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
Your answer
Last Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Street 1
Your answer
Street 2
Your answer
City
Your answer
State
Your answer
Zip/Postal Code
Your answer
Date of Birth
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DD
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YYYY
Country of Birth
Your answer
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
Your answer
Do you have a disability?
If your answer to the question above was "yes," please describe your disability in 30 words or less.
Your answer
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."
Your answer
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.
Your answer
Do you know anyone working in the housing industry?
If yes, please describe.
Your answer
Do you presently work in housing, lending or finance? If so, please describe below
Employer?
Your answer
Occupation?
Your answer
Have you ever been convicted of a felony?
Have you ever been convicted of a crime involving fraud or perjury?
Do you have a valid driver's license?
How did you hear about us?
Your answer
When are you available to participate? (Choose all that apply)
Required
By submitting this form, I certify that the information herein is true. (Signature)
Your answer
Date
MM
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