Somerset House Studios Sonic Terrains Equal Opportunities Questionnaire

This data is collected for monitoring and reporting purposes as part of your bursary application. For the purpose of readdressing balance in terms of gender, disability, ethnicity, and socio-economic background in the Studios Bursaries programme, this data will not be anonymised. We kindly ask you to fill out this questionnaire, by filling out this form you are confirming that you agree to share this information with us.

Name *

1. Gender

With which gender do you identify? *

I prefer my own term

2. Sexual orientation

What is your sexual orientation? *

I prefer my own term

3. Ethnicity

What is your ethnicity? *

Other ethnic group, please specify here

4. Disability

Do you consider yourself to be disabled under the Equality Act 2010? The Equality Act 2010 defines a person as disabled if: they have a physical or mental impairment, the impairment has a substantial and long term adverse effect on their ability to perform normal day-to-day activities *

If so please indicate *

If other, please specify here

5. Social mobility and social economic background

What is the first half of your current postcode? *

Which of the following qualifications do you have to date? (Please tick all that apply) *

If other please specify here

What type of school did you mainly attend between the ages of 11 and 16? *

If other please specify here

Did your household receive income support at any point during your education? *

If you finished school after 1980, were you eligible for Free School Meals at any point during your school years? Free School Meals are a statutory benefit available to school-aged children from families who receive other qualifying benefits and who have been through the relevant registration process. It does not include those who receive meals at school through other means (e.g. boarding school). *