Bristol Culture Schools Project - Equality and Diversity Monitoring Form

As Bristol Culture & Creative Industries sits within Bristol City Council, the Public Sector Equality duty applies to all decisions made. The duty includes the need to promote equality for persons with “protected characteristics” i.e. age, disability, gender reassignment, pregnancy and maternity, race, religion or belief, sex, sexual orientation, and have due regard to the need to:

i) eliminate discrimination, harassment, and victimisation
ii) advance equality of opportunity
iii) foster good relations between persons who share a relevant protected characteristic and those who do not share it.

At Bristol City Council, we value having a workforce as diverse as the City we serve. We therefore welcome, develop and promote people from all sections of the community. It would assist us greatly if you would complete this form so that we can use the information for statistical purposes to monitor the implementation of our Equal Opportunity and Diversity policies.

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* 1. First name

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* 2. Last name

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* 3. Which of the following options best describes how you think of your gender identity?

Male

Female

In another way*

Prefer not to say

*How would you describe your gender?

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* 4. What is your age band?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Prefer not to say

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* 5. What is your ethnic group?

White British

White Irish

White Gypsy or Irish Traveller

White Other

Indian

Pakistani

Bangladshi

Chinese

Other Asian

Black African

Black Caribbean

Black Other

Arab

Mixed ethnic group

Any other ethnic group

Prefer not to say

If you selected 'Any other ethnic group' please specify if you wish

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* 6. Do you identify as a D/deaf or disabled person, or have a long-term health condition?

Yes

Prefer not to say

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* 7. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

Yes, limited a little

Yes, limited a lot

Prefer not to say

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* 8. Would you need any additional support to help you take part in and complete this project? Please indicate what help you will need.

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* 9. Please tell us your postcode (This is not used for identification purposes but to understand which areas of the city we are recruiting participants from)

Thank you for taking the time to complete this form

The information written on this form will be used for the above stated reasons and kept in accordance with our GDPR policy. For more information please see our privacy policy.