Career & Information Request Form

Dear Visitor,

Thank you for your interest in learning more about RE/MAX and/or franchise opportunities. An important part of our business is to continuously meet people wanting to learn more about the real estate business and/or about us. Sometimes inquiries are from seasoned experts with years of experience in the real estate business, and other times, they are from someone just exploring whether they might be interested in RE/MAX. Either way, sending us your information will help us get to know you better before we open lines of communication.

RE/MAX will always respect your privacy and treat the information that you provide with absolute discretion. RE/MAX will never share your inquiry or information with anyone outside of the RE/MAX organization.

Sincerely,

David Linger
EVP, Regional Director
RE/MAX of Indiana & RE/MAX of North Central
Integra Enterprises Corporation

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* 1. Tell us about yourself

First Name

Last Name

Home Phone

Office Phone

Cell Phone

Address

City

State/Province/Zip

Area/Neighborhood of Interest

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* 2. What is the best time to contact you?

Morning

Afternoon

Evening

Other (please specify)

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* 3. Are you fluent in any other languages aside from English?

Yes

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* 4. If Yes, which language(s)?

Spanish

French

Italian

German

Other (please specify)

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* 5. What is your current licensing status?

Unlicensed

Previously Licensed

Sales Associate

Broker

Related Business (Explain Below)

Other (please specify)

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* 6. If licensed, in which state/province are you licensed?

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* 7. Are you now, or have you ever been, associated with RE/MAX?

Yes

Other (please specify)

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* 8. Tell us about you interest in RE/MAX (check all that apply).

Franchise Opportunities

Becoming a Real Estate Associate

Currently a Real Estate Associate

Non-Franchise Broker

Franchised Broker Seeking New Opportunity

Other

Other (please specify)

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* 9. If you currently own a real estate brokerage, please provide the following information:

Company Name

Business Address

Year Established

Number of Associates

Number of Offices

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* 10. Are there any shareholders or partners in your real estate brokerage?

Yes

Maybe

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* 11. Would you consider...

	Yes	No	Maybe
Sale of your brokerage?	Sale of your brokerage? Yes	Sale of your brokerage? No	Sale of your brokerage? Maybe
Merger opportunities?	Merger opportunities? Yes	Merger opportunities? No	Merger opportunities? Maybe
Acquisition and/or consolidation opportunities?	Acquisition and/or consolidation opportunities? Yes	Acquisition and/or consolidation opportunities? No	Acquisition and/or consolidation opportunities? Maybe

Other (please specify)

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* 12. Do you have a target franchise date in mind?

1 - 3 months

4 - 6 months

6 months - 1 year

1 year +

Other (please specify)

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* 13. Are you inquiring with other real estate franchises? If so, please list company names.

Yes

Other (please specify)

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* 1. Tell us about yourself

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* 2. What is the best time to contact you?

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* 3. Are you fluent in any other languages aside from English?

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* 4. If Yes, which language(s)?

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* 5. What is your current licensing status?

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* 6. If licensed, in which state/province are you licensed?

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* 7. Are you now, or have you ever been, associated with RE/MAX?

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* 8. Tell us about you interest in RE/MAX (check all that apply).

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* 9. If you currently own a real estate brokerage, please provide the following information:

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* 10. Are there any shareholders or partners in your real estate brokerage?

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* 11. Would you consider...

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* 12. Do you have a target franchise date in mind?

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* 13. Are you inquiring with other real estate franchises? If so, please list company names.

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* 14. We would like to learn any feedback you have for us. Please describe any questions or comments below.