Chester Students' Union Diversity Monitoring Form Question Title * 1. What role are you applying for? Administrator (Student Staff) December/January 2021 OK Question Title * 2. Which of the following best describes your gender identity? Man Woman Prefer not to say In another way (Please describe [optional] OK Question Title * 3. Does the gender you live in match the gender you were assigned at birth? Yes No Prefer not to say OK Question Title * 4. Age band Under 18 18–29 30–39 40–49 50–59 60–65 Over 65 Prefer not to say OK Question Title * 5. How do you define your sexual orientation? Heterosexual/Straight Gay/Lesbian Bisexual/Bi Queer Prefer not to say In another way (please describe [optional]) OK Question Title * 6. Do you consider yourself to have a specific learning disability, other disability, impairment, long-term illness or health condition? Yes No Don’t Know Prefer not to say OK Question Title * 7. Please describe your disability, impairment or long-term health condition. Please select all that apply. Physical impairment such as using a wheelchair to get around and/or mobility difficulties Blind or partially sighted Deaf or hard of hearing Mental health difficulties e.g. depression, schizophrenia Learning difficulty where a person learns in a different way e.g. dyslexia, dyspraxia Profound and/or multiple learning difficulties Autistic Spectrum Disorder An unseen disability or health condition e.g. diabetes, epilepsy, asthma, HIV A disability not listed above (please describe) Prefer not to say No known disability, impairment or long-term health condition OK Question Title * 8. What is your Ethnicity? Asian/Asian British- Bangladeshi Asian/Asian British- Chinese Asian/Asian British- Indian Asian/Asian British- Pakistani Black/ African/ Caribbean/ Black British - African Black/ African/ Caribbean/ Black British- Caribbean Mixed/multiple ethnic groups - Asian and White Mixed/multiple ethnic groups - Black African and White Mixed/multiple ethnic groups - Black Caribbean and White Other ethnic group - Arab White - British White - English White - Gypsy or Irish Traveller White - Irish White - Northern Ireland White - Scottish Any other ethnic background or group, please describe OK Question Title * 9. What is your Religion, Faith and/or Belief? Buddhist Christian (including Catholic, Church of England, Church of Scotland, Protestant and all other Christian denominations) Hindu Jewish Muslim Sikh Spiritual Agnostic Atheist Any other religion or belief (Please specify) None Prefer not to say OK Question Title * 10. How did you initally hear about the role you have applied for? Word of mouth Social media CharityJobs SU Careers Indeed LinkedIn Guardian Jobs Government Job Site Other (please specify) OK DONE