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Equality and Diversity Monitoring
This form is completely voluntary and completely anonymous.
Superweeks | Equality and Diversity Monitoring Form
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Introduction
We are committed to equality and diversity, both among our staff and the people who attend our Superweeks. This includes not discriminating under the Equality Act 2010, and building an accurate picture of the make-up of the these groups in encouraging equality and diversity. We need your help and co-operation to enable it to do this, but filling in this form is voluntary. The information provided will be kept confidential and will be used for monitoring purposes. This form has been created with reference to ACAS (the Advisory, Conciliation and Arbitration Service) guidance. If you have any questions or concerns about the form contact us on info@ate.org.uk.
Who are you?
This form should be completed by ATE staff, Monitor trainees, or by parents/guardians on behalf of children. All answers are completely anonymous, and are only used for measurement purposes.
I am a member of ATE's staff
I am a parent/guardian, completing this form on behalf of my child
I am a Monitor trainee
Staff Equality and Diversity Monitoring Form
All answers are completely anonymous, and are only used for measurement purposes. Completing this form is voluntary, and you can skip any questions you would prefer not to answer.
Gender Identity
What is your gender identity?
Male
Female
Intersex
Non-binary
Prefer Not to Answer
Is the gender you identify with the same as your gender registered at birth?
Yes
No
Prefer not to say
If you prefer to use your own gender identity, please write in:
Age
How old are you?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
Ethnicity
Ethnic origin is not about nationality, place of birth or citizenship. It is about the group to which you perceive you belong. Please select the appropriate box from the following:
Asian or Asian British
Indian
Pakistani
Bangladeshi
Chinese
Prefer not to say
Any other Asian background, please write in:
Black, African, Caribbean or Black British
African
Caribbean
Prefer not to say
Any other Black, African or Caribbean background, please write in:
Mixed or Multiple ethnic groups
White and Black Caribbean
White and Black African
White and Asian
Prefer not to say
Any other Mixed or Multiple ethnic background, please write in:
White
English
Welsh
Scottish
Northern Irish
Irish
British
Gypsy or Irish Traveller
Prefer not to say
Any other White background, please write in:
Other ethnic group
Arab
Prefer not to say
Any other ethnic group, please write in:
Disability status
The information in this form is for monitoring purposes only. If you believe you need a ‘reasonable adjustment’ please contact us.
Do you consider yourself to have a disability or health condition?
Yes
No
Prefer not to say
What is the effect or impact of your disability or health condition on your work? Please write in here:
Sexual orientation
What is your sexual orientation?
Asexual
Bisexual
Gay woman/Lesbian
Gay man
Heterosexual/'straight'
Pansexual
Undecided
Prefer not to say
If you prefer to use your own identity, please write in:
Religion
What is your religion or belief?
No religion or belief
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Prefer not to say
If other religion or belief, please write in:
Customer Equality and Diversity Monitoring Form
Please complete this form with reference to your child. If you have more than one child, we would be grateful if you would complete a form for each child. All answers are completely anonymous, and are only used for measurement purposes. Completing this form is voluntary, and you can skip any questions you would prefer not to answer.
Is your child in receipt of free school meals or Pupil Premium funding?
Yes
No
I'm not sure
Gender Identity
What is your child's gender identity?
Male
Female
Intersex
Non-binary
Prefer Not to Answer
Is the gender your child identifies with the same as their gender registered at birth?
Yes
No
Prefer not to say
If your child prefers to use their own gender identity, please write in:
Ethnicity
Ethnic origin is not about your child's nationality, place of birth or citizenship. It is about the group to which you or your child perceive they belong. Please select the appropriate box from the following:
Asian or Asian British
Indian
Pakistani
Bangladeshi
Chinese
Prefer not to say
Any other Asian background, please write in:
Black, African, Caribbean or Black British
African
Caribbean
Prefer not to say
Any other Black, African, or Caribbean background, please write in:
Mixed or Multiple ethnic groups
White and Black Caribbean
White and Black African
White and Asian
Prefer not to say
Any other mixed or multiple ethnic background, please write in:
White
English
Welsh
Scottish
Northern Irish
Irish
British
Gypsy or Irish Traveller
Prefer not to say
Any other White background, please write in:
Other ethnic group
Arab
Prefer not to say
Any other background, please write in:
Disability status
Do you or your child consider your child to have a disability or health condition?
Yes
No
Prefer not to say
Caring responsibilities
Does your child have caring responsibilities?
None
Primary carer of a child/children (under 18)
Primary carer of disabled child/children
Primary carer of disabled adult (18 and over)
Primary carer of older person
Secondary carer (another person carries out the main caring role)
Prefer not to say
Please tick all that apply
Religion
What is your child's religion or belief?
No religion or belief
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Prefer not to say
If other religion or belief, please write in: