New Agent Application

We’re thrilled that you’ve chosen to start your real estate journey with us. This application is designed to collect all the essential information we need to set you up for success from day one.

Please take a few minutes to complete the form below accurately.

Today's Date *

Home Branch: *

Select an Office Location

Hiring Manager Name *

Hiring Manager Email *

First Name *

Middle Name

Last Name *

Trade Name

Email *

Cell Phone *

Home Phone

Emergency Contact #

Sex *

Date of birth *

ex: 1992/10/15

Student Number *

S.I.N

HST Number

Referral Name

Apt. or Suite Number

ex: 5010

Street Address *

ex: Steeles Ave West

Province *

ON

City *

Brampton

Postal code *

L6P1A1

Disclosure

Employed *

Yes

No

Own Business *

Yes

No

Bankruptcy *

Yes

No

Unpaid Judgements *

Yes

No

License Suspended *

Yes

No

Criminal Record *

Yes

No

Job Details

Current Employer

Job Title

Duty of Work

Business Details

Legal Business/Incorp Name

Nature of Business

Business Duty of Work

Operating Name

Ownership %

RECO Fee - $356 | Credit Card Details

Card Type *

Visa

Master Card

Name On Credit Card *

Card Number *

Card Expiry *

Card Expiry *

CVV *

HomeLife Miracle Realty Ltd.

Salesperson % *

90

common.other_option

Brokerage % *

10

common.other_option

Transaction Fee

Desk Fee:

Admin Fee: $1/Day

Monthly Fee:

Incentives:

Employment History (Past 2 Years)

1. Employment History

Employer Name *

Description *

Start Date

To *

Current Job

common.other_option

2. Employment History

Employer Name

Description

Start Date

End Date

3. Employment History

Employer Name

Description

Start Date

End Date

4. Employment History

Employer Name

Description

Start Date

End Date

MLS - APPLICATION FORM

Which Board You Would Like To Sign Up For?

TRREB

MREB

WRAR

NONE