Equal opportunities form - Lyric Hammersmith

Equal Opportunities Monitoring Form

As a publicly funded organisation, the Lyric Hammersmith Theatre is required to monitor the diversity of all its employees, freelancers, Board members, and volunteers. The information you provide will be used for monitoring purposes only and all data will be aggregated and anonymised. The forms will be kept securely and will not be shown to colleagues or third parties without your consent. No decisions will be made or action taken about a person based on their answers to the questions. We collect data in the categories that we are required to report to our main funder, Arts Council England, but if you have any feedback, please do email administration@lyric.co.uk .

"*" indicates required fields

Name*

First Last

How would you describe your sex?*

Female

Male

Intersex

Prefer not to say

Other

How would you describe your gender?*

Woman

Man

Non-binary

In another way

Prefer not to say

Other

Is your gender the same as the gender you were assigned at birth?*

Yes

What is your age?*

How would you describe your ethnic origin?*

If other please specify here*

Do you consider yourself to be disabled?*

Yes

Prefer not to say

If you have answered yes, please indicate the type of impairment which applies to you:*

Do you consider yourself to be neuro-divergent?*

Yes

Prefer not to say

How would you describe your sexual orientation?*

If other please specify here*

Do you have caring responsibilities?*

None

Primary carer of a child/children (under 18)

Primary carer of disabled child/children (under 18)

Primary carer of disabled adult (18 and over)

Primary carer of older person

Secondary carer (another person carries out the main caring role)

Prefer not to say

If yes, please tick all that apply

Please tick the type of occupation you are currently in*

Clerical and Intermediate Occupations (E.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse)

Long Term Unemployed (Claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)

Middle or Junior Managers (E.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican)

Modern Professional Occupations (E.g. Teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer)

Retired

Routine Manual and Service Occupations (E.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff)

Self-employed

Semi-Routine Manual and Service Occupations (E.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant)

Senior Managers and Administrators (Usually responsible for planning, organising and co-ordinating work for finance such as finance managers, chief executive etc)

Short Term Unemployed (Claimed Jobseeker’s Allowance or earlier unemployment benefit for a year or less)

Technical and Craft Occupations (E.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver)

Traditional Professional Occupations (E.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer)

Don't know

Prefer not to say

Other

Please tick the occupation of the main/highest income earner in your household when you were 14.*

Clerical and Intermediate Occupations (E.g. secretary, personal assistant, clerical worker, office clerk, call centre agent, nursing auxiliary, nursery nurse)

Long Term Unemployed (Claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year)

Middle or Junior Managers (E.g. office manager, retail manager, bank manager, restaurant manager, warehouse manager, publican)

Modern Professional Occupations (E.g. Teacher/lecturer, nurse, physiotherapist, social worker, welfare officer, actor, artist, musician, police officer (sergeant or above), software designer)

Retired

Routine Manual and Service Occupations (E.g. HGV driver, van driver, cleaner, porter, packer, sewing machinist, messenger, labourer, waiter/waitress, bar staff)

Self-employed

Semi-Routine Manual and Service Occupations (E.g. postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, receptionist, sales assistant)

Senior Managers and Administrators (Usually responsible for planning, organising and co-ordinating work for finance such as finance managers, chief executive etc)

Short Term Unemployed (Claimed Jobseeker’s Allowance or earlier unemployment benefit for a year or less)

Technical and Craft Occupations (E.g. motor mechanic, fitter, inspector, plumber, printer, tool maker, electrician, gardener, train driver)

Traditional Professional Occupations (E.g. solicitor, accountant, medical practitioner, scientist, civil/mechanical engineer)

Don't know

Prefer not to say

Other

Phone

This field is for validation purposes and should be left unchanged.