Skip to content
Monday – Friday: 8:30 AM – 5 PM
Open Houses
ECAR Calendar
Find A Realtor®
Become a Realtor®
Member Login
Log Out
Toggle Navigation
Education
Upcoming CE Classes and Seminars
Real Estate Classes
Mentor and Scholarship Programs
Events
Upcoming Meetings & Events
ECAR Calendar
RESource Conference & Expo
Lockbox Service
About
Board of Directors
Driving Directions
Office Hours
Contact Us
Why Join ECAR
REALTOR® Membership Benefits
REALTOR® Application
Designated REALTOR® Application
Affiliate Membership Benefits
Affiliate Application
Associate Affiliate Application
REALTOR® Mentorship Grant Application
Young Professionals Network
SmartMLS
Consumer Resources
Find A Realtor
Affiliated Services
Market Statistics
File an Ethics/Arbitration Complaint
DEI & Fair Housing
Reporting Fraud/Crime
Eastern CT Information
Housing Resources for the Public
Home Energy Resources
Resources for the Media
Grant Requests
ECAR Voice
Videos/Publications
Closing Customs
BECOME A REALTOR®
Member Resources
Log Out
My Account
Forms
Broker Open Houses
Board of Directors & Committees
Annual Dues
ECAR Member Benefits
Awards
ECAR, CTR & NAR
RPAC
CT Dept. of Consumer Protection Forms
Commercial
Affiliates
RPR
SentriLock Subscription
Find My Member ID
BECOME A REALTOR®
Member Login
Member Resources
Forms
Broker Open Houses
Board of Directors & Committees
ECAR Member Benefits
Annual Dues
Awards
ECAR, CTR & NAR
RPAC
CT Dept. of Consumer Protection Forms
Commercial
Affiliates
RPR
SentriLock Subscription
Find My Member ID Number
Log Out
Toggle Navigation
Education
Upcoming CE Classes and Seminars
Real Estate Classes
Mentor and Scholarship Programs
Events
Upcoming Meetings & Events
ECAR Calendar
RESource Conference & Expo
Lockbox Service
About
Board of Directors
Driving Directions
Office Hours
Contact Us
Why Join ECAR
REALTOR® Membership Benefits
REALTOR® Application
Designated REALTOR® Application
Affiliate Membership Benefits
Affiliate Application
Associate Affiliate Application
REALTOR® Mentorship Grant Application
Young Professionals Network
SmartMLS
Consumer Resources
Find A Realtor
Affiliated Services
Market Statistics
File an Ethics/Arbitration Complaint
DEI & Fair Housing
Reporting Fraud/Crime
Eastern CT Information
Housing Resources for the Public
Home Energy Resources
Resources for the Media
Grant Requests
ECAR Voice
Videos/Publications
Closing Customs
BECOME A REALTOR®
Member Resources
Log Out
My Account
Forms
Broker Open Houses
Board of Directors & Committees
Annual Dues
ECAR Member Benefits
Awards
ECAR, CTR & NAR
RPAC
CT Dept. of Consumer Protection Forms
Commercial
Affiliates
RPR
SentriLock Subscription
Find My Member ID
BECOME A REALTOR®
Member Login
Member Resources
Forms
Broker Open Houses
Board of Directors & Committees
ECAR Member Benefits
Annual Dues
Awards
ECAR, CTR & NAR
RPAC
CT Dept. of Consumer Protection Forms
Commercial
Affiliates
RPR
SentriLock Subscription
Find My Member ID Number
Log Out
Call Us 860 892 2595
Designated REALTOR® Application
Home
Designated REALTOR® Application
[email protected]
2025-02-07T14:39:05-05:00
Application For Designated REALTOR® Membership
Download the Designated REALTOR® Membership Application Form
OR
Fill in the form below
I hereby apply for:
Primary
Secondary
Designated REALTOR® Membership in the above named Association and am enclosing my payment in the amount of
$
for my 20__
dues payable to the Eastern Connecticut Association of REALTORS®. *(Total includes ECAR dues and if applicable, initiation fee and/or NAR/CTR dues prorated according to month joining and voluntary PAF donation – see page 3 for breakdown).
Name
(Required)
First
Last
(as shown on real estate license)
Date of Birth
MM slash DD slash YYYY
License #
(a copy of your real estate license is required with application)
License Type
Broker
Salesperson
Appraiser
Member’s Business Email
Member’s Personal Email
Office Name
Office Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Office Website
Office Phone
Office Fax
Number of years engaged in the real estate business:
How long with current real estate firm?
(optional)
Previous real estate firm (if applicable):
Residence Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Additional Mailing Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Cell Phone
Home Phone
By providing and/or updating my contact information, 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 including my cell phone number via text messages, SMS messages, and calls to my cell phone using pre-recorded electronic message calls, as well as calls made via automatic telephone dialing systems or via email. I further agree to update the association with any changes to my contact information and to permit the association to update contact information provided by any multiple listing service as part and continuation of this consent. I understand that I can revoke this consent at any time by replying STOP to cancel. Message and Data Rates May Apply.
Initial here
Preferred Mailing
Home
Addl. Address
Office
Preferred Phone
Home
Cell
Office
Preferred Email
Business
Personal
Billing Notification
Email
Mail
I am interested in
Commercial Real Estate
Young Professionals Network (YPN)
Other ECAR Committees
NOTE:
Applicant acknowledges that if accepted as a member and he/she subsequently resigns from the Board or otherwise causes membership to terminate with an ethics complaint pending, the Board of Directors may condition renewal of membership upon applicant’s certification that he/she will submit to the pending ethics proceeding and will abide by the decision of the hearing panel. If applicant resigns or otherwise causes membership to terminate, the duty to submit to arbitration continues in effect even after membership lapses or is terminated, provided the dispute arose while applicant was a REALTOR®
Initial here
Are you presently a member of any other Association of REALTORS®?
Yes
No
If yes, name of Association and type of membership held
Have you previously held membership in any other Association of REALTORS®?
Yes
No
If yes, name of Association and type of membership held
Have you been found in violation of the Code of Ethics or other membership duties in any Association of REALTORS® in the past three (3) years or are there any such complaints pending?
Yes
No
(If yes, provide details as an attachment.)
Max. file size: 50 MB.
If you are now or have ever been a REALTOR®, indicate your NAR membership (NRDS) #:
and last date (year) of completion of NAR’s Code of Ethics training requirement
Company information:
Sole Proprietor
Partnership
Corporation
LLC (Limited Liability Company)
Your position:
Principal
Partner
Corporate Officer
Branch Office Manager
Names and positions of other Partners/Officers of your firm:
Have you ever been refused membership in any other Association of REALTORS®?
Yes
No
If yes, state the basis for each such refusal and detail the circumstances related thereto:
Is the Office Address, as stated, your principal place of business?
Yes
No
If not, please provide address:
Please provide the address of any branch offices, if any:
Do you hold, or have you ever held, a real estate license in any other state?
Yes
No
If so, where:
License #
Have you or your firm been found in violation of state real estate licensing regulations within the last three years?
Yes
No
If yes, provide details:
Have you or your firm been convicted, adjudged, or otherwise recorded as guilty by a final judgment of any court of competent jurisdiction of a felony or other crime.
Yes
No
If yes, provide details:
Real Estate Specialty
Residential
Commercial
Resort
International
Other
Other
ECAR Policies:
1.
Non-Election:
In the event of non-election, my local dues only shall be returned to me less a prorated amount to cover the number of days that I received association services and any application fee.
Initial here
2.
Code of Ethics:
Membership in ECAR necessarily means that I am also a member of CTR and NAR. Membership brings certain privileges and obligations that require compliance. In the event of my election, I understand that I will be required to complete periodic Code of Ethics training as specified in the association’s bylaws as a continued condition of membership and I agree to be bound by the Code of Ethics of the National Association, which includes the duty to arbitrate (or to mediate if required by the association), as well as the Constitution, Bylaws and Rules and Regulations of ECAR, CTR, and NAR. I understand the maximum fine for violations of the Code of Ethics and violations of other membership duties is stated in the Bylaws. Membership is final only upon approval by the Board of Directors and may be revoked should completion of requirements, such as orientation, not be completed within timeframe established in the association’s bylaws.
Initial here
3.
No Refund:
I understand that my membership dues are non-refundable. In the event I fail to maintain eligibility for Membership for any reason under the bylaws, including but not limited to discipline by ECAR, I understand I will not be entitled to a refund of my dues.
Initial here
4.
Certification of Information:
I hereby certify that the foregoing information furnished by me is true and correct, and I agree that failure to provide complete and accurate information as requested, or any misstatement of fact, shall be grounds for revocation of my membership if granted. I further agree that, if accepted for membership in the Board, I shall pay the fees and dues as from time to time established. NOTE: Payments to ECAR are not deductible as charitable contributions. Such payments may, however, be deductible as an ordinary and necessary business expense. Dues are non-refundable.
Initial here
Designated REALTOR®’s Signature:
Date
MM slash DD slash YYYY
Revised 07/22/2024
EASTERN CONNECTICUT ASSOCIATION OF REALTORS, INC.
2025 Dues/Fees Payment Authorization & Schedule
Effective 1/1/2025
Sentrilock Opt-Out:
If you will not be using Sentrilock for your listings or requesting one-day codes from other agents to show properties, you can
opt-out of this service
.
Got Questions?
Contact Cheryl Springer - Member Services Director on
[email protected]
or
860-892-2595
.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.
Page load link
Go to Top