THE TRICYCLE

EQUAL OPPORTUNITIES MONITORING

SELF-CLASSIFICATION FORM
Equal Opportunities
The Tricycle is committed to equality of opportunity and access for all,
irrespective of their age, gender, class, marital status, nationality,
ethnic origin, disability, religious belief or sexual orientation. The aim
of this policy is to create a working environment which values and
respects the variety of life styles and cultures found within theatre and
within our local community.
The Tricycle is committed to equality of opportunity in which
individuals are selected for employment and treated on the basis of
their relevant merits. We will monitor the recruitment and selection
process of our staff to ensure it is free from discrimination. The
Tricycle aims to reflect the diversity of Brent in its recruitment.
Monitoring
To help us monitor the effectiveness of The Tricycles policy, please
supply the information requested in the following form. This
information will be kept securely and will not be made available to
anyone before or during short-listing. It will not be used in deciding
whether to shortlist you for interview or offer you employment.
Position applied for: Front Of House (Casual)
Please state how you found out about the job - publication,
website, mailing list, etc
A Website
1. Gender
( )

Female

( Yes )

Male

2. Which age range do you fall into?

(Yes )
1619

( )
20-29

( )
30-39

( )
40-49

( )
50-59

( )
60 or over

3. How would you describe your ethnic origin

Choose ONE from section A to E, and then tick the appropriate box to
indicate your cultural background
A.
( Yes
( )
( )
( )
( )
( )

White
)
British
English
Irish
Scottish
Welsh
Any other White background, please state...

B.
( )
( )
( )
( )

European
Eastern
Northern/ Scandinavian
Mediterranean
Any other European background, please state.........................

C.
( )
( )
( )
( )

Asian or Asian British

Asian Bangladeshi
Asian Indian
Asian Pakistani
Any other Asian background, please state

D.
( )
( )
( )

Black or Black British

African
Caribbean
Any other Black origin, please state

E.
( )
( )

Chinese or other ethnic group

Chinese
Any other Chinese origin, please state

F.
( )
( )
( )
( )

Dual Heritage
Asian and White
Black African and White
Black Caribbean and White
Any other mixed heritage origin, please state

4.
( )
( )

Do you consider yourself to have a disability?

No

If invited for interview, would you have any special requirements?

No