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APPLICATION FOR GAAAR MEMBERSHIP I, _________________________________________________ (name of applicant) hereby apply for ______ REALTOR ® or ______ Secondary Membership, ______ licensed or certified Appraiser (check one) in GAAAR, and enclose my check in the amount of $ ____________, which I understand will be returned to me in the event my application is not approved. In the event my application is approved, I agree as a condition of membership to complete the indoctrination course (New Member Orientation) of GAAAR, within 12 Months of membership. I agree that my act of paying dues shall evidence my initial and continuing commitment to abide by the Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS®, Constitutions, Bylaws, Rules and Regulations, of Greater Lakes Association of REALTORS®, the Minnesota Association of REALTORS®, and the National Association of REALTORS® and duty to arbitrate, all as from time to time amended. I understand that I will be required to complete periodic Code of Ethics training as specified in the Association’s bylaws as a continued condition of membership. Finally, I consent that and authorize the Association to invite and receive information and comment about me from any member or other person. I agree that any information and comment furnished to the Association by any Member or other person in response to any such invitation 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 if accepted as a member and he/she subsequently resigns or is expelled from membership in the Association with an ethics complaint or arbitration request pending, the Board of Directors may condition renewal of membership upon applicant’s verifications 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 an award in arbitration, the Board of Directors may condition renewal of membership upon his/her payment of the award, plus any costs that have previously been established as due and payable in relation thereto, provided that the award and such costs have not in the interim, been otherwise satisfied. Name as shown on license __________________________________________________________________ (please print)Date licensed with current broker/appraiser ___________________ License # ________________________________ Office Name ________________________________________ Office Address _________________________________ (Street, P.O. Box) _________________________________________________________________________________________________ (City) (State) (Zip) Office Telephone __________________________________ Office FAX ____________________________________ Position with firm __ Principal __ Partner __ Corporate Officer __ Employee __ Independent Contractor __ Other If Partner or Officer, name of other Partners/Officers ______________________________________________________ ________________________________________________________________________________________________ Residence Address ________________________________________________________________________________ (Street, P.O. Box) (City) State) Zip) Residence Phone ______________________________ Residence Fax ____________________________________ Cell Phone ___________________________________ Email address _____________________________________ Phone number to appear on MLS Data Sheets: ______________________________ (in addition to office phone number) Send my mail to: ____ My Office Address ____ My Residence Address Preferred Phone: ____ My Office Phone ____ My Residence Phone ____ My Cell Phone
APPLICATION FOR GAAAR MEMBERSHIP - PAGE 2 Personal Information :Date of Birth _____ / _____ / _____ Have you ever been convicted of a felony? ___ Yes ___ No If “Yes”, give details ________________________________________________________________________________ Have you declared bankruptcy within the past three years? ___ Yes ___ No Previous Association Information: Have you previously held or are you currently holding membership in any other real estate board? ___ No ___ Yes If Yes, Name of Board & Location _______________________________________NRDS #________________________ Last Year of completion of NAR’s Code of Ethics training requirement: __________ Real Estate Specialty: ___ Residential ___ Commercial ___ Resort ___ Land ___ International ___ Other Have you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS® in the past three (3) years or are there any such complaints pending? ___ Yes ___ No (If yes, provide attachment). Are there any outstanding/financial obligations due and owing to another local Association or its MLS or the Minnesota Association of REALTORS®? ___ Yes ___ No Have you ever been sanctioned by the Department of Commerce? ___ Yes ___ No Communications Consent: By signing below I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any, may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership. I hereby 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, shall be grounds for revocation of my membership if granted. I agree that, if accepted for Membership in the Association, I shall pay the fees and dues as from time to time established. Applicant’s Signature ____________________________________________________ Date _____________________ Principal Broker/Appraiser Signature ________________________________________ Date _____________________ I have included the following with my completed Application for Membership: Completed Application for Membership (fill in all fields) A check payable to GAAAR A copy of my real estate license or appraiser license A personal photograph Verification of my membership in another Board of REALTORS® (if applicable) |