| Please provide the
following contact information:   * Indicates Required Fields |
| Title: |
Mr.
Mrs.
Ms.
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| Name:* |
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| Address:* |
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| City:* |
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| State/Province:* |
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| Zip/Postal code:* |
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| County: |
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| Home Phone: |
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| Work Phone: |
Ext.
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| Cell Phone: |
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| Best Time To Call: |
Morning:
Afternoon:
Evening:
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| E-mail:* |
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| How did you hear about us? |
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| Marital Status: |
Married
Single
Other
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| Age: |
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| What type of business / work are you engage in now?
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| Why do you feel you would make a good Factory Direct Independent Broker?
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| If there is additional information about yourself that would assist
American Elite Homes in making a favorable decision in approving
your application, please explain?
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| 1. Do you believe that Real Estate is a good investment? |
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Yes
No
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| 2. Do you presently own a Home? |
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Yes
No
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| 3. Have you ever owned a Home? |
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Yes
No
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| 4. Have you ever sold a Home, either privately or through a broker? |
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Yes
No
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| 5. Do you feel there is a money-making opportunity in selling affordable Homes in your area? |
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Yes
No
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| 6. Do you understand that you DO NOT need a Real Estate License to sell AEHI? |
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Yes
No
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| 7. Do you enjoy working with people? |
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Yes
No
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| 8. Do you consider yourself a self starter, who can work without supervision? |
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Yes
No
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| 9. Have you ever been or wanted to be in Your Own Business? |
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Yes
No
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| 10. If married, will you and your spouse participate together? |
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Yes
No
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| 11. Do you have the ability to purchase or mortgage a Model Home? |
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Yes
No
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| 12. Would the required $6,000.00 * deposit be a problem? |
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Yes
No
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| 13. Would a trip to North Carolina to attend a personal orientation be possible? |
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Yes
No
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| 14. Could this trip be within 30 days? |
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Yes
No
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| 15. Is your annual income more than:
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$25,000
$50,000
$75,000
$100,000
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| 16. If you are appointed the position, what category would best describe your participation? |
Part-time
Part-time growing into Full Time
Full-Time immediately
Other
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| 17. Would you use your Model Home as? |
Your personal residence
My office
As residential rental property
As commercial income property
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| List two personal or business references. We must be able to contact these references between 9 a.m. and 5 p.m. ET. |
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| Applications without references will not be considered. Do not list relatives. |
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| 1. Name: |
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| Address: |
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| Phone Number: |
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| Best Time to Call: |
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| 2. Name: |
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| Address: |
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| Phone Number: |
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| Best Time to Call: |
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Application without References will not be considered. |