THE TRICYCLEEQUAL OPPORTUNITIES MONITORING

SELF-CLASSIFICATION FORM

Equal Opportunities The Tricycle is committed to equality of opportunity and access for all, irrespective of their age, gender, class, marital status, nationality, eth-nic origin, disability, religious belief or sexual orientation. The aim of this policy is to create a working environment which values and re-spects the variety of life styles and cultures found within theatre and within our local community.

The Tricycle is committed to equality of opportunity in which individu-als are selected for employment and treated on the basis of their rele-vant merits. We will monitor the recruitment and selection process of our staff to ensure it is free from discrimination. The Tricycle aims to reflect the diversity of Brent in its recruitment.

MonitoringTo help us monitor the effectiveness of The Tricycle’s policy, please supply the information requested in the following form. This informa-tion will be kept securely and will not be made available to anyone be-fore or during short-listing. It will not be used in deciding whether to shortlist you for interview or offer you employment.

Position applied for: Front Of House (Casual) Please state how you found out about the job - publication, website, mailing list, etc

A Website

1. Gender

( ) Female ( Yes ) Male

2. Which age range do you fall into?

(Yes ) ( ) ( ) ( ) ( ) ( )16–19 20-29 30-39 40-49 50-59 60 or over

3. How would you describe your ethnic origin

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Choose ONE from section A to E, and then tick the appropriate box to indicate your cultural background

A. White( Yes ) British( ) English( ) Irish( ) Scottish( ) Welsh( ) Any other White background, please state………….

……………………..

B. European( ) Eastern ( ) Northern/ Scandinavian( ) Mediterranean ( ) Any other European background, please state.........................

C. Asian or Asian British( ) Asian Bangladeshi( ) Asian Indian( ) Asian Pakistani( ) Any other Asian background, please state

…………………………………

D. Black or Black British( ) African( ) Caribbean( ) Any other Black origin, please state

……………………………………………

E. Chinese or other ethnic group( ) Chinese( ) Any other Chinese origin, please state

………………………………………

F. Dual Heritage( ) Asian and White ( ) Black African and White ( ) Black Caribbean and White ( ) Any other mixed heritage origin, please

state………………………………

4. Do you consider yourself to have a disability?( ) ( ) No

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If invited for interview, would you have any special requirements?No

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