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QUESTIONNAIRE FOR MEMBERSHIP
(Application cannot be considered unless all questions are answered fully.)
*
Please check appropriate box:
Active Membership (Only Licensed Real Estate Brokers)
Associated Membership (all others)
1.)
Name of Applicant:*
2.)
Name of Firm:*
Title:
Your position / role in firm:
Years with present firm:
Address:
City:
State:
Zip:
Phone:
Direct Phone:
Fax:
Email:*
3.)
Give detailed information with dates of previous five years employment prior to present affiliation:
4.)
Have you ever been a member of IOREBA before? If yes, list date of membership termination and circumstances.
5.)
What other real estate organizations are you a member of?
6.)
What do you feel you and your firm can contribute to the Association?
7.)
Give (4) references associated with the field of Real Estate other than your application endorsers.
Active Members Only Fill Out Below:
8.)
Have you been directly involved in any question of ethics with any Real Estate Board or State Real Estate Commission within the past ten years? If yes, please explain below.
9.)
List your office & industrial transactions during the past three years. Please include date, property identity and address, aggregate rent or sales price (not commission), sale or lease, name of seller or lesser and/or name of buyer or lessor.
10.)
List by date & give details of transactions which you have cooperated with other brokers in the past five years.
