Thornton Active Adult
Board Application
9500 Civic Center Drive, Thornton, CO 80229 303-538-7230
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 No.
Home Address (include City, State ZIP+4)
Phone Number: Alternate Phone Number:
1. Do you have relatives presently working for the City of Thornton? Yes No If yes, please list.
2.
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.
Your typed name here Date
constitutes your signature.
Submit by emailSubmit by email
