Equal Opportunity Monitoring Form

Equal Opportunity Monitoring Form
By completing and returning this form, you consent to the information being used for Equal Opportunities monitoring purposes.

This Equal Opportunities Monitoring Form collects information anonymously and so providing this information will not affect your chances of selection or any other decisions related to your submission.

Analysing this data helps us take appropriate steps to avoid discrimination and improve equality and diversity.
This form relates to an application for:

OS - Short Films - Highland CinemaOS - Short Films - IYSOS - Final ChecksOS - Community Workshops
Age
What is your age?

18-2021-2930-3940-4950-5960 or overPrefer not to say
Gender
What best describes your gender?

FemaleMaleNon Binary / Gender QueerPrefer not to sayprefer to self-identify
If you would prefer to self-identify your gender, please specify:
Is this gender the same as your sex recorded at birth?

YesNoPrefer not to say
Sexual Identity
What is your sexual identity?

AsexualBisexualGay manGay woman/LesbianStraight/HeterosexualPrefer not to sayPrefer to self-identify
If you would prefer to self-identify your sexual identity, please specify:
Relationship Status
Please select the most relevant

SingleLong-term cohabitingMarried / Civil PartnershipWidowed / A surviving civil partnerDivorced / Formerly a Civil Partnership (now legally dissolved)Prefer not to say
Ethnic Origin
Select your ethnicity or self describe.

Arab, Arab Scottish or Arab BritishBlack, Black Scottish or Black BritishCaribbean, Caribbean Scottish or Caribbean BritishOther Caribbean or BlackAfrican, African Scottish or African BritishOther AfricanPakistani, Pakistani Scottish or Pakistani BritishIndian, Indian Scottish or Indian BritishBangladeshi, Bangladeshi Scottish or Bangladeshi BritishChinese, Chinese Scottish or Chinese BritishOther AsianWhite ScottishOther White BritishWhite IrishWhite PolishGypsy/TravellerRomaShowpersonOther WhiteMixed or multiple ethnic group
White

White - ScottishWhite - WelshWhite - Northern IrishWhite - EnglishWhite - BritishWhite - IrishWhite - EuropeanWhite - Gypsy or Irish TravellerWhite - RomaWhite - Any other white backgrounds
Write here if you prefer to describe your ethnicity in a different way:
Disability & Access

The Equality Act 2010 defines a disability as any long-term impairment which has a substantial adverse effect on your ability to carry out day-to-day activities. An effect is long-term if it has lasted, or is likely to last, more than 12 months.
Do you consider yourself to have a disability or health condition?

YesNoPrefer not to say
If yes, what best describes your disability, impairment, learning difficulty or long-term condition? If yes, tick all that apply.

Blind or a serious visual impairment uncorrected by glasses.Deaf or serious hearing impairment.General learning disability (such as Down syndrome.Mental health condition, such as depression, schizophrenia, or an anxiety disorder.Long-standing illness or health condition such as cancer, chronic heart disease, diabetes, epilepsy, HIV, or multiple sclerosis.Physical impairment or mobility issues, such as living as an amputee, difficulty using arms or using a wheelchair or crutches.Two or more impairments and/or long-term condistion.sI don't relate to any of these.Prefer not to say.Prefer to self describe.
If you would prefer to self describe, please detail:
Have you been formally diagnosed with any form of neurodiversity? If yes, please tick all that apply.

Attention Deficit (Hyperactive) Disorder (AD(H)D)Autistic Spectrum Disorder (ASD)DyslexiaDyscalculiaDyspraxiaObsessive Compulsive Disorder (OCD)I don't relate to any of thesePrefer not to sayAnother form of neurodiversity (e.g Tourette's Syndrome) Please describe:
If you would prefer to self describe, please detail:
Socioeconomic & Class
What type of school did you mainly attend between the ages of 11 and 16?

State-run or state-funded school (non-selective)State-run or state-funded school (selective on academic, faith or other grounds)Independent or fee-paying school - bursaryIndependent or fee-paying school - no bursaryAttended school outside the UKDon't knowPrefer not to say
If other school type, please specify:
Please think about the parent or other care-giver who was the highest income earner in your house when you were around 14 years old. What kind of work did they do? If this question does not apply to you (because for example, you were in care at this time), you can indicate this below.

Modern professional and traditional professional occupations e.g. teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil engineer or mechanical engineer.Senior, middle or junior managers or administrators e.g. finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager.Clerical and intermediate occupations e.g. secretary, personal assistant, nursery nurse, office clerk, call centre agent.Technical and craft occupations e.g. fitter, plumber, printer, electrician.Routine, semi‑routine manual and service occupations e.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter or waitress, bar staff.Long-term unemployment (e.g. claimed Jobseeker's Allowance or earlier unemployment benefit for more than a year).Small business owners who employed fewer than 20 people e.g. corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner.Other (e.g. retired).This question does not apply to me.Prefer not to say
Are you a refugee or asylum seeker?

YesNoPrefer not to say
Caring Responsibilities
Do you have any caring responsibilities?

NonePrimary carer of a child or children (under 18 years)Primary carer of a disabled child or children (under 18 years)Primary carer or assistant for a disabled adult (18 years and over)Primary carer or assistant for an older person or people (65 years and over)Secondary carer (another person carries out main caring role)Prefer not to say
Region
Do you regard yourself as a Gaelic speaker, Scots speaker, or speaker of another Scottish regional dialect?

Gaelic speaker (fluent).Gaelic learner.Scots language speaker or other regional dialect (please specify).I do not identify as a Gaelic speaker, Scots speaker, or speaker of another Scottish regional dialect.Not sure.Prefer not to say.
Which of these regions best describes your primary base?

Aberdeen CityAberdeenshireAngusArgyll and ButeCity of EdinburghClackmannanshireDumfries and GallowayEast AyrshireEast LothianEast RenfrewshireEast DumbartonshireDundee CityEilean Siar (Western Isles)FalkirkFifeGlasgow CityHighlandInverclydeMidlothianMorayNorth AyrshireNorth LanarkshireOrkneyPerth and KinrossRenfrewshireShetlandStirlingScottish BordersSouth AyrshireSouth LanarkshireWest DumbartonshireWest LothianNone
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Equal Opportunity Monitoring Form

Age

Gender

Sexual Identity

Relationship Status

Ethnic Origin

Disability & Access

Socioeconomic & Class

Caring Responsibilities

Region