Headlong Equal Opportunities Monitoring Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Headlong Equal Opportunities Monitoring Form - Applications 25/26

To help us to be as inclusive as possible, both in our programming as well as in the makeup of our organisation, we collect equal opportunities information about everyone we work with, and about everyone who wants to work with us. To achieve our commitments to inclusivity and diversity, it is useful for us to know a certain amount about who you are. The data categories are based broadly on Arts Council England's annual data collection survey.

If you do not want to answer a question, please select/write ‘prefer not to say.’

All data is used for general statistical purposes and will be anonymised. It will be treated in the strictest confidence and kept private and secure. Anything you do tell us is confidential and will not be shared with any third parties in a way that identifies you.

By completing this form, you consent to the data you provide being kept in this manner and only used for the purposes explained above.

The form should take approximately 5 minutes to complete.

If you have any questions thoughts and/or comments or are unsure about how to answer a section of this form, please don't hesitate to email info@headlong.co.uk

First name *

This information is to identify completion and will be separated from any data held.

Last name *

This information is to identify completion and will be separated from any data held.

Role you're applying for *

Where did you hear about this vacancy? *

Arts Jobs

Disability Arts Online

Diverse Jobs Matter

Guardian Jobs

Our website

Social media

UK Theatre

Word of mouth

Other:

How would you describe your gender?
*

This is inclusive of all genders, including, but not limited to:

Agender

Female

Genderqueer

Male

Non-Binary

Prefer not to say

Other:

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

If your assigned sex and gender identity are the same, then you would choose 'Yes'.

If your gender identity now and the sex you were assigned at birth are different, for example your assigned sex was male but you identify as female, then you would choose 'No' for this question.
If you would prefer not to answer, then please select 'Prefer Not To Say'.

Yes

Prefer Not To Say

What is your age? *

0-19

20-34

35-49

50-64

65-74

75+

Prefer not to say

Do you consider yourself to have a disability?
*

D/deaf and/or disabled person, or have a long-term health condition

Non-disabled

Prefer not to say

Do you consider yourself to be neurodivergent?
*

Yes

Prefer not to say

I would define my ethnicity as: *

Ethnicity refers to members of an ethnic group who share the same cultural background and identity. This does not refer to country of birth or nationality.

Please put a tick next to one of the following options.

Arab

Asian or British Asian - Bangladeshi

Asian or British Asian - Chinese

Asian or British Asian - Indian

Asian or British Asian - Pakistani

Asian or British Asian - Background not listed above

Black or Black British - African

Black or Black British - Caribbean

Black or Black British - Background not listed above

Latin American

Mixed Heritage - Asian and White

Mixed Heritage - Black African and White

Mixed Heritage - Black Caribbean and White

Mixed Heritage - Background not listed above

White British - English/Welsh/Scottish/Northern Irish

White Irish

White - Irish Traveller

White - Roma

White - Background not listed above

Prefer not to say

How would you describe your sexual orientation?
*

This is inclusive of all sexual orientations, including, but not limited to:

Bisexual

Gay man

Gay woman / Lesbian

Heterosexual / Straight

Queer

Prefer not to say

Other:

Thinking back to when you were aged about 14, which best describes the sort of work the main/highest income earner in your household did in their main job?
*

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

Prefer not to say

Other:

How would you describe your current socio-economic position at this present moment?
*

Modern Professional Occupations (E.g. Teacher/lecturer, nurse, physiotherapist, socialworker, welfare officer, actor, artist, musician, police officer (sergeant or above), soft‐ ware 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

Prefer not to say

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Headlong Theatre.

Does this form look suspicious? Report

Forms