Equal Opportunities Form

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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
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