City of Thornton, City Clerk, Boards and Commissions
Thornton Assistance Fund Committee Application

Thornton Assistance Fund Committee

The Thornton Assistance Funds (TAF) Committee is an advisory committee that reviews the grant applications from nonprofit organizations that serve the basic needs of Thornton residents and promote self-sufficiency. The committee provides a recommendation to City Council on which nonprofit organizations to fund and the level of funding.

Committee Representatives

Each year Council appoints five or seven members to serve on the committee. All members must be residents of Thornton. One member is appointed by the Mayor, and each of the four wards must be represented by a member. At least one member must have financial expertise, and one member must have human services or nonprofit expertise. Committee members will serve a 2-year term based on Council’s appointment. To avoid conflicts of interest, committee members shall recuse themselves from voting on or scoring applications for funds from an organization that they work for, volunteer for, serve on any board or benefit from. All TAF Committee members will need to verify that they do not have any known conflicts.

Time Commitments

The committee will meet every Thursday, 3:30 - 6:30 p.m. February through April and will need additional time to review applications at home. A presentation to city council will occur on a Tuesday evening in April and/or May and a formal presentation at a Council Meeting may follow. The meeting schedule is finalized in January.

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

*Pronouns --Select-- He/Him She/Her They/Them Other (Specify Below)

*Other Pronouns Description

*Ward Number Ward 1 Ward 2 Ward 3 Ward 4

*Home Address (include City, State ZIP+4)

Address Line

Address Line 2

City

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Zip

*Phone Number

*Alternate Phone Number

*Email

*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 about the specific talents, expertise, experience, civic activities, and/or volunteer service you would bring to this committee if appointed. Please also list any current or previous boards, task forces, committees, or commissions you are currently serving on or have served on.

*Do you have professional experience with financial records, reports, or processes? If so, explain including any degrees, licenses, and / or certifications and work experience.

*Do you have professional experience with social/human services or nonprofit management? If so, explain including any degrees, licenses, and / or certifications and work experience.

*Committee members must disclose potential conflicts of interest including working for, volunteering for, or serving on any board, or receiving benefit from any organization, that is applying for funds. If you are involved with any nonprofit organizations that provide food, housing, medical services, or human services to Thornton residents, please list those organizations, and tell us how you are involved with them.

*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 committee application.

• I certify that the facts and statements contained in this committee 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

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