M:\BYLAWS\Policies\IndividualPolicies\4.8.1.3GrievanceCriteriaApplication.doc
APPLICATION FOR APPOINTMENT TO
GRIEVANCE COMMITTEE
Name Agent #
Firm Name
Firm Address
Home phone Office Phone
Number of years in the real estate business?
Number of transactions completed or supervised in the past twelve months?
In what type of real estate do you specialize? (i.e. residential, commercial, property
management, or managing Broker etc.)
Have you been a member of another board? Board Name
List committee involvement in the above named Board.
List committee involvement in the Reno/Sparks Association of REALTORS
®
Have you ever been found in violation of the Code of Ethics?
If yes, please explain each incident.
Have you ever been found in violation of any industry-related statute in any state?
If yes, please explain each incident.
Please give a brief explanation of your interest in serving on the Grievance Committee
I am fluent in a foreign language Yes No
Specify which language:
I, highly recommend that the above applicant be appointed to a position on
(Broker)
the grievance committee.
Broker Signature: Date:
