Asian / Asian British Mixed / multiple ethnic groups Indian White and Black Caribbean ☐ ☐ Pakistani White and Black African ☐ ☐ Bangladeshi White and Asian ☐ ☐ Chinese Any other Mixed/multiple ethnic background ☐ ☐ (write in): Any other Asian Background ☐ (write in): Black / African / Caribbean / Black British White African British/English/Welsh/Scottish/Northern Irish ☐ ☐ Caribbean Irish ☐ ☐ Any other Black/African/Caribbean background Gypsy or Irish Traveller ☐ (write in): ☐ Any other White background ☐ (write in): Other Ethnic Background Arab Prefer not to say ☐ ☐ Any other ethnic group ☐ (write in): Gender I am: Is your gender identity the same gender you were assigned at birth? Male Yes ☐ ☐ Female No ☐ ☐ Prefer not to say Prefer not to say ☐ ☐ Age What is your date of birth? Date/month/year Prefer not to say ☐ Religion or belief What is your religion? Christian (including Church of England, Catholic, Protestant and all other Christian denominations) ☐ Buddhist No religion ☐ ☐ Hindu Prefer not to say ☐ ☐ Jewish Any other religion or belief (write in) ☐ ☐ Muslim ☐
Asian / Asian British Mixed / multiple ethnic groups ☐ Indian ☐ White and Black Caribbean ☐ Pakistani ☐ White and Black African ☐ Bangladeshi ☐ White and Asian ☐ Chinese ☐ Any other Mixed/multiple ethnic background (write in): ☐ Any other Asian Background (write in): Black / African / Caribbean / Black British White ☐ African ☐ British/English/Welsh/Scottish/Northern Irish ☐ Caribbean ☐ Irish ☐ Any other Black/African/Caribbean background (write in): ☐ Gypsy or Irish Traveller ☐ Any other White background (write in): Other Ethnic Background ☐ Arab ☐ Prefer not to say ☐ Any other ethnic group (write in): Gender I am: Is your gender identity the same gender you were assigned at birth? ☐ Male ☐ Yes ☐ Female ☐ No ☐ Prefer not to say ☐ Prefer not to say Age What is your date of birth? Date/month/year ☐ Prefer not to say Religion or belief What is your religion? ☐ Christian (including Church of England, Catholic, Protestant and all other Christian denominations) ☐ Buddhist ☐ No religion ☐ Hindu ☐ Prefer not to say ☐ Jewish ☐ Any other religion or belief (write in) ☐ Muslim
UKRI-ARAPC-application-pack-Final.docx