Venture Arts is committed to the promotion of equality of opportunity in its employment policy, practices and procedures. To do this effectively we need to collate and analyse statistical information. We would therefore be grateful if you could provide us with the following information. We value your contribution, which will help us to ensure that our workforce is representative of our community. This form will be separated from your application form and treated in the strictest confidence. The information you provide will be used for statistical purposes only and will not be used as part of the recruitment selection process. It is helpful if you complete all sections of the form. If you prefer not to complete this form please tick here Sex Female Male Disability - The Equality Act 2010 defines a disabled person as someone who has a mental or physical impairment that has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. Do you consider yourself to be disabled as set out under the Equality Act 2010? Yes No Ethnic background - Which of these ethnic groups do you consider you belong to? (Please select one option) White English/Scottish/Welsh/Northern Irish/UK Irish Gypsy or Irish Tra Any other White background Mixed ethnic background Mixed ethnic background Asian/Asian UK Indian Pakistani Bangladeshi Black/ African/Caribbean/Black UK African Caribbean Other ethnic group Arab Chinese Any other Asian background Any other Black/African/Caribbean background Other ethnic group Prefer Not to Say Age - What is your age group (please select one option) 15-19 years 85+ years 20-24 years 25-34 years Religion or belief – What is your belief/religion? No religion Christian Buddhist 35-44 years Hindu Jewish 45-54 years 55-64 years Muslim Sikh 65-74 years Other religion 75-84 years Prefer Not To Say Sexual orientation - What is your sexual orientation? (Please select one option) Towards someone of the same sex (this covers gay men and lesbians) Towards someone of a different sex (this covers heterosexual men and women) Towards someone of the same sex and of the opposite sex (this covers bisexual men & women) Prefer Not to Say Form No. EO/0614