First Name *

Last Name *

Email *

Business Address *

Business Phone *

Cell Phone *

Real Estate Specialty (check all that apply) *
ResidentialCommercialResortAppraisalInternationalBuyer BrokerageBrokerage ManagementLandTrainer/InstructorOther

Real Estate Designations earned

Number of years in the real estate business *

Have you applied to LeadershipSCR/Leadership Academy before? *
YesNo

Indicate the highest level of education attained *
GEDHigh SchoolTrade SchoolBachelor's DegreeMaster's DegreeDoctorate Degree

Provide the following information: Name and location of school, degree, major, and date of degrees earned. *

Have you completed other formal leadership training? *
YesNo

If yes, please list the course title, name of sponsoring organization and year of completion.

Present firm name *

Position *

Since (month/year) *

Briefly describe your job responsibilities *

List your career/occupation(s) prior to real estate *

Are you a Veteran? *
ArmyAirforceMarinesNavyCoast GuardNational GuardNo, I am not a Veteran.

List your involvement with your local association of REALTORS *

List your involvement with SCR *

List your involvement with NAR *

List your involvement with other professional real estate associations *

List special honor and awards received

List community, civic, religious, political, governmental, athletic, social, or other areas of active involvement. Provide the Name of organization, your assignment/position and briefly describe your responsibilities *

List leadership/special honors and awards received

In determining the candidates to be qualified for inclusion in the SCR Leadership Academy, we ask that you thoughtfully complete the online application and submit three (3) contacts for professional references. The three required professional references should be from the following categories: State REALTOR® officer, Local Association Executive or Local REALTOR® officer. Please type below the names and contact information (email address, phone number) for 3 reference. No more than 3 references will be accepted. SCR Staff will contact your 3 references and ask them to submit a reference on your behalf. *

Why did you decide to apply for Leadership Academy? *

What is your definition of an effective leader? *

What personal leadership skills would you like to improve? *

Specifically, what areas of leadership training would be most beneficial to you and why? *

What are the top 3 issues impacting the real estate industry today in your opinion? *

What are the 3 most significant challenges of being a leader? *

Are you planning on applying for the Leadership Academy Diversity Scholarship? *
YesNo

I understand the purpose of the SCR Leadership Academy, and if I am selected, I will devote the time and financial resources necessary to complete the program. Further, I understand that if I miss one session, the Advisory Commission will decide on how the assignment will be made up the following year at my own expense. If I miss two sessions, I will automatically be dropped from the program in accordance with the programs policies and bylaws. I also agree to all terms and conditions of this application. In making this application, I fully understand that it is an application only and does not guarantee acceptance to the SCR Leadership Academy. I agree to supply further information as requested. I further understand that any false statement or misrepresentation that I may make in the course of these proceedings and application may result in the revocation of this application. I understand that SCR reserves the right to revise or update this application, and that it is my responsibility to be aware of SCR's current requirements. I further understand that I am obligated to inform SCR of changed circumstances that may materially affect my application. I understand and agree that SCR may also use anonymous and aggregate application and examination data for statistical and research purposes. I do hereby certify that information contained in this form is true and correct, and understand that all information is subject to verification. The SCR Leadership Academy does not discriminate on any basis including race, sex, age, religion, national origin, sexual orientation, or disability. *

I agree

Questions? Call Sarah Knox, 803-470-5945 or email sarah@screaltors.org