Contact 1
Clore Leadership Opportunity/Programme
Blank Projects & Planning Manager (April/May 2022)
1. Which of the following best describes your gender identity?
- None - Female Male I use another term (for example, non-binary) Prefer not to say
If you chose 'I use another term', please specify
4. How would you describe your sexual orientation?
- None - Bi Gay / Lesbian Heterosexual / Straight I use another term (please indicate, below) Prefer not to say
If you chose 'I use another term', please specify
5. What is your ethnic group?
- None - Arab Bangladeshi Chinese Pakistani Indian Any other Asian background (please state, below) Black African Black Caribbean Any other Black background (please state, below) Dual / Mixed Heritage - Asian and White Dual / Mixed Heritage - Black African and White Dual / Mixed Heritage - Black Caribbean and White Dual / Mixed Heritage - Any other background White British White Irish White European White Gypsy or Irish Traveller Any other White background (please state, below) Any other ethnic group (please state, below) Prefer not to say
If you chose 'Any other ethnic group' please give details:
6. Do you identify as a D/deaf or disabled person, or have a long-term health condition?
- None - Yes No Prefer not to say
7. 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?
- None - Yes - limited a lot Yes - limited a little No Prefer not to say
8. Do you have dependents?
- None - Yes No Prefer not to say
9. If you finished school after 1980, were you eligible for Free School Meals at any point during your school years?
- None - Yes No Not applicable (finished school before 1980 or went to school overseas) Don't know Prefer not to say
10. What is the highest level of qualification achieved by either of your parent(s) or guardian(s) by the time you were 18?
- None - Degree level or Degree equivalent or above (for example first or higher degrees, postgraduate diplomas, NVQ/SVQ Level 4 or 5 etc.) Qualifications below degree level (for example an A-Level, SCE Higher, GCSE, O-Level, SCE Standard/Ordinary, NVQ/SVQ, BTEC etc.) No qualifications I don't know Prefer not to say Not applicable
11. How did you find out about this opportunity?
- None - Clore Leadership mailout Newspaper/print ad Referred by a Clore Alumni Other press / media Email bulletin / newsletter Internet / website Social media Recommended by a friend / colleague Other, please specify
If you chose 'Other' please specify
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