Date Please mark X in the appropriate box (you will need to overwrite the box symbol with your X): Please indicate your gender Female Male Prefer not to answer Do you consider yourself to have Yes No Prefer not to answer a disability? Asian or Asian British Please indicate your ethnicity Black or Black British Any other mixed background please – describe Caribbean Chinese Irish White British Any other ethnic group please – describe Prefer not to answer 65+ Please indicate your age range 55-64 45-54 35-44 25-34 18-24 Prefer not to answer Where did you see this post advertised?
Date Please mark X in the appropriate box (you will need to overwrite the box symbol with your X): Please indicate your gender Female Male Prefer not to answer Do you consider yourself to have a disability? Yes No Prefer not to answer Please indicate your ethnicity Asian or Asian British Black or Black British Any other mixed background – please describe Caribbean Chinese Irish White British Any other ethnic group – please describe Prefer not to answer Please indicate your age range 65+ 55-64 45-54 35-44 25-34 18-24 Prefer not to answer Where did you see this post advertised?
Heritage%20and%20Artistic%20Engagement%20Officer%20JD%20and%20Application%20Form.docx