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Tester Pre-Application
Thank you for your interest in becoming a Civil Rights Tester for the Equal Rights Center (ERC). Testing requires a diverse pool of testers and these questions are designed to promote diversity within our testing pool. Please complete all required questions on this form, upload your resume, and submit. All the information submitted is confidential.
Name & Contact Information
First Name *
Last Name *
Date of Birth *
Phone Number *
Email Address *
Street Address *
City *
State *
Zip/Postal Code *
Background & Availability
How did you hear about our testing program? Are you interested in a specific project? *
Have you had any prior experience with being a tester, particularly with "testing" or "auditing" for discrimination? *
If you are currently employed, who is your employer and what is your occupation? *
What are your previous types of employment? *
What is your availability? If you work 9-5, do you have flexibility during the work week? Only on the weekends? *
Do you have a valid driver's license? *
Conflicts of Interest
The following questions are required to help us determine any initial conflicts of interest. More questions may be asked of you later in the process. Answering "yes" to these questions does not automatically exclude you from testing.
Have you ever filed a housing, employment, or human rights complaint or had one filed against you? *
Are you working or have you ever worked in the housing industry (leasing agent, realtor, loan officer?) *
Do you know anyone currently working in the housing industry? If yes, please describe. *
Demographics (optional)
The following questions are optional and will be kept confidential.
Country of Birth
Language(s) other than English spoken
What is your gender identity?
What is your sexual orientation?
Do you have any children under the age of 18? How old are they?
What is your race?
Do you have a disability? If yes, what is it?
Do you identify with a particular religion? (If you do, please write the name of the religion in the box below. If you do not, you may write "none")
By submitting this form, I certify that the information herein is true. (Signature) *
Date *
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