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Registration FormNATIONAL ASSOCIATION OF REALTORS

2012 Professional Standards Education SeminarThursday August 23, 2012 -- 8 a.m. 4 p.m.Friday, August 24, 2012 -- 8:30 a.m. noon

(available at http://www.realtor.org/mempolweb.nsf/pages/PSSeminar)

The seminar will be held at the InterContinental Chicago, 505 North Michigan Avenue, Chicago, Illinois 60611. An hourreception will immediately follow the close of the first day to allow participants from across the country to discuss common

concerns.

Hotel accommodations are not included in the $500 registration fee. Reduced rate room accommodations are available at$155.00 (single/double occupancy) if reservations are made by August 1, 2012. Reduced rate hotel reservations can bemade by calling the InterContinental Chicago at 312-944-4100 and informing hotel staff that you are attending theNATIONAL ASSOCIATION OF REALTORS Professional Standards Education Seminar. If you use a travel agent to makeroom reservations, you may not be able to secure the same reduced rate that we have negotiated with the hotel.

Seminar participants will be eligible for credit toward the RCE designation or toward re-certification. However, this coursedoes not fulfill the education requirements for professional standards administrators related to professional standards policystatement #49, Code of Ethics and Arbitration Manual.

Information provided immediately below used for attendee roster and to contact you regarding the program. An e-

mail will be sent confirming your attendance which will include more detailed information about the seminar.

(Please print or type)

Name: Nickname (optional): Address: City: State: Zip: Telephone: Fax: E-mail:

Please attach to your registration form a description of any disability requiring special services at this seminar.

Completed registration forms must be accompanied by an attendee profile to optimize attendees learning experience, andcan be sent to the Member Policy Department, NATIONAL ASSOCIATION OF REALTORS, 430 North Michigan Avenue,Chicago, Illinois 60611 (e-mail Bbarajas@realtors.org or fax to Bernice Barajas in the Member Policy Department at 312-254-3188).

Payment of $500 registration fee (nonrefundable after August 1):

check enclosed, make payable to:NATIONAL ASSOCIATION OF REALTORS, account # 01-351-321

credit card payment:

Visa MasterCard American Express Diners Club

Credit Card # Exp. Date Cardholder NRDS ID# (required) Signature Cardholder name and address (required)

http://www.realtor.org/mempolweb.nsf/pages/PSSeminarmailto:Bbarajas@realtors.orghttp://www.realtor.org/mempolweb.nsf/pages/PSSeminarmailto:Bbarajas@realtors.org

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Attendee ProfileNATIONAL ASSOCIATION OF REALTORS

2012 Professional Standards Education SeminarAugust 23 and 24, 2012

(Please return this with each registration form)(available at http://www.realtor.org/mempolweb.nsf/pages/PSSeminar)

Each participant is asked to complete an attendee profile form for the Professional Standards Education

Seminar to optimize your learning experience, and return it with the registration form. The program isadvanced, and participants should be experienced in professional standards. Instructors will presume thatparticipants have a minimum of five years experience with Grievance and Professional StandardsCommittees and/or Boards of Directors relative to Code enforcement, and that they have some experiencefacilitating training sessions in professional standards.

Name

State Association

Attendee position:

Broker? # ofyears

Salesperson? # ofyears

AE or staff person? # ofyears

Other, describe (please give # ofyears)

Attendee experience (approximate):

Local Grievance Committee # years Local Professional Standards Committee # years State Grievance Committee # years State Professional Standards Committee # years Local Board of Director service # years Mediation Officer # years State Board of Director service # years

Mediations conducted #

The approximate number of ethics complaints and arbitration requests the attendee has participated in

Local career # State career # Professional Standards Seminars attended (approximate)

Local # State # National # Has attendee conducted professional standards training programs? Yes, # No Has attendee participated in NARs education seminar in the past? Yes, #

No

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Is attendee willing to serve as a resource for your state association? Yes, # No