Realtist Choice Award Questionnaire

1
Name of Loan Officer (LO) Applying for Award* This field is required.
First Name
Last Name
2
Company Name* This field is required.
3
Mailing Address * This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number * This field is required.
Area Code
Phone Number
5
Email Address* This field is required.
example@example.com
6
Website
7
Social Media Handles
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8
Manager's Name* This field is required.
First Name
Last Name
9
Manager's Phone* This field is required.
Area Code
Phone Number
10
Manager's Email Address* This field is required.
example@example.com
11
Are you a current member of NAREB* This field is required.
YESNO
12
Name of your local board?
Please Select
Please Select
Akron Realtist Association
Arkansas Association of Realtists
Associated Real Property Brokers
Austin Association of Real Estate Brokers dba Austin Realtist
Baton Rouge Association of Real Estate Brokers
Bay Area Association of Realtist (Tampa)
Beach City Realtist
Bedford Stuyvesant Real Estate Board
Birmingham Realtist Association
Bronx Realtist Professionals
Burlington County Board of Realtist
Central Alabama Realtist Association (Montgomery)
Central Delaware Association of Realtist
Central Indiana Realtist Association
Central Jersey Board of Realtist
Central Kentucky Realtist
Central Valley Realtist Association
Charleston Area Realtist Association
Charlotte Crown Realtist Association
Colorado Springs Realtist Association
Columbus Realtist Association
Connecticut Realtist Association, INC.
Consolidated Board of Realtists
Dallas Association of Realtist
Dearborn Realtist Board
Denver Realtist Association
Eastern Carolina Board of Realtist
Emerald Coast Board of Realtists
Empire Board of Realtists
Erie-Niagra Board of Realtist
Fort Worth Association of Realtist dba Tarrant County Realtist
Greater Auburn-Opelika Realtist Association
Greater Boston Chapter of NAREB
Greater Chattanooga Realtist
Greater Cincinnati Realtist Association
Greater Cleveland Realtist Association
Greater Dayton Realtist Association
GREATER DES MOINES BOARD OF REALTIST, INC
Greater Detroit Realtist Association
Greater Harlem Real Estate Board
Greater Kansas City Chapter of Real Estate Brokers
Greater Knoxville Realtist
Greater Metropolitan Association of REALTIST, Inc.
Greater Milwaukee Board of Realtist
Greater Piedmont SC Association of Realtist
Greater Toledo Realtist Association
Greater Tulsa Board of Realtists
Hampton Roads Association of Real Estate Brokers
HIGH DESERT REALTIST FOR DEMOCRACY IN HOUSING
Houston Black Real Estate Association
Inland Empire Association Of Realtist
Jackson Association of Realtist, Inc
Jacksonville Association of Real Estate Brokers
Long Beach Realtist Association
Memphis-Chapter of NAREB
Metro East Realtist Collective
Metro Orlando Association of Realtist
Metro South Atlanta Realtists
Mississippi Association of Real Estate Brokers
Mobile Association of Real Estate Brokers
Nashville NAREB Chapter
Nevada Association of Real Estate Brokers
New Jersey Association of Minority Real Estate Professionals
New Orleans Real Estate Brokers
North Alabama Black Realtist Association (Huntsville)
North Shore Realtist Association
North Texas Association of Realtist
Oregon Realtist
Philadelphia Metropolitan Board of Realtist
Phoenix Professional Realtist Group
Pinellas County Association of Realtist
Pittsburgh Realtist Professionals
Port City Coastal Realtist
Prince George's County Realtist Inc
Professional Realtist of Southern Colorado
Queens Realtist Association
Real Estate Brokers of Baltimore
Realtist Association of Delaware
Realtist Association of Greater Arundel
Realtist Association of Indiana Northwest
Realtist Association of Northeast Indiana
Realtist Board of Hawaii
Realtist Chapter of Richmond
Realtist Network of Northern Virginia
Realtist of Fresno County
Realtist of Metro St - Louis
Realtist of West Michigan Association
Sacramento Realtists Association
San Antonio Association of Real Estate Brokers
San Diego Realtist For Democracy In Housing
Savannah Association of Realtist
Solano Realtist Association
South Carolina Chapter of NAREB
South Florida Board of Realtist
Southern New Jersey Chapter of NAREB
Southwest Florida Association of Realtist Inc
Tallahassee Association of Realtist, Inc
The Louisville Real Estate Brokers Association
The Upstate Realtist
Treasure Coast Association of Realtist, Inc
Triad Association Of Realtist
Triangle Board of Realtists (Raleigh)
Twin City Movement of Realtist Engaged
Tyler Area Board of Black Realtist
United Oklahoma Association of REALTISTS
Washington Real Estate Brokers Association
Westchester County Realtist Alliance
Western North Carolina Realtists
Western Washington Realtist - (Seattle, WA)
Youngstown-Warren Association of Real Estate Brokers
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13
1. Please provide a BIO of yourself and/or your commercial. Provide Link to A Shared Drive with Your Video (Do not submit a Vimeo or YouTube Link)
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14
2. In what States/jurisdictions are you licensed?
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15
3. How many total closed transactions did you have in the last twenty four (24) months?* This field is required.
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4. How many of the closed transactions you had in the last twenty four (24) months utilized down payment assistance or first-time homebuyer programs?
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5. What activities are you involved with in your local board?
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18
6. Have you closed a transaction with a Realtist in the last twenty four(24) months?* This field is required.If so, please provide at least one letter of recommendation from a Realtist who you have closed a deal within the past 2 years.
YESNO
19
6a. Please provide at least one letter of recommendation from a Realtist who you have closed a deal within the past 2 years
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7. Of the total loan applications you received in the last 12 months from Black consumers, how many were converted into closed loans?
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