QMSU Student Staff - Applicants - Equal Opportunities Form Question Title * 1. What department/venue are you applying for? Admin Community Sport Drapers Fitness Instructors Get Active Griff Inn Ground The Union Shop Learning Cafe Marketing Student Engagement Qmotion Reception Representation & Democracy Shield Cafe Sports League Students Union Reception Village Shop OK Question Title * 2. Which of the following best describes your gender identity? Male Female Other Prefer not to say 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. Ethnic Group Arab Asian or Asian British: Bangladeshi Asian or Asian British: Chinese 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 Mixed: White and Asian Mixed: White and Black African Mixed: White and Black Caribbean Mixed: Other White: British White: Gypsy or Irish Traveller White: Irish White: Other Other Prefer not to say OK Question Title * 5. Sexual Orientation Bisexual Heterosexual (Straight) Homosexual (Gay) Other Prefer not to say OK Question Title * 6. Religion/Beliefs Buddhist Christian (all denominations) Hindu Jewish Muslim Sikh No religion (including Atheist and Agnostic) Other Prefer not to say OK Question Title * 7. Age 17-21 22-25 26-29 30-39 40+ Prefer not to say OK Question Title * 8. Marriage and Civil Partnership Single Married Civil Partnership Divorced Other Prefer not to say OK Question Title * 9. Disability Yes No Prefer not to say OK Question Title * 10. Caring Responsibilities None Primary carer for a child/children under 18 Primary carer of a disabled child/children Primary carer of a disabled adult Secondary carer (another person carries out the main caring role) Prefer not to say OK DONE