REALTOR® Membership Application Back to Members Page Printable PDF Form Membership Application (REALTORS) I hereby apply for REALTOR® Membership in the Medina County Board of REALTORS® (MCBOR) as a REALTOR® Member.Secondary & Transfers, Attach Letter of Good Standing * Primary Secondary TransferSecondary & Transfers Must Attach Letter of Good StandingAttach Letter of Good Standing Drop file here or click to upload Choose File Maximum upload size: 2MBContact Information First Name * Last Name * Nickname (DBA) Home Mailing Address Home Mailing Address Your Street Address Your Street Address Apartment/Building/Suite # Apartment/Building/Suite # City City State State Zip Zip Home Phone Cell Phone * Email Address * May the Association, the State and the National Associations, communicate via text? * Yes NoWhat is your preferred mailing address? * Home OfficePlease note, your email address, cell phone number, and office address will be published in our Member Directory unless you notify the Board office otherwise.License Information License # * Do you hold a Broker License? * Yes No When was it issued? * Do you, or have you ever held, a real estate license in another state? * Yes No Where? * Primary Field of Business (to be listed as commercial 75% of sales must be commercial) * Residential CommercialDo you hold any designations? * Yes No Please list: * Company Information Office Name * Office Address * Office Address Firm's Street Address Firm's Street Address Apartment/Building/Suite # Apartment/Building/Suite # City City State State Zip Zip Office Phone * Primary business line Broker: * Office Manager: * Applicant Information Do you have any disabilities which require special accommodation including auxiliary aids and services? * Yes No If so, please identify: * Are you currently or previously a member of any other Association of REALTORS®? * Yes No Name of Association and NRDS#: * Do you acknowledge that your use of the REALTOR® trademarks must comply with the National Association’s trademark rules? * Yes NoDo you have any unsatisfied discipline pending for violation of the Code of Ethics? * Yes No Provide details: * Have you ever been refused membership in any other Association of REALTORS®? * Yes No If yes, state the basis for each such refusal and detail the circumstances related thereto: * Do you have any record of civil judgments or criminal convictions imposed within the past seven (7) years. (including those involved judgments of civil rights laws, real estate license laws, or other laws prohibiting unprofessional conduct rendered by the courts or other lawful authorities? * Yes No If yes, provide details: * 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? * Yes No If yes, provide details. * Are there pending ethics complaints against you? * Yes No If yes, provide details. * Do you have any unsatisfied discipline pending? * Yes No If yes, provide details. * Are you a party to pending arbitration request? * Yes No If yes, provide details. * Do you have any unpaid arbitration awards or unpaid financial obligations to another Association of REALTORS® or an Association MLS? * Yes No If yes, provide details. * Has a complaint ever been filed against you with the Ohio Division of Real Estate? * Yes No If yes, provide details. * AgreementI understand that membership brings certain privileges and obligations that require compliance, In the event my application is approved, I agree as a condition of membership:I will attend a MCBOR New Member Orientation within 180 days of the Association confirming my membership and complete the mandatory 2.5 hours New Member Code of Ethics as required by the National Association. Failure to meet this requirement may result in having my membership terminated.Membership in The Medina County Board of REALTORS®, means that I am also a member of Ohio REALTORS® and the National Association of REALTORS® and I agree to abide by the Code of Ethics of the National Association, which includes the duty to arbitrate or to mediate if required), as well as the Constitution, Bylaws and Rules and Regulations of MCBOR, the State Association and the National Association. Further, I agree to satisfactorily complete the Continuing Code of Ethics training and a reasonable and if required, a non-discriminatory written examination on such Code, Constitutions, Bylaws and Rules and Regulations.I acknowledge that as a member of MCBOR, I will be licensed to use the REALTOR® trademarks to indicate such membership, and I agree to abide by the rules governing use of those trademarks. I understand that REALTOR® is a federally registered trademark of the National Association and use of this designation is subject to rules promulgated by the National Association. Upon termination of my membership with MCBOR, for any reason, my license to use the term REALTOR® is automatically revoked and I will immediately discontinue use of the term REALTOR® and all REALTOR® trademarks.Membership is final only upon approval by the Board of Directors and may be revoked should failure to complete any membership requirement, such as orientation and New Member Code of Ethics, within the timeframe established in the MCBOR bylaws.I further agree that my act of paying dues shall evidence my initial and continuing commitment to abide by the aforementioned Code of Ethics, Constitutions, Bylaws, Rules and Regulations, and duty to arbitrate, all as from time to time amended. Finally, I consent that and authorize the Board to invite and receive information and comment about me from any Member or other person, and I agree that any information and comment furnished to the Board by any Member or other person in response to any such invitation shall be conclusively deemed to be privileged and not form the basis of any action by me for slander, libel, or defamation of character.I further acknowledge that if accepted as a Member and I subsequently resigns or am expelled from membership in the Board with an ethics complaint or arbitration request pending, the Board of Directors may condition renewal of membership upon verification that I will submit to the pending ethics or arbitration proceeding and will abide by the decision of the Hearing Panel; or if I resign or am expelled from membership without having complied with an award in arbitration, the Board of Directors may condition renewal of membership upon his/her payment of the award, plus any costs that have previously been established as due and payable in relation thereto, provided that the award and such costs have not, in the interim, been otherwise satisfied.I further agree that, if accepted for membership in the Association, I shall pay the fees and dues as established.I 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 grantedThis 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. Once your application has been approved, your dues bill will be mailed to you. Date Signature * Clear Submit If you are human, leave this field blank.
