Unlicensed Assistant Application
 
 
To be an unlicensed assistant, you must be unlicensed or your license must be in "inactive" status.

Before proceeding to complete your application,⁠ ⁠⁠click here to view our Pricing Schedule. If you have questions about the fees schedule, please contact us at 813-879-7010. 
 
Assistant Information
 
 
 
 
 
First Name *
 
 
Last Name*
 
 
Email*
 
 
Phone*
 
 
Preferred Phone *
 
 
Street 1*
 
 
Street 2
 
 
City*
 
 
State*
 
 
Zip Code*
 
 
Country
 
 
Office Assistant is assigned to:*
 
 
 
 
Please Upload a photo of your Driver's License*
 
 
 
 
Office Information
 
 
 
Office Name*
 
 
Broker Name*
 
 
Office License #*
 
 
Office NRDS ID*
 
 
Website
 
 
Street Address*
 
 
City*
 
 
State*
 
 
Zip Code*
 
 
Country
 
 
 
 
 
 
Mailing Address
 
 
Same As*
 
 
 
 
 
If other, please provide address
 
 
 
 
 
Street 1
 
 
Street 2
 
 
City
 
 
State
 
 
Zip Code
 
 
Country
 
 
 
 
 
 
 
By signing application I consent that the REALTOR® Associations (local, state, national) and their subsidiaries, if any (e.g., MLS, Foundation) may contact me at the specified address, telephone numbers, fax numbers, email address or other means of communication available. This consent applies to changes in contact information that may be provided by me to the Association(s) in the future. This consent recognizes that certain state and federal laws may place limits on communications that I am waiving to receive all communications as part of my membership. 
I hereby accept the MFR Participation Fee & Activation Agreement*