REALTOR of the Year

Name(Required)

First Last

Office Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone(Required)

NRDS #(Required)

REALTOR Designations Held(Required)

Local Association Involvement

RPAC Participation by Year (list years and amounts of contribution):

Offices Held and Dates:

Committee Chairmanships:

Committees Served On:

Special Assignments and Educational Work:

Political Activity:

Memberships and Offices held in local chapters of Institutes, Societies, and Councils:

State Association Involvement

Offices Held and Dates

Committee Chairmanships:

Committee Served On:

Attendance at Tennessee REALTORS® Spring Conferences (TNEX) and Fall Convention (List meetings and years):

Participation in Legislative Area (i.e. Tennessee REALTORS® Hill Visits, etc.):

Political Activity:

Special Assignments and Educational Work:

Memberships and Offices held in state chapters of Institutes, Societies, and Councils:

National Association Involvement

Offices Held and Dates:

Committee Chairmanships:

Committees Served On:

Attendance at NAR Legislative Meetings and Annual Conference (list meetings and years):

Out-of-state activities on behalf of the National Association:

Memberships and Offices held in national chapters of Institutes, Societies, and Councils:

Civic Activity or Community Service

Participation in civic and service clubs, charitable activities, Chamber of Commerce, fraternal or religious groups:

Participation in political activities, public offices; service on boards such as planning and zoning:

Business Accomplishments, Experience, and Conduct

Date licensed as Affiliate Broker:

Date licensed as Broker:

Name of Present Firm:

List Names and Dates of other Firms under whom nominee has worked: