REAL ESTATE TRAINING INSTITUTE

Application for Professional Designation (SREP)

 

Please print this form, complete it and mail with copies of relevant certificates of completion to Real Estate Training Institute, 1636 Popps Ferry Rd. Suite 108 Biloxi, MS 39532. Or, apply by fax to 228.354.8533

 

I, _________________________________________ [name], license # _______________________, do hereby request that I be awarded the designation of Senior Real Estate Professional (SREP).

 

Signature: ____________________________________________ Date: ______________________

 

Applicant Information

Street Address: _______________________________________________________

City/Zip: ____________________________________________________________

Phone: _____________________________ Fax: _____________________________

 

Course Details (attach an additional sheet if necessary)

I have completed the following courses for a total of ___________ contact hours:

School/Provider: __________________________    Course: _____________________    Date: ________

School/Provider: __________________________    Course: _____________________    Date: ________

School/Provider: __________________________    Course: _____________________    Date: ________

School/Provider: __________________________    Course: _____________________    Date: ________

School/Provider: __________________________    Course: _____________________    Date: ________

School/Provider: __________________________    Course: _____________________    Date: ________

School/Provider: __________________________    Course: _____________________    Date: ________

**Please include copies of certificates of completion.