Equal Opportunities Form

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Send this form marked EQUAL OPPORTUNITIES c/o Martin Ayres, Jermyn Street
Theatre, London SW1Y 6ST. You may include it with your application form but do
not clip or staple them together.
Equal opportunities monitoring
We are committed to equal opportunities in our recruitment process, and to find out how well we are doing with
this we need to collect monitoring data. This monitoring form is voluntary but the information we collect here is
very useful to us as it helps us to make sure that we are an inclusive employer and to find out if our workforce is
diverse. This form is NOT seen by anyone involved in the recruitment process until after its completion.
Which job did you apply for?
How did you find out about this post?
Jermyn Street Theatre website
Young Vic (please state):
Online jobs posting (please state):
Word of mouth (please state):
Social media (please state):
Other (please state):
Your ethnic origin
These categories are based on the Census 2011 categories and recommended by the Commission for Racial Equality.
Asian, Asian British, Asian English, Asian
White
Scottish, or Asian Welsh
British
Asian / Asian British
English
Bangladeshi
Gypsy or Irish Traveller
Chinese
Irish
Indian
Scottish
Pakistani
Welsh
Other Asian background (specify if you wish):
Other White background (specify if you wish):
Black, Black British, Black English, Black
Mixed
Scottish, or Black Welsh
White and Asian
African
White and Black African
Caribbean
White and Black Caribbean
Other Black background (specify if you wish):
White and Chinese
Other mixed background (specify if you wish):
Other ethnic group
Prefer not to say
Arab
Other ethnic group (specify if you wish):
Your gender
Male
Female
Prefer not to say
Have you ever identified as transgender?
Yes
No
Prefer not to say
Your age
Date of Birth:
16 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65+
Prefer not to say
Your sexual orientation
Bisexual
Gay man
Jermyn Street Theatre – Equal Opportunities Monitoring Form

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