Form FR 1401 FR 1401 Application for Membership for the Community Advisory Co

Application for Membership for the Community Advisory Council

FR1401_20160524_f_i_Sample

Application for Membership for the Community Advisory Council

OMB: 7100-0371

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The Federal Reserve Board’s Community Advisory Council (CAC) is an advisory committee providing feedback and
advice to the Board on issues affecting consumers and communities. The CAC is composed of a diverse group of
experts and representatives of consumer and community development organizations and interests, including from
such fields as affordable housing, community and economic development, employment and labor, financial services
and technology, small business, and asset and wealth building. CAC members provide a range of perspectives on the
economic circumstances and financial services needs of consumers and communities, with a particular focus on the
concerns of low- and moderate-income consumers and communities.
If you are interested in being considered for appointment to the Community Advisory Council, please submit the
information indicated below. You may provide the application information through the online form below, by email
to [email protected] or by postal mail to the address listed below.

* Indicates a required field
Salutation
First Name *
Middle Initial
Last Name *
Suffix
E-mail Address *
Confirm E-mail Address *
Phone Number *
Organization *
Title *
Organization Type *
Primary Expertise *

Secondary Expertise

Address Line 1 *
Address Line 2
City *
State, Territory, or Federal District *
Zip Code *

In addition to the information requested above, for consideration to serve on the CAC, you must provide a resume
and cover letter through the browse feature below, by email to [email protected], or by mail to the address below.
The resume should include information about past and present positions you have held, dates of service for each, and
a description of responsibilities. The cover letter should explain why you are interested in serving on the CAC as well
as what you believe are your primary qualifications. At your option, you may also provide additional information
about your qualifications.

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You may upload up to three files. Please ensure that no file is larger than three megabytes (3 MB). Only DOCX,
RTF, and PDF files will be accepted.
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File 2
File 3

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Mailing Address:
Federal Reserve Board of Governors
Attn: Community Advisory Council, Mail Stop N-805
20th St. and Constitution Ave. NW
Washington, DC 20551
The Board will use the information provided for the purpose of considering you for appointment to the Community
Advisory Council. The Board may contact you and may consider publicly available information in connection with
your candidacy. For further information, please see our Privacy Act Notice.

Check the box if you would like to receive a confirmation email.

Please direct questions to [email protected].


File Typeapplication/pdf
File Modified2016-05-24
File Created2016-05-23

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