CAS Equal Opps Form
We aim to create a diverse and inclusive organisation. To know if we are achieving this, we ask everyone involved with us to submit their personal details so that we can understand the composition of our organisation and those interested in it. This allows us to identify areas of underrepresentation and prepare better for the needs of our particular community.

The questions are personal but your data is collected anonymously. It will be kept strictly confidential and only used only for statistical purposes. It will only accessible to a limited number of authorised Coventry Artspace staff and Trustees. It will never be used in a way that identifies or links to you personally and will only ever be used for the purposes stated.  

Your disclosure is entirely voluntary and even if you select 'Prefer not to say' on some questions, your contribution will be helping us to build an inclusive culture. We plan to report the aggregate results of our diversity audit internally as one tool in a wider discussion about the kinds of diversity that are important to our Board. 

The confidentiality, use of, and accessibility of data is kept in line with our obligations under the retained EU law version of the General Data Protection Regulation 2018 and the Data Protection Act 2018. Some of the data we are collecting is Special Category data (so called in law because it is particularly sensitive) and we are taking care to ensure your data is safe, secure, and handled responsibly. For more information about how rights are protected under data protection laws and how we process personal information generally, please see our privacy notice https://docs.google.com/document/d/1kLpBZKe9v_VlBQBYX6wf9dO3LvLPhiVr/edit

Where possible we have used standard terms, such as ethnicity categories that match those from the UK Census 2021. Where areas are more difficult to measure, such as socioeconomic diversity, we have chosen questions and options that align to best practice recommendations. For example, our 'secondary school type' and 'parental occupation' questions are modelled on those outlined by the Social Mobility Commission.


Sign in to Google to save your progress. Learn more
Please confirm your consent to the processing of the anonymous information below to monitor the diversity of Coventry Artspace members and trustees.

*
Required
Please tell us the role you are applying for *
How would you describe your gender? *
Is your gender identity the same as the sex you were assigned at birth? *
What is your age? *

Do you consider yourself to have a disability or long-term health condition (mental health and/or physical)?

*

What is your ethnic group?

*

What is your religion or belief?

*

What is your sexual orientation?

*

What kind of school did you mainly attend between the ages of 11-16yrs?

*

What was the occupation of your main household earner when you were aged 14?

*

Do you have regular caring or parental responsibilities?

*

Do you currently experience economic hardship due to being on a low income, benefits or Universal Credit?

*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report