Tester Application

Please complete and submit the following form to be considered for the postion of Civil Rights Tester. Most of the personal information we request on the application form is used to help us create your tester profile. This information will be kept in the strictest confidence.

Contact Information
Ex: 123-456-7890
Ex: 12345
Personal Information

Check all that apply

Please list the amount of rental property you own and location(s)

Employment History
If applicable
Family Information

This information will be used to create a profile similar to your actual family composition.

If applicable
If applicable

Please include how many children you have, their gender, and their ages.

Testing Information

Check all that apply

References
Ex: 123-456-7890

Please explain how you know this person

Ex: 123-456-7890

Please explain how you know this person