Form FR 1401 FR 1401 Application Form for Membership on the Community Advisor

Community Advisory Council
Application Form
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,
labor and workforce development, financial 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 moderateincome 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.

Application Information
Asterisks (*) indicate required fields.
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 *

Resume & Cover Letter
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.

File Upload
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.

File 1
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File 2
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File 3
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Mailing Address:
Federal Reserve Board of Governors
Attn: Community Advisory Council, Mail Stop I-305
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 Statement.
Check the box if you would like to receive a confirmation email.

Submit Application
Please direct questions to [email protected].

OMB Number 7100-0371
Approval expires May 31, 2022
Application is authorized pursuant to sections 2A and 10 of the Federal Reserve Act (12 U.S.C. §§ 225a and 244). The
obligation to respond is required to obtain the benefit of consideration for CAC membership. Information provided on the
Application will be kept confidential under exemption (b)(6) of the Freedom of Information Act to the extent that the disclosure
of information “would constitute a clearly unwarranted invasion of personal privacy” (5 USC § 552(b)(6)).
Public reporting burden for this collection of information is estimated to average 1 hour, including the time to gather and
maintain data in the required form, to review instructions, and to complete the information collection. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden to: Secretary, Board of Governors of the Federal Reserve System, 20th and C Streets, NW, Washington, DC 20551;
and to the Office of Management and Budget, Paperwork Reduction Project (7100-0121), Washington, DC 20503. The
Federal Reserve may not conduct or sponsor, and an organization or a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number.

Last Update: April 12, 2021