GPSR BOARD OF DIRECTIONS APPLICATION

APPLICATION FOR GPSR BOARD OF DIRECTORS NOMINATION

Complete the form and click submit at the bottom. If you have inquiries, please contact info@gpsr.net or call 760-320-6885
Section 1: Applicant Information
•Full Name
•License Number
•Company Name
Position/Title*
Office Address
•Phone Number*
•Email Address*
example@example.com
•GPSR Membership Start Date*

MonthDayYear
Date
Section 2: Eligibility Verification
Please confirm the following by checking each box and providing any requested documentation.
Membership Duration:
I confirm that I have been a member of the GPSR for at least three (3) years on the date of this application.
Financial Standing:
I confirm that all financial obligations to the GPSR, CAR, and NAR are paid in full, and my dues and assessments are current. I understand they must remain current throughout my service.
Professional Conduct:

I attest to conduct my professional business per the NAR Code of Ethics.
Have you had any final findings of NAR Code of Ethics violations in the past three years?*

NoYes
Do you have any unsatisfied disciplinary actions pending in any A.O.R.?*

NoYes
If you answered YES to either PROFESSIONAL CONDUCT inquiry above, please explain in detail.
Fiduciary Responsibility:
I agree to honor fiduciary duties to the GSPR. and adhere to all conflict of interest and disclosure rules during my term.
Additional Requirements:
I understand and agree to meet any additional policies or requirements the Board of Directors has established.
Section 3: Service History and Engagement
Total years of service to the GPSR*
Committees Served On (Local Level)
Have you ever served as chairperson on any GPSR committee?*

Yes
If yes, which committee(s) and year(s)
Have you served at the state level C.A.R.?*

YesNo
If yes, please list positions or committee service
Have you served at the National Level N.A.R.?*

YesNo
If yes, please list positions or committee service
Contributions to REALTOR® Action Fund (RAF)*

YesNo
If yes, year(s)
Contributions to Housing Affordability Fund (HAF)*

YesNo
If yes, year(s)
Section 4: Officer Eligibility (If Applicable)
Are you seeking nomination for an Officer position (President-Elect or Treasurer)?*

YesNo
If yes, please confirm the following

I have completed at least two (2) years of service as a director.
List dates and years of past service as a Director:
Section 5: Declaration and Signature
I certify that the above information is true and accurate to the best of my knowledge. I understand that any false information may disqualify me from consideration.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

APPLICATION FOR GPSR BOARD OF DIRECTORS NOMINATION

Section 1: Applicant Information

Section 2: Eligibility Verification

Membership Duration:

Financial Standing:

Professional Conduct:

Fiduciary Responsibility:

Additional Requirements:

Section 3: Service History and Engagement

Section 4: Officer Eligibility (If Applicable)

Section 5: Declaration and Signature