AGENT APPLICATION

Attorney Backed Agents™️ | Attorney Backed LLC

Thank you for your interest in joining Attorney Backed Agents™️ — the nationwide network where real estate meets law.

We partner with licensed attorneys who want to expand their impact, provide value to agents and clients, and create an additional stream of income within real estate.

Contact & Professional Information

Full Name *

Email *

Phone *

Address

Street Address

City

State

Country

Postal Code

Brokerage Name (if applicable)

State(s) Holding Real Estate License *

License Number(s) *

Year First Licensed As An Agent *

Website

Instagram

Facebook

Experience & Focus

Do you currently represent clients in real estate transactions? *

How many real estate transactions have you been involved in (approximate per year)? *

Year To Date

Year to Date # of Transactions Closed *

Year to Date Total Sales Volume *

Year to Date Total Gross Commission Income *

Last Year

Last Year # of Transactions Closed *

Last Year Total Sales Volume *

Last Year Total Gross Commission Income *

Two Years Ago

Two Years Ago # of Transactions Closed

Two Years Ago Total Sales Volume

Two Years Ago Total Gross Commission Income

Compensation & Co-Broke Reference

Would you be interested in an additional revenue stream managing a real estate real estate team in your state? *

Yes

Co-Broke Agent Reference

Name of Co-Broke Agent

Brokerage Name

Co-Broke Agent Phone Number

Co-Broke Agent Email Address

Compliance & Ethics

Have you ever been disciplined by any association or professional body? *

Yes

Type an Option

Fill out in the blank (If yes, please explain.)

About You

What attracts you to Attorney Backed Agents™️? *

What unique strengths do you bring to our mission of bridging law and real estate? *

How did you hear about us … *

Social media

Event or conference

Online Job Posting

If Referral

Optional Attachments

Please upload:

A copy of your current license card

Professional headshot

Resume or professional bio

MLS Export Confirming Past Sales Volume & Transactions

Certification & Signature

I certify that all information provided is accurate and complete. *

I agree

Electronic Signature *

Clear

Date *