Certified International Property Specialist (CIPS) DESIGNATION APPLICATION - U.S. REALTORS

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(NRDS ID is required for U.S. members. Please contact your local board/association if you do not know your ID number) Please type or 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 you entered the real estate profession: How did you find out about the NAR global program: Cooperating Association (for non-us professionals): Local Board/Association (for US professionals): 1

n List of CIPS Requirements REQUIREMENT #1 Education Two required core courses for REALTORS, Three for Association Staff o o o Global Real Estate: Local Markets Global Real Estate: Transaction Tools For Association Staff only: Global Programs for Associations Three required elective courses: o Asia/Pacific and International Real Estate o The Americas and International Real Estate o Europe and International Real Estate You can substitute one of the required with one from below: o NAR At Home with Diversity Certification Course o CRS 200 - Business Planning & Marketing for the Residential Specialist o CRS 204 - Creating Wealth through Residential Real Estate Investments o CCIM - Residential Real Estate Financial Analysis NAR Staff will verify course completion and notify applicants of any discrepancies or questions. International Transactions Up to 3 count @25 each a) International Real Estate Transactions-includes selling a home in your local market to an immigrant; leasing a commercial property to a foreign investor; assisting your local clients with the purchase of a (second) home in another country; closing a transnational referral transaction, having a transaction that contains an international client, funds, property, translation, etc. 1. Closing Date: Transaction #1 Closing Date: Transaction #2 Closing Date: Transaction #3 Closing Date: 2. Address of subject property: Address of subject property #1: Address of subject property #2: Address of subject property #3: 3. Type of Transaction: Type of Transaction #1: o Sale o Lease o Consulting o Other: Type of Transaction #2: o Sale o Lease o Consulting o Other: Type of Transaction #3: o Sale o Lease o Consulting o Other: 2

Continued 4. Type of property #1: o Condominium o Office Space o Agriculture/Land o Apartment Building o Residential o Commercial Property o Resort/Vacation Property o Other Type of property #2: o Condominium o Office Space o Agriculture/Land o Apartment Building o Residential o Commercial Property o Resort/Vacation Property o Other Type of property #3: o Condominium o Office Space o Agriculture/Land o Apartment Building o Residential o Commercial Property o Resort/Vacation Property o Other 5. Countries involved in the transaction: What countries did Transaction #1 involve? What countries did Transaction #2 involve? What countries did Transaction #3 involve? Other experience worth 10-25 points each TOTAL INTERNATIONAL TRANSACTION POINTS: / a possible 75 n b) Approved Instructor in a real estate education program such as CCIM, CRS, REBAC, GRI, Corporate University (25 each/50 max) Describe: TOTAL INSTRUCTOR POINTS: / a possible 50 n c) College Degree count the points ONLY for the highest degree attained. Associates Degree (2 year) = 15 points; Undergraduate Degree (4 year) =20 points; Advanced Degree = 25 points Degree/year attained / name of college/university: TOTAL DEGREE POINTS: / a possible 25 n 3

Continued d) Participation on a REALTOR Association sponsored Trade Mission (1 max at 25 points) Describe purpose, organizer and date of trip: TOTAL TRADE MISSION POINTS: / a possible 25 n e) Attendance at real estate, professional or economic development conventions in any country OTHER than your own including NAR Study Tours, FIABCI Congresses, MIPIM, SIMA, etc. (1 max at 25 points) Describe meeting/destination/year: f) Worked abroad or studied abroad for more than one year (1 max at 25 points) Describe experience/destination/year: TOTAL CONVENTION POINTS: / a possible 25 n g) Author of published articles on international business or cultural issues (10 each/maximum of 20) List articles and where published: TOTAL ABROAD POINTS: / a possible 25 n h) Author of published book on international business or cultural issues (1 max at 25 points) List Title of Book and date published: TOTAL PUBLISHED ARTICLE POINTS: / a possible 20 n TOTAL PUBLISHED BOOK POINTS: / a possible 25 n 4

Continued i) Current membership in a cultural/international organization (5 each / 10 max) Name of Organization/City/State/Country: TOTAL MEMBERSHIP POINTS: / a possible 10 n j) Attendance at NAR International education sessions and events at the NAR Conference & Expo in November (10 each year/max 20) List year and city: TOTAL NAR CONVENTION & EXPO POINTS: / a possible 20 n k) Foreign language fluency other than your native language meaning you are prepared to communicate with the client in their native language (20 each / max 40) Languages: Native Language: _ TOTAL FOREIGN LANGUAGE POINTS: / a possible 40 n l) Each professional certification and designation offered by an NAR Affiliate, Society or Council (ABR, ABRM, AHWD, ALC, ARM, CCIM, CPM, CRE, CRS, CRB, e-pro, GAA, GMS, GREEN, GRI, PMN, RAA, RCE, RSPS, SFR, SIOR, SRES). (15 each/max 30). TRC = 5 CIPS. Global Programs for Associations (formerly CIPS AE) = 10 points. (REALTORS only) List: TOTAL CERTIFICATION/DESIGNATION POINTS: / a possible 30 n m) Member of a REALTORS Association Global/International Committee, Council or Forum at the state, local or national level (10 each, max 30) List: TOTAL COMMITTEE/COUNCIL/FORUM POINTS: / a possible 30 n TOTAL CIPS CREDITS Add lines a) through m) to get total points. Points must equal at least 100 points / a required 100 points 5

n Fees 1. APPLICATION FEE- All U.S. and Non-U.S. US$ $75.00 - a one-time only application fee 2. DUES PAYMENT (U.S. and Non-U.S.) Please select the Current Quarter: CIPS Network + Association Staff Members ++ Quarter 1 - January, February, March o $220 o $95 Quarter 2 - April, May, June o $165 o $71.25 Quarter 3 - July, August, September o $110 o $47.50 Quarter 4 - October, November, December o $25 o $15 + Full dues ($220) for the following year will be billed in Quarter 4. This applies to both Quarter 4 applicants and all CIPS Network members. ++ Full dues ($95) for the following year will be billed in Quarter 4. This applies to both Quarter 4 applicants and all other association staff designees. Annual dues must be paid each year to National Association of REALTORS and the CIPS Network in order to maintain and use the CIPS Designation and benefits. Deadline to be recognized at the CIPS Designee Breakfast at NAR Midyear Meetings: March 31 Deadline to be recognized at the CIPS Designee Breakfast at REALTORS Conference & Expo: September 30 n Payment Method CHECK # (in US funds made payable to National Association of REALTORS ) Application fee: US $ 75.00 Dues: US $ Total Amount Due: US $ Credit card payments must be made online, only, through NARs Ecommerce System: www.realtor.org/cipspaymentus n Referred by: 6

n AFFIDAVIT I declare under penalty of perjury that the following statements are true and correct: All information provided by me herein is accurate as of the date indicated below. I will supply the National Association of REALTORS ( NAR ) with any changes to the information provided by me herein as such changes occur or as reasonably soon thereafter as possible. I expressly consent to the use by NAR of any information, which is provided by me on page 1, on or in relation to any products, programs or services prepared or sponsored by NAR, including but not limited to print or electronic directories, and I agree that such use by NAR shall not constitute a violation of any privacy right established by local, state, federal or international law. I understand that I cannot use the CIPS Designation, initials or logo until I have completed the Designation requirements and have been notified in writing that it has been officially awarded to me. Such misuse will cause the summary termination of membership. I shall pay all annual CIPS Network dues and fees required to remain a candidate and/or CIPS designee in good standing. I understand that I may not use the CIPS designation if I do not pay the required annual dues. I am and shall remain, during my candidacy and as a CIPS designee thereafter, a member of a local REALTOR board; alternatively, if my principal place of real estate business is not located in the United States or its territories, I am and shall remain during my candidacy and as a CIPS designee thereafter, a member of an association outside of the U.S. which is a party to a Bilateral Cooperation Agreement with NAR ( Cooperating Association ) if one exists in my country. I will abide by the Code of Ethics of NAR, or of the Cooperating Association of which I am a member. I understand that the misuse of the CIPS designation, violation of the Bylaws or Code of Ethics referenced above, or the commission of criminal or other unlawful activity, may result in the termination of my candidacy and/or status as a CIPS designee. NAME SIGNATURE PHONE STREET ADDRESS CITY, STATE, POSTAL CODE COUNTRY s s PRINT SAVE For more information e-mail us at: CIPS@realtors.org 430 North Michigan Avenue Chicago, IL 60611-4087 800.874.6500 www.realtor.org