Right Track Application

Please complete each section fully. Registration for the upcoming years class ends on March 1, 2022!

Full Name*
Name
Nickname or First Name (preferred)
Date*
MM slash DD slash YYYY
Home Address*
Street Address City ZIP Code
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Preferred Phone*
Cell Phone (if different than preferred)
Year Licensed*
Length of Residence in Kansas*
Real Estate Specialties*
residential, commercial, ag land, etc.
Real Estate Designations Earned
Upload your professional photo
Accepted file types: gif, jpg, png, pdf, Max. file size: 3 MB.

Work Experience
Present Firm Name*
Title or Responsibilty*
Since (month/yr)*
What do you consider your highest career achievement to date?*
Business/Professional Affiliations (Name of Group, Position(s) Held or Assignments, Period of Affiliation)
Please include local board of REALTORS® and/or KAR involvement. Do not include civic organizations, public offices or political activites.
Community Involvement
Include community, civic, religious, political, governmental, social, athletic, other activites. Do not include business/professional activities. Indicate major role in the organization at this time.
What do you consider your most important accomplishment in one of the above organizations? Why?

Leadership Goals
What are you leadership goals within your community, civic organizations and other opportunities? Why are you interested in The Right Track?*
Committment
I agree*
- I understand that attendance of all Right Track sessions is a requirement of graduation from the program.
Tuition
Applicants will be notified of their acceptance status on or before March 10. The tuition payment of $395.00 is due by March 15, 2022. (The tuition fee covers all programming, most meals, and all materials for the retreats, as well as registration for the 2022 KAR Annual Conference.) NOT included: hotel room costs (when necessary) and travel costs.
Your PROMISE*
- I certify that the information presented on this application is true, and I understand that if my application is approved for The Right Track Leadership Academy, I am committed to paying a $395 tuition fee, improving my leadership skills, completing a group project, and attending the retreats as listed above.
Signature*
Please type your FULL NAME, this will count as your legal signature on this document.
Date*
MM slash DD slash YYYY
Broker/Supervisor Name*
Your Broker/Supervisor*
- This application has been discussed and has the approval of my Broker/Supervisor and I have their full support, which includes the time required to participate in the program.

High School