Agent Interest Form
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Who Referred You?
*
Have you had an initial meeting with a member of our leadership team?
*
Yes
No
Where are you licensed?
Maryland
DC
Virginia
Philadelphia
Other
Are you a full time real estate agent or dual career?
*
Full Time
Dual Career
Dual career and transitioning
Staying Dual Career
What value are you hoping to gain by joining Coalition?
*
What value would you be adding as a team member of Coalition?
*
What is the closed sales volume & units you want to close this year?
*
Assuming you will be 90+ days from your first commission check from the time you join a team or brokerage, how will you sustain in the interim?
*
Closed Units & Volume last 12 months
Do you have a KPA or DISC assessment to send us?
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