WEST VIRGINIA ASSOCIATION OF REALTORS®

2016REALTOR OF THE YEAR

NOMINATION FORM

This form must be used in submitting your Board’s nominee(s) for the West Virginia REALTOR of The Year. No scrapbooks can be accepted. A photograph of the nominee mustaccompany this form. All nominations must be received in the West Virginia Association of REALTORS office no later thanAugust 10, 2016. No entries will be accepted after that date.

Personal Data

Name of Candidate / Date of Birth
Place of Birth / County
Firm Name / Number of offices / Total licensees / Position
Home Address
Home Phone / Home Fax / Email
Bus. Address
Bus. Phone / Bus. Fax / Email
Member Type: / Designated REALTOR® / REALTOR®

Memberships-National/State/Local Board(s)

Organization / Number of Years / Offices Held
NAR
WVAR

Number of years Licensed/Affiliations

Agent / Broker

List other Brokers with whom nominee has been associated, and dates of service.

Office / Number of Years / Broker of Record

Achievements and Contributions (Please be brief, but include all pertinent information)

REALTOR Spirit-Faithfulness to principals of organized real estate, laws and regulations of his/her Board, Code of Ethics of the National Association of REALTORS, time spent explaining the real estate profession and promoting real estate professionalism and working relationship with their peers.

Civic Activity-Activities connected with work in civic groups, religious organizations, service clubs, work involving schools, youths, seniors, handicapped, disadvantaged, public offices held and service on Boards such as planning, zoning, etc.

Local Board Activity-Offices held, committee work, educational work, membership work, interest and participation in Board projects and attendance at Board meetings.

State and Association Activity-List dates of any West Virginia Association of REALTORS offices held, committee service, convention attendance and other related activity.

WVAR Conventions Attended / Years

National Association Activity- Committee assignments, offices held and attendance at National meetings and conventions including National Affiliates.

NAR Conventions Attended / Years

REALTOR® societies, institutes and councils in which nominee holds membership:

Society, Institute, Council / Number of Years / Offices Held

Rank in importance the types of real estate activities to which nomineedevotes the most time:

Single-family brokerage / Commercial brokerage / Auctioneer
Industrial brokerage / Farm and land brokerage / Property Management
Property management / Appraisal / Teaching
Questions / Yes / No
Is the nominee a member in good standing with the National Association of REALTORS®?
Is the nominee a member in good standing with the West Virginia Association of REALTORS®?
s the nominee a member in good standing of a local board or association of REALTORS®?
Does the nominee hold a current WVREC Salesperson or Brokers License?
Local Board President / Date
Local Board Executive Officer / Date

Submit Completed Application To:

West Virginia Association of REALTORS

2110 Kanawha Blvd. East

Charleston, WV25311