Canales-Harari Team
210.452.5609
carloscanales@remax.net
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HOUSE NUMBER
and/or
STREET NAME
CITY
ZIP CODE
MLS NUMBER
You can enter multiple MLS Numbers separated by a comma.
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General Information

All fields marked with an * are required

Date of application (mm/dd/yy) *


First name *


Last name *


Street address 1 *


Street address 2


City *


State or province *


Zip code *


How many years at this address?


Daytime phone *


Evening phone *


E-mail address *


Social security number *


Birthdate


Referred to this firm by



Former Residence

Show last 10 years - exclude military service

Most recent former residence

From date


To date


Address, city, state, zip


Second most recent former residence

From date


To date


Address, city, state, zip


Third most recent former residence

From date


To date


Address, city, state, zip



Education

High School

Name


Address


From date


To date


Major


Highest grade completed


College or University

Name


Address


From date


To date


Major


Highest grade completed


Other

Name


Address


From date


To date


Major


Highest grade completed



Misc

What specific courses have you had in the real estate field?


In what extracurricular activities did you participate while in school?



Employment Record

Begin with present or most recent employer, account for last 10 years

Most recent employment

Company name / nature of business


Address


Phone


From date


To date


Job title


Earnings


Reason for leaving


Second most recent employment

Company name / nature of business


Address


Phone


From date


To date


Job title


Earnings


Reason for leaving


Third most recent employment

Company name / nature of business


Address


Phone


From date


To date


Job title


Earnings


Reason for leaving



(Please continue in Comments section at end of application if more space is needed)

Organizational Activities

List business, social, and community activities for the last 5 years *

Activity one

Group name / type of organization


Location of activity


Offices held


Meetings per month


Activity two

Group name / type of organization


Location of activity


Offices held


Meetings per month


Activity three

Group name / type of organization


Location of activity


Offices held


Meetings per month


Activity four

Group name / type of organization


Location of activity


Offices held


Meetings per month



* If you wish, exclude any organization, the name or character of which indicates the race, color, religion, national origin or ancestry of its members

What are your hobbies?



References

List three persons in this vicinity who know you well and to whom we may refer (exclude relatives or previous employers)

Reference one

Name


Address


Phone


Occupation


Reference two

Name


Address


Phone


Occupation


Reference three

Name


Address


Phone


Occupation



Real Estate Experience

Complete this section only if you have had previous experience selling real estate

Do you have a real estate sales license?
Yes  No

If yes, what is the number?


Do you have a brokers license?
Yes  No

If yes, what is the number?


Are you, or have you been a member of a real estate board?
Yes  No

If yes, please answer the following

Board name


Dates of membership


List the individuals in our firm with whom you have had cooperative real estate transactions


FIND A PROPERTY |  WORK WITH ME |  YOUR PORTFOLIO |  FINANCING |  CONTACT ME   |   All My Company's Listings  |  Open Houses  |  Dream Home Finder  |  2008 - San Antonio Real Estate News and Housing Forecast  |  Real Estate Encyclopedia  |  San Antonio Area Schools  |  San Antonio and Surrounding Area Information  |  Buyer / Seller Info  |  Are You Relocating?  |  Value Your Home  |  About Our Company  |  Population, housing, economic, & geographic info data  |  San Antonio & Surrounding Communities

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