Candidate Profile Form

Please submit the completed form by May 14, 2012. Candidates will participate in a “Meet the Candidates” Session that will take place during the Member & Director Forum on Monday, June 4, 2012, from 1:00 P.M. to 2:30 P.M.

First Name* : 
Middle Name : 
Last Name* : 
Surname (Jr,.III, etc.) : 
Company Name* : 
Company Address* : 
Suite : 
City* : 
State* : 
Zip Code* : 
Phone* : 
Fax : 
Email* : 
Board/Association* : 
 
I am seeking election to the following office* : 
 
I have served as any one of the following for at least one year (check all that apply)* : 
 District Vice-President  Local Board/Assn. President
 PAR Director  NAR Director
 
I have been endorsed by my Local Board/Association* : 
 Yes
 No
(If yes, please forward endorsement letter to Kim Smith, ksmith@parealtor.org)
 
Candidates for President-Elect, First Vice-President and Treasurer must complete this section.
I certify that I am actively engaged in : 
 Real Estate Brokerage  Sales
 Leasing  Office Management
 Property Management  Licensed Real Estate Education
 Real Estate Appraising  
As of the date of my nomination for : 
 President-Elect  First Vice-President
 Treasurer  District Vice-President
Electronic signature* : 
Date* : 

Upcoming Events

May 22, 2012
Date: May 22, 2012 Time: 8:30 am - 12:00 pm
Date: May 22, 2012 Time: 1:30 pm - 5:00 pm