Interested in becoming a Professional Standards Instructor?

Important Notice

Upon receipt and acceptance of your completed application, you will be automatically registered for the Professional Standards Instructor Training offered on November 13, 2019, at the Virginia REALTORS Headquarters.

Section I: General Information

Name*

First Last

Firm Name*

NRDS ID*

Position in Firm*

Firm Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone Number*

Email Address*

What is your Primary Local Association?

Real Estate License Type (i.e., broker, salesperson, etc.).*

In which state(s) are you licensed to practice real estate?*

In what year were you initially licensed?*

Section II: Teaching Background and Experience

Upload the completed and digitally signed DPOR Instructor Worksheet PDF here.*

Max. file size: 100 MB.

Are you an approved Pre-license Education Instructor through DPOR?*

How many years have you been teaching real estate related topics? Approximate number of courses taught each year.*

Have you taught any courses in the past twelve months? If so, how many?

Previous experience with a Grievance or Professional Standards Hearing Panel

Why are you interested in teaching for the professional standards program?

People learn in different ways, such as visually, aurally, and kinesthetically. How will you engage a classroom of adult learners who come from various backgrounds and education?

Section III: References

Name of Reference #1*

First Last

Position*

Phone*

Email*

Name of Reference #2*

First Last

Position*

Phone*

Email*

Name of Reference #3*

First Last

Position*

Phone*

Email*

Section Break IV: Disclosures (Required)

Have you been a REALTOR® for at least five successive years?*

Yes
No

Are you currently actively engaged in the business of real estate as a primary occupation?*

Yes
No

Are there any findings or violation against your license by the Virginia Real Estate Board or any other state licensing Board?*

Yes
No

If answered 'Yes' above, please list violation/conviction with a complete explanation to include the nature of violation, sanctions applied, and current disposition of the matter.

Have you been convicted of a felony in your lifetime or a misdemeanor involving moral turpitude, sexual offense, drug distribution, or physical injury within five years of the date of the application?*

Yes
No

If answered "Yes" above, please list violation/conviction with a complete explanation to include the nature of violation, sanctions applied, and current disposition of the matter. Please also note when this conviction was disclosed to the VREB and the date the VREB considered/adjudicated this matter.

Are there any instances in which you have been found by a professional standards hearing panel to have violated the REALTOR® Code of Ethics? This requirement is for self- disclosure by an instructor applicant, and in no way compels disclosure of otherwise confidential information by a Member Association, the Association or other party. Any candidate who fails to disclose any findings of ethics violations waives any right of confidentiality against a Member Association that may notify the Association of such omission.*

Yes
No

If answered "Yes" above, please list violation/conviction with a complete explanation to include the nature of violation, sanctions applied, and current disposition of the matter. Please also note when this conviction was disclosed to the VREB and the date the VREB considered/adjudicated this matter.

Section V: Signature

By signing my full name below, I swear that all information provided in this form is true and correct to the best of my knowledge. At this time, I authorize Virginia REALTORS to contact references that I have listed herein and release my application in its entirety, including any and all endorsements and attachments, to any Virginia or local association representatives or members for the purpose of selecting instructors for Professional Standards course offerings. I also give permission to make public Professional Standards instructor evaluations and class survey results.

Name*

First Last

Date*

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Professional Standards Instructor Application Form

Important Notice

Section I: General Information

Section II: Teaching Background and Experience

Section III: References

Section Break IV: Disclosures (Required)

Section V: Signature

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