OPS Real Estate School :: Online Registration

Salesperson Prelicense Online Registration
Fields marked with an * are required

*First Name:
*Last Name:
*Date of Birth:
*Social Security Number (state required):
Real Estate License Number:
*Address:
*City:
*State:
*Zip Code:
County:
*Home Phone: (digits only)
Work Phone: (digits only)
*E-mail:
SHIPPING INFORMATION (if different from the above)
Ship to Address:
Ship to City:
Ship to State:
Ship to Zip:

HISTORY:

Are you applying for a license as a Georgia Resident?
Yes
No

Are you a veteran with at least one year active duty?
Yes
No

Have you Ever been licensed in another State as a broker or sales person?
Yes
No
If yes, which state:
Under what name:

Have you ever held or do you hold a real estate license in Georgia?
Yes
No
If yes, give license number
Name (if different)

Are you a high school graduate or holder of a General Education Development (GED) certificate?
Yes
No

Have you ever been convicted of, pled nolo contendere to, or been grated first offender treatment upon being charged with (1) any criminal offense other than a traffic violation or (2) any traffic violation that involved driving under the influence of alcohol or drugs, homicide, or feticide by vehicle, fleeing the scene of an accident, attempting
to elude a police officer, or impersonating a law enforcement officer?
Yes
No

Have you ever been disciplined by the Georgia Real Estate Commission or any state or federal licensing agency or authority which regulates any profession?
Yes
No

Are there any criminal charges or licensing disciplinary proceedings ending against you at this time?
Yes
No

Are you currently required by any court, administrative or contempt order to make child support payments?
Yes
No