MLS Assistant/Secretary Application

MLS Assistant/Secretary Application

Personal Information
Name*

First NameLast Name
Nickname
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Home Address
Email*
Email must be UNIQUE for MLS registration purposes.
Mobile Phone Number*
Does the Applicant Have a Real Estate License?*

YesNo
List Your State Issued License #*

Office Information
Office Name*
Office MLS ID
Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Office Address*
Office Phone Number*
Applicant Replacing Current Secretary/Assistant?*

YesNo
What is the Name of the Person You Are Replacing?*

First NameLast Name
Applicant Works For:*

AgentBroker
Agent or Broker Name*

First NameLast Name
Are you part of a Team?*

YesNo
Team Name*

For Matrix Users Only
Type of Access
Impersonate - allows the user working as you to send emails and print reports exactly as if it came from the user being impersonated.

On behalf of - allows the user working as you to send emails and print reports with the disclaimer that the admin/ secretary were working on your behalf.

Payment Information

Assistant/Secretary Payment

The Association/MLS fiscal year is from October 1st through September 30th. Your initial payment consists of pro-rated service fees for the current billing cycle. See breakdown below. MLS fees are non-refundable.

Non-licensed or Licensed with a Referral Office

OCT	NOV	DEC	JAN	FEB	MAR	APR	MAY	JUN	JUL	AUG	SEP
$125	$125	$125	$93.75	$93.75	$93.75	$62.50	$62.50	$62.50	$31.25	$31.25	$31.25

If paying by credit card, you will be redirected to our Secure Credit Card Portal after application submission, and provide the card information that will be used to process your application.

Please note if you are licensed with a REALTOR ® office, National, State, and Local Association dues will apply.

Payment Options*

Paying by check: Make check payable to Broward, Palm Beaches & St. Lucie RealtorsPaying by credit card
Please be advised that the renewal dues for your membership are due October 1st.
SYSTEM ACCESS LEVEL:

Secretary Access has the ability to add/modify listings for ALL agent(s) within the office and branches that are active with MLS. *Assistant Access has the ability to view only, unless they have set up Identity Sharing with the agent(s) they are working for.

(*only applies to Flex user, NOT Matrix users.)
Access Level You are Granting?*

Secretary AccessAssistant Access
BROKER CERTIFICATION:

As the Designated Broker or Managing Broker, I certify that this secretary/assistant is employed by the firm.
I accept full responsibility for this secretary/assistant, including but not limited to penalties or fines for violation of the BeachesMLS Rules and Regulations, Compliance Guidelines or Rules for Internet Data Display.

I will notify MLS at MLSSupport@rworld.com when this employee is no longer working at this firm so that the login and password is inactivated.
Managing Broker*

First NameLast Name
Managing Broker's Signature*

Clear
Please use a mouse or touchscreen to sign above.
Photo ID*

Browse Files
Applicant must attach a copy of a photo ID. The application will not be processed without it. Cancelof
Please verify that you are human*
If Unable to Submit the Form
1. Save as PDF or Print & Scan
2. Email the form to Membership@rworld.com
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