First Name *

Last Name *

Brokerage *

Email *

Broker's Name *

Broker's Email *

Broker's Phone Number

Total Volume Claimed *

Application Type: *

* team = an agent with one or more licensed assistants. A licensed assistant means any active licensed agent acting as a clerical assistant, listing assistant or selling assistant. 

Enter required value Individual Team

Team Members

*Teams - List each team member. Individual applicants, skip or NA. 

Application Level *

Enter required value First Time Recipient Active Member (2-4 years in Circle of Excellence, not successive) Life Member (3 consecutive years out of any 5) Phoenix (10-19 years) Crystal Phoenix (20-24 years) Silver Phoenix (25-29 years) Gold Phoenix (30-34 years) Platinum Phoenix (35-39 years)

Year Phoenix Received

Please note the year you received your last phoenix, selected above. If you are receiving the phoenix this year put 2024. 

(first time recipients, active, and life members - skip this question)

1. Certification Form - REQUIRED DOCUMENT *

Click here to download the certification form. 

Broker Signature Required. Please upload completed form below. 

20MB max

2. Sales Reporting Form - REQUIRED DOCUMENT *

Click here to download the Circle of Excellence Reporting Form

Please Review the Circle of Excellence Rules before completing form. 

After completion, this form must be signed by the applicant AND the broker. Certified Electronic Signatures are accepted

Please upload completed form below.

20MB max

3. Professional Picture - REQUIRED *

(teams may submit a picture of the entire team, or the team lead.)

20MB max

Payment Options *

• Mail a check to PO Box 1993, Douglasville, GA 30133 (must be post marked by 1/31/25) 
• Pay Online Now! (preferred) New tab opens. After payment return and click submit below. 

!!! RETURN TO FINISH APPLICATION AFTER MAKING ONLINE PAYMENT !!!

!!! DONT FORGET TO CLICK SUBMIT BELOW!!!

Enter required value Mailing Check Paid Online

Fees Due *

Required Fees:
Application fee $125
Team Members $50 each (if applicable)
Awards: 
Plaque $180
Plate for plaque $27
Hand Blown Glass Phoenix $700
 

TOTAL DUE: