Cockpit Arts Equal Opportunities Monitoring Form

Cockpit Arts carries out diversity monitoring in the workplace as this allows us to obtain an overall, statistically-valid picture of the ways in which our policies and practices affect equality groups, identify discriminatory practices and barriers to equal treatment.

This form will be separated from your application and will not form part of the selection process.

We will never share the personal data you provide on this form and promise to keep it safe and secure. If you wish to change the details we have for you, please contact info@cockpitarts.com

Cockpit is committed to inclusion, diversity and equality in governance and in all our activities, recognising that diversity improves performance and fuels creativity and innovation. We have an inclusive culture where all aspects of diversity are seen as key to our success.

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* 1. What are you applying for?

Cockpit Arts Trustee

Cockpit Arts Staff

Freelance Business Coach

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* 2. Name

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* 3. In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 4. What is your gender identity?

Prefer not to say

Male/Man

Genderqueer/Gender Non-Conforming

Female/Woman

Other, optionally please specify:

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* 5. Cultural Diversity

Any other Cultural background

Asian or Asian British - Bangladeshi

Asian or Asian British - Indian

Asian or Asian British - Pakistani

Asian or Asian British - Other

Black or Black British - African

Black or Black British - Caribbean

Black or Black British - Other

Chinese - Chinese

Chinese - Other

Gypsy or Irish Traveller

Mixed - Asian and White

Mixed - Black African and White

Mixed - Black Caribbean and White

Mixed - Chinese and White

Mixed Culture - Other

White – British / English / Northern Irish / Scottish / Welsh

White - Irish

White - Other

Prefer not to say

If you selected 'Other' please specify:

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* 6. Do you consider yourself to be disabled under the Equality Act 2010?

Yes

Prefer not to say

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* 1. What are you applying for?

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* 2. Name

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* 3. In what year were you born? (enter 4-digit birth year; for example, 1976)

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* 4. What is your gender identity?

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* 5. Cultural Diversity

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* 6. Do you consider yourself to be disabled under the Equality Act 2010?

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* 7. Where did you hear about this opportunity?