ATTACHMENT #1
Council On Aging Application
_City of
Thousand
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Profile
First name:* Penny (Andrea)
Last name:* Greenblatt
Cell phone:* -
Alternate phone:
Home Address Street Address
(Thousand Oaks
residency required):* Address line 2
City State
- CA
Zip Code
..
Email Address:*
This email address will be used to send you updates about this application How did you learn about City Staff
this vacancy?*
According to the
Council's bylaws,
members must be 60
years or older. Do you
meet this requirement?
*
EmP.IO
Check all applicable:*
Work History
Company:
Yes No
Retired Employed Unemployed Student Military
The Help Group
Other
"CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Why are you interested in serving on this board or committee?* Briefly describe the experience, interests, skills, or talents you have that you believe will be beneficial to the work of this board or committee.*
Please list all relevant extracurricular and/or volunteer experience, including on City boards or committees, the dates of your involvement, and note any leadership roles that you held.* City:
State:
Job title:
Summary of duties: (?)
Sherman Oaks
CA
Clinical Supervisor
Supervision of licensed and unlicensed clinical staff at a private non-profit outpatient mental health clinic. Ensuring appropriate clinical care and compliance of Los Angeles County Department of Mental Health standards.
Company:
City:
State:
Job title:
Summary of duties: (?)
Jewish Family service of Los Angeles
Los Angeles
CA
Program Director of Older Adult FCCS Mental
Health Program
Supervision and training of clinical staff, including licensed and unlicensed staff, and training of graduate level social work students in this outpatient mental health program for older adults.
Training and oversight of subcontracting agencies. Extensive interface with Los Angeles County Department of Mental Health. Development of program innovations, ensuring compliance with Department of Mental Health standards and budget oversight. While in this position I was a member of the Los Angeles County Department of Mental Health Older Adult Housing Task Force.
Company:
City:
State:
Job title:
Summary of duties: (?)
Child and Family Guidance Center
Northridge
CA
CalWorks Program Manager
Supervision of licensed and unlicensed clinical staff and graduate level social work students in this outpatient mental health program. Development of relationships with partner agencies (MOU'S). Ensured compliance with Department of Mental Health standards. Also provided direct mental health treatment to clients.
I have both personal and professional knowledge of the challenges that older adults face, and would like to put that knowledge to use to improve services for seniors in Thousand Oaks.
Because of my social work training with older adults, I have a working knowledge of services available to older adults, and could use this to improve the lives of seniors in Thousand Oaks.
I have an MBA in Health Care Administration, a Masters in Social Work, and am a Licensed Clinical Social Worker (California). I also have a Certificate in Aging from Boston University School of Social Work (CADER). I've managed programs for older adults. I've been a member of many boards of directors and have worked extensively with volunteers. I'm very comfortable with public speaking.
"CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Co President of Conejo Valley/San Fernando Valley Chapter of Brandeis National Committee This is a 750 member auxiliary of Brandeis University 2022 present Social Action Vice President of Conejo Valley/San Fernando Valley Chapter of Brandeis National Committee 2019 2022
Arthritis Foundation Patient Advocate/Spokesperson I contact legislators through phone, email or face to face (Sacramento and Washington D C ) to increase awareness and support for individuals with arthritis I represent the organization in social media (videos, webinars) 2017 present
Arthritis Foundation Psoriatic Arthritis Connect Group co facilitator I co lead a national support group (on Zoom) for individuals with a diagnosis of psoriatic arthritis 2021 to present Special Olympics of Southern California certified coach I coach adults with special needs 2016 present
Social Action Committee of Temple Adat Elohim committee member In 2019 I coordinated an annual food drive for Manna that collected 6000 pounds offood 2016 present Membership Vice President Temple Adat Elohim Sistertiood 2021 2023 Program Vice President Temple Adat Elohim Sistertiood 2018 2021 New West Symphony League volunteer I help in any way that's needed I've been doing this for many years and continue to do so, but don't remember the dates Proud member of 'The Happy Notes" This is a 7 member vocal ensemble that performs weekly (volunteer) at skilled nursing and memory care facilities 2021 present Vice President of Pacific District of Women of Reform Judaism 2007 2011 A resume is
encouraged,butnot
required:
PDF files only
Please agree with the following statements:
• All information in this application is complete, truthful, and accurate to the best of my knowledge. • If appointed, I understand it is my responsibility to notify the City of changes that would affect my membership on the board. • I recognize that Board membership requires my attendance at meetings and/or events. I am willing and able to make this commitment of time and effort to serve.
• I understand that the Public Records Act (PRA) allows for public review of this application. • I am not an official or employee of the City of Thousand Oaks.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
Certification:*
Date:
First name:*
Last name:*
Signature:*
I Agree
5/5/2025
Penny (Andrea)
Greenblatt
Applications MUST be submitted before the established filing deadline "CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Council On Aging Application
_City of
Thousand
Please use the latest version of the Google Chrome browser on a computer, when submitting this form HelP.ful TiP.: To P.revent losing data when submitting this form 1) Please look at the questions below
2) Complete the answers in an editor such as MS Word, Notepad, etc. 3) Copy-paste the answers into the respective questions.
This form cannot be saved as a draft.
I Select Language
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In compliance with the Americans with Disabilities Act, if you need special assistance to read this application, please contact the City Clerk Department (805) 449-2151.
Profile
First name:* Dorothy
Last name:* Hatfield
Cell phone:* -
Alternate phone:
Home Address Street Address
(Thousand Oaks
-residency required):* Address line 2
City State
- CA
Zip Code
..
Email Address:*
This email address will be used to send you updates about this application How did you learn about City Staff
this vacancy?*
According to the
Council's bylaws,
members must be 60
years or older. Do you
meet this requirement?
*
EmP.IO
Check all applicable:*
Work History
Yes
Retired
No
Employed Unemployed Student Military Other
Company: GTE
"CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Why are you interested in serving on this board or committee?* Briefly describe the experience, interests, skills, or talents you have that you believe will be beneficial to the work of this board or committee.*
Please list all relevant extracurricular and/or volunteer experience, including on City boards or committees, the dates of your involvement, and note any leadership roles that you held.* A resume is
encouraged, but not
required:
City:
State:
Job title:
Summary of duties: (?)
Thousand Oaks
CA
Accountant; Senior Analyst
Supervisor of customer accounting and the call center.
Senior analyst was a liaison between the end users of the customer service system and the programmers translating what people wanted to what we could accomplish.
I have spent many years serving organizations that my children were involved with and I now want to serve my own age group.
I think it is important for the City Council and city employees to have the perspective of older residents. And I hope we can broaden the scope of our mission.
I also think there is a lot we can be doing, as a group, to further the needs of our peers as well as encourage them to be active in the community – possibly by expanding the council to have ad hoc committees that work on specific projects (like the resource guide) and expose them to the Council on Aging.
I have been in many volunteer positions in many organizations and have a general idea of what is available in the community as resources – but always looking to expand that base of knowledge.
I am not afraid of hard work, I work well with others and I am creative.
I have a B.S, in Psychology and an M.S. in Accounting which gives me interesting perspective on everything.
PTA president at Weathersfield, Los Cerritos and Thousand Oaks High School at various times from.1989 to 2008 – Active in other roles when not president Thousand Oaks Band Boosters President, Uniform Chair, Meals crew, etc.2001 to 2008 Girl Scout Leader 1995 – 2008
AYSO – team mom 1989 to 2008 (for many of those years)
Picture Day coordinator for some of those years too.
St. Paschal Baylon – Teen program support 1998 to 2008
Adelante Comunidad Conejo – Food Distribution Coordinator and Volunteer Coordinator (also responsible for all paperwork to Food Share) 2019 to present HICAP – Training to be a counselor for the last two years – delays for family health issues Council on Aging – 2023 to 2025
Commissioner - Goebel Senior Center - starting July 2025 PDF files only
""CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Certification
Please agree with the following statements:
• All information in this application is complete, truthful, and accurate to the best of my knowledge. • If appointed, I understand it is my responsibility to notify the City of changes that would affect my membership on the board. • I recognize that Board membership requires my attendance at meetings and/or events. I am willing and able to make this commitment of time and effort to serve.
• I understand that the Public Records Act (PRA) allows for public review of this application. • I am not an official or employee of the City of Thousand Oaks.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
Certification:*
Date:
First name:*
Last name:*
Signature:*
I Agree
5/5/2025
Dorothy
Hatfield
Applications MUST be submitted before the established filing deadline. ""CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Council On Aging Application
_City of
Thousand
Please use the latest version of the Google Chrome browser on a computer, when submitting this form HelP.ful TiP.: To P.revent losing data when submitting this form 1) Please look at the questions below
2) Complete the answers in an editor such as MS Word, Notepad, etc. 3) Copy-paste the answers into the respective questions.
This form cannot be saved as a draft.
I Select Language
Powered by Go ,gle Translate
In compliance with the Americans with Disabilities Act, if you need special assistance to read this application, please contact the City Clerk Department (805) 449-2151.
Profile
First name:* Jean
Last name:* Kammerer
Cell phone:* -
Alternate phone:
Home Address Street Address
(Thousand Oaks
-residency required):* Address line 2
-
City State
- CA
Zip Code
..
Email Address:*
This email address will be used to send you updates about this application How
did you learn about Facebook
this vacancy?*
According to the
Council's bylaws,
members must be 60
years or older. Do you
meet this requirement?
*
EmP.IO
Check all applicable:*
Work History
Yes
Retired
No
Employed Unemployed Student Military Other
Why are you interested in serving on this board or committee?* Briefly describe the experience, interests, skills, or talents you have that you believe will be beneficial to the work of this board or committee.*
Please list all relevant extracurricular and/or volunteer experience, including on City boards or committees, the dates of your involvement, and note any leadership roles that you held.* Company:
City:
State:
Job title:
Summary of duties: (?)
Amgen
Newbury Park
CA
Senior Manager, Medical Communications
Managed, supervised, and created medical education materials. Selected and worked with vendors, participated and led various teams. I collaborated within teams to assure scientific accuracy and credibility of published materials. 2001 - 2007.
Company:
City:
State:
Job title:
Summary of duties: (?)
Various Clinical Dialysis Organizations
New England - Prime Medical
CT, NH, MA
RN, Director of Operations
I was a Registered Nurse, BSN. For 25 years, I cared for people with kidney disease in various capacities from direct patient care through Director of Operations, building and directing several clinics in three states. In addition, I volunteered with professional and trade organizations such as National Kidney Foundation, serving on the nursing board and the Scientific Advisory Council to improve patient care, educational opportunities, and quality. For five of those years I was Medical Review Coordinator for a federally mandated non-profit charged with managing data and collaborating with providers to improve quality. At Amgen, I worked with products to improve the lives of patients with kidney disease. I could supply a CV on request.
When we moved here 20+ years ago, we expected to move away in a few years. However, we fell in love with the area - the people, the landscape, and the general "vibe" of the Conejo Valley. We lived 11 years in Moorpark and 13 in Thousand Oaks. We love the city. As a 78 year old woman, with a daughter and her family in the area, I have a perspective from CPRD pre- school through older age.
I have ideas that can improve the experience for older adults: more park and neighborhood benches, more parking near trails, access to restrooms, water fountains, trash cans. We also need to improve bus service. Finally, having downsized twice, and discovered that despite pretty good assets, older residents are mostly priced out of smaller homes. It's not news that we need homes for young families, but we also need affordable and accessible homes with less maintenance closer to services for older residents.
Having volunteered, I am fairly knowledgeable about this valley and many of the good people who make things happen here.
I am computer literate, a good writer and editor, and fairly articulate. I'm prompt with deadlines, do my homework, and many would say I'm a good helper. At this point in my life, I am interested in being a helper, not a leader.
In retirement, I volunteered with LSS, wrote grants for Hospice of the Conejo, coordinated the meals and shelter program, and worked with a local coalition of ecumenical faith groups to assist refugees and immigrants. I have held several volunteer posts at Holy Trinity Lutheran Church since 2001.
A resume is
encouraged,butnot
required:
Certification
PDF files only
Please agree witb the tonowjng statements;
• All information in this application is complete, truthful, and accurate to the best of my knowledge. • If appointed, I understand it is my responsibility to notify the City of changes that would affect my membership on the board. • I recognize that Board membership requires my attendance at meetings and/or events. I am willing and able to make this commitment of time and effort to serve.
• I understand that the Public Records Act (PRA) allows for public review of this application. • I am not an official or employee of the City of Thousand Oaks.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
Certification:*
Date:
First name:*
Last name:*
Signature:*
I Agree
4/14/2025
JEan
Kammerer
Applications MUST be submitted before the established filing deadline. "CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Council On Aging Application
_City of
Thousand
Please use the latest version of the Google Chrome browser on a computer, when submitting this form HelP.ful TiP.: To P.revent losing data when submitting this form 1) Please look at the questions below
2) Complete the answers in an editor such as MS Word, Notepad, etc. 3) Copy-paste the answers into the respective questions.
This form cannot be saved as a draft.
I Select Language
Powered by Go ,gle Translate
In compliance with the Americans with Disabilities Act, if you need special assistance to read this application, please contact the City Clerk Department (805) 449-2151.
Profile
First name:* Patricia
Last name:* Lownes
Cell phone:* -
Alternate phone: I I
Home Address Street Address
(Thousand Oaks
residency required):* Address line 2
City State
CA
Zip Code
..
Email Address:*
This email address will be used to send you updates about this application How did you learn about Acom
this vacancy?*
According to the
Council's bylaws,
members must be 60
years or older. Do you
meet this requirement?
*
EmP.IO
Check all applicable:*
Work History
Company:
Yes
Retired
NIA
No
Employed Unemployed Student Military Other
City:
State:
Job title:
Summary of duties: (?)
THOUSAND OAKS
CA
Why are you interested in serving on this board or committee?* Having "termed out" as a prior Council Member and Chair, my desire is to return to the Council and build on prior progress and develop new strategies to create additional awareness of the Council and improve the lives of Thousand Oaks older adults Briefly describe the experience, interests, skills, or talents you have that you believe will be beneficial to the work of this board or committee.*
I am health conscious, energetic empathetic, and an avid reader. My prior employment as a Sr. VP with Bank of America, included procedure writing, and training. I enjoy public speaking.
Grant application submission experience.
Please list all relevant extracurricular and/or volunteer experience, including on City boards or committees, the dates of your involvement, and note any leadership roles that you held.* A prior two term Council on Aging Member including one term as the Chair 2020 2023 Prior Board Member for The Friends of the Thousand Oaks Library 2021 2023 Prior VCAAA representative for The Council on Aging 2023 I am a Volunteer Certified Swim Coach for Conejo Valley MultSport Masters (CVMM) having recently been awarded a $4000 00 grant to offer at little or no cost, an Adult Learn to Swim Program at the CRPD Community Pool at CLU
Triathlete
Red Cross Certified Lifeguard
Member Conejo Valley Triathlon Team
A resume is
encouraged,butnot
required:
Certification
PDF files only
Please agree with the following statements:
• All information in this application is complete, truthful, and accurate to the best of my knowledge. • If appointed, I understand it is my responsibility to notify the City of changes that would affect my membership on the board. • I recognize that Board membership requires my attendance at meetings and/or events. I am willing and able to make this commitment of time and effort to serve.
• I understand that the Public Records Act (PRA) allows for public review of this application. • I am not an official or employee of the City of Thousand Oaks.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
Certification:*
Date:
First name:*
Last name:*
Signature:*
I Agree
4/20/2025
Patricia
Lownes
"CMO:110-20\ng\H:\COMMON\City Counc il\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Council On Aging Application
_City of
Thousand
Please use the latest version of the Google Chrome browser on a computer, when submitting this form HelP.ful TiP.: To P.revent losing data when submitting this form 1) Please look at the questions below
2) Complete the answers in an editor such as MS Word, Notepad, etc. 3) Copy-paste the answers into the respective questions.
This form cannot be saved as a draft.
I Select Language
Powered by Go ,gle Translate
In compliance with the Americans with Disabilities Act, if you need special assistance to read this application, please contact the City Clerk Department (805) 449-2151.
Profile
First name:* Karen
Last name:* Pavic-Zabinski
Cell phone:* -
Alternate phone:
Home Address Street Address
(Thousand Oaks
-residency required):* Address line 2
City State
- CA
Zip Code
..
Email Address:*
This email address will be used to send you updates about this application How did you learn about Facebook
this vacancy?*
According to the
Council's bylaws,
members must be 60
years or older. Do you
meet this requirement?
*
EmP.IO
Check all applicable:*
Work History
Company:
Yes No
Retired Employed Unemployed Student Military
Symmetry Financial Group
Other
Why are you interested in serving on this board or committee?* Briefly describe the experience, interests, skills, or talents you have that you believe will be beneficial to the work of this board or committee.*
City:
State:
Job title:
Summary of duties: (?)
Thousand Oaks
California
Field Underwriter
Life, Mortgage Protection Insurance Broker working to protect families Company:
City:
State:
Job title:
Summary of duties: (?)
Providence Health
Irvine
California
Sr, Dir, Clinical/Org Ethics
Clinical and Organizational Ethics California Division Director overseeing 18 acute hospitals consultation and ethics education programs
Palliative Care and Hospice Ethics liaison
Faculty member UCLA Ethics of Caring
Company:
City:
State:
Job title:
Summary of duties: (?)
Johnson & Johnson
New Brunswick
NJ
Global SR Dir Cardiovascular Implants
Global responsibility for strategic planning/analysis, new product development, sales training and P&L for a $1.2 Billion electrophysiology and implant organization.
Led a Marketing team of 12 product managers
Company:
City:
State:
Job title:
Summary of duties: (?)
Cedar Sinai Medical Center
Los Angeles
California
Director Cardiovascular OR Nursing
Member of Open-Heart team, 24 hr oversight of 8 Cardiovascular OR's that included a total staff of 52
Responsible for capital budget
I have participated in community support programs throughout my adult life and want to continue do so now that I have moved to Thousand Oakes. The demographics of our age group play an integral role in ensuring that the leadership of Thousand Oaks continue to provide ongoing policies, programs, and support to all residents and that everyone has a shared voice.
I am an innovative clinical/marketing /sales/education professional with strong communication, negotiation, and decision-making skills. My academics in graduate degrees in Nursing, Business, Ethics, and Theology reflect a vision and commitment in caring for the whole person regardless of age. Having experience as a certified grief educator coupled with working in both palliative/hospice care, has resulted in identifying many aspects of end-of-life educational needs and opportunities for our community.
Please list all relevant extracurricular and/or volunteer experience, including on City boards or committees, the dates of your involvement, and note any leadership roles that you held.*
1. 2019-2022 Member of Los Angeles County COVID task force responsible for developing clinical crisis guidelines
2. 2010-2022 Chair Ethics Education Archdiocese of Los Angeles
3. 2010-2022 Member of Coalition for Compassionate Care-Community education outreach POLST and Advanced HealthCare Directives
3. 1995-present Various Ministry volunteer experience at St. Monica Parish in Santa Monica A resume is
encouraged,butnot
required:
Certification
PDF files only
Please agree witb the tonowjng statements;
• All information in this application is complete, truthful, and accurate to the best of my knowledge. • If appointed, I understand it is my responsibility to notify the City of changes that would affect my membership on the board. • I recognize that Board membership requires my attendance at meetings and/or events. I am willing and able to make this commitment of time and effort to serve.
• I understand that the Public Records Act (PRA) allows for public review of this application. • I am not an official or employee of the City of Thousand Oaks.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
Certification:*
Date:
First name:*
Last name:*
Signature:*
I Agree
5/3/2025
Karen
Pavic-Zabinski
Applications MUST be submitted before the established filing deadline. "CMO:110-20\ng\H:\COMMON\City Council\Council Items\2025 Staff Reports\070825\Attachment 1 COA Applications.pdf" Council On Aging Application
_City of
Thousand
Please use the latest version of the Google Chrome browser on a computer, when submitting this form HelP.ful TiP.: To P.revent losing data when submitting this form 1) Please look at the questions below
2) Complete the answers in an editor such as MS Word, Notepad, etc. 3) Copy-paste the answers into the respective questions.
This form cannot be saved as a draft.
I Select Language
Powered by Go ,gle Translate
In compliance with the Americans with Disabilities Act, if you need special assistance to read this application, please contact the City Clerk Department (805) 449-2151.
Profile
First name:* Nivedita
Last name:* Vaidya
Cell phone:* -
Alternate phone:
Home Address Street Address
(Thousand Oaks
residency required):* Address line 2
City State
- CA
Zip Code
..
Email Address:*
This email address will be used to send you updates about this application How did you learn about Other
this vacancy?*
Please specify: *
According to the
Council's bylaws,
members must be 60
years or older. Do you
meet this requirement?
*
EmP.IOY.ment Status
Check all applicable:*
Work History
currently on the board at COA, announcement of opening
Yes No
Retired Employed Unemployed Student Military Other
Company:
City:
State:
Job title:
Summary of duties: (?)
Why are you interested in serving on this board or committee?* Briefly describe the experience, interests, skills, or talents you have that you believe will be beneficial to the work of this board or committee.*
I am a retired faculty member having served in the California State University system for over 24 years. I am a sociologist with an emphasis on demography and urban systems. I have taught courses on aging and Population studies. in addition, I have personal experience with the challenges and opportunities of aging having provided support for my mother and mother- in-law.
Please list all relevant extracurricular and/or volunteer experience, including on City boards or committees, the dates of your involvement, and note any leadership roles that you held.* In Kentucky I was on the wor1d Affairs Council board that aimed to provide international and global focused experiences to local students with international scholars and students presenting on different global issues. Also, while in Kentucky I worked with local refugee nonprofits that were trying to assist settlement of Afghan refugees in the area as the withdrawal of American troops was taking place in 2021 and 2022.
Currently, I am on Thousand Oaks Friends of the Library Board of Directors, 2024 to present, and working as a Volunteer Coordinator for the FTOL events and sales of books.
A resume is
encouraged,butnot
required:
Certification
PDF files only
Please agree with the following statements:
• All information in this application is complete, truthful, and accurate to the best of my knowledge. • If appointed, I understand it is my responsibility to notify the City of changes that would affect my membership on the board. • I recognize that Board membership requires my attendance at meetings and/or events. I am willing and able to make this commitment of time and effort to serve.
• I understand that the Public Records Act (PRA) allows for public review of this application. • I am not an official or employee of the City of Thousand Oaks.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
Certification:*
Date:
First name:*
Last name:*
Signature:*
I Agree
4/15/2025
Nivedita
Vaidya
"CMO:110-20\ng\H:\COM MON\City Council\Council Items\2025 Staff Reports \070825\Attachment 1 COA Applications.pdf"