CANDIDATE NOMINATION FORM

This  Leadership Nomination form provides the Nominating Committee with a uniform means to document candidate experience, certify an individual's qualification for a leadership position, and serves as a useful reference document during the committee’s discussions and deliberations. Completion and submission of the nomination form is required by August 1, 2014 to be eligible for elected leadership in 2015, with the exception of those seeking the position of MAR regional vice president which must be submitted by May 30, 2014.

Date:

Name: Company Name:

Company Address: City: State: Zip:

Office Phone #: Cell Phone #:

Email Address:

Home Address: City: State: Zip:

Home Phone #:  

What office/position do you seek to hold (Select all that apply): CLICK HERE For Detailed Position Overviews

GBAR President Elect  GBAR VP  GBAR Treasurer

GBAR Director  GBREB Director

MAR Director  MAR Regional VP NAR Director

GBAR Region: Region I - Metro Region II - North Region III - West Region IV - South

Position in Firm: DR/Principal Manager Broker Sales Agent

Type of Real Estate License: Salesperson  Broker

Years as a REALTOR® Years as a GBAR Member Years as a licensed real estate professional

Professional Designations Earned:

Association Involvement & Contributions (cite local, state, national activities and years served)

Business Experience, Credentials & Reputation

Civic and Community Involvement & Contributions (cite years when possible)

Have you ever been involved in any activity which has led to your license being revoked or suspended by the Massachusetts Board of Registration of Real Estate Brokers & Salespersons or have you otherwise been disciplined or fined by the real estate licensing authority in Massachusetts or any other state? Yes No (If yes, please explain.)

Applicants for President-elect, Vice President and Treasurer Only: Please review and, if applicable, sign below to affirm you have read & agree to the representations made in the following statement. I hereby certify that I have a good reputation for honesty and fair dealing and there is nothing in my background of a legal or criminal nature that should cause concern and/or adversely affect the image or public’s perception of the Greater Boston Association of REALTORS® or Greater Boston Real Estate Board.

Signature of Candidate

(Please type full name)

REALTOR®/GBREB References (list at least 3)

Candidate Remarks (Optional)

Signature of Candidate or Person Nominating Candidate

(Please type full name)