Realtor Application

We're very glad you're here! The first stage is to complete an application. Remember, this is not a contract and there is NO obligation. Once we review your application, we will be in touch with you to determine the next steps to take.  If you are one of those Real Estate Agents who considers "above and beyond" to be normal, we want to hear from you.  We're always looking for great agents!

Ok.  It has come to our attention that some may prefer to leave contact/application forms blank.  No problem! Just call our toll-free number and we'll be glad to answer your questions!  651-303-1932


Please fill out the following form and click the SEND NOW button once it is completed. A representitive of Responsible Referrals will promptly respond back to you.
Application Form
First name:
Last name:
Office phone:
Cell phone:
E-mail address:
Expertise - Check all that apply: Single Family Residence
Townhome
Condo
Multi-Family (Duplex, Triplex, Fourplex)
Commerical - Retail
Commerical - Warehouse
Commerical - Office
Realtor designation:
State license number:
Year first licensed:
Transaction sides in past year:
Geographic areas of expertise:
Broker / Company name:
Broker / Company website:
Broker / Company main phone:
Broker / Company address :
City:
State:
Zip code:
Questions / Comments:
  • Phone: (651) 303-1932
  • Mike@responsiblereferrals.com
  • Address: Meridian Concepts, Inc.
    366 Elton Hills Dr NW., Rochester, MN 55901
A Referral Service connecting you with great Real Estate Agents while donating 50% of its revenue to non-profits helping homeless youth and families.