if you are already on the mailing list please choose No) *

Yes

Do you consider yourself to have a disability? *

Yes

Prefer not to say

Have you undertaken a university arts degree? *

Yes

Prefer not to say

Other:

Please indicate your ethnic background *

If you feel your ethnicity is not reflected in the list below, please use the Other box to tell us how you describe yourself

Bangladeshi

Indian

Pakistani

Other South Asian background

African

Carribean

Other Black/ Black British background

Chinese

Other East Asian background

White and Asian

White and Black African

White and Black Carribean

Other Mixed background

British

Irish

Other White background

Prefer not to say

Other:

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