International Changemakers Bursary - Diversity and Equal Opportunities Form
Coventry City of Culture Trust strives for Equal Opportunities in our recruitment process and working with artists to ensure that no person is unfairly discriminated against in recruitment and selection policies and procedures.
This form is a useful tool for us to assess how well we are achieving our aims so we encourage you to fill out it out honestly and completely, however it is not obligatory.
The information you supply WILL NOT be made available to anyone in any form other than anonymous data and is detached from the bursary application form and not considered as part of any application.
Google Forms is strictly the method for collecting the data and periodically the data is downloaded to the Coventry City of Culture Trust's secure server and subsequently stored in line with the Trust's Privacy Policy -
https://coventry2021.co.uk/privacy-policy/
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Age
What is your age bracket?
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Under 18
18-24
25-34
35-44
45-54
55-64
65+
Gender
Please indicate your gender:
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Female
Male
Non-binary
Other:
Is your gender identity different to the sex they were assumed to be at birth?
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Yes - Different
No - The Same
Prefer Not To Say
Classification of Disability
An internationally recognised definition of disability is:
“People with physical, mental or sensory disabilities: with hidden disabilities such as psoriasis, epilepsy, heart, chest conditions: people with disabilities linked to ageing: people suffering from a mental illness.”
Do you consider yourself to be disabled?
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Yes
No
Prefer Not To Say
Ethnic Origin and Cultural Background
Please indicate your ethnic origin and cultural background:
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White - British
White - Irish
White - Gypsy or Irish Traveller
Any Other White Background
Mixed or Multiple - White and Black Caribbean
Mixed or Multiple - White and Black African
Mixed or Multiple - White and Asian
Any Other Mixed Background
Asian or Asian British - Indian
Asian or Asian British - Pakistani
Asian or Asian British - Bangladeshi
Asian or Asian British - Chinese
Any Other Asian Background
Black or Black British - African
Black or Black British - Caribbean
Any Other Black Background
Other Ethnic Group - Arab
Any Other Ethnic Group
Sexual Orientation
Please indicate your sexual orientation:
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Bisexual
Gay Woman/Lesbian
Gay Man
Heterosexual/Straight
Prefer Not To Say
Other:
Other
Can you please tell us your postcode?
Your answer
Can you please tell us where you heard about the bursary?
*
Coventry 2021 Website
Coventry 2021 Newsletter
Social Media - Facebook
Social Media - Twitter
Word of Mouth
Local News (Coventry Telegraph etc.)
Partner Organisation
Other:
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