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If you are unsure of which Community Board you belong to, click here or contact Marie Carmody-LaFrancesca at [email protected] or 718-816-2141.

    Community Board Membership Application

    Please note: You must be a New York City resident to qualify for a particular board and you must live, work, or have a professional or other significant interest in that board's district. Additionally, the Freedom of Information Law (FOIL) may allow for public review of this application upon request; therefore some information given on this document may be subject to disclosure under FOIL. Please type clearly and so not leave any area blank. If a question does not apply, please indicate by writing "N/A" in the space provided.

    17. EDUCATION

    If not applicable, write N/A.
    If not applicable, write N/A.
    If not applicable, write N/A.
    If not applicable, write N/A.
    If not applicable, write N/A.
    If not applicable, write N/A.
    If not applicable, write N/A.

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    DEMOGRAPHIC PROFILE

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    REFERENCES:


    Please click the "Submit Application" button below or download and print the hard copy and mail to:
    Office of the Staten Island Borough President
    10 Richmond Terrace, Room 100, Staten Island, NY 10301
    Attn: Director of Community Boards


    It is the responsibility of Community Board applicants to notify this office of any changes in residence, business or work location that would affect their membership on the community board.

    Please note: You must be a resident of New York City to be eligible for community board membership.

    For additional information, please contact Marie Carmody-LaFrancesca at the Borough President's Office at 
    [email protected]
     or 718-816-2141.
SUBMIT APPLICATION
Office of Staten Island Borough President Vito Fossella  •  10 Richmond Terrace  •  Staten Island, NY 10301  •  718-816-2000
ACCESSIBILITY STATEMENT