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Agent Information

All of the information below is required unless otherwise noted.

Prefix

Preferred Nickname

First Name

Last Name

Title

Other Title

Are you the Principal Broker for this Agency?

Yes No

Office Number

Ext

Cell

Preferred Method of Contact

Office Cell Email

Email

Fax

Are You a Licensed Agent?

Yes No

License #

License Expiration

Real Estate Start Year

Languages

Certification

Accredited Buyer’s Representative | ABR®
Certified Property Manager | CPM®
Certified Real Estate Brokerage Manager | CRB℠
Certified Residential Specialist® | CRS®
Counselor of Real Estate | CRE®
General Accredited Appraiser | GAA℠
NAR’s Green Designation | GREEN
Graduate, REALTOR® Institute | GRI℠
Performance Management Network | PMN
REALTOR® Association Certified Executive | RCE
Residential Accredited Appraiser | RAA℠
Seniors Real Estate Specialist® | SRES®
At Home With Diversity | AHWD®
Broker Price Opinion Resource | BPOR
e-PRO®
Resort & Second-Home Property Specialist | RSPS
Short Sales & Foreclosure Resource | SFR
Military Relocation Professional | MRP
Sellers Representative Specialist | SRS

Real Estate Organization

National Association of Realtors | NAR
National Association of Hispanic Real Estate Professionals | NAHREP
Asian Real Estate Association of America | AREAA
National Associate of Gay & Lesbian Real Estate Professionals | NAGLREP
National Association of Real Estate Brokers | NAREB
LGBTQ+ Alliance | LGBTQA

Enrollment Questions

How did you hear about our network?

Specify

Have you helped a client close a loan with Rocket Mortgage in the past?

Yes No

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