Form
Distinguished Service Award
Applicant Information
Note: If you are a major investor to RPAC by Nov. 15 of this year, you automatically qualify for this award and do not need to fill out this application.
Applicant Name
*
First
Last
Company Name
*
Phone
*
(###) ### - ####
Email
*
Enter Email
Confirm Email
Photograph of nominee (high resolution of 300 dpi).
*
Accepted file types: jpg, gif, png, jpeg, Max. file size: 6 MB.
Broker Information
Broker Name
*
Broker Office Phone
*
Broker Email Address
*
2021 Participation
(50 Points needed to qualify)
Government Advocacy Involvement
RPAC Investment
*
N/A
Fair Share (up to $98) - 5 Points
$99 Club ($99 - $249) - 10 Points
President Club ($250 - $499) - 15 Points
Bronze ($500 - $999) - 20 Points
Total Points for RPAC Investment
*
Please enter a number from
0
to
50
.
Attendance at Board Events
Please list up to four Board events you have attended in person or virtually (excluding classes and tours). Each event is five points each, a total of 20 points. For example, Housing Forecast Breakfast, Business Luncheon, Holiday Social, Town Halls.
Total Points for Board Functions
*
Please enter a number from
0
to
20
.
Salt Lake Tours or Davis County Tours
List number of Salt Lake Tours or Davis County Tours attended
3 points each, up to 15 points
Total Points for Tours
*
Please enter a number from
0
to
15
.
Committees
SLBR Committees
10 points for
actively
serving on each committee (up to 20 points)
Affiliates Advisory Board
Education
Government Affairs/RPAC
Grievance
Professional Standards
REALTORS® Commercial Alliance
Salt Lake Charity Committee
Young Professionals Network
NAR/UAR/MLS Committees
Please list any NAR/UAR/MLS committees you have served on.
Total Points for Committees
*
Please enter a number from
0
to
20
.
Leadership
SLBR Leadership Role
15 points each
Committee Chair or Vice Chair
Director
Total Points for Leadership
*
Please enter a number from
0
to
30
.
Designations
NAR, UAR, MLS, Institute, Society and Council designations:
Check all designations that applicant currently holds and is current with the designations annual dues, 5 points per each real estate designation (up to 20 points max):
ABR
AHWD
ALC
BPOR
CCIM
CIPS
CPM
CRB
CRS
CRE
CSP
E-PRO
GAA
GREEN
GRI
PMN
RCE
RAA
RSPS
SFR
SIOR
SRES
Other Designation(s)
Total Points for Designations
*
Please enter a number from
0
to
20
.
Education
List up to 3 Board CE classes attended (in person or virtually) during the award year:
5 points each (up to 15 points). To see a list of the classes you have attended click
here
. Once you have logged in click on “My Development” in the left hand navigation bar. Your list of classes will be listed under “My Educational Credits.”
Total Points for Education
*
Please enter a number from
0
to
15
.
Convention Attendance
Attendance (in person or virtual) at NAR and/or UAR Convention
10 points for each convention attended in award year.
Total Points for Convention Attendance
*
Grand Total
*
Certification
*
I certify that the facts submitted are true and correct to the best of my knowledge.
Electronic Signature of Applicant
*
