Section 1To the Indiana Commercial Board of REALTORS®, I hereby apply for membership. In the event of my election, I agree to abide by the Code of Ethics of the National Association of REALTORS®, which includes the duty to arbitrate, and the Constitution, Bylaws and Rules and Regulations of ICBR, the State Association and the National Association, and if required, I further agree to satisfactorily complete a reasonable and non-discriminatory written examination on such Code, Constitutions, Bylaws and Rules and Regulations. I understand membership brings certain privileges and obligations that require compliance. Membership is final only upon approval by the Board of Directors and may be revoked should completion of requirements, such as orientation, not be completed within timeframe established in the association’s bylaws. I understand that I will be required to complete periodic Code of Ethics training as specified in the association’s bylaws as a continued condition of membership. NOTE: Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the Board or otherwise causes membership to terminate with an ethics complaint pending, the Board of Directors may condition renewal of membership upon applicant’s certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel. If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®.Name* First Last Designations (i.e. SIOR, CCIM, CPM, MAI) Preferred First Name First Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Personal Email Address* Real Estate License Number* Appraisal License Number (if applicable) NAR membership (NRDS) number (issued by your primary board):* Last date (year) of completion of NAR’s Code of Ethics training requirement: I am:* An applicant for Designated REALTOR® (DR) seeking secondary status who is a principal, partner, corporate officer or branch office manager. An applicant for REALTOR® (R) seeking secondary status where the Managing/Principal Broker is a member of a Board of REALTORS®. Managing/Principal Broker Name: I confirm I would like to make ICBR my:*Please check box to confirm Secondary REALTOR Board (Pay State & National dues through another REALTOR® Board) Name of your Primary Board*(i.e. MIBOR, GNIAR, BBOR) Letter/Certificate of Primary Membership*You can request this document from your Primary Realtor board. This should show you have paid National (NAR) and State (IAR) dues for the current year and you are a member in good standing.Max. file size: 50 MB.Office Name* Office Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Office Email Address*The email address you were issued through your company. Office Phone*Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home/Cell Phone*Preferred Mailing* Office Home Preferred Phone* Office Home/Cell Preferred Email* Office Personal Are you presently a member of any other Association of REALTORS® (not including your primary board)?* Yes No Association type and membership held: Do you, or have you ever held, a real estate license in any other state?* Yes No Which State*Select from the drop down menu AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Have you previously held membership in any other Association of REALTORS® not already mentioned?* Yes No Association type and membership held: Have you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS® in the past three (3) years or are there any such complaints pending?* Yes No Please provide details:Are you a principal, partner, corporate officer or branch office manager?* Yes No Section IIFor principal brokers/branch managers.Company Information* Corporation LLC (limited liability company) Partnership Sole Proprietor Your Position* Branch Manager Corporate Officer Majority Stakeholder Partner Principal Names of other Partners/Officers in your firm: Have you ever been refused membership in any other Association of REALTORS®?* Yes No State the basis for each such refusal and detail the circumstances related:Is the Office Address, as stated, your principal place of business?* Yes No If not, or if you have any branch offices, please indicate and give address: Do you hold, or have you ever held, a real estate license in any other state?* Yes No Where? Have you or you firm been convicted, adjudged, or otherwise recorded as guilty by a final judgment of any court of competent jurisdiction of a felony or other crime?* Yes No Please provide details: Additional InformationWhat is your primary reason for applying for membership?*Please select from the drop downSelect OneICREX/Listing ServiceConference/EducationIndustry ConnectionsZipformsOtherOther selected - please explain for primary reason for applying:* How many years have you worked in Commercial Real Estate?* What is your primary field of business?*Please select from the drop down200: General Commercial Sales/Leasing201: Industrial Sales/Leasing202: Office Sales/Leasing203: Retails Sales/Leasing204: Land Sales/Leasing205: Multi-family Sales/Leasing206: Property Management207: Appraiser208: International209: Exchanges210: Tenant Representative211: Investment Sales212: Hotel/Leisure213: Residential Investment (non-owneroccupied)220: Brokerage Management221: Corporate Management222: Trainer/Instructor/Educator223: Marketing/Research224: Office Support Staff (licensed)225: Office Support Staff (unlicensed)226: Asset/Portfolio Management227: Government Property Mngt230: Counselor231: Business Broker232: Development233: Investment Properties (includingREIT’s)234: Acquisition235: Build To Suit236: Commercial Sale/Leaseback237: Site Selection301: General Appraisal302: General Real Estate303: Young Professionals Network310: Personal Assistant (licensed)311: Personal Assistant (unlicensed)312: Economic Development313: Financial Services314: Real Estate Law315: Redevlopment/Rehabilitation316: Relocation317: Securitization318: Syndication319: Real Estate TaxationI'm interested to learn more about: Select All Leadership opportunities Ways to grow my career Solving industry issues Professional Development/ Continuing Education ICREX (ICBR/CREA's commercial listing platform) Does ICBR have permission to share your contact information in the membership directory?*See an example Member Directory here. Yes No Application AgreementI hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my membership if granted. I further agree that, if accepted for membership in the Board, I shall pay the fees and dues as from time to time established. NOTE: Payments to the Indiana Commercial Board of REALTORS® are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. No refunds. By signing below I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any (e.g., MLS, Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership. An applicant for REALTOR® Membership who is a sole proprietor, partner, corporate officer, or branch office manager of a real estate firm shall supply evidence satisfactory to the Membership Committee that he is actively engaged in the real estate profession, and maintains a current, valid real estate broker’s or salesperson’s license or is licensed or certified by an appropriate state regulatory agency to engage in the appraisal of real property, has a place of business within the state or a state contiguous thereto (unless a secondary member), has no record of bankruptcy, has no record of official sanctions involving unprofessional conduct within 3 years, agrees to complete a course of instruction covering the Bylaws and Rules and Regulations of the Board, the Bylaws of the State Association, and the Constitution and Bylaws and Code of Ethics of the NATIONAL ASSOCIATION OF REALTORS®, and shall pass such reasonable and nondiscriminatory written examination thereon as may be required by the Committee, and shall agree that if elected to membership, he will abide by such Constitution, Bylaws, Rules and Regulations, and Code of Ethics.Signature* Date of Application* MM slash DD slash YYYY To complete your application, please click "Apply" below. This will open the product page and payment options. Your application will be processed upon receipt of payment. PhoneThis field is for validation purposes and should be left unchanged.
