Primary Office *

Secondary Office

Team *

Onboarding Type *

Referred by Current Agent? *

First Name *

Last Name *

Email *

Phone *

Home Address *

Date Of Birth *

Spouse Name

License Number *

Original License Date *

License Type *

Single Member LLC? *

Will you be conducting business under an incorporated entity? *

Owns Rental / Investment Property? *

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Primary Phone *

Emergency Contact Alternate Phone

Emergency Contact Address *

Business Card Name *

If you want to use a nickname, it must be registered on your real estate license with AREC, MREC, or FREC.

Business Card Phone *

Business Card Email *

Business Card Domain *

Headshot *

Where Are You Originally From? *

Family / Home Life *

What can you share about your family or home life?

Hobbies / Pastimes *

What hobbies or pastimes do you enjoy?

Community Service / Charities *

Are there any community service activities or charities you’re passionate about?

Proud Accomplishment *

What’s one personal or professional accomplishment you’re especially proud of, and why?

Guiding Values / Principles *

Which values or principles guide you most in your work and personal life?

Previous Employment Experience *

Years in Real Estate *

Real Estate Niche / Specialty *

Do you have a particular real estate niche or specialty you focus on?

What Do You Enjoy Most About Helping Clients? *

Professional Bio *

Please provide a brief personal and professional bio that highlights your background, your real estate experience (if applicable), any unique specialties, and what sets you apart. This summary will appear on your agent website, giving prospective clients an inviting snapshot of who you are and the expertise you bring to the table.

Instagram

MLS ID *

MLS Registered Email *

Driver’s License *

I agree to receive text messages from iXL Real Estate about my onboarding, account setup, required documents, training, classes, meetings, brokerage updates, event reminders, and other important service-related communications. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out. Reply HELP for help.

I agree to receive emails from iXL Real Estate about my onboarding, account setup, required documents, training, classes, meetings, brokerage updates, event reminders, and other important service-related communications.

Date *

Agent Signature *

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