CG Equity, Diversity & Inclusion Monitoring Form

Create Glos aims to provide an environment where anyone can flourish in their work with us.

However you identify, and whatever background you are from, you are welcome - we know that a diverse network and workforce is crucial to our success.

So that we can continue to strengthen and improve our work through diversifying our teams and connections we would be grateful if you can fill in our Equality, Diversity and Inclusion Monitoring Form.

This will help us gather anonymous data about who applies for, and takes part in, the jobs & opportunities we offer and take action where necessary to ensure we attract diverse applicants and participants.

The information you give here will be retained in an anonymised format and will be used for statistical purposes only to monitor the operation of our Equality, Diversity and Inclusion Strategy.

It will be shared anonymously with our funding partners and other stakeholders so that they can monitor the impact of the resources they provide.

CG’s thinking about terminology is ongoing and informed by conversation and connection. We seek out and welcome all views to increase our understanding.

This form is hosted by Smartsheet and information provided is collated in an anonymised format on the Smartsheet platform. You can see Smartsheet’s Privacy Policy by following this link https://www.smartsheet.com/legal/privacy

Reason for completion

Select or enter value

Name of Opportunity/Event

Please tell us which CG event or project you have taken part in or are contributing to here.

Job applied for

If you are applying for a job, please tell us which one here.

Other Ethnicity

Gender

Is your gender different to that which you were assumed to be at birth?

Select or enter value

Gender Identity

Select

Age

Select or enter value

Sexual Orientation

Select

Disability

The Equality Act 2010 defines a disabled person as someone who has a physical or mental impairment which has a substantial and long-term adverse effect on their ability to carry out normal day-to-day activities. Do you identify as d/Deaf or disabled, or as having a long term health condition?

Select

Neurodiversity

Do you identify as neurodiverse?

Highest level of Educational Attainment

Select

Sector

Which sector do you work or volunteer in?

Select

Work &/or volunteering

Do you identify with any of the following categories in relation to work or volunteering you undertake?

Select

Occupation of main/highest income earner in household when you were 14 years old?

Select

Full Home Postcode

Please tell us your full home post code

Send me a copy of my responses

Privacy Notice|Report Abuse