Mini Pupils


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EQUALITY AND DIVERSITY MONITORING FORM


Q1. Please select a box below to indicate whether you are:

Q2. From the list of age bands below please select a box to indicate the category that includes your current age in years:

Q3. What is your ethnic group? Choose one of the groups below to indicate your ethnic group (please select one box only):

White

Black/African/Caribbean/Black British

Asian/Asian British

Mixed

Other ethnic group

Q4. Do you consider yourself to have a disability?

The Equality Act 2010 defines a person as having a disability if he or she has a physical or mental impairment, which has a substantial long term, adverse effect on his or her ability to carry out normal day-to-day activities. “Long term” means that the impairment is likely to have lasted for 12 months or more

(a) Do you consider yourself to have a disability according to the definition above?

(b) Are your day to day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months?

Q5. What is your sexual orientation?

Q6. What is your religion or belief?

Q7. What is your socio-economic background?

(a) If you went to university (to study a BA, BSc or higher) were you part of the first generation of your family to do so?

(b) Did you mainly attend a state or fee paying school between the ages of 11-18?

(c) If you attended a fee paying school, did you ever receive any kind of financial reward to cover 50% or more of the school fees?

Q8. Do you have caring responsibilities?

(a) Are you a primary carer for a child or children under 18?

(b) Do you look after or give any help or support to family members, friends, neighbours or others because of either:

  • Long term physical or mental-ill health/disability
  • Problems related to old age

(Please do not count anything you do as part of paid employment)