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Teach a Class/Become A Speaker
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NVAR Speaker Application Form
NVAR Speaker Application Form
Speaker Information
Name
Date
Address
City
State
Zip
Email
Phone
Are you a member of NVAR?
Yes
No
Program Information
Program/Course Title
Date(s) and Times Available to Offer Program
Program length
This program will attract the following audience:
Residential
Commercial
Property Management
Other...
Has this program/course been approved for continuing education credit for Virginia Real Estate Licensees?
Yes
No
Please provide a description of your program
List three primary objectives of the program
Video Demonstration – You must provide a 2-5 minute video demonstration as part of your application. Please provide any additional comments regarding the video (if applicable).
You must provide the following written materials for the program
A comprehensive timed outline for the program
A copy of the materials used and distributed, including books, handouts, pamphlets, and power points
A copy of the proposed advertisement for the program
References
Indicate where and when you made your last three presentations. Please include the date, contact name and phone number of the organization, topic and title of the program.
Miscellaneous Information
Please indicate what if any audio/visual equipment you require and any special room set-up specifications.
Please indicate if you are seeking a speaking fee and if so, how much.
Please indicate if you are seeking reimbursement for travel/meal expenses
Have you ever been convicted of a felony (including while in military service)? If yes, explain below
Applicant Statement
Applicant Name
Date
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