Anonymous Self Identification Survey

Anonymous Self Identification Survey

This form is to be completed by the Artist/Artist Team as part of your submission. Once completed, please screenshot the completion page and upload it to your submission form. The personal information collected on this form is anonymous and confidential. Your survey answers are not linked to your application in any way.
Our purpose in collecting this information relates to improving our services and equity, diversity and inclusion within our calls and opportunities, collaborations, and, more broadly, within the communities we serve. Responses to these questions will be protected as per our self-identification code of confidentiality that can be found on our website.
Project you're applying to*

Mary Brown's Centre - All Together Now - Mural EOI
How did you hear about this opportunity?*

Referred by a personal or professional contactBusiness & Arts NL NewsletterBusiness & Arts NL's WebsiteBusiness & Arts NL's Social MediaFrom another organization's newsletterSocial MediaOther
Please describe
What is your experience level?*

EmergingMid-CareerEstablished
Where are you located?*

AvalonEasternCentralWesternLabradorCanada (outside NL) or International, please specify
Please provide city/town/country if outside of NL and/or Canada
To which gender(s) do you identify? You may choose more than one answer, if comfortable. These options are inclusive of all identities (including cisgender and transgender individuals) and can be combined to best suit your identity.(Please select all that apply)*

WomanManNon-BinaryTwo-SpiritAgenderTransIntersexPrefer not to sayPrefer to self-identify
If you prefer to self-identify, feel free to do so below.
A person of a minority sexual orientation can be defined as someone whose sexual orientation is not of the majority of the population. Based on this definition, do you identify as a person of a minority sexual orientation?*

YesNoPrefer not to say
Do you identify as Indigenous?*

Yes – MetisYes – First NationsYes – InuitNoPrefer not to say
The Government of Canada defines “visible minorities” as "persons, other than Indigenous peoples, who are non-Caucasian in race or non-white in colour, regardless of birthplace". The term “racialized” is broader and includes those who may experience differential treatment on the basis of race, ethnicity, language, economics, religion, culture, politics, etc. Do you identify as a member of a racialized minority in Newfoundland and Labrador?*

YesNoPrefer not to say
The Accessible Canada Act defines disability as “any impairment, including a physical, mental, intellectual, cognitive, learning, communication or sensory impairment—or a functional limitation—whether permanent, temporary or episodic in nature, or evident or not, that, in interaction with a barrier, hinders a person’s full and equal participation in society.” Do you identify as a person with a disability as described in the Act?*

YesNoPrefer not to say
Do any of the following apply to you? (Please select all that apply)*

ImmigrantNewcomer (broadly defined as immigrants and refugees who have recently arrived in Canada, refugee claimants, temporary residents and undocumented persons)NonePrefer not to say
How easy was the application to complete?*

EasyModerately EasyAverageDifficultVery Difficult
Do you have any feedback on the application process or the anonymous survey? (optional)
Please make sure not to include any identifying information. Thank you!
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