Our Etiquette to Real Estate Apprentice Application

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Our Etiquette to Real Estate Apprenticeship Program
Welcome to the first step of your real estate journey! This apprenticeship is designed to guide and prepare aspiring agents to become licensed real estate brokers in Washington State through education, mindset development, and real-world experience. Please complete this form to begin enrollment.
Personal Information
Name

First NameLast Name
Preferred Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DOB

MonthDayYear
Date
Emergency Contact Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Education & Background
Do you have a high school diploma or a GED?

YesNo
Have you taken any real estate courses before?

YesNo
If yes, please list courses or schools
Are you currently employed?

YesNo
Program Acknowledgment

I understand that I will enroll in 90 hours of coursework through Rockwell Institute at a discounted rate.I will participate in the accountability coaching program five days a week.I will attend weekly training on real estate contracts and forms.I may be eligible for course reimbursement upon completion.I may receive a scholarship covering licensing and MLS setup costs.I may be given shadowing opportunities to prepare for the field.I may be given shadowing opportunities to prepare for the field.
Availability
Are you available for daily accountability check-ins?

YesNo
Preferred time of day:

MorningMiddayEvening
Do you have reliable internet and a device for virtual learning?

YesNo
Short Answer Questions
Why are you interested in becoming a real estate agent?
What do you hope to gain from this apprenticeship?
What are some personal or professional goals you’re currently working on?
Signature
I certify that the information provided is accurate to the best of my knowledge. I understand that submission of this form does not guarantee acceptance into the program and that I may be contacted for a follow-up interview.

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Our Etiquette to Real Estate Apprenticeship Program

Personal Information

Education & Background

Availability

Short Answer Questions

Signature