In-person 75-Hr Salesperson Pre-License Course Enrollment Form
EARLY BIRD DISCOUNT ENDS July 31, 2025
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Email *
Cell Phone *
Today's Date *
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Welcome Superstar, In order to complete your enrollment, you must pay the enrollment fee to reserve your seat.  Please choose one of the options below to let me know how you will be paying?  Once your enrollment fee is received, expect a text or email within 24 hours with your next step. *
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Location: 575 N. Harris St., Athens, GA. 30601
Dates: Sept. 3, 2025 - Nov. 5, 2025
Days: Mondays & Wednesdays
Time: 5:00 pm - 9:00 pm
Cost: $565; Early Bird Special of $465 ends 7/31/25
CLASS IS LIMITED TO 32 SUPERSTAR STUDENTS
First Name *
Middle Name *
Last Name *
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You MUST provide your Driver's License and Social Security Card on the day of your final exam. Reply "YES" if you understand. *
Birth Date *
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Gender *
Primary/Residential Address *
Apartment/Suite #
City *
State *
Zip Code *
County *
Home Phone
Alternative/Mailing Address ( if different from residential address above )
Are you applying for a license as a Georgia resident? *
Have you ever been licensed in another state as a broker or salesperson? *
If YES you have been licensed in another state as a broker or salesperson, which state and Under what last name?
Have you ever held or do you hold a real estate license in Georgia? *
If Yes you have held a real estate license in Georgia, but under a different name, what Last Name?
Are you a High School Graduate OR the holder of a General Education Development (GED) certificate? *
Have you ever been convicted of, pled nolo Contendere to, or been granted first offender treatment upon being charged with (1) any criminal offense other than a traffic violation or (2) any traffic violation that involved driving under the influence of alcohol or drugs, homicide or feticide by vehicle, fleeing the scene of an accident, attempting to elude a police officer, or impersonating a law enforcement officer? If you answer "yes", you should immediately file with the Commission the Application for Preliminary Decision by completing the Application Background Clearance at:https://grec.state.ga.us/wp-content/uploads/pdfs/RealEstate/GRECbackgroundclearance.pdf *
Have you ever been disciplined by the Georgia Real Estate Commission or any state or federal licensing agency or authority which regulates any profession?(Disciplinary actions include but are not limited to such actions as: a reprimand, a suspension, a fine, or any restriction placed on your rights to operate as a licensee.) If you answer "yes", you should immediately file with the Commission the Application for Preliminary Decision by completing the Application Background Clearance at:https://grec.state.ga.us/wp-content/uploads/pdfs/RealEstate/GRECbackgroundclearance.pdf *
A copy of your responses will be emailed to the address you provided.
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