New Writing South Equality and Diversity Form

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New Writing South is committed to equality and diversity in its broadest sense. The information collected below is for diversity monitoring records only. Thank you for completing the form.

Email *

Post Code: *

Please tell us which age bracket you are in *

0-19

20-34

35-49

50-64

65-74

75+

Prefer not to say

Gender self description

How would you describe your sexual orientation *

Bisexual

Gay Man

Gay woman/lesbian

Heterosexual/Stright

Queer

Prefer to self describe (below)

Prefer not to say

If you selected 'Prefer to self-describe', please add your answer here

How would you describe your gender identity?

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

Yes

Prefer not to say

Clear selection

What ethnic origin best describes you? Please only tick one

Asian/Asian British

Black/Black British

White/ White British

Mixed/ Multiple Ethnic Group

Any other ethnic group OR None of the above

Prefer Not to Say

Other:

Clear selection

Do you identify as D/deaf?

Yes

Prefer not to say

Clear selection

Do you have any physical or mental health conditions or illnesses expected to last for 12 months or more?

Yes

Prefer not to say

Clear selection

Do you identify as neurodivergent? Being neurodivergent could inlcude Dyslexia, ADHD etc.

Yes

Prefer not to say

Clear selection

What best describes your current or most recent occupation? *

Clerical and intermediate occupations such as: secretary, personal assistant, call centre agent, clerical worker, nursery nurse

Full-time education such as: studying for a degree or apprenticeship

Long term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)

Modern professional & traditional professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer

Retired

Routine, semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff.

Senior, middle or junior managers or administrators such as: finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager

Small business owners who employed less than 25 people such as: corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner

Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver

Not applicable (eg not currently working and not claiming benefits related to unemployment)

Other – please specify (below)

Other current or most recent occupation

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