You must answer all the questions below. We will use the data provided by all our grant applicants to help us make sure our funding is reaching a broad range of people and organisations.

We must also report on who our funding is reaching by each of the ‘protected characteristics’ covered by the Equality Act 2010 in our Annual Equality Report, to comply with the specific duties set out in the Equality Act 2010 (Statutory Duties (Wales) Regulations 2011).

Your answers on this form will not affect any decision on your grant application and will be used for monitoring purposes only. The form will not be shared with staff assessing your application. Your application will not be considered complete unless this form has been filled in and submitted.

This can be found on the acknowledgement email you were sent.
Is this the gender you were assigned at birth?
Relationship status
Sexual Orientation
Ethic Origin
Asian / Asian British
Black / African / Caribbean / Black British
Mixed / Multiple Ethnic Groups
Other Ethnic Group
How would you describe your national identity?
As a woman, are you pregnant, on maternity leave or returning from maternity leave?
Do you consider yourself to be a disabled person?
The Equalities Act 2010 defines a person as disabled if they have a physical or mental impairment, which has a substantial and long term adverse effect on the person's ability to carry out normal day-to-day activities and has lasted, or is expected to last, at least 12 months.

Thank you for completing this form. Rest assured that the information you have provided will be treated confidentially, and will not be processed with your application.