NYC Community Board Application Form - Fill Out and Use This PDF

All information in Section l must be completed for the application to be considered.

Enter your Name (Title, First Name, Last Name, Suffix) and your Home Address (Street Address, Apt. #, Address Line 2, City, State/Province/Region, Postal/Zip Code, Country).

Enter your Mobile Phone Number, Other Phone Number if applicable, Date of Birth (MM DD YYYY), Email, Emergency Contact's Name and Emergency Contact's Phone Number.

Completed paper applications must be delivered to Brooklyn Borough Hall by mail or hand delivery only in a sealed envelope containing all supporting documents.

Address the envelope to: ATTN: Community Boards Unit, Brooklyn Borough Hall, 209 Joralemon Street, Brooklyn, NY 11201. If you're mailing in your completed application, it must be post-marked by February 6, 2026.

Application Type. New applicant: not currently appointed by the Borough President to serve on a community board; includes Public Members*. *A public member is defined as a person who is appointed by the community board chairperson to serve on a committee. Public members do not vote at general board meetings.

Re-applicant: currently appointed by the Borough President to serve on a community board; excludes Public Members*.

I am applying for membership based on where: I live. I work. I attend school. I have a significant interest - defined as business or property ownership (not including your primary residence) or significant affiliation with a local non-profit board.

If you are applying based on a significant interest (which should not include your primary residence), please provide specific details demonstrating your eligibility.

Employees of a Brooklyn Council Member are not eligible for an appointment to any Brooklyn Community Board.

Employees of Brooklyn-based state elected officials may be appointed to a Brooklyn Community Board for which they are eligible, so long as the Brooklyn Community does not overlap with the district in which they work and/or represent.

The Borough President will not appoint more than one member of a household to the same community board.

Employment And Professional Information. Please provide previous employment in your resume and/or short biography.

Conflicts of Interest Board rulings require that applicants disclose whether they or their employers derive any income representing clients before the Community Board (i.e., attorneys, architects, consultants, etc.). These rulings do not automatically exclude one from board membership, but a review of this information is essential.

Yes or No: Do you have immediate family on the board to which you are applying? If yes, please identify the person, entity, and /or the nature of interest.

SECTION V Demographic Profile. Please note that you are not required to answer these questions, and this will in no way impact your application. If you wish not to answer any question, please select 'Prefer not to answer.'

Community Involvement and Organizational Affiliations. All new applicants must attend at least one board meeting before applying: In 2025, I ... (Select all that apply)

Applicants must use the prompts in the relevant category.

Please choose one of the following options: Option 1: If you are between the ages of 16-21, please write a statement of interest and include it with your application.

Option 2: If you are a new applicant, please write a statement of interest considering the questions and include it with your application.

Option 3: If you are currently a board member, please write a statement of interest considering the questions and include it with your application.

Each community board has a monthly general meeting which members are REQUIRED to attend in-person or virtually. If appointed, do you commit to attending the mandated general monthly meeting? Yes No

If appointed, do you commit to attending training and workshops, hearings, and committee meetings, whether virtually or in-person? Yes No

CERTIFICATION STATEMENT. By signing you certify that if appointed, you will, within 60 days of appointment provide proof of address based on the eligibility category of live, work, school or significant interest in a manner prescribed by the Borough President on appointment. By signing you also certify that, if appointed, it is your responsibility to notify the Office of the Brooklyn Borough President of any changes in residence, employment, school enrollment, or any other factor that would affect your eligibility for community board membership.

By signing you affirm that all information in this application is complete, truthful, and accurate to the best of your knowledge, and acknowledge that any falsification there of shall lead to immediate termination if appointed.

By signing you certify that you have read and signed all the attestations on the Certification Statement.