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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.
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Name & Contact Information
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First Name
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Your answer
Last Name
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Your answer
Date of Birth
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Phone Number
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Your answer
Email Address
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip/Postal Code
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Background & Availability
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How did you hear about our testing program? Are you interested in a specific project?
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Your answer
Have you had any prior experience with being a tester, particularly with "testing" or "auditing" for discrimination?
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Yes
No
If you are currently employed, who is your employer and what is your occupation?
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Your answer
What are your previous types of employment?
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Your answer
What is your availability? If you work 9-5, do you have flexibility during the work week? Only on the weekends?
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Your answer
Do you have a valid driver's license?
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No
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?
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Yes
No
Are you working or have you ever worked in the housing industry (leasing agent, realtor, loan officer?)
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Yes
No
Do you know anyone currently working in the housing industry? If yes, please describe.
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Your answer
Demographics (optional)
The following questions are optional and will be kept confidential.
Country of Birth
Your answer
Language(s) other than English spoken
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What is your gender identity?
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What is your sexual orientation?
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Do you have any children under the age of 18? How old are they?
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What is your race?
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Do you have a disability? If yes, what is it?
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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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By submitting this form, I certify that the information herein is true. (Signature)
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Date
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