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Equality Monitoring Form


Equalities Diversity and Inclusion are at the heart of our Cooperative and positively celebrated. We seek to ensure that our member base are diverse and contribute to making environments in the arts more inclusive and to help us collect data to support our funding applications to further this.


In order to ensure that this policy is carried out, all SaltSpace members are invited to complete this form. The information will be used solely for monitoring and funding purposes and will be kept in the strictest confidence. We include questions on age, gender, ethnicity, disability, and sexual orientation – all defined ‘protected characteristics’ in The Equality Act 2010.

Gender – which of the following describes how you think of yourself?
Do you identify as trans?
How old are you?
What is your ethnicity? Please indicate which best describes your ethnic group or background. (Please tick multiple categories as appropriate)
What is your sexual orientation?
What is your religion?
Do you consider yourself to have a Disability?
Socio-economic status – you consider yourself to come from a disadvantaged background?
Are you returning to work following an extended period (12 months or more) of absence?
Are you a carer or have caring responsibilities?
What type of school did you mainly attend between the ages of 11 and 16?
When you were 14 what did the main income earner in your household do for a living?

Thank you!

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