subject_line
RNA Applications
3201 Broadway, Suite E, Everett WA 98201
Tel:
425-339-1388
Website:
sccar.org
Email:
membership@sccar.org
Missing REALTORĀ® Membership Update Form
CONTACT INFORMATION
First Name
(as on RE license)
*
Middle Initial
Last Name
(as on RE license)
*
Nickname
Preferred Pronoun
🛈
Birthdate
*
+
Email Address
*
Confirm Email Address
*
Preferred Phone
*
Office
Home
Mobile/Cell
Mobile/Cell Phone #
*
Home #
Preferred Mailing Address
*
Office
Home
HOME ADDRESS:
Street Address
*
Apt/Unit#
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
OFFICE / REAL ESTATE INFORMATION
Office Name
*
🛈
Berkshire Hathaway HomeService (Edmonds)
Berkshire Hathaway HomeService (Bellevue)
Better Homes and Properties (Everett)
Century 21 North Homes (Burlington)
Century 21 North Homes Corp (Lynnwood)
Century 21 North Homes Realty (Bellevue)
Century 21 North Homes (Everett)
Century 21 North Homes (Lynnwood)
Century 21 North Homes (Snohomish)
Coldwell Banker Bain (Kirkland)
Coldwell Banker Bain (Edmonds)
Coldwell Banker Bain (Mill Creek)
Coldwell Banker Danforth (Everett)
Coldwell Banker Danforth (Burien)
Coldwell Banker Danforth (Seattle)
Compass Washington LLC (Seattle, 34th St)
Compass Washington LLC (Seattle, Pike St)
Compass Washington, LLC (Bellevue)
Compass Washington, LLC (Kirkland)
eXp (Seattle)
eXp (Bellevue)
eXp (Shoreline)
eXp (Tacoma)
eXp (Kennewick)
eXp (Olympia)
eXp (Vancouver)
eXp (Bellingham)
Found It, LLC (Vancouver)
Hume Real Estate (Arlington)
John L. Scott (Mill Creek)
John L. Scott (Bothell)
John L. Scott (Monroe)
John L. Scott (Snohomish)
John L. Scott (Woodinville)
John L. Scott (Arlington)
John L. Scott (Everett)
John L. Scott (Lake Stevens)
John L. Scott (Lynnwood)
John L. Scott (Mukilteo)
Joy Realty (Bothell)
K Properties NW (Monroe)
Keller Williams (Kirkland)
Keller Williams Greater Seattle
Keller Williams Realty (Bothell)
Keller Williams Realty (Everett)
Keller Williams North Sound (Marysville)
Lamb Real Estate (Snohomish)
Lamoureux Real Estate (Everett)
Marketplace Sotheby's Realty (Bothell)
Marketplace Sotheby's Realty (Woodinville)
R1 Washington (Everett)
Ravens Wing Inc (Lake Stevens)
RE/MAX Elevate (Camano)
RE/MAX Elevate (Stanwood)
RE/MAX Elite (2701 Bickford, Snohomish)
RE/MAX Elite (1800 Bickford, SNOHOMISH)
RE/MAX Elite (Everett)
RE/MAX Elite (Lynnwood)
RE/MAX Northwest (Bothell)
RE/MAX Northwest (Kirkland)
RE/MAX Town Center (Mill Creek)
Real Broker LLC (Bellingham)
Realogics Sotheby's Int'l Realty (Seattle)
Realogics Sotheby's Int'l Realty (Bellevue)
Realogics Sotheby's Int'l Realty (Kirkland)
SASH Realty, LLC (Kent)
Schneider Properties (Lake Stevens)
Sterling Johnston Real Estate (Redmond)
Suntop Realty (Milton)
Vylla Home (Port Orchard)
Windermere RE/GH LLC (Edmonds)
Windermere RE/GH LLC (Mukilteo)
Windermere RE (Lake Stevens)
Windermere RE (Arlington)
Windermere RE CIR (Stanwood)
Windermere RE CIR (Camano)
Windermere RE JS (Marysville)
Windermere RE M2 (Alderwood)
Windermere RE M2 (Everett)
Windermere RE (Mill Creek)
Windermere RE North (Lynnwood)
Windermere RE RBI (Everett)
Windermere RE (Snohomish)
Windermere RE Southeast (Monroe)
Joined Firm Date
*
🛈
+
Date Licensed
*
🛈
+
License Type
*
Broker
Designated Broker
Managing Broker
Licensed Assistant
RE License#
*
Copy of License
🛈
Specialization
*
🛈
General Residential Sales (100)
General Commercial Sales/Leasing (200)
Land Sales/Leasing (204)
Property Management (206)
Commercial Sale/Leaseback (236)
N/A
N/A
REALTORĀ® INFORMATION
Have you had, within the past three years, recorded official sanctions involving violations of...
1. Civil right laws, 2. Real Estate license laws, or 3. Other laws?
*
Yes
No
Have you completed 2.5 hours of REALTORĀ® Code of Ethics Training from
2022-2024
?
Cycle 7
🛈
Yes
No
If your PORTAL says
Current COE Cycle Complete:
NO
Please attach a copy of your COE Certificate so we can update your record. This year is the last year to be compliant with the NAR for COE Cycle 7.
(2022-2024)
COE Certificate
*
🛈