Young Persons Equalities Information Form

Young Persons Equalities Information Form

Imayla recognises the importance of gathering equalities information in order to address any access issues and barriers people may face, and to ensure we deliver quality services to all of our participants. Please be assured this information is held confidentially in accordance to the data protection act 1998.
FemaleMale
Gender Identity
Please feel free to speak openly regarding how you identify your gender
YesNo
YesNo
Please give details of your disability
Race and Ethnicity

Please tick all that apply
Asian BritishBangladeshiIndianPakistaniChineseJapaneseFilipinoOther
Black BritishAfricanCaribbeanSomaliOther
White and Black AfricanWhite and Black CaribbeanWhite and AsianOther
White BritishEastern EuropeanGypsyIrish or Scottish TravellerRomaOther
ArabTurkishIranianIraqiKurdishLatin AmericanOther
Please specify religion / beliefs as you wish
Or type none / prefer not to say
Thank you for taking the time to fill out this form. The information provided will be kept compeltley confidential.

Imayla is committed to equal opportunities and has a policy that is supported by a code of practice.
Should be Empty: