PhotoVoice Equal Opportunities Form

Please complete the below form to the best of your ability and preference. You do not have to complete this form if you don't want to.

Your entry will be submitted anonymously, and will not be linked to you in any way. We monitor this information to make sure we are meeting our aims and commitments to providing equal opportunities.

EngagementTrainingProjectPlease state whether you are involved as a training attendee or project participant.

How did you hear about us?Please specifically state how you found out about the workshop clearly stating the press, website, mailing list or any other sources.

Gender

Ethnicity

Please tick the ethnic category that best represents you. As you make your decision, please think about what ethnic group means to you, that is, how you see yourself. Your ethnic category is a mixture of culture, religion, skin colour, language and the origins of yourself and your family. It is not the same as nationality.

Black, African, Caribbean or Black BritishAfricanCaribbeanBlack BritishBlack Other

Mixed or Multiple Ethnic GroupsWhite and Black CaribbeanWhite and Black AfricanWhite and AsianOther Mixed Ethnicity

Other Ethnic GroupArabLatinOther

Prefer Not to SayPrefer Not to Say

If you have selected 'other' in any of the above ethnicity groups, please add information below.

Do you consider yourself to have a disability or health condition?YesNo

Reasonable adjustments

Please note that if you require any reasonable adjustments in order to attend this course, email connect@photovoice.org with your specific requirements, and we will do our best to accommodate them.