CARDBOARD CAMP MANCHESTER EQUAL OPPORTUNITIES SURVEY

Why do we need this information?

This form is divided into four parts: About You, Equal Opportunities, and GMCA Districts.

The About You (Part 1) section allows us to get to know you as an artist, so we can tailor our opportunities. The Equal Opportunities (Part 2) and GMCA Districts (Part 3) sections are required because the Royal Exchange Theatre and Cardboard Citizens receives money from a number of public funding bodies (for example, the Arts Council and Esmee Fairbairn Foundation), and we are asked to report back information on the demographics within the network.

Please choose the "prefer not to answer" option for each question if you do not consent to sharing the information. None of the information collected on this form will be used in any decision-making process for Cardboard Camp Opportunities. All data collated will be treated in accordance with the Data Protection Act (1998).

Thank you for taking the time to complete this form.

Part One: About You

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* 1. Theatre Company / Artistic Pseudonym (if applicable)

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* 2. Please give us a brief summary of your previous work / training /experience (no more than 300 words)

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* 3. Please choose up to 3 of the following artform(s) / discipline(s) which best describe your work

Actor

Director

Producer

Playwright

Storyteller

Writer

Musician

Musical Director

Composer

Sound Designer

Dramaturg

Rap Artist

Prop Maker

Dialect/Voice Coach

Facilitator / Arts Educator

Choreographer

Dancer

Physical Theatre

Clown

Movement Director

Animator

Illustrator/Fine Arts

Film Maker/Videographer

AV Artist

Puppeteer

Scenic Artist/Scenographer

LX Designer

Fight Director

Comedian

Photographer

Circus Skills

Other (please specify)

Part Two: Equal Opportunities

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* 4. What is your gender?

Female

Male

Transgender Male

Transgender Female

Prefer not to answer

Other (please specify)

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* 5. How would you describe yourself? (you can mark more than one option)

Asian British

Asian Bangladeshi

Asian Indian

Asian Pakistani

Any other Asian background (please specify below)

Black British

Black African

Black Caribbean

Any other black background (please specify below)

East Asian British

East Asian Chinese

East Asian Japanese

East Asian Korean

South East Asian

Any other East Asian background (please specify below)

Mixed Heritage (please specify below)

White & Asian

White & East Asian

White & Black British

White & Black African

White & Black Caribbean

White British

White English

White Scottish

White Welsh

Northern Irish

Irish

Any other white background (please specify below)

Prefer not to answer

Other (please specify)

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* 6. What is your sexual orientation?

Bisexual

Gay man

Gay Woman/Lesbian

Heterosexual/Straight

Prefer not to answer

Other (please specify)

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* 7. Date of Birth (dd/mm/yyyy)
By giving us your date of birth we will know what age bracket you fall into over time, rather than having to ask you each year. Please leave this section blank if you would prefer not to answer.

Date

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* 8. What is your current relationship status?

Married

Civil Partnership

Co-Habiting

Single

Divorced

Widowed

In a relationship

Prefer not to answer

Other (please specify)

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* 9. What is your religion or belief system?

Buddhist

Christian

Hindu

Jewish

Muslim

Sikh

No religion

Atheist

Agnostic

Prefer not to answer

Other (please specify)

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* 10. Do you consider yourself to have a disability or long term health condition?

Yes

Prefer not to answer

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* 11. If you answered yes to Question 11, do you have any access requirements?

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* 12. Do you have care responsibilities for any of the following?

Dependent children

Other dependents

I have no care responsibilities

Prefer not to answer

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* 13. If you answered yes to Question 13, please detail any challenges or barriers that you face in taking part in Open Exchange opportunities as a result of your care responsibilities?

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* 14. Please indicate which socio-economic group you perceive you belong to at this stage in your life (this is often defined as working class, middle class, upper class but please don’t feel limited by these definitions):

Prefer not to answer

I think I am.......

Part Three: GMCA Districts

Question Title

* 15. Which District are you from?

Bolton

Bury

Manchester

Oldham

Rochdale

Salford

Stockport

Tameside

Trafford

Wigan

Outside Greater Manchester

Thank you for your time.

Royal Exchange Theatre
www.royalexchange.co.uk

Question Title

* 1. Theatre Company / Artistic Pseudonym (if applicable)

Question Title

* 2. Please give us a brief summary of your previous work / training /experience (no more than 300 words)

Question Title

* 3. Please choose up to 3 of the following artform(s) / discipline(s) which best describe your work

Question Title

* 4. What is your gender?

Question Title

* 5. How would you describe yourself? (you can mark more than one option)

Question Title

* 6. What is your sexual orientation?

Question Title

* 7. Date of Birth (dd/mm/yyyy)By giving us your date of birth we will know what age bracket you fall into over time, rather than having to ask you each year. Please leave this section blank if you would prefer not to answer.

Question Title

* 8. What is your current relationship status?

Question Title

* 9. What is your religion or belief system?

Question Title

* 10. Do you consider yourself to have a disability or long term health condition?

Question Title

* 11. If you answered yes to Question 11, do you have any access requirements?

Question Title

* 12. Do you have care responsibilities for any of the following?

Question Title

* 13. If you answered yes to Question 13, please detail any challenges or barriers that you face in taking part in Open Exchange opportunities as a result of your care responsibilities?

Question Title

* 14. Please indicate which socio-economic group you perceive you belong to at this stage in your life (this is often defined as working class, middle class, upper class but please don’t feel limited by these definitions):

Question Title

* 15. Which District are you from?

* 7. Date of Birth (dd/mm/yyyy)
By giving us your date of birth we will know what age bracket you fall into over time, rather than having to ask you each year. Please leave this section blank if you would prefer not to answer.