Broker Profile Submission Form

Virtualix: Preparing Your Digital Journey...

Introduction

Thank you for taking the time to complete this profile form. The information you provide here is confidential and will be used solely to enhance your presence on Roch St-Jacques’ website. This profile will help clients connect with you, generating valuable leads for your real estate business.

Personal Information

Full Name *

First

Last

Introduction / Bio *

Languages Spoken *

English
French
Mandarin
Chinese
Spanish
Punjabi
Arabic
Tagalog
Italian
Creole

Select all languages you speak fluently

Profile Photo *

Click or drag a file to this area to upload.

Upload a high-quality, professional headshot (max size 10 MB)

Contact Information

Email Address *

Mobile Phone Number *

Office Phone Number

Business Information

Position / Title

Business Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

License Number

Service Areas

Specialties / Expertise

Online Presence

Do you have a personal or business website? *

Yes
No

Please Enter Your Website Link *

Social Media Accounts *

Facebook
Instagram
Tiktok
Youtube
Linkedin
Vimeo
X (Twitter)
Google (Business Profile)

Please select the social media platforms you actively use.

Facebook Page URL (Link) *

Instagram URL (Link) *

TikTok URL (Link) *

Youtube URL (Link) *

Linkedin URL (Link) *

Vimeo URL (Link) *

X (Twitter) URL (Link) *

Google Business Profile URL (Link) *