New Membership

Becoming a member is easy. Follow these steps to get started...

Step 1: Fill out the form below with your information.
Step 2: Upload a copy of your large hanging license from the Real Estate Division.
Step 3: Review and submit.

After submitting, you will receive an email to sign your application via DocuSign. After signing, your office's broker or manager will receive a similar email.

Click here if you wish to upload your application.

Fill Out Your Application

YOUR INFORMATION

First Name

Middle Name

Last Name

Prefix

Social Security # XXX-XX-

License Number

Expiration Date

Select Role: Broker Broker-Salesman Salesman Appraiser

Select Computer Service: MLS CALV(Commercial) Both MLS & CALV

Select Specialty: Residential Commercial Property Mgmt Appraisal Other

Do you speak another language besides English? Yes No

CONTACT INFORMATION

I would like my mail sent to my: Home Office

Allow "unsolicited" mail/fax Yes No

Residential Address

City

State

Zip

Home Phone

Fax Number

Cell Number

Would you like to receive text messages updates to your mobile device? Yes No

E-mail Address

CURRENT REAL ESTATE OFFICE

Firm Name

Office Address

City

State

Zip

Broker/Office Manager

Broker/Office Manager Email

I have been licensed in NV since

PREVIOUS REAL ESTATE OFFICE
(This information is optional.)

Firm Name

Position

From

Address

Phone

Supervisor

REFERENCES
(Preferably REALTORS® with whom you are acquainted. This information is optional.)

Name

Phone

Name

Phone

ADDITIONAL INFORMATION

Date of Birth

City of Birth

Country of Birth

I devote % of my time to Real Estate.

If you are now or previously were a member of another Real Estate Board, please give name and address of the Board:

Have you been refused membership in any Real Estate Board? Yes No

Has any disciplinary proceeding(s) been initiated against you by a local Board of REALTORS® or in a criminal complaint? Yes No

Do you have a record of official sanctions involving unprofessional conduct in the past three(3) years of (1) civil rights laws; (2) real estate license laws; and (3) or other laws prohibiting unprofessional conduct against the applicant rendered by the courts of other lawful authorities? Yes No

Have you been involved in any pending bankruptcy or insolvency proceedings? Yes No

Have you been adjudged bankrupt in the past three (3) years? Yes No

Political Party (optional): Republican Democrat Libertarian Other No Answer

I am a registered voter? Yes No

HANGING LICENSE DOCUMENT

You are required to upload this document to continue. File size must be less than 25 MB. File type must be a pdf, jpg, or png.

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