Agent Offboarding Request

Agent Offboarding Request
Director of Sales & Growth / Sales Manager / Broker / Staff*

First NameLast Name
Your Email Address*
example@example.com
Terminated Agent Name*

First NameLast Name
Agent's Current Email Address*
example@example.com
Agent's Future Email Address*
Used for future financial statements
Is Agent Part of a Team?*

YesNo
Team Name
Agent's Phone Number*
Please enter a valid phone number.
Schmidt Office*
Reason for Leaving:*

Retiring from Real EstateJoining Schmidt Referral NetworkLeaving the Real Estate IndustryMoving AwayJoining Another Brokerage, notate below
Brokerage name:
Reason for leaving and joining brokerage named above.
Should be Empty: