NEIGHBORHOOD COUNCIL SUBDIVISION APPLICATION

Neighborhood Council Name

Neighborhood Council Name

.

CONTACT PERSON 1

First Name	.
Last Name	.
Phone Number	+12139781551
Email Address	[email protected]
Mailing Address	.
Stakeholder Type	Community Interest

CONTACT PERSON 2

First Name	.
Last Name	.
Phone Number	+12139781551
Email Address	[email protected]
Mailing Address	.
Stakeholder Type	Community Interest

CONTACT PERSON 3

First Name	.
Last Name	.
Phone Number	+12139781551
Email Address	[email protected]
Mailing Address	.
Stakeholder Type	Community Interest

CONTACT PERSON 4

First Name	.
Last Name	.
Phone Number	+12139781551
Email Address	[email protected]
Mailing Address	.
Stakeholder Type	Community Interest

CONTACT PERSON 5

First Name	.
Last Name	.
Phone Number	+12139781551
Email Address	[email protected]
Mailing Address	.
Stakeholder Type	Community Interest

BOUNDARIES

1. Describe Boundaries	,
2. Attach a map of the Neighborhood Council	Board+Member+Registration+App.pdf
3. Explain why these boundaries were chosen. For example, the boundaries may be based on census tracts, on historical landmarks, on existing community planning areas, etc.	.
4. Do the proposed boundaries overlap with any other Neighborhood Council boundaries?	Unknown
5. If the answer to Question 4 is “Yes”, list the Neighborhood Councils which are affected by the boundary overlap.	.
6. If the answer to Question 4 is “Yes”, explain why you believe the boundary overlap exists. What is the reason for the overlap? For example, the overlapping area may include a park, a school, a library, a facility or a building of historical significance, etc.	.
7. Does the Neighborhood Council area contain at least 20,000 stakeholders?	Unknown
8. If the answer to Question 7 is “No”, mark the space or spaces below which apply:	Neighborhood Council represents an historic neighborhood or community AND includes City service providers such as a library or a police station
9. If the population in the Neighborhood Council contains more than 20,000 stakeholders, estimate the total:	Between 50,000 and 100,000

AREA PROFILE

Why are you seeking a Neighborhood Council subdivision?	.
Describe the residential profile of the Neighborhood Council. Examples: ”Mostly single family homes”, “Mostly apartments”, “Mixture of single family and multiple family dwellings”.	.
Describe the commercial or business profile within the Neighborhood Council. Examples: “Mostly businesses with less than 10 employees” “Mostly businesses with around 100 employees” “Mostly businesses with hundreds of employees” “Mostly industrial or manufacturing businesses” “Mostly retail or service businesses” “A mixture of different types of businesses”	.
Describe the economic profile of the Neighborhood Council. Examples: ”Affluent”, “Middle income”, “Mostly unemployed”, “A mix of upper, middle and lower income people”.	.
Describe the types of employment that are available within the Neighborhood Council. Examples: Retail / Wholesale / Manufacturing / Entertainment / Art / Government / Health Services /Banks / Finance Companies / Insurance / Construction / Public Utilities / Communication / Computers	.

NEIGHBORHOOD OUTREACH

1. Describe in detail the outreach process used to identify community stakeholders.	.
2. Describe or list the types of outreach activities used to inform stakeholders about the existence or formation of the Neighborhood Council. What types of outreach activities were employed? Examples of outreach activities include mass mailings, telephone calls, public meetings, and door-to-door visits.	.
3. Approximately how much time was spent on actual outreach activities prior to submitting this application? Examples include “one hour per week for six months”, “an hour every day for one month”, “at least three months”, “every week since July 2000", etc.	.
4. Were public meetings held on behalf of the Neighborhood Council? On average, how many people attended each meeting? Were the meetings, in your opinion, productive?	.
5. Attach to this application the original signatures of 200-500 stakeholders within the proposed Neighborhood Council boundaries. Keep a copy of the signatures collected for your records. Signature amounts in excess of 500 will be retained on file by the Department as additional outreach documentation.	---
6. Signatures shall, to the maximum extent feasible, reflect the broadest array of community stakeholders who will be active participants in the Neighborhood Council. Please explain how the signature collection process was used to include, inform and educate the widest possible variety of stakeholders.	.
7. Outreach activities are a very important part of all Neighborhood Council operations. Outreach activities should be performed regularly in order to share ideas and to communicate news, events and information. Please describe below how you plan to continue to conduct outreach activities after your Neighborhood Council is officially certified.	.

Posting Site #1

Site Name	.
Address	.
Hours	12
Contact Person	.
Stakeholder Group Targeted	.

Posting Site #2

Site Name	.
Address	.
Hours	12
Contact Person	.
Stakeholder Group Targeted	.

Posting Site #3

Site Name	.
Address	.
Hours	12
Contact Person	.
Stakeholder Group Targeted	.

Posting Site #4

Site Name	.
Address	.
Hours	12
Contact Person	.
Stakeholder Group Targeted	.

Posting Site #5

Site Name	.
Address	.
Hours	12
Contact Person	.
Stakeholder Group Targeted	.

Website and Social Media Information

Website Address	test.com
Twitter	@test
Facebook	@test
Instagram	@test
Flickr	@test

BYLAWS

1. Attach a copy of the proposed Neighborhood Council bylaws.

Board+Member+Registration+App.pdf

ACKNOWLEDGEMENTS

By checking the box, the applicant acknowledges that all all contacts have reviewed the City subdivision ordinance and the Plan for a Citywide System of Neighborhood Councils and that this petition is accurate and meets the conditions of certification, including the financial and ethical responsibilities of the Neighborhood Council system.	I understand.
Your Name	.
Your Email Address	[email protected]
Your Phone Number	+12139781551