Equalities Monitoring Form - Job Help Creative Lives to monitor the diversity of its job applicants by filling in the details below. Question Title * 1. What is the title of the job you are applying for? Question Title * 2. What is your gender? Female Male Prefer not to say Self define Question Title * 3. What age range do you find yourself in? Under 18 19-25 26-35 36-45 46-60 61-75 76 or over Prefer not to say Question Title * 4. What is your ethnicity? White (incl. English, Welsh, Scottish, Northern Irish, British, Irish, Gypsy or Traveller, Other) Dual / multiple (incl. White and Black Caribbean, White and Black African, White and Asian, Other) Asian / Asian British (Indian, Pakistani, Bangladeshi, Chinese, Other) Black / African / Caribbean / Black British (incl. African, Caribbean, Other) Other ethnicity (incl. Arab) Prefer not to say Self define Question Title * 5. What is your current occupation? Question Title * 6. Where do you live? (Postcode and place name is useful) Question Title * 7. What is your sexual orientation? Bisexual Heterosexual / Straight Homosexual / Gay Prefer not to say Prefer to self-describe... Question Title * 8. Do you consider yourself to have a disability? Yes No Prefer not to say Done
