Fair Housing Center of Central Indiana

Tester Position Inquiry Form

Please complete the online form below. Upon approval, we will contact you to complete a formal application and to answer any questions. All information will be kept confidential.

Step 1 of 7

14%

Name*
First Last
Maiden Name:
Email Address*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Question:*
Are you 18 years of age or older?
- Yes
- No
Question:*
Are you prevented from lawfully working in the United States because of visa or immigration status?
- Yes
- No
Question:*
Have you ever been convicted of a felony that has not been expunged?
- Yes
- No

Employers
List most recent employer.
Employer 1: Company Name
Employer 1: Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date
End Date
Position

Question:*
Do you or your significant other currently hold a real estate license and/or work in the real estate or housing profession, or have you or your significant other held a real estate license or worked in the housing profession?
- Yes
- No
If yes, please explain below....

Question:*
Please explain why you are interested in being part of the FHCCI housing discrimination testing program and what skills you have that make you a good candidate:
Question:*
Please describe your experience in writing narratives and/or reports and paying attention to detail:

Question:*
Would you have any personal/moral objections if you are provided with a fictional biography that you are to use as background information and/or identification (ex. employment, reason for moving, etc.) when presenting yourself as a home seeker or apartment seeker?
- Yes
- No
Agreement:*
"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am accepted as a tester, my position may be terminated at any time.

In consideration of my being retained as an independent contractor (tester), I agree to conform to the company’s rules and regulations, and I agree that my position and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my position may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its executive director, and then only when in writing and signed by the executive director, has any authority to enter into any agreement for my being hired as an independent contractor (tester), for any specific period of time, or to make any agreement contrary to the foregoing."

Please indicate your assent to this agreement by typing "I AGREE" into the field below.

Fair Housing Center of Central Indiana

445 North Pennsylvania St, Ste 811 • Indianapolis, IN 46204
Phone: 317-644-0673 • Fax: 317-245-0322
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Fair Housing Center of Central Indiana

317-644-0673

Tester Position Inquiry Form

Step 1 of 7

Employers

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Fair Housing Center of Central Indiana