City of Thornton, City Clerk, Boards and Commissions
Thornton Active Adult Board Application

Thornton Active Adult Board

The purpose of the Thornton Active Adult Board is to promote and facilitate communications between the Board and City Council in matters impacting the needs and interest of citizens 55 years of age and older, and to better assist the City Council in being responsive and well advised as to issues of particular relevancy to active adults. The Board makes recommendations for the most appropriate and beneficial use of the Thornton Active Adult Center and how to improve and expand citywide services for active adults..

Board Membership and Qualifications

The Board consists of 11 members appointed by City Council, with representation from each ward, the business community, one member recommended by the 55+ Organization, Inc., one member recommended by the Mayor, and four members appointed at large. Nine of the members must be 55 years of age at the time of the appointment. The Thornton Active Adult Board meets the third Wednesday of January, April, and October at 1:30 p.m. and the third Wednesday of July at 4 p.m. at the Active Adult Center unless otherwise scheduled.

Name of Applicant (First, Middle, Last (include Sr., Jr., etc.)

Ward Number

Home Address (include City, State ZIP+4)

Address Line

Address Line 2

City

State

Zip

Phone Number

Alternate Phone Number

Do you have relatives presently working for the City of Thornton? If yes, please list below.

Yes No

Relatives presently working for Thornton

Tell us briefly what specific talents, expertise, experience, previous civic activities, and/or volunteer service you would bring to this board if appointed.

Current Employer

Position

Address of Employer

Please read the following, then type your name and date in the signature block below, and submit electronically, using the “Submit by Email” button in order to complete the board application.

I certify that the facts and statements contained in this board application are true and correct. I further understand that false statements shall be sufficient cause for rejection of this application or for grounds to apply the penalty provisions of the Code of Ethics.
I understand that falsification, omission or misrepresentation will result in a rejection of this application. Any falsification, omission or misrepresentation is evidence of perjury in the second degree.

Signature Your typed name here constitutes your signature.

Date

City of Thornton, City Clerk, Boards and Commissions Thornton Active Adult Board Application

Thornton Active Adult Board

Board Membership and Qualifications

City of Thornton, City Clerk, Boards and Commissions
Thornton Active Adult Board Application