Equalities monitoring form – notes There are some places where you can tailor the form to your needs. These are indicated with a yellow highlight. You should collect the information anonymously and ensure that you preserve people’s anonymity in any reporting of the data that you collect. To support this and gain people’s trust we would recommend that you collect this information electronically online wherever possible. It is important to remind participants that this is a monitoring form that will allow us to evidence inequalities and progress towards equalities. [Your organisation/project name and any logos here] Equalities monitoring form Introductory text [Brief explanation of why the data is being requested and analysed] The aim of requesting and analysing this information is to improve our understanding of [reason why data is being collected] in the education and training sector, including barriers to access. We recognise that you may feel that the information requested is sensitive. Completion of this questionnaire is anonymous and entirely voluntary. Neither the act of collecting this information nor any of the questions is intended to cause offence. An option to ‘prefer not to say’ is included for every question. For more information about the form, please visit: http://www.et-foundation.co.uk/our-organisation/equality-and-diversity/. Data will be stored securely and only the project/HR team will have access to it. Data will be reported anonymously; this means that it will not be possible to identify you in the analysis. Please read the following before you begin: If you use assistive technology (e.g. a screen reader) or are a deaf BSL speaker, please tell us if you need any help to be able to complete this questionnaire. Please contact us at the earliest opportunity and we will be pleased to help. Please contact [email address/tel/text number] Questions marked with *(asterisk) are critical to us and need to be completed. This survey will close on Date If you have any queries, please contact [email address/tel/text number] *1. Which type of education and training provider are you? (A-Z order) Please select all that apply. Adult and Community Learning General FE College Independent Training Provider IAG/National Careers Service Land-based College OLASS provider Sixth-Form College Specialist College Specialist Designated Institution Third Sector Other, please specify: *2. In which region is your organisation based? Please select one. (A-Z order) East Midlands East of England London National North East North West South East South West West Midlands Yorkshire and The Humber Don’t know Prefer not to say *3. What is your current job/role? (A-Z order) Please select all that apply. (Note: learners are included for staff who see themselves as being in a learning role, e.g. study to become a teacher/ in an internship role and for those learners who work alongside staff in learner voice roles and may co-develop or co-deliver workforce activities alongside staff.) Administrator CEO/Director/Principal/head of Service Governor/non-executive director Head of department Learner/student/apprentice/trainee Manager/co-ordinator Support worker/staff Teacher/tutor/trainer/lecturer Trainee teacher Other, please specify: Prefer not to say *4. What is your main role in the education and training sector? Please select one. Learner Member of staff Other, please specify: Prefer not to say Sub questions for staff: *4.1 How many years have you been in your current job/role? (Enter zero for less than 1 year) *4.2 How many years have you worked in the education and training sector? (Enter zero for less than 1 year) Sub question for learners: *4.3 How many years have you been on your current course of study? (Enter zero for less than 1 year) *5. What is your age? Please select one. 14-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Prefer not to say *6. How would you describe your national identity? Please select one. (A-Z order) British English Northern Irish Scottish Welsh Other, please specify: Prefer not to say *7.What is your ethnicity? Please select one. The ethnic origin categories below are taken from the 2011 Census. They are not about nationality, place of birth or citizenship. They are about the group to which you as an individual perceive you belong. Asian/Asian British Indian Pakistani Chinese Bangladeshi Any other Asian background Black/African/Caribbean/Black British African Caribbean Any other Black/ African/Caribbean background Mixed/multiple ethnic groups White and Black Caribbean White and Black African White and Asian Any other mixed background White English Welsh Scottish Northern Irish Irish Gypsy or Irish Traveller Other White background Other ethnic group Arab Cornish (given minority ethnic status in 2014) Any other ethnic group Prefer not to say *8. Please describe your gender identity. Please select one. ‘X’ and ‘other’ are internationally used options that are inclusive of people who do not identify with the gender binary of male and female. Female (including male to female trans women) Male (including female to male trans men) X Other, please specify: Prefer not to say *9. Is your gender identity different to the sex you were assumed to be at birth? Please select one. Yes No Prefer not to say *10. Are you pregnant or have you been pregnant in the last year? Please select one. Yes No Prefer not to say *11. In the past year have you taken any of the following? Please select all that apply. Maternity leave Additional paternity leave (e.g. more than 2 weeks) Adoption leave None of the above Prefer not to say *12. Do you consider yourself to be deaf or disabled or to have physical or mental health problems? Please select one. Yes No Prefer not to say Sub question if answer yes to Q12: *12.1 Please select all that apply (A-Z order) Deaf Blind/partially sighted Facial disfigurement Hard of hearing Learning difficulties Long-term illness/medical condition Manual dexterity difficulties Mental health problems Mobility difficulties Progressive medical condition Speech difficulty Other, please specify: Prefer not to say *13. What is your sexual orientation? Please select one (AZ order). ‘Undecided’ and ‘other’ are inclusive options for people who do not identify with the essentialist sexual orientation identity categories of lesbian, gay, bisexual and heterosexual. Bisexual Gay man Gay woman/lesbian Heterosexual/straight Undecided Other, please specify: Prefer not to say *14. What is your religion/belief or non-belief? Please select all that apply. No beliefs Agnostic Non-religious philosophy/belief-based lifestyle choices Atheist No religion Religious beliefs Buddhist Christian Hindu Humanist Jain Jewish Muslim Pagan Quaker Rastafarian Sikh Other, please specify: Prefer not to say *15. Did any of your parent(s) or guardian(s) complete a university degree course or equivalent (e.g., BA, BSc or higher)? Please select one. Yes No Don’t know Prefer not to say * 16. What type of school did you mainly attend between the ages of 11 and 16? Please select all that apply. A non-selective state-run or statefunded school A selective (on academic, faith or other ground) state-run or statefunded school Independent or fee-paying school Attended school outside the UK Didn’t attend school Don’t know Prefer not to say *17. Which of the following qualifications do you hold to date? Please select all that apply. 1-4 O levels/CSEs/GCSEs (any grades), Entry Level, Foundation Diploma NVQ Level 1, Foundation GNVQ, Basic Skills 5 or more O level passes/CSEs (grade 1)/GCSEs (grades A* to C), School Certificate, 1 A level/ 2-3 AS levels/VCEs, Higher Diploma NVQ Level 2, Intermediate GNVQ, City and Guilds Craft, BTEC First/General Diploma, RSA Diploma Apprenticeship 2 or more A levels/VCEs, 4or more AS levels, Higher School Certificate, Progression/Advanced Diploma NVQ Level 3, Advanced GNVQ, City and Guilds advanced craft, ONC, OND, BTEC National RSA Advanced Diploma Undergraduate degree (e.g., BA, BSc) Master’s degree (e.g., MA, MSc) Doctorate degree (e.g., PhD) NVQ level 4-5, HNC, HND, RSA Higher Diploma, BTEC Higher Level Professional qualifications (e.g. teaching, nursing, accountancy) Other vocational/work-related qualifications Non-UK qualifications/qualifications obtained outside UK No qualifications Prefer not to say *18. Did either (or both) of the following apply at any point during your school years? Your household received income support? Please select one. Yes No Don’t know N/A (Attended school outside the UK) Prefer not to say You received free school meals? Please select one. Yes No Don’t know N/A (Attended school outside the UK) Prefer not to say *19. Are you married or in a civil partnership? Please select one. Yes No Prefer not to say *20. What is your current working plan? Please select one. Full-time Part-time Prefer not to say *21. What is your flexible working arrangement? Please select all that apply. Annualised hours Compressed hours Flexible shifts Flexi-time Homeworking Job share None (e.g. full or part time but with no flexible working) Staggered hours Term-time hours Other, please specify: Prefer not to say *22. Do you have caring responsibilities? Please select one. Yes No Prefer not to say Sub question if answer yes to Q22: *22.1 Please select all that apply. Primary carer for a child/children (under 18) Primary carer for disabled child/children (under 18) Primary carer for disabled adult (18 and over) Primary carer for an older person (65+) Secondary carer Prefer not to say Thank you for completing this form. If you have any queries or comments about the form and/or how we will analyse and use the data, please contact [email address/tel/text number]
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