Gender Identity
Male Female Non-binary I am not sure/Questioning Prefer to self describe Prefer not to say
Is your gender identity the same as the sex you were assigned at birth?
- Select - ADHD / ADD Allergies (please specify) Anxiety Asthma Autism / Autistic Spectrum Condition Cancer (past or present) Chronic pain / fatigue (e.g. ME/CFS, fibromyalgia) Deaf / Hearing impairment Depression Developmental delay Diabetes (Type 1 or 2) Dyscalculia Dyslexia Dyspraxia Eating disorder Epilepsy Heart condition Learning disability Mobility impairment (e.g. uses wheelchair, crutches) OCD PTSD / Trauma-related condition Sickle cell anaemia / trait Speech impairment Visual impairment Other long-term condition Other mental health condition Other (please specify) Prefer not to say
Please share more details about disabilities, allergies, access needs or conditions
Do you require any specific support or adjustments?
Have you previously taken part in any True Cadence programmes?
Education or Employment Status
Name of School
All Saints Catholic School Barking Abbey School Beam Primary School Becontree Primary School Dagenham Park Church of England School Dorothy Barley Infants' School Dorothy Barley Junior Academy Eastbrook School Eastbury Community School Eastbury Primary School Elutec Five Elms Primary School Furze Infants' School Gascoigne Primary School George Carey CE Primary School Godwin School Goresbrook School Grafton Primary School Greatfields School Henry Green Primary School Hunters Hall Primary School The James Cambell Primary School Jo Richardson Community School John Perry Primary School The Leys Primary School Manor Infants' School Manor Junior School Marsh Green Primary School Mayesbrook Park School Monteagle Primary School Northbury Primary School Parsloes Primary School Pathways School Richard Alibon Primary School Ripple Primary School Riverside Bridge School Riverside Primary School Riverside School Robert Clack School Roding Primary School Rose Lane Primary School Rush Green Primary School Southwood Primary School St Joseph's RC Primary School, Barking St Joseph's RC Primary School, Dagenham St Margaret's CE Primary School St Peter's RC Primary School St Teresa RC Primary School St Vincent's RC Primary School Sydney Russell School Thames View Infant School Thames View Junior School Thomas Arnold Primary School Trinity School Valence Primary School Village Infants' School Warren Junior School The Warren School William Bellamy Primary School William Ford CE Junior School Other (please specify)
Are you on benefit-related free school meals?
Name of College/Sixth form
Adult College of Barking and Dagenham All Saints Catholic School Barking Abbey School Barking and Dagenham College Dagenham Park Church of England School Eastbrook School Eastbury Community School Elutec Goresbrook School Greatfields School Jo Richardson Community School Mayesbrook Park School Pathways School Riverside Bridge School Riverside School Robert Clack School The Sydney Russell School The Warren School Trinity School Other (please specify)
Name of University
University of Aberdeen Aberystwyth University Anglia Ruskin University University of the Arts London Aston University Bangor University University of Bath University of Birmingham Birkbeck, University of London University of Bradford University of Brighton University of Bristol Brunel University London University of Buckingham University of Cambridge Canterbury Christ Church University Cardiff Metropolitan University Cardiff University City, University of London Coventry University Cranfield University University for the Creative Arts University of Derby University of Dundee Durham University Edge Hill University University of East London University of Edinburgh University of Essex University of Exeter University of Glasgow Glasgow Caledonian University University of Gloucestershire Goldsmiths, University of London University of Greenwich Harper Adams University Heriot-Watt University University of Hertfordshire University of Huddersfield University of Hull Imperial College London Keele University University of Kent King's College London Kingston University Lancaster University University of Leeds Leeds Beckett University University of Leicester University of Lincoln University of Liverpool Liverpool Hope University Liverpool John Moores University London Metropolitan University London School of Economics London South Bank University Loughborough University University of Manchester Manchester Metropolitan University Middlesex University Newcastle University University of Northampton Northumbria University University of Nottingham Nottingham Trent University University of Oxford Oxford Brookes University University of Plymouth University of Portsmouth Queen Mary University of London Queen's University Belfast University of Reading Robert Gordon University University of Roehampton Royal Holloway, University of London University of Salford University of Sheffield Sheffield Hallam University SOAS University of London University of Southampton University of St Andrews St George’s, University of London University of Stirling University of Strathclyde University of Suffolk University of Sunderland University of Surrey University of Sussex Swansea University Teesside University University of the West of England University of Warwick University of West London University of Westminster University of Winchester University of Wolverhampton University of Worcester University of York Other University (please specify)
