Committee Request Form

First Name *

Last Name *

Office Name *

Email *

Phone *

Type of CCAR Membership You Currently Hold *

REALTOR
AFFILIATE

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Preference One *

Preference Two

Preference Three

Are you interested in serving on more than one of the above committees?

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COMMITTEE EXPERIENCE

Please tell us about your previous committee experience (if applicable).

I currently serve on the following CCAR committees:

Please share your evaluation of the committee(s) upon which you served, including accomplishments and areas for improvement:

QUALIFICATIONS: Please list any unique skills and qualifications that would help you to make an impact on your chosen committees, task forces, etc. listed above. Examples may include experience on local or national committees, work experience (in real estate or outside of the industry) or personal areas of interest.

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