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Equal Opportunities Monitoring Form
Company who you're in residency with at 101 (if different from above)
*
What project/ event has brought you to 101?
(Required.)
Acrolab
Residency
Rural Touring Lab
Sharing
Shedonism
Summer School
Toolbox
Other (please specify)
Gender
Female
Male
Non-binary
Prefer not to say
If you prefer to use your own term, please specify here
Is your gender different to the sex you were assumed to be at birth?
Yes
No
Prefer not to say
Are you married or in a civil partnership?
Yes
No
Prefer not to say
Age
0-19
20-34
35-49
50-64
65-74
75+
