Age Concern Todmorden
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This anonymous monitoring form helps Age Concern Todmorden understand whether our volunteering opportunities are reaching people from a wide range of backgrounds.
The information you provide is collected separately from your volunteer application and will not be used to identify you or influence decisions about your application.
Completing this form is optional.
Age group —Please choose an option—Under 1818-2425-3435-4445-5455-6465-7475 or overPrefer not to say
Sex —Please choose an option—FemaleMalePrefer to self-describePrefer not to say
Do you consider yourself to have a disability or long-term health condition? —Please choose an option—YesNoPrefer not to say
Ethnic group —Please choose an option—White BritishWhite IrishAny other White backgroundGypsy or Irish TravellerWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other Mixed or multiple ethnic backgroundIndianPakistaniBangladeshiChineseAny other Asian backgroundAfricanCaribbeanAny other Black, African or Caribbean backgroundArabAny other ethnic groupPrefer not to say
Religion or belief —Please choose an option—No religionChristianBuddhistHinduJewishMuslimSikhOther religion or beliefPrefer not to say
Sexual orientation —Please choose an option—Heterosexual / straightGay / lesbianBisexualOtherPrefer not to say
Gender identity —Please choose an option—Same as sex registered at birthDifferent from sex registered at birthPrefer not to say
Marriage or civil partnership —Please choose an option—MarriedCivil partnershipNot married or in a civil partnershipPrefer not to say
Pregnancy or maternity (optional) —Please choose an option—Not applicablePrefer not to say
By submitting this form you are helping us monitor equality and diversity. Providing this information is entirely voluntary and you may choose “Prefer not to say” for any question.
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