REALTOR®-APPRAISER APPLICATION - Kanawha Valley Board of Realtors

Application Type

REALTOR® Appraiser Broker

License Type

Agent Broker Associate Broker Appraiser

Real Estate License #

Are you currently a licensed appraiser?

Appraisal License # (If Applicable)

Name

Address

City

State

Zip

Phone

Personal Email

Company Name

Company Address

Company City

Company State

Company Zip

Company Phone

What is your company's website URL?

Do you prefer we mail you via home or office?

Home Office

How shall we invoice you?

Email Mail

How shall we call you?

Home Phone Cell Phone Office Phone

Are you a member of any other real estate Board/Council of REALTORS®?

If you ARE a member of another board, how are you joining KVBR?

MLS Only Secondary

How long have you been licensed with the current real estate firm?

Number of years engaged in the real estate business

Previous real estate firm (if applicable)

Do you hold, or have you ever held, a Real Estate License in any other state?

Yes No

If you HAVE held membership on a previous board, what was the name of that board?

Have you been in violation of the Code of Ethics or other membership duties in any Association of REALTORS® in the past three years? Are there any such complaints pending?

If you are now, or if you have ever been a REALTOR®, please indicate your NRDS #

List the date of completion of NAR’s Code of Ethics Training requirement