INTERNATIONAL MARKETING/REFERRAL REPRESENTATIVE 

APPLICATION FORM

Please Print

Please indicate who referred you so we may thank them:

     __________________________________________________________________ 

Your Name__________________________________________________________

Address_____________________________________________________________

_____________________________________________________________________

Home Phone______________________ Cell Phone_______________________ 

E-Mail Addresses_____________________________________________________ 

SKYPE Name_________________________________________________________

Social Security Number_______________________________________________

Country of Passport__________________________________________________

Passport Number_____________________________________________________ 

Driver’s License Number______________________________________________

Languages Spoken___________________________________________________

I have experience in the following countries___________________________

_____________________________________________________________________.

Are you a licensed agent:     □ yes     □ no

If yes please indicate the following, if no please skip to the question concerning related experience.

Professional Affiliations and Designations:

□ NAR     □ AMPI    □ ICREA Affiliated organization   □ Other_____________

□ FIABCI     □ CIPS     □ TRC      □ e-Pro     □ CCIM      □ Other_____________

Please use this space to indicate any other pertinent or related experience:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

I belong to or have access to and use of the following MLS systems:

___________________________________________________________________

Please attach your resume or outline your work experience.

__________________________________________________________________

__________________________________________________________________ 

Please indicate why you feel qualified to be a World Star Representative.

___________________________________________________________________

___________________________________________________________________

By signing below I hereby certify that the above information is true and correct and authorize World Star Global Real Estate Services, at its sole discretion, to perform a background check:

Signature:  ________________________________________________________

Printed:  ___________________________________________________________

Dated:  ____________________________________________________________

*           Upon completion please copy for your records this document and fax to 714.978.9300.

Questions may be sent to: info@WorldStarRealty.com