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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.
Title
First Name *
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Last Name *
Your answer
Phone Number *
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Email Address *
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Street 1 *
Your answer
Street 2
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City *
Your answer
State *
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Zip/Postal Code *
Your answer
Date of Birth
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Country of Birth
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What is your gender identity? *
What is your sexual orientation? *
How do you identify your race or ethnicity? *
Required
Language(s) other than English spoken
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Do you have a disability?
If your answer to the question above was "yes," please describe your disability in 30 words or less.
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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."
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Have you had any prior experience with being a tester, particularly with "testing" or "auditing" for discrimination? *
If so, please list the agency or organization(s) you worked with.
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Do you know anyone working in the housing industry? *
If yes, please describe.
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Do you presently work in housing, lending or finance? If so, please describe below *
Employer?
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Occupation?
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Do you have a valid driver's license? *
How did you hear about us? *
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When are you available to participate? (Choose all that apply) *
Required
By submitting this form, I certify that the information herein is true. (Signature) *
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Date *
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