Director, Peterborough Cultural Alliance: Equal Opportunities Monitoring Form

The Peterborough Cultural Alliance wants to meet the aims and commitments set out the values and vision for its cultural strategy. This includes not discriminating under the Equality Act 2010 and working to make the new Cultural Alliance as diverse and representative as it can be

We welcome your co-operation, but filling in this form, or any part of it, is voluntary. If there are any questions that you’d rather not answer, please select Prefer Not to Say.

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* 1. Your age

16-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65+

Prefer not to say

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* 2. What is your ethnicity?

Asian/ Asian British: Indian

Asian/ Asian British: Pakistani

Asian/ Asian British: Chinese

Asian/ Asian British Prefer not to say

Black/ African/ Caribbean/ Black British: African

Black/ African/ Caribbean/ Black British: Caribbean

Black/ African/ Caribbean/ Black British: Prefer not to say

Mixed/multiple ethnic groups: White and Black Caribbean

Mixed/multiple ethnic groups: White and Black African

Mixed/multiple ethnic groups: Prefer not to say

White: English

White: Welsh

White: Scottish

White: Northern Irish

White: Irish

White: British

White: Gypsy or Irish Traveller

White: eastern European

White: prefer not to say

Other ethnic group: Arab

Other ethnic group: Jewish

Other ethnic group: prefer not to say

Prefer not to say

Other ethnic group: please specify

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* 3. Do you consider yourself to be disabled or to have a long term health condition, including mental health conditions and/or invisible disabilities?

Yes

Prefer not to say

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* 4. diDo you consider yourself to be neurodivergent?

Yes

Prefer not to say

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* 5. What is your sex

Male

Female

Prefer not to say

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* 6. What is your gender identity?

Male

Female

Non-Binary

Prefer not to say

Other

If you prefer to use your own gender identity, please write in:

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* 7. Do you consider your gender identity to be different from your registered sex at birth?

Yes

Prefer not to say

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* 8. What is your sexual orientation

Heterosexual

Gay

Lesbian

Bisexual

Asexual

Pansexual

Undecided

Prefer not to say

If you prefer to use your own term, please specify here

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* 9. What is your current working pattern?

Full-time

Part-time

Portfolio of projects

Prefer not to say

Director, Peterborough Cultural Alliance: Equal Opportunities Monitoring Form

Question Title

* 1. Your age

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* 2. What is your ethnicity?

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* 3. Do you consider yourself to be disabled or to have a long term health condition, including mental health conditions and/or invisible disabilities?

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* 4. diDo you consider yourself to be neurodivergent?

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* 5. What is your sex

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* 6. What is your gender identity?

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* 7. Do you consider your gender identity to be different from your registered sex at birth?

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* 8. What is your sexual orientation

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* 9. What is your current working pattern?

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* 10. How did you hear about this role?