South Central Board of Realtors
APPLICATION FOR REALTOR MEMBERSHIP
Please email this completed application to info@scbor.com and an invoice will be emailed to you.
Section 1
Legal Name of Applicant: ___________________________________________________
Nickname _____________________________ Date of Birth _____________________________
Home Address: ___________________________________________________________________
Mailing Address: (if different from home address) _________________________________________
________________________________________________________________________________
Email Address: ___________________________________________________________________
Cell Phone # _________________________ (Additional # if needed) ________________________
Business Address: _________________________________________________________________
Office Address (if different) ___________________________________________________________
Business Phone #: ________________________ Email: ___________________________________
I hereby apply for primary, secondary, or designated (circle one) REALTOR membership with South Central Board of Realtors. I understand that I will need to pay for my membership. In the event my application is approved, I agree as a condition to membership to complete the indoctrination course with South Central Board of Realtors, if any, and otherwise on my own initiative to thoroughly familiarize myself with the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS, including the duty to arbitrate contractual and specific non-contractual disputes in accordance with Article 17 of the Code of Ethics and the Code of Ethics and Arbitration Manual of the Board, and the Constitutions, Bylaws, Rules and Regulations, and duty to arbitrate. I further agree that my act of paying dues shall evidence my initial and continuing commitment to abide by the aforementioned Code of Ethics, Constitutions, Bylaws, Rules and Regulations, and duty to arbitrate, all as from time to time amended. Finally, I consent and authorize the Board, through its Membership Committee or otherwise, to invite and receive information and comment about me from any Member or other person in response to any complaint or claim, which information or comment shall be conclusively deemed to be privileged and not form the basis of any action by me for slander, libel, or defamation of character.
NOTE: Applicant acknowledges that the board will maintain a membership file of information which may be shared with other boards/associations where applicant subsequently seeks membership. This file shall include: previous applications for membership; all final findings of Code of Ethics violations and violations of other membership duties; incomplete or pending disciplinary measures; pending arbitration requests; and information related to unpaid arbitration awards or unpaid financial obligations to the Board or its MLS.
NOTE: Applicant acknowledges that if accepted as a Member and he/she subsequently resigns or is expelled from membership in the Board with an ethics or complaint or arbitration request pending, the Board of Directors may condition renewal of membership upon applicant’s verification that he/she will submit to the pending ethics or arbitration proceeding and will abide by the decision of the Hearing Panel; or if applicant resigns or is expelled from membership without having complied with and award in arbitration, the Board of Directors may condition renewal of membership upon his/her payment of the award, plus any costs that have been established previously is due and payable in relation thereto, provided that the award and such costs have not, in the interim, been otherwise satisfied.
NOTE: Dues payments to the Board are not tax deductible as charitable contributions. Portions of such payment may be tax deductible as ordinary and necessary business expenses.
Section II: I hereby submit the following information:
Name as shown on license: __________________________________________________________
Name or DBA as you want it to appear on the roster: ______________________________________
Applicants’ Real Estate License #: _______________ NRDS # (if known) ______________________
Type of license: ______ Broker ______ Salesman _____ Other (specify ___________________)
Tax I.D. Number: __________________________________________________________________
Name of Firm: ____________________________________________________________________
Name of Sponsoring Broker: _________________________________________________________
Broker’s Real Estate License #: ___________________________
Circle which type: Sole Proprietor DBA Partnership Corporation
Position with firm (circle one) Principal Partner Corporate Officer Branch Office Manager
Employee Independent Contractor Other (___________________________________)
Section III
Are you a member of an institute, society, or council affiliated with the National Association of
REALTORS? _____ No _____Yes (name) _________________________________________
Are you a member of any other Board? _____ No _____ Yes (name) _________________________
List any professional designations you hold: _____________________________________________
Section IV
I agree and certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested or any misstatement of fact may be grounds for revocation of my membership, if granted.
Signature: ____________________________________________ Date: _______________________________