Equal Opportunities Monitoring Form We ask you kindly to fill in this form along with your performing arts bursary application. We’re committed to dissolving the many barriers (mainly financial) that stop talented people being trained in the arts. Asking you for the following information helps us see whether any groups, communities, or regions are under-represented and make sure our processes are fair. The information you provide here will be kept strictly confidential, stored securely and anonymously, and used for statistical purposes only. It will not be connected with your application or seen by anybody directly involved in the selection process. See our privacy policy.Gender Male Female Other Prefer not to say How would you describe your gender? Age 7-12 13-15 16-18 19-25 Are you married or in a civil partnership? Yes No Prefer not to say How would you describe your national identity? English Welsh Scottish Northern Irish British Prefer not to say What county or city do you live in? Are you, or have you been a child in care? Yes No Prefer not to say What is your ethnicity? White English White Welsh White Scottish White Northern Irish White Irish White Gypsy or Irish Traveller Other white background Mixed White and Black Caribbean Mixed White and Black African Mixed White and Asian Any other mixed background Asian / Asian British Indian Asian / Asian British Pakistani Asian / Asian British Bangladeshi Asian / Asian British Chinese Black / Black British African Black / Black British Caribbean Any other Black / African / Caribbean background Arab Prefer not to say Other Do you consider yourself to be disabled? Yes No Prefer not to say What is your sexual orientation? Heterosexual / straight Gay woman / lesbian Gay man Bisexual Prefer not to say Other What is your religion or belief? No religion Buddhist Christian Hindu Jewish Muslim Sikh Prefer not to say Other