Ala. Admin. Code 790, app A
Registration Form
Application for License Activation
Application for Real Estate Salesperson's Temporary License
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EXAMINATION FEE ... $75.00 : STAPLE CURRENT :
Payable only by cashier's check : PHOTOGRAPH HERE :
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: FOR OFFICE USE ONLY : : (Do not glue) :
: Permit No. ______________ : : Minimum Size 2" x 2" :
: School Code: ____________ : : Maximum Size 2" x 2" :
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STATE OF ALABAMA
REAL ESTATE COMMISSION
Mailing Address: Office Location:
State Capitol 750 Washington Street
Montgomery, Alabama 36130 Montgomery, Alabama 36130
APPLICATION FOR VACATION TIME SHARING SALES LICENSE
(NOTE: PLEASE PRINT ALL ANSWERS IN INK OR USE TYPEWRITER)
ALL QUESTIONS MUST BE ANSWERED FULLY.
FAILURE TO DO SO WILL RESULT IN DELAY AND/OR DENIAL OF YOUR APPLICATION.
(Mr.) Home
1 Name (Mrs.) __________________________________________ Phone: ________
(Miss) (State Full Name)
2 Residence Address: ______________________________ City: _____ Zip: _____
(Street & No. or Rural Route)
3 Mailing Address: ________________________________________________________
4 Presently Employed By: ____________________________ Phone: _____________
5 Date of Birth: ______________________ Race: _________ Sex: __________
Mo Day Year
(Each applicant must be at least 19 years of age)
6 Are you a bona fide resident of Alabama? ____ Length of Residence: _____
(SUBMIT PROOF OF SUCH RESIDENCY.)
(a) Are you a citizen of the United States? ______
(b) If naturalized, give Naturalization Certificate No. ______
(c) If you are not a citizen, do you possess a certification of lawful permanent residence issued by the U.S. Government? _________________
Alien Registration Number __________
7 Have you ever made application for a real estate or time license sharing sales license to this Commission or any other Real Estate Commission prior to this application?______ Was license granted?
______ If no, give reason
__________________________________________________________________
_________________________________________________________________________
Name of State(s) in which license(s) held and dates held: _______________
_________________________________________________________________________
8 Has a Real Estate License or time sharing license held by you ever been revoked or suspended? ______ If so, give details and dates:
_________________________________________________________________________
_________________________________________________________________________
9 Which time sharing project do you plan to represent once your license is granted?
_________________________________________________________________________
10 Give a complete list of all places where you have been engaged in business or employed during the past two years and THE FULL INFORMATION REQUESTED BELOW. If unemployed for any period, so state:
Date of Employment and Date of Separation
(If still employed, so Name and Address of Name of Supervisor state)
Employer
______________________ _____________________ ____________________________
______________________ _____________________ ____________________________
______________________ _____________________ ____________________________
______________________ _____________________ ____________________________
(In answering item 11 below, you may exclude any information concerning a divorce judgement, or any information protected by a juvenile or youthful offender act.)
11 Since your 16th birthday, have you ever been:
(a) Arrested? Yes ___ No ___
(b) Indicted? Yes ___ No ___
(c) Summoned into court as a defendant in a criminal Yes ___ No ___ proceeding?
(d) Convicted of a criminal offense? Yes ___ No ___
(e) Fined? Yes ___ No ___
(f) Imprisoned? Yes ___ No ___
(g) Placed on probation? Yes ___ No ___
(h) Ordered to deposit bail or collateral for the Yes ___ No ___
violation of any law police regulation or ordinance
(excluding minor traffic violations for which a fine or forfeiture of $25 or less was imposed)?
(i) A defendant in a civil suit in which a judgment was Yes ___ No ___ rendered against you?
NOTE: FAILURE TO ANSWER THIS QUESTION HONESTLY AND COMPLETELY WILL RESULT IN APPLICATION BEING DELAYED AND/OR DENIED.
(IF YES TO ANY OF ABOVE, GIVE COMPLETE EXPLANATION ON ADDITIONAL SHEET AND ATTACH TO APPLICATION.)
THE RECOMMENDATIONS BELOW MUST BE COMPLETED AND SIGNED BY THREE CITIZENS WHO KNOW THE APPLICANT AND ARE NOT RELATED.
Are you related to applicant? ______
How long have you known applicant? __________
Does applicant bear a good reputation for honesty and trustworthiness? ______
Do you recommend a license be granted to applicant? ______
Name ....................(Please type or print name under signature) Occupation: ..............................
Address: ..............................(Street and Number, City, State & Zip) Phone: ______________________________
Are you related to applicant? ______
How long have you known applicant? __________
Does applicant bear a good reputation for honesty and trustworthiness? ______
Do you recommend a license be granted to applicant? ______
Name: ____________________(Please type or print name under signature) Occupation: ______________________________
Address: ________________________________________(Street and Number, City, State & Zip) Phone: ______________________________
Are you related to applicant? ______
How long have you known applicant? __________
Does applicant bear a good reputation for honesty and trustworthiness? ______
Do you recommend a license be granted to applicant? ______
Name: ____________________(Please type or print name under signature) Occupation: ______________________________
Address: ______________________________(Street and Number, City, State & Zip) Phone: ______________________________
AFFIDAVIT
STATE OF ALABAMA
CITY OF ..........
COUNTY OF ....................
____________________(Name of Applicant) being duly sworn, deposes and says he/she is the applicant above named, and has read the herein application and the answers thereon noted, that such answers are true to his/her knowledge except as to any matter therein stated to be alleged upon information and belief and that as to such matter he/she believes it to be true, and that he/she has personally attached signature to this affidavit.
As an applicant for licensure by the Alabama Real Estate Commission. I hereby give my permission for the staff of the Commission to have access to such educational, employment, law enforcement and other records as are necessary to verify or contradict the information which I have provided herein.
Sworn to and subscribed before me this (Signed) ______________________________
the ______ day of __________, 19___ (Signature of Applicant)
______________________________________ (This signature must be identical with NOTARY PUBLIC name as shown under No. 1 on front page of application.)
Time Sharing License Transfer Form.
Application for Determination of Licensing Eligibility.
State of Alabama
REAL ESTATE COMMISSION
1201 Carmichael Way Montgomery, Alabama 36106 (205) 242-5544
Real Estate School or Course Sponsor Application
School/Sponsor Name _________________________________________________________
School Address ______________________________________________________________
City ________________________________________________ State _____ Zip _____
Contact Person ______________________________________ Phone ________________
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School Owners / Directors Name ______________________________________________ Title ________________
Address ___________________________________________________________________
City ______________________________________________ State _____ Zip _____
Name ______________________________________________ Title ________________
Address ___________________________________________________________________ City ______________________________________________ State _____ Zip _____
Name ______________________________________________ Title ________________
Address ___________________________________________________________________
City ______________________________________________ State _____ Zip _____
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Check whichever is appropriate:
___ Public institution ___ Non-profit real estate organization
___ Proprietary school ___ For-profit real estate ___ Branch of organization approved school
Have you applied for a private school license through the State Department of Education?
Public institutions and non-profit organizations are exempt from private school licensure.
___ Yes ___ No If so, date applied _______________
Has license been issued?
___ Yes ___ No If so, date issued __________
List the courses your school/organization plans to offer if approved.
1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
4. _______________________________________________________________________
Attendance Monitoring Policy:
Provide a statement explaining how you intend to monitor 100% attendance. Submit a copy of the attendance verification form.
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Exam and Re-exam Procedures (if applicable):
Provide a statement explaining your exam procedure and your policy for make-up exam(s).
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Method of Record Maintenance:
Provide a statement explaining your procedure for maintaining all student records for a minimum of three years.
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THE AMERICANS WITH DISABILITIES ACT (ADA).
Any entity that offers courses or examinations related to licensing for professional or trade purposes must offer such courses or examinations in a place and manner accessible to all persons, or offer alternative but equal arrangements. This may include the provision of auxiliary aids and services for persons with disabilities. For more information please contact your Equal Employment Opportunity Commission.
________________________________________
I hereby certify that all information supplied herein and on all attachments is true and accurate and that this program will be conducted in compliance with the Americans with Disabilities Act (ADA). I attest that the sponsor of this course has not had a real estate education certification or approval denied or revoked by any regulating entity of any state or jurisdiction.
Signature of Contact Person: ______________________________ Date: ___
Real Estate Continuing Education Course Application
State of Alabama
REAL ESTATE COMMISSION
1201 Carmichael Way Montgomery, Alabama 36106 (205) 242-5544
Real Estate Continuing Education
Course Application
Course Title: ___
Total Hours of Course: ________________ Requested CE Hours: ___
Name of School or Course Sponsor ___
Mailing Address ___
City ________________________________________ State __________ Zip ___
Name of Individual Requesting Approval ___
Mailing Address ___
City ________________________________________ State __________ Zip ___
Daytime Telephone Number () ___
This course will be provided at the following locations: (attach additional sheet if necessary)
Date: ______________________________ Place: ___
Date: ______________________________ Place: ___
The Instructor(s) for the course will be:
(Attach an instructor application for each instructor who is not currently approved by the Commission to teach this course.)
______________________________________ ___
______________________________________ ___
Difficulty Level: ___ Beginning ___ Intermediate ___ Advanced Percentage of Time Devoted to:
___ Live Lecture ___ Video ___ Questions and Answers ___ Group Activities
___ Other (Explain) ___
List major reference materials used in the development of this course:
___
___
The main benefit to the customers/clients of the licensee who attends this course will be:
___
___
Signature of Course Sponsor ______________________________ Date: ___
Please provide an outline of your course broken into segments no longer than 30 minutes.
Please outline the Learning Objectives for each segment by defining, "What will the student be able to do after this segment?"
Time: : Content Outline Break into : Learning Objectives After this
: segments no longer than 30 : segment, the student will be
: minutes. Also indicate length : able to:
: of break(s) :
: :
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Attach additional sheets if necessary.
Course Information Form for Approved Real Estate Courses
Roster for Reporting Course Enrollment
Application for Real Estate Instructor
Application for Continuing Education Instructor Approval
45-hour Prelicense Course Certificate of Completion
15-hour Broker Prelicense Course
30-hour Post License Course Certificate of Completion
Continuing Education Certificate of Completion
Ala. Admin. Code 790, app A