Genesis Application Form

If you Are An Employee

What is your job title?

Years of Experience in the Real Estate Industry:

What is your salary bracket?

Employer's company name?

Length of time in employement?

Primary Sector in Real Estate:

Primary sector if you selected 'other above'

If You Are A Business Owner

How long have you been in business for?

How many employees do you have?

What was last years annual turnover?

What is your projected turnover?

Networking & Engaging

What would you like to gain from being a member of this club? *

How would you like to contribute to the community? *

If selected 'Other' above please specify below:

Are you interested in participating in panel discussions, webinars, or networking events? *

Yes

Partnerships

Do you own or operate a business that could offer services to members? *

Yes

If yes describe below

Describe your services below:

Would you recommend Genesis Club? *

Yes

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Genesis: Application Form