NORWICH FRINGE DIVERSITY AND INCLUSION FORM
By completing this form you are helping us measure our own efforts in recruitment for events. You are completing this form anonymously and it in no way affects your application. If you would like this form in another format, please email info@norwichfringe.org.uk.
Which workshop or event have you applied for? Please write in.
1. Do you consider yourself to have a disability or long-term condition?
Clear selection
2. Do you need, or would you like, extra support or assistance at the event itself?
Clear selection
If you answered yes to the question above, please tell us what extra support you would like.
3. Your gender - please choose which is closest to how you describe yourself or write in your own words in 'Other'
Clear selection
4. Age band
Clear selection
5. Is there anyone at home who relies on you for day-to-day care or attention?
Clear selection
6. Which option describes your sexuality most closely?
7. Your ethnicity - Ethnic origins are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong. Please write in your own words - or leave blank if you don't know.
Thank you for taking the time to complete this form.
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