Certified International Property Specialist (CIPS) DESIGNATION APPLICATION

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Certified Internatinal Prperty Specialist (CIPS) (NRDS ID is required fr U.S. members. Please cntact yur lcal bard/assciatin if yu d nt knw yur ID number) Please type r print legibly TITLE: COMPANY NAME: COMPANY ADDRESS: COMPANY CITY: STATE: ZIP CODE: COMPANY COUNTRY: COMPANY TELEPHONE: COMPANY FAX: CELL PHONE: E-MAIL ADDRESS: WEB SITE: HOME ADDRESS: HOME CITY: STATE: ZIP CODE: HOME COUNTRY: HOME TELEPHONE: HOME FAX: Year that yu entered the real estate prfessin: Hw did yu find ut abut the NAR glbal prgram: Cperating Assciatin (fr nn-us prfessinals): Lcal Bard/Assciatin (fr US prfessinals): 1

Certified Internatinal Prperty Specialist (CIPS) n List f CIPS Requirements REQUIREMENT #1 Educatin Tw required cre curses fr REALTORS, Three fr Assciatin Staff Glbal Real Estate: Lcal Markets Glbal Real Estate: Transactin Tls Fr Assciatin Staff nly: CIPS AE Internatinal Administratin Curse Three required elective curses (chse 3 frm the fllwing list) Asia/Pacific and Internatinal Real Estate The Americas and Internatinal Real Estate Eurpe and Internatinal Real Estate NAR Staff will verify curse cmpletin and ntify applicants f any discrepancies r questins. REQUIREMENT #2: Assemble at least 100 pints frm any f these categries Internatinal Transactins Up t 3 cunt @25 each a) Internatinal Real Estate Transactins-includes selling a hme in yur lcal market t an immigrant; leasing a cmmercial prperty t a freign investr; assisting yur lcal clients with the purchase f a (secnd) hme in anther cuntry; clsing a transnatinal referral transactin, having a transactin that cntains an internatinal client, funds, prperty, translatin, etc. 1. Clsing Date: Transactin #1 Clsing Date: Transactin #2 Clsing Date: Transactin #3 Clsing Date: The Middle East/Africa and Internatinal Real Estate NAR At Hme with Diversity Certificatin Curse 2. Address f subject prperty: Address f subject prperty #1: Address f subject prperty #2: Address f subject prperty #3: 3. Type f Transactin: Type f Transactin #1: Sale Lease Cnsulting Other: Type f Transactin #2: Sale Lease Cnsulting Other: Type f Transactin #3: Sale Lease Cnsulting Other: 2

Certified Internatinal Prperty Specialist (CIPS) Cntinued REQUIREMENT #2: Assemble at least 100 pints frm any f these categries 4. Type f prperty #1: Cndminium Office Space Agriculture/Land Apartment Building Residential Cmmercial Prperty Resrt/Vacatin Prperty Other Type f prperty #2: Cndminium Office Space Agriculture/Land Apartment Building Residential Cmmercial Prperty Resrt/Vacatin Prperty Other Type f prperty #3: Cndminium Office Space Agriculture/Land Apartment Building Residential Cmmercial Prperty Resrt/Vacatin Prperty Other 5. Cuntries invlved in the transactin: What cuntries did Transactin #1 invlve? What cuntries did Transactin #2 invlve? What cuntries did Transactin #3 invlve? Other experience wrth 10-25 pints each TOTAL INTERNATIONAL TRANSACTION POINTS: / a pssible 75 n b) Apprved Instructr in a real estate educatin prgram such as CCIM, CRS, REBAC, GRI, Crprate University (25 each/50 max) Describe: TOTAL INSTRUCTOR POINTS: / a pssible 50 n c) Cllege Degree cunt the pints ONLY fr the highest degree attained. Assciates Degree (2 year) = 15 pints; Undergraduate Degree (4 year) =20 pints; Advanced Degree = 25 pints Degree/year attained / name f cllege/university: TOTAL DEGREE POINTS: / a pssible 25 n 3

Certified Internatinal Prperty Specialist (CIPS) Cntinued REQUIREMENT #2: Assemble at least 100 pints frm any f these categries d) Participatin n a REALTOR Assciatin spnsred Trade Missin (1 max at 25 pints) Describe purpse, rganizer and date f trip: TOTAL TRADE MISSION POINTS: / a pssible 25 n e) Attendance at real estate, prfessinal r ecnmic develpment cnventins in any cuntry OTHER than yur wn including NAR Study Turs, FIABCI Cngresses, MIPIM, SIMA, etc. (1 max at 25 pints) Describe meeting/destinatin/year: f) Wrked abrad r studied abrad fr mre than ne year (1 max at 25 pints) Describe experience/destinatin/year: TOTAL CONVENTION POINTS: / a pssible 25 n g) Authr f published articles n internatinal business r cultural issues (10 each/maximum f 20) List articles and where published: TOTAL ABROAD POINTS: / a pssible 25 n h) Authr f published bk n internatinal business r cultural issues (1 max at 25 pints) List Title f Bk and date published: TOTAL PUBLISHED ARTICLE POINTS: / a pssible 20 n TOTAL PUBLISHED BOOK POINTS: / a pssible 25 n 4

Certified Internatinal Prperty Specialist (CIPS) Cntinued REQUIREMENT #2: Assemble at least 100 pints frm any f these categries i) Current membership in a cultural/internatinal rganizatin (5 each / 10 max) Name f Organizatin/City/State/Cuntry: TOTAL MEMBERSHIP POINTS: / a pssible 10 n j) Attendance at NAR Internatinal educatin sessins and events at the NAR Cnference & Exp in Nvember (10 each year/max 20) List year and city: TOTAL NAR CONVENTION & EXPO POINTS: / a pssible 20 n k) Freign language fluency ther than yur native language meaning yu are prepared t cmmunicate with the client in their native language (20 each / max 40) Languages: TOTAL FOREIGN LANGUAGE POINTS: / a pssible 40 n l) Each prfessinal certificatin and designatin ffered by an NAR Affiliate, Sciety r Cuncil (ABR, ABRM, AHWD, ALC, ARM, CCIM, CPM, CRE, CRS, CRB, e-pro, GAA, GMS, GREEN, GRI, PMN, RAA, RCE, RSPS, SFR, SIOR, SRES). Other prfessinal designatins will be cnsidered upn request. (15 each/max 30). TRC = 5 CIPS. CIPS Leadership Curse (frmerly CIPS AE) = 10 pints. (REALTORS nly) List: TOTAL CERTIFICATION/DESIGNATION POINTS: / a pssible 30 n m) Member f a REALTORS Assciatin Glbal/Internatinal Cmmittee, Cuncil r Frum at the state, lcal r natinal level (10 each, max 30) List: TOTAL COMMITTEE/COUNCIL/FORUM POINTS: / a pssible 30 n TOTAL CIPS CREDITS Add lines a) thrugh m) t get ttal pints. Pints must equal at least 100 pints / a required 100 pints 5

Certified Internatinal Prperty Specialist (CIPS) n Fees 1. APPLICATION FEE- All U.S. and Nn-U.S. US$ $75.00 - a ne-time nly applicatin fee 2. DUES PAYMENT (U.S. and Nn-U.S.) CIPS Netwrk + Assciatin Staff Members ++ Quarter 1 - January, February, March $220 $95 Quarter 2 - April, May, June $165 $71.25 Quarter 3 - July, August, September $110 $47.50 Quarter 4 - Octber, Nvember, December $25 $15 + Full dues ($220) fr the fllwing year will be billed in Quarter 4. This applies t bth Quarter 4 applicants and all CIPS Netwrk members. ++ Full dues ($95) fr the fllwing year will be billed in Quarter 4. This applies t bth Quarter 4 applicants and all ther assciatin staff designees. Annual dues must be paid each year t Natinal Assciatin f REALTORS and the CIPS Netwrk in rder t maintain and use the CIPS Designatin and benefits. Deadline t be recgnized at the CIPS Designee Breakfast at NAR Midyear Meetings: March 31 Deadline t be recgnized at the CIPS Designee Breakfast at REALTORS Cnference & Exp: September 30 Ttal Amunt Due: US $ n Payment Methd CHECK # (in US funds enclsed made payable t Natinal Assciatin f REALTORS ) CREDIT CARD: VISA MASTERCARD AMERICAN EXPRESS DISCOVER DINERS NAME AS IT APPEARS ON CREDIT CARD CREDIT CARD # EXP DATE I hereby authrize the Natinal Assciatin f REALTORS t charge a ne-time charge t the abve credit card in the amunt indicated abve. n Referred by: 6

Certified Internatinal Prperty Specialist (CIPS) n AFFIDAVIT I declare under penalty f perjury that the fllwing statements are true and crrect: All infrmatin prvided by me herein is accurate as f the date indicated belw. I will supply the Natinal Assciatin f REALTORS ( NAR ) with any changes t the infrmatin prvided by me herein as such changes ccur r as reasnably sn thereafter as pssible. I expressly cnsent t the use by NAR f any infrmatin, which is prvided by me n page 1, n r in relatin t any prducts, prgrams r services prepared r spnsred by NAR, including but nt limited t print r electrnic directries, and I agree that such use by NAR shall nt cnstitute a vilatin f any privacy right established by lcal, state, federal r internatinal law. I understand that I cannt use the CIPS Designatin, initials r lg until I have cmpleted the Designatin requirements and have been ntified in writing that it has been fficially awarded t me. Such misuse will cause the summary terminatin f membership. I shall pay all annual CIPS Netwrk dues and fees required t remain a candidate and/r CIPS designee in gd standing. I understand that I may nt use the CIPS designatin if I d nt pay the required annual dues. I am and shall remain, during my candidacy and as a CIPS designee thereafter, a member f a lcal REALTOR bard; alternatively, if my principal place f real estate business is nt lcated in the United States r its territries, I am and shall remain during my candidacy and as a CIPS designee thereafter, a member f an assciatin utside f the U.S. which is a party t a Bilateral Cperatin Agreement with NAR ( Cperating Assciatin ) if ne exists in my cuntry. I will abide by the Cde f Ethics f NAR, r f the Cperating Assciatin f which I am a member. I understand that the misuse f the CIPS designatin, vilatin f the Bylaws r Cde f Ethics referenced abve, r the cmmissin f criminal r ther unlawful activity, may result in the terminatin f my candidacy and/r status as a CIPS designee. NAME SIGNATURE PHONE STREET ADDRESS CITY, STATE, POSTAL CODE COUNTRY Thank yu fr yur interest in the CIPS educatin prgram. Fr mre infrmatin e-mail us at: CIPS@realtrs.rg s s PRINT SAVE s SUBMIT FORM 430 Nrth Michigan Avenue Chicag, IL 60611-4087 800.874.6500 www.realtor.rg