Education Ambassadors Equal Opportunities Form

Thank you for applying to become an Education Ambassador for Into Film. As part of the recruitment process, we request all applicants complete this survey so that we can ensure our candidate pool is balanced. To complete in Welsh - I gwblhau yn Gymraeg https://intofilm.tfaforms.net/f/cymruamb2023

At Into Film, we monitor our engagement with underrepresented and underserved populations. To help us in this area, this survey asks questions about you and the organisation you represent.

If you would prefer not to answer some questions, you can select ‘Prefer not to say’

Please note - those who are successful and join our Education Ambassador scheme will receive further equality monitoring surveys.

If you have any questions about the form, contact kirsty.gallacher@intofilm.org with Equality and Diversity Monitoring in the subject line.

Please tick all that apply to the organisation you represent/young people you work with:

What best describes your gender:

Man (including trans men) Non-binary/ Gender Queer Woman (including (trans women) Not known

If you prefer to use your own gender identity, please write in:

Are you the same gender as assigned to you at birth?

YesNoPrefer not to say

Please write description below:

Sexual Orientation 

Please write description here

Ethnic Origin

Which option best describes your ethnic origin or background?

Black/African/Caribbean/Black British

African Caribbean Any other Black/African/Caribbean background

Mixed/Multiple ethnic groups

Asian and White Black African and White Black Caribbean and White Any other Mixed/Multiple backgrounds

Prefer not to say / not known

Not Known Prefer not to say

If other religion or belief, please write here

Prefer to self describe: