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Tester Application

1. Please fill this form as completely as possible. Part of the purpose of this form is to provide information to assist in matching you with persons who have faced housing discrimination and/or another tester with similar characteristics.  The information requested is personal and will be kept in the strictest of confidence by the staff.
  *This question is required.
This question requires a valid email address.
2. Do you or any of your family members currently own or manage any rental property? *This question is required.
3. Have you, or any of your family members or close friends, owned or managed any rental property within the past five years? *This question is required.
4. Do you now or have you ever worked as a real estate agent? *This question is required.
5. Do you have family members or close friends who currently work as real estate agents? *This question is required.
6. Do you now or have you ever worked as an insurance agent? *This question is required.
7. Do you have family members or close friends who currently work as insurance agents? *This question is required.
8. Do you, or any family members or close friends, currently work as loan officers? *This question is required.
9. Have you or any family members ever worked as loan officers in a home mortgage lending institution? *This question is required.
10. Have you ever been convicted of a felony or crimes of moral turpitude (theft, fraud or perjury)? *This question is required.
11. Have you ever been dismissed from a job for misconduct involving dishonesty, fraud, and/or theft? *This question is required.
12. Are you willing to submit to a criminal background check?  *This question is required.
13. As a tester, you may be required to testify under oath in a court of law.  Is there anything in your past that may affect your credibility as a witness? *This question is required.
14. Have you ever experienced discrimination? *This question is required.
15. Have you ever filed a complaint of discrimination with a local or federal agency, in state, federal, or county court, or with an employer? *This question is required.
16. Are you comfortable working with an organization involved in civil rights law enforcement? *This question is required.
17. Have you ever engaged in fair housing testing or auditing? *This question is required.
18. Civil rights testing & investigation involves posing as a particular type of individual during business transaction in order to gather information about the kind of service you receive. Are you comfortable pretending to have certain financial and professional characteristics that are different from your own? *This question is required.
Because this project involves civil rights testing, we have to ask you some questions about your physical appearance in order to match you with other persons applying to work on this project.  Please only fill out if you are comfortable providing this information.

 
23. Race or National Origin *This question is required.
25. Gender *This question is required.
26. Do you identify as gay or lesbian? *This question is required.
27. Facial Hair *This question is required.
28. Glasses? *This question is required.
29. Hair Color *This question is required.
30. Hair Length *This question is required.
31. Piercings? *This question is required.
32. Visible tattoos? *This question is required.
33. Languages fluently spoken? *This question is required.
34. Children? *This question is required.
35. Do you own or have regular access to a car you can use for testing? *This question is required.
36. Are you willing to test outside of your local area? *This question is required.
37. When are you available for testing? *This question is required.
Space Cell SundayMondayTuesdayWednesdayThursdayFridaySaturday
Mornings (9:00 AM - Noon)
Afternoons (Noon - 5:00 PM)
Evenings (5:00 PM - 9:00 PM)
This question requires a valid date format of MM/DD/YYYY.
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