Wakefield Council Culture Grants - Equalities Monitoring Form

The data collected will be used to evaluate our activity and help us to make a case for our work internally. If applying as a collective or organisation, the form should be completed with information about the lead applicant / creative.

Wakefield Council does not collect personal information in this questionnaire, which means the information you provide is anonymous. Since the data we collect is anonymous, it is not considered to be personal data under data protection legislation (such as the General Data Protection Regulation or the Data Protection Act 2018).

Please do not to include personal information or information which may identify you in this form.

This form is not compulsory.

Question Title

* 1. What is your age?

18-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75+

I do not wish to disclose this information

Question Title

* 2. Do you identify as a d/Deaf, disabled or neurodivergent person, or do you have a long-term health condition?

d/Deaf

Disabled

Neurodivergent

Long-term health condition

Other

Prefer Not to Say

Question Title

* 3. How would you describe your gender identity?

Man

Woman

Non-Binary

Prefer Not to Say

Prefer to self-describe (please specify)

Question Title

* 4. What is your sex?

Male

Female

Intersex

Prefer Not to Say

Question Title

* 5. Is your gender identity the same as the sex you were assigned at birth?

Yes

Prefer Not to Say

Question Title

* 6. How would you describe your sexual orientation?

Bi-sexual

Gay Man

Gay Woman or Lesbian

Heterosexual or Straight

Queer

Not Known

Prefer Not to Say

Prefer to self-describe (please specify)

Question Title

* 7. With which ethnicity do you identify?

Asian / Asian British Bangladeshi

Asian / Asian British Chinese

Asian / Asian British Indian

Asian / Asian British Pakistani

Any other Asian background

Black / Black British African

Black / Black British Caribbean

Any other Black background

Mixed background - Asian & White

Mixed background - Black African & White

Mixed background - Black Caribbean & White

Any other Mixed background

White / White British – Gypsy, Roma or Irish Traveller

White / White British - White British

White / White British - White Irish

Any other White background

Any other background - Arab

Any other background – Latin American

Any other background

Not known

Prefer not to say

Prefer to self-describe (please specify)

Question Title

* 8. Please indicate the highest level of education that you hold.

No formal education

Secondary School / High School

Foundation Year or Diploma

University Degree (first degree held)

Postgraduate Degree

I do not wish to disclose this information

Another type of degree/course (Please specify)

Question Title

* 9. What best describes your current or most recent occupation?

Clerical and intermediate occupations such as: secretary, personal assistant, call centre agent, clerical worker, nursery nurse

Full-time education such as: studying for a degree or apprenticeship

Long term unemployed (claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year).

Modern professional & traditional professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer.

Retired

Routine, semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, wait-er/waitress, bar staff.

Senior, middle or junior managers or administrators such as: finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager.

Small business owners who employed less than 25 people such as: corner shop owners, small plumbing companies, re-tail shop owner, single restaurant or cafe owner, taxi owner, garage owner.

Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver.

Not applicable (e.g. not currently working and not claiming benefits related to unemployment)

Not Known

Prefer not to say

Other (please specify)

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