First Name *

Last Name *

Are you currently a member of CRCBR/CBC? *

Enter required value Yes No

Organization *

Phone *

Email *

Number of years in Commercial Real Estate. *

A minimum of two years in the commercial real estate industry is suggested. Experienced brokers are also encouraged to apply.

Name of Broker-in-Charge: *

Member sponsor name: *

Applicants are required to have a CRCBR member sponsor who can encourage participation in the program and involvement in the industry. This person will be contacted during the application process.

What is your primary area of concentration? *

List any business/professional affiliations or designations. *

What is your highest career achievement to date? *

Provide information about any professional or personal leadership experience. *

Why should you be considered for the Leadership Class? *

Please initial in the box below: *

I certify that I have been active in the commercial real estate industry for at least two years and I am a member in good standing with the CRCBR.

Please initial in the box below: *

If accepted as a Leadership Class participant, I understand I will be required to attend at least 80% of all Class meetings, CRCBR programs and legislative visits.

Please initial in the box below: *

If accepted as a Leadership Class participant, I understand that I will be required to serve on a CRCBR Committee for at least 1 year following the program.

Please initial in the box below: *

If accepted as a Leadership Class participant, I understand I will be required to pay the $850 fee. Deadline for payment will be 2 weeks after notification of acceptance.

Please initial in the box below: *

I have confirmed participation in the Leadership Class with my Broker-in-Charge and he/she encourages me to participate.

Electronic Signature *

Please type first and last name in the box provided.