Loan Originator Interest Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Website
What best describes your current role?
*
Please Select
Loan Officer
Real Estate Agent / Broker
Investor (fix & flip / rental / STR)
Business Owner (related to real estate)
Other
How many real estate deals or loan transactions have you been directly involved in over the past 12 months?
*
Please Select
0–5
6–15
16–30
30+
Describe your current network. Who do you primarily work with?
*
How do you currently generate deal flow? (Select all that apply)
*
Personal network / referrals
Social media / content
Paid ads
Partnerships (agents, brokers, etc.)
Cold outreach
Other
Approximately how many qualified deal opportunities could you bring per month?
*
Please Select
1–2
3–5
6–10
10+
Do you currently have access to real estate investors who need financing?
*
Please Select
Yes (active conversations)
Yes (but not actively monetizing)
No
Have you originated or referred loans before?
*
Please Select
Yes (consistently)
Yes (occasionally)
No
What interests you most about this opportunity?
*
This is a 1099, commission-based role where you are expected to bring your own network and opportunities. Are you comfortable with that?
*
Please Select
Yes
No
Why do you believe you would be a strong fit for this role?
*
Submit
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