Blast Theory Monitoring Form 2020/21

Monitoring Form

As part of our commitment to equal opportunities we want to make sure a wide range of people access Blast Theory's opportunities. By completing the simple form below you will help us to understand who we're reaching.

The form is 100% anonymous. You don't have to answer any questions you are not comfortable with, or you can tick 'Prefer not to say'. Where possible, we invite you to describe your own identity rather than tick a box.

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* 1. Which opportunity are you applying for?

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* 2. How do you describe your gender?

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* 3. Which of the following age groups do you belong to?

16 - 19

20 - 34

35 - 49

50 - 64

65+

Prefer not to say

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* 4. How do you describe your ethnicity?

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* 5. How do you describe your sexual orientation?

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* 6. Do you identify as a deaf/disabled person, or someone with a long-term health condition?

Yes

Prefer not to say

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* 1. Which opportunity are you applying for?

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* 2. How do you describe your gender?

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* 3. Which of the following age groups do you belong to?

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* 4. How do you describe your ethnicity?

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* 5. How do you describe your sexual orientation?

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* 6. Do you identify as a deaf/disabled person, or someone with a long-term health condition?

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* 7. Thinking back to when you were 14, what was the occupation of the main earner in your household?