Application Instructions

Online Application

Faculty Application

Please view the applications instructions and fill out the information completely and press submit. Completed applications can also be faxed to 312-373-8241, attn: Raven Taylor. Incomplete applications will not be reviewed.

For further questions or concerns, you may contact Raven Taylor, Faculty Manger at 312-321-4498 or faculty_manager@cciminstitute.com.

Applicant Information

Name (First/Last):
 Company:
Business Address:
City:
 State/Province:
 Zip/Postal Code:
Country:
Business Telephone:
Fax:
E-Mail:

Real Estate Employment

List employment for the last four years, beginning with the most recent.

  Company Business Dates Average Annual Income
1.
2.
3.
4.

Other Business Activities

List any other relevant work experience, local/service club memberships/community involvement:

General Educational Background

Undergraduate College:
 Graduate College:
Major:
 Major:
Degree:
 Degree:

Date of Graduation:

Date of Graduation:
Undergraduate College:
 Graduate College:
Major:
 Major:
Degree:
 Degree:
Date of Graduation:
 Date of Graduation:

Real Estate Board Membership

Are you a member of a Real Estate Board?

If so, where?

Has your license ever been suspended or revoked?

Sales License

Licensing State:

Broker License

Licensing State:
Number:
 Number:
Dates:
 Dates:

Are you a member of a CCIM Chapter?

If so, which one?

Real Estate Educational Background

Completion of CCIM Designation Year:

Completion of Other Real Estate Courses (e.g., NAR, College):

1.

2.

3.

4.


Real Estate Designations Held Other than CCIM (List type and year):

1.

2.

3.

4.


Teaching Experience:
Describe all teaching experience that you have had in chapters, seminars, colleges, local boards, etc.

1.

2.

3.

4.

5.

6.


Sponsoring Organization and Name of Contact:

Subject:
 Dates:
 Class Size:

Professional Real Estate Activities:
Describe all activities within professional real estate associations along with the dates. Include all offices held, projects completed, etc. Also, list any articles or publications you have authored: Title and Journal in which it appeared, as well as the year of publication.

Miscellaneous:
List any suits or judgments in which you have been named in your real estate activities. Be specific about type, dates and outcome.

Personal Objectives


Key Objectives in Commercial Investment Real Estate Field:
List the key objectives in the commercial investment field that you hope to accomplish in the next five years.

Primary Reasons for Desire to Teach CI Courses:
Describe the reasons you would like to become involved in the teaching of CI courses.

Expectations from Teaching:
Describe the primary things you expect to gain from becoming part of the CI faculty and teaching the CI courses.

Qualifications for Teaching CI Courses:
Describe the primary qualifications you have for becoming a CI instructor.

Qualifications for Teaching CI 102 or CI 103:
Describe the qualifications you have for becoming a CI 102 or CI 103 instructor (See list of Instructor Skill Sets for these courses under the faculty application instructions.)

Summary of Business Activities Over the Past Three Years

Please give a short description of your current responsibilities/business activities/scope/size/results (no more than 200 words).

I hereby authorize representatives of CCIM Institute to independently verify the above information:




Signature:*(if faxing only)
 Date:*

 

(For your record or faxing)