Pleasance Theatre Trust Equal Opportunities Monitoring Form
We are committed to ensuring that all job applicants and team members are treated equally, without discrimination because of gender, sexual orientation, marital or civil partner status, gender reassignment, race, colour, nationality, ethnic or national origin, religion or belief, disability or age. This form is intended to help us maintain equal opportunities best practice and identify barriers to workforce equality and diversity.

Please complete this form and return it with your application. The form will be separated from your application on receipt. The information on this form will be used for monitoring purposes only and will play no part in the recruitment process.

All questions are optional. You are not obliged to answer any of these questions but the more information you supply, the more effective our monitoring will be. All information supplied will be stored securely and treated in the strictest confidence. It will not be placed on your personnel file.

In order for us to process this information and to comply with data protection legislation, we require your consent. You are not required to give your consent; you acknowledge that any consent given is freely given. You can indicate consent at the bottom of this form. Your job application is not dependent on your giving consent to our processing of this data. Once you have given consent, you may withdraw it at any time by contacting Hamish Morrow - Operations Director: / +44 (0)207 619 6868.

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About the Vacancy
Type of role applied for
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Role applied for (Permanent / Fixed Term / Part Time Only)
Please state the title of the permanent, fixed term or part-time role you have applied for
Month of application
Which month did you submit your application in?
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Year of application
Which year did you submit your application in?
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How did you hear about this role?
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Where did you hear about this role, if not through Pleasance?
Which organisation, publication or website did you hear about the role from, if not through the Pleasance? Please state the name of the organisation or website - e.g.
What is your gender?
Please state the gender you identify with.
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Do you identify as transgender / transsexual?
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Ethnic Group
How would you describe your nationality and/or ethnicity?
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What is your age?
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Sexual Orientation
How would you describe your sexual orientation?
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Religion or Belief
Do you describe yourself as having a religion or strongly-held belief?
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If yes, please describe your religion or other strongly-held belief
I would describe my religion or strongly-held belief as:
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The Equality Act 2010 defines a disability as a “physical or mental impairment which has a substantial and long-term adverse effect on a person’s ability to carry out normal day-to-day activities”. An effect is long-term if it has lasted, or is likely to last, more than 12 months.
Do you consider that you have a disability under the Equality Act?
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Do you have caring responsibilities? If yes, please tick all that apply
I hereby give consent for Pleasance Theatre Trust to to process this information for monitoring purposes as stated above. *
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