Unlicensed Assistant Membership Application
Keyholder
 
Unlicensed assistants are paid by the agent and are required to register and obtain a satisfactory background check to qualify for Supra Key access. This access is available only to an agent assistant who is not licensed, in any state, in either real estate or appraisal, and who is not already working in the real estate industry in any capacity (including mortgage, title, home inspection, etc...). The duties performed by the unlicensed assistant must pertain to and be in conjunction with the scope of their supervising agent's business. The unlicensed assistant may not engage in listing, selling, leasing, managing, counseling or appraising real property on their own behalf. 
 
 
 
Unlicensed Assistant Information
 
 
 
 
 
First Name*
 
 
Middle Name
 
 
Last Name*
 
 
Email Address*
 
 
 
Date of Birth
 
 
Home Street Address*
 
 
Home Address City*
 
 
Home State*
 
 
Home Zip Code*
 
 
 
 
Mobile Phone
 
 
Home Phone
 
 
 
Preferred Contact Phone
 
 
 
 
Broker Office Information 
 
 
 
 
 
Broker Office Name*
 
 
Office Phone
 
 
 
Office Address*
 
 
 
 
 
 
 
The supervising agent is required to notify the Minneapolis Area REALTORS® immediately of any change in the agent assistant relationship upon termination, and is further liable for any unauthorized use of the Supra Lockbox System system or penalties incurred as outlined in the Supra Lockbox Rules and Regulations. Each January, MAR will confirm the status of this applicant and a $50 annual fee will be assessed to the supervising agent. 
 
 
 
I wish to register for a Supra Key for the above Unlicensed Assistant
 
 
The person above does not have a current real estate license and we agree to the membership terms.*
 
 
 
 
 
Supervising Agent Signature (Enter Full Name)*
 
 
 
NRDS ID #
 
 
Broker/Office Manager Signature (Enter Full Name)*
 
 
 
MN Corporate License #