I affirm that I am not employed by the Queens Borough President or by a City Council Member who may nominate appointees to the Community Board to which I am applying. I am not employed by the State or City of New York in a position at or above the level of Assistant Commissioner (or equivalent title). If employed in such a capacity, I have secured a mayoral waiver allowing me to serve on a Community Board and have attached it to this application. If I am employed by the City of New York in any capacity, I have clearly indicated this in the Employment section of this application.
I am a New York City resident above the age of 16 who lives, works, attends school, or otherwise has a significant interest in the district of the Community Board to which I am applying. If appointed, I understand it is my responsibility to notify the Office of the Queens Borough President of any changes in residence, employment, school enrollment, or any other factor that would affect my eligibility for Community Board membership.
I am fully aware that Community Board membership requires my regular attendance and participation at Board meetings, meetings of committees to which I will be assigned, and public hearings that may be convened. Excessive absences will constitute cause for my removal from the Community Board. I am both willing and able to make this commitment of time and effort to serve my community.
I agree to abide by all New York City Conflict of Interest laws and rules. In all my Community Board activities, I will seek to adhere to the principles of good government, honesty, accountability, and the avoidance of conflicts of interest, both perceived and actual.
I affirm that all information in this application is complete, truthful, and accurate to the best of my knowledge. I authorize the Office of the Queens Borough President to take reasonable and necessary steps to verify the accuracy of the foregoing statements and representations. I further agree to cooperate with said Office in any verification efforts.