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Registration Form

NATIONAL ASSOCIATION OF REALTORS 2012 Professional Standards Education Seminar Thursday August 23, 2012 -- 8 a.m. 4 p.m. Friday, August 24, 2012 -- 8:30 a.m. noon (available at
The seminar will be held at the InterContinental Chicago, 505 North Michigan Avenue, Chicago, Illinois 60611. An hour reception will immediately follow the close of the first day to allow participants from across the country to discuss common concerns. Hotel accommodations are not included in the $500 registration fee. Reduced rate room accommodations are available at $155.00 (single/double occupancy) if reservations are made by August 1, 2012. Reduced rate hotel reservations can be made by calling the InterContinental Chicago at 312-944-4100 and informing hotel staff that you are attending the NATIONAL ASSOCIATION OF REALTORS Professional Standards Education Seminar. If you use a travel agent to make room reservations, you may not be able to secure the same reduced rate that we have negotiated with the hotel. Seminar participants will be eligible for credit toward the RCE designation or toward re-certification. However, this course does not fulfill the education requirements for professional standards administrators related to professional standards policy statement #49, Code of Ethics and Arbitration Manual. Information provided immediately below used for attendee roster and to contact you regarding the program. An email will be sent confirming your attendance which will include more detailed information about the seminar. (Please print or type)

Name: Address: City:


Nickname (optional):


Telephone: E-mail:


Please attach to your registration form a description of any disability requiring special services at this seminar. Completed registration forms must be accompanied by an attendee profile to optimize attendees learning experience, and can be sent to the Member Policy Department, NATIONAL ASSOCIATION OF REALTORS, 430 North Michigan Avenue, Chicago, Illinois 60611 (e-mail or fax to Bernice Barajas in the Member Policy Department at 312254-3188). Payment of $500 registration fee (nonrefundable after August 1): check enclosed, make payable to: NATIONAL ASSOCIATION OF REALTORS, account # 01-351-321 credit card payment: Visa Credit Card # MasterCard American Express Diners Club Exp. Date Signature

Cardholder NRDS ID# (required)

Cardholder name and address (required)

Attendee Profile NATIONAL ASSOCIATION OF REALTORS 2012 Professional Standards Education Seminar August 23 and 24, 2012
(Please return this with each registration form) (available at Each participant is asked to complete an attendee profile form for the Professional Standards Education Seminar to optimize your learning experience, and return it with the registration form. The program is advanced, and participants should be experienced in professional standards. Instructors will presume that participants have a minimum of five years experience with Grievance and Professional Standards Committees and/or Boards of Directors relative to Code enforcement, and that they have some experience facilitating training sessions in professional standards. Name

State Association Attendee position: Broker? # of years

Salesperson? # of years

AE or staff person? # of years

Other, describe (please give # of years)

Attendee experience (approximate): Local Grievance Committee State Grievance Committee # years # years

Local Professional Standards Committee State Professional Standards Committee Mediation Officer Mediations conducted

# years # years # years #

Local Board of Director service # years State Board of Director service # years

The approximate number of ethics complaints and arbitration requests the attendee has participated in Local career # State career #

Professional Standards Seminars attended (approximate) Local # State # National # Yes, # Yes, # No No

Has attendee conducted professional standards training programs? Has attendee participated in NARs education seminar in the past?

Is attendee willing to serve as a resource for your state association?

Yes, #