Bronx SWAB Membership Application Form
This form has 4 sections and will take about 15 minutes to complete. Please fill it out if you are interested in becoming a SWAB member. If you have any questions feel free to email us at
Sign in to Google to save your progress. Learn more
Name *
Physical Address *
Email *
Phone Number *
Are you currently a member of any other borough’s Solid Waste Advisory Board (not the Citywide Recycling Advisory Board)?
Clear selection
Do you work for the City of New York in any capacity?
Clear selection
If ‘yes,’ which agency?
Do you have an affiliation with any organizations? Please list them all below.
In which Bronx neighborhood do you work/reside (zip code is acceptable)?
In which Bronx Community Board do you work/reside (visit to find out)?
Clear selection
Have you ever been a member of a Community Board?
Clear selection
If yes, please specify the borough, the Community Board and dates of service:
NYC Administrative Code: Confirm that you are familiar with solid waste advisory board membership conditions and board functions as described in Sections 16-317 and 16-318 as well as the disclosure statement pursuant to Section 16-321 (Subchapter 4 of Chapter 3 of Title 16 of the New York Administrative Code) by typing "Yes". If applicable, also provide details of your disclosure below. (Sections linked here: and *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy