Company of Others Equal Opportunities (Applicants)

Company of Others Equal Opportunities

Company of Others is committed to the promotion of equal opportunities and the elimination of discrimination experienced by people on the grounds of gender, race, disability, sexual orientation, socio-economic status, marital/civic partnership status, age, religious belief, gender reassignment and needs of dependents and/or parenthood.

You are under no obligation to complete the form below, but by doing so you are helping us to monitor the effectiveness of our ethos and values. This monitoring form is for the collation of statistics only. The request for this information and the uses to which it will be put are within the scope of the GDPR, which allows for the collation and reporting of sensitive data for monitoring purposes.

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* Please tick the category that best represents you

Female

Male

Intersex

Prefer not to answer

Not known

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* Please tick the category that best represents you

Woman

Man

Non-binary

Not applicable

Prefer not to answer

Not known

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* Is your gender identity different to what it was assumed to be at birth?

Yes

Prefer not to answer

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* Please tick the category that best represents you

Bisexual

Gay Man

Heterosexual/Straight

Lesbian/Gay Woman

Queer

Not known

Prefer not to answer

Any other sexual orientation, please specify here

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* Age - Please tick the age category that best represents you

Prefer not to answer

Not known

0-19

20-34

35-49

50-64

64-74

75+

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* Cultural Diversity
How would you describe your ethnic origin? Please tick the ethnic category that best represents you. As you make your decision, please think about what ethnic group means to you, that is, how you see yourself. Your ethnic category is a mixture of culture, religion, skin colour, language and the origins of yourself and your family. It is not the same as nationality. These codes have been classified by The Equality and Human Rights Commission.

Please tick all boxes that indicate your cultural background.

Jewish

Roma

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* Black

Black African

Black Caribbean

Any other Black background, please state

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* South Asian

Bangladeshi

Indian

Pakistani

Nepalese

Sri Lankan

Any other South Asian background, please state

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* Southeast and/or East Asian

Chinese

Japanese

Korean

Malaysian

Thai

Vietnamese

Any other Southeast / East Asian background, please state

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* White

English

Scottish

Welsh

Irish

Any other White background, please state

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* Dual Heritage
If you are of Dual Heritage, Bi-Racial or Mixed Ethnicity, how would you describe this?

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* If you have any other background, please state

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* If you would prefer not to answer, please tick here

Yes

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* Do you experience being 'othered' by the society you live in?

Yes

Prefer not to answer

If you'd like to give more information, you can do so here:

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* Do you consider yourself to be neurodivergent?

Yes

Prefer not to answer

If you would like to give more information, please do so here:

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* Would you consider yourself to be disabled?

Prefer not to answer

Not known

Yes

If yes, how would you describe your disability?

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* Socio Economic Status - Please indicate the occupation of the main/highest income earner in your household when you were 14.

Modern Professional Occupations
E.g. Teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer

Clerical and Intermediate Occupations
E.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse

Senior Managers and Administrators
Usually responsible for planning, organising and co-ordinating work for finance such as finance manages, chief executive etc

Technical and Craft Occupations
E.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver

Semi-Routine Manual and Service Occupations
E.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant

Routine Manual and Service Occupations
E.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff

Middle or Junior Managers
E.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican

Traditional Professional Occupations
E.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer

Self-employed

Short Term Unemployed
Claimed Jobseeker’s Allowance or earlier unemployment benefit for a year or less

Long Term Unemployed
Claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year

Retired

Not applicable

Don’t know – the individual doesn’t know/remember

Prefer not to answer

Other

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* Socio Economic Status - Please indicate which socio-economic group you belong to at this stage in your life