Instructor Application

This INSTRUCTOR AGREEMENT for the personal services of an individual to teach at the Blue Ridge Association of REALTORS® (BRAR) Real Estate School.

1. Instructor's Name *

First

Last

2. Instructor's Address

Address Line 1

Address Line 2

City

State

Zip Code

3. Instructor's Email: *

4. Instructor's Phone Number: *

5. Do you hold a valid Pre-License Course Instructor Certificate issued by Virginia Real Estate Board? (Not required to teach CE/PLE classes)

If yes, provide your certificate number and expiration date: (copy)

Expiration Date:

6. Do you hold a current or expired Real Estate License?

7. What is your field of expertise?

8. Is the course you would like to teach already approved by another school?

If yes, is the other school agreeable to provide a letter of permission to use the course at the Blue Ridge Association?

9. Please list three (3) schools/brokerages where you have taught. Please list the contact name and phone numbers.

1. Name *

Phone *

2. Name *

Phone *

3. Name *

Phone *

I, the undersigned, certify that the forgoing statements and answers are true. I also agree if my application and course is approved by the association that I am willing to audtion before the Education Instructor's Panel and comply with the evaluation given. If the evaluation requires participation in the Train-the-Trainer Program, I am willing to enroll as a condition of future teaching assignments at BRAR. I understand that completing this program does not automatically qualify me as a BRAR instructor.

Instructor's Signature *

Please Sign & Date the document and click Submit!

Date *//

Phone