Imaginate Equalities, Diversity and Inclusion Form - Year 2022/2023

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* 1. Today's date

Date

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* 2. Your postcode

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* 3. Please tell us about your involvement with Imaginate

Artist or professional involved in Creative Development programme

Job applicant

Temporary staff

Freelance

Board member

Employee

Volunteer

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* 4. Which age band do you fall into?

Under 16

16-30

31-50

51-70

71+

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* 5. How would you define your gender identity?

Male

Female

Non-binary

I identify differently (please specify if you wish)

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* 6. Is your gender identity the same as the sex you were assigned at birth?

Yes

Prefer not to say

Prefer to self-describe (please specify if you wish)

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* 7. How would you describe your sexual orientation?

Heterosexual / straight

Gay

Lesbian

Bisexual

I identify differently

Prefer not to say

Prefer to self-describe (please specify if you wish)

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* 8. Do you consider yourself to have a disability?

Yes

Prefer not to say

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* 9. Please tell us about your ethnic origins

Arab or Middle Eastern

Asian (South East Asian, East Asia, South Asia, Northeast Asia)

Black African, Black Caribbean or African/Caribbean diaspora

Mixed or multiple ethnic groups

White other

White Scottish/British