HomeMy WebLinkAbout2023-07-11 AppointmentAttachments:Vacancy Announcement & Coversheet.pdf
Board Demographics & Attendance.pdf
Campbell-Martin, Selena - Application.pdf
Earnhart, Benjamin - Application.pdf
Hartig, Connor - Application.pdf
Mohamed, Lubna - Application.pdf
Mohammed, Wifag - Application.pdf
Subramanian, Saranya - Application.pdf
Tran, Catherine - Application.pdf
Item Number: 11.a.
July 11, 2023
Ad Hoc Truth & Reconciliation Commission - Two vacancies to fill an unexpired term, from
appointment date to December 31, 2024. (Mohamed Traore and Kevo Rivera resigned).
Submit Date: Jun 27, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
3
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Selena E Campbell-martin
1550 Deerfield Dr.
North Liberty IA 52317
Home: (708) 310-0218
helphopeandlovefoundation@gmail.com
Entrepreneur
Selena E Campbell-martin
Which Boards would you like to apply for?
Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
TRC
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
Community Leader & Humanitarian
What is your present knowledge of each advisory board you are interested in?
I have attended a number of meetings for the TRC. I am familiar and aware of the primary functions and
goals related to the TRC.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
Selena E Campbell-martin
List your answers here:
My Personal Nonprofit Help Hope and Love Foundation Founder, President & CEO
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
51
Country of Origin
US
Sexual Orientation
Heterosexual
Religion
Christian
Do you have a disability
No
Ethnicity
African American
Selena E Campbell-martin
Race
Black
Gender Identity
Female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Selena E Campbell-martin
Preference on first choice
If multiple boards are being applied for.
How long have you been a resident of Iowa City?
25 years
Occupation:
investor
Gender*
This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity"
may be provided in the Demographics sectionof the application below.
Male
Female
Experience and/or activities which you feel qualify you for this position:
MA in Sociology from the U of Iowa, then worked for them for a decade. Involvement in diversity activities,
consciously or unconsciously, treated everybody a full human being.
What is your present knowledge of each advisory board you are interested in?*
Not much, I have seen in the news that it has been complicated.
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of
interest. The following describe some but not all potential conflicts.
Potential Conflicts of Interest
The Housing and Community Development Commission makes recommendations to the City Council
regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise
or have exercised any functions or responsibilities with respect to federally funded activities, or who are in
a position to participate in the decision -making process or gain inside information with regard to such
activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial
interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with
respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they
have business or immediate family ties, during their tenure or for one year thereafter.
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a
City Board or Commission from having an interest in a City contract.
City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for
appointment to Boards and Commissions:
A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children,
children for whom the Council Member assumes parental responsibility, mother, father, son-in-law,
daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -
siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first
cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom
the employee is in an intimate relationship
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the same
time. You will be asked to resign from one if appointed to another.
Submit Date: Mar 14, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
2 years, 9 months
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Male
Boards & Commissions
Connor Hartig
108 S. Linn Street Apt 25
Iowa City IA 52240
Home: (563) 845-1232
connorhartig1232@gmail.com
Service Manager at Chipotle
Mexican Grill
Connor Hartig
Which Boards would you like to apply for?
Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Ad Hoc Truth and Reconcilliation Commission
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
Political Science B.A., Philosophy in Philosophy, Human Rights Certification, Pre -Law (expected May
2024) Leadership and Non -Discrimination Training (2022/23 through Chipotle) Academics and
Professionalism Committee Member of Phi -Alpha Delta (Pre -Law Fraternity) (2021-present) Dubuque
Caucus Precinct Captain & County Democrats Committee Member (2020)
What is your present knowledge of each advisory board you are interested in?
The knowledge I have pertaining to each advisory board is limited to the content provided on the Advisory
Board/Commission site, as I just recently heard about the opportunity from the instructor of my
"Governance and Human Rights" course. Although I do not have a thorough understanding of the work
that each commission has done, I am eager and willing to put in the work to establish that knowledge.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Connor Hartig
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
20
Country of Origin
United States
Sexual Orientation
Gay
Religion
Agnostic
Connor Hartig
Do you have a disability
No
Ethnicity
German
Race
White
Gender Identity
Male
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Connor Hartig
Submit Date: Jun 29, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
10 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Lubna D Mohamed’s
1905 Gleason Ave
Iowa city IA 52240
Mobile: (319) 330-1421 Home: (319) 333-1613
mohamed.lubna@iowacityschools.org
Para substitute - Arabic
interpreter
Lubna D Mohamed’s
Which Boards would you like to apply for?
Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
I’m from Sudan and we have a lot of people from Sudan in Iowa city, Coraville and north liberty, I deal with
issues and also I’m a member at the NAACP, I usually work closely with Mr Sanders and reported to him
the issues and discrimination issues in my community.
What is your present knowledge of each advisory board you are interested in?
As a member of NAACP i have an experience about the discrimination in housing, educations and
different area addition to my Sudanese community racial discrimination issues.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
Lubna D Mohamed’s
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
Country of Origin
Sexual Orientation
Religion
Do you have a disability
Ethnicity
Race
Gender Identity
Lubna D Mohamed’s
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Lubna D Mohamed’s
Attachments:Notice of Vacancy & Coversheet - At Northside.pdf
Board Demographics & Attendance.pdf
Thomann, Deanna - Application.pdf
Item Number: 11.b.
July 11, 2023
Historic Preservation Commission (Northside) - One vacancy to fill a thee-year term, July 1,
2023 - June 30, 2026. (Deanna Thomann's term expired on June 30, 2023)
Submit Date: May 29, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
21 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Deanna Thomann
208 Fairchild Street
Iowa City IA 52245
Home: (319) 330-7441
deanna.thomann@gmail.com
copy editor
Deanna Thomann
Which Boards would you like to apply for?
Historic Preservation Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Question applies to Historic Preservation Commission Board Member Information
Historic Preservation Commission Category *
Northside
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
I live in and own a house that is a contributing historic property within the Northside. I care for and
maintain my old home and am interested in issues that affect my house and other historic properties.
What is your present knowledge of each advisory board you are interested in?
I am about to finish two years of service as a commissioner on the Historic Preservation Commission. I
am applying for a new term.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Deanna Thomann
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
44
Country of Origin
United States
Sexual Orientation
Religion
Do you have a disability
no
Deanna Thomann
Ethnicity
Race
white
Gender Identity
female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Deanna Thomann
Attachments:Vacancy Notice & Coversheet.pdf
Board Demographics & Attendance.pdf
Beltre, Ines - Application.pdf
Burr, Darla - Application.pdf
Cellman, Christie - Application.pdf
Covington, Mike - Application.pdf
Dedeaux-Norris, T. J. - Application.pdf
Fennell-Chametzky, Aaron - Application.pdf
Hagerla, Denise - Application.pdf
Hall, Ryan - Application.pdf
Halley, Michael - Application.pdf
Hartig, Connor - Application.pdf
Hawthorne, Thorn - Application.pdf
Hobart, Jessica - Application.pdf
Kiche, Anne - Application.pdf
mohammed, wifag - Application.pdf
Parker, James - Application.pdf
Kreger, Grace - Application.pdf
Pries, Mark - Application.pdf
Pries, Mark - Correspondence.pdf
Qadoura, Viana - Application.pdf
Stevenson, Holly - Application.pdf
Tran, Catherine - Application.pdf
Item Number: 11.c.
July 11, 2023
Human Rights Commission - One vacancy to fill an unexpired term, upon appointment -
December 31, 2025. (Badri Kuku resigned) Correspondence included in Council packet.
II I
1
„�� �IIl�
wCity Council Supplemental Meeting Packet
CITY OF IOWA CITY July 10, 2023
Information submitted between distribution of packet on Thursday and 4:00pm on Monday.
Late Handout(s):
6. Consent Calendar - Resolutions and Motions
Item 6.1 North Gilbert Street Reconstruction - See correspondence from Eric Gidal and
Jacqueline B
11. Council Appointments
Item 11.c Human Rights Commission - See revised attendance sheet.
July 10, 2023 City of Iowa City
AD HOC TRUTH & RECONCILIATION
ATTENDANCE RECORI
YEAR 2023
111r1antinv 1na#M
NAME
TERM
EXP.
1/5
1/19
2/2
3/2
4/6
5/4
18
6/1
6/15
Dillard
12/31/24p
P
p
P
P
P
Gathua
12/31/24
A
P
P
P
p
Harris
12/31/24
P
p
p
P
A
P
Johnson
12/31/24
p
p
A
P
Krebs
12/31/24
P
P
P
P
P
P
Merritt
12/31/24
P
p
P
p
p
Nobiss
12/31/24
P
A
P
P
A
P
Rivera
12/31/24
p
P
P
P p
P
Vacant
12/31/24
KEY: = Present
A =Absent
r
Advisory Board/Commission Application FormrYppr°
i y This application is a public document and as such can be reproduced and distributed for the
25 public. This application will be considered for twelve months only and automatically
CITY OF IOWA CITY considered for any vacancy during that time.
UNESCO CITY OF LITERATURE
If appointed to a Board/Commission, all other applications will be removed from
consideration.
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated.
Date of Application
8/30/2022
First Name*
Ines
Last Name*
Beltre
First Name ( Phonetic spelling )
Optional
Last Name ( Phonetic spelling )
Optional
Home Address*
984 Westside Drive
City*
Iowa City
State
IA
Zip Code*
52246
Is your home address (listed above) within the corporate limits of Iowa City?*
Yes
Contact Phone Number*
787-426-1037
Email Address*
beltrei@yahoo.com
Boards & Commissions
Select a Board or Commission you are interested in:*
Human Rights Commission
Preference on first choice
If multiple boards are being applied for.
How long have you been a resident of Iowa City?
around 2.5 years (6 years in
Iowa)
Occupation: *
Employment Manager (HR)
Gender*
This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity"
may be provided in the Demographics sectionof the application below.
Male
Female
Experience and/or activities which you feel qualify you for this position: *
Currently part of the Diversity and Inclusion Committee for Johnson County. Also part of LULAC in Iowa City. I
try to be on every activity regarding human rights, diversity and inclusion as well as keep up to date with news
and changes, participate in symposiums and conferences.
What is your present knowledge of each advisory board you are interested in?*
it currently has 8 members, the Chair is Jason Glass. I read the minutes to keep tracking what the commission is
doing for our community.
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of
interest. The following describe some but not all potential conflicts.
Potential Conflicts of Interest
The Housing and Community Development Commission makes recommendations to the City Council
regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise
or have exercised any functions or responsibilities with respect to federally funded activities, or who are in
a position to participate in the decision -making process or gain inside information with regard to such
activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial
interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with
respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they
have business or immediate family ties, during their tenure or for one year thereafter.
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a
City Board or Commission from having an interest in a City contract.
City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for
appointment to Boards and Commissions:
A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children,
children for whom the Council Member assumes parental responsibility, mother, father, son-in-law,
daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -
siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first
cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom
the employee is in an intimate relationship
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the same
time. You will be asked to resign from one if appointed to another.
Do you currently have a conflict of Interest?*
No
Do you currently serve on another Iowa City board or commission?*
No
Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on this
page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the groups(s)
which it serves, please provide your information for the following:
Age
35
Country of Origin
Dominican Republic
Sexual Orientation
Religion
Do you have a disability?
Yes
Ethnicity
Race
Gender identity
Female
NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the community.
Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and
economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent, when
possible to have at least one person with expertise in construction, at least one person with expertise in
finance, and one person who receives rental assistance. (Resolution)
Signature of Applicant*
Misrepresentations on this application will constitute just cause for removal of an
appointee. If you fail to answer all the questions, except demographics, Council will
not consider your application.
You are encouraged to contact individual Council Members to express your interest in
serving.
r
Advisory Board/Commission Application FormrYppr°
i y This application is a public document and as such can be reproduced and distributed for the
25 public. This application will be considered for twelve months only and automatically
CITY OF IOWA CITY considered for any vacancy during that time.
UNESCO CITY OF LITERATURE
If appointed to a Board/Commission, all other applications will be removed from
consideration.
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated.
Date of Application
6/28/2022
First Name*
Darla
Last Name*
Burr
First Name ( Phonetic spelling )
Optional
Last Name ( Phonetic spelling )
Optional
Home Address*
784 Mission Point Rd
City*
Iowa City
State
IA
Zip Code*
52245
Is your home address (listed above) within the corporate limits of Iowa City?*
Yes
Contact Phone Number*
707-290-1984
Email Address*
Darlaburr20l4@gmail.com
Boards & Commissions
Select a Board or Commission you are interested in:*
Human Rights Commission
Preference on first choice
If multiple boards are being applied for.
How long have you been a resident of Iowa City?
One week
Occupation:
Transitioning teacher
Gender*
This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity"
may be provided in the Demographics sectionof the application below.
Male
Female
Experience and/or activities which you feel qualify you for this position:
Teacher in a title 1 school for 4 years in CA with extensive experience advocating for students and their families.
Living with a chronic illness since birth and I help run several support groups, as well as an ambassador for the
Oley Foundation.
What is your present knowledge of each advisory board you are interested in?*
Human rights are a passion of mine and I would love to be a part of a commission that helps ensure human and
civil rights are not violated. To be a part of community and educational programs for human rights.
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of
interest. The following describe some but not all potential conflicts.
Potential Conflicts of Interest
The Housing and Community Development Commission makes recommendations to the City Council
regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise
or have exercised any functions or responsibilities with respect to federally funded activities, or who are in
a position to participate in the decision -making process or gain inside information with regard to such
activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial
interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with
respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they
have business or immediate family ties, during their tenure or for one year thereafter.
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a
City Board or Commission from having an interest in a City contract.
City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for
appointment to Boards and Commissions:
A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children,
children for whom the Council Member assumes parental responsibility, mother, father, son-in-law,
daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -
siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first
cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom
the employee is in an intimate relationship
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the same
time. You will be asked to resign from one if appointed to another.
Do you currently have a conflict of Interest?*
No
Do you currently serve on another Iowa City board or commission?*
No
Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on this
page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the groups(s)
which it serves, please provide your information for the following:
Age
35
Country of Origin
United States
Sexual Orientation
Female
Religion
Do you have a disability?
Ethnicity
Race
Gender identity
NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the community.
Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and
economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent, when
possible to have at least one person with expertise in construction, at least one person with expertise in
finance, and one person who receives rental assistance. (Resolution)
Signature of Applicant*
r
Misrepresentations on this application will constitute just cause for removal of an
appointee. If you fail to answer all the questions, except demographics, Council will
not consider your application.
You are encouraged to contact individual Council Members to express your interest in
serving.
Submit Date: Jan 09, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
Iowa City
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Christie Cellman
128 Arabian Ct
Iowa City IA 52240
3199306177
christie-cellman@uiowa.edu
Graduate Research Assistant
and DEI Director at the Daily
Iowan
Christie Cellman
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
I am a current MSW candidate, a graduate research assistant at the Law, Health Policy, & Disability
Center, the DEI Director at the Daily Iowan, and I am heavily involved in the community - giving several
public speeches and rallying for the greater good. Public speeches include a voter inauguration ceremony
in 2018 call hosted by the NAACP, and two public speeches regarding the overturning of roe versus wade
this year - one in Iowa city and
What is your present knowledge of each advisory board you are interested in?
Disseminating information to educate the public on illegal discrimination and civil rights and making
recommendations to City Council.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
Christie Cellman
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
35
Country of Origin
United States
Sexual Orientation
Pan
Religion
Atheist
Do you have a disability
Yes
Ethnicity
Christie Cellman
Race
White
Gender Identity
Non-binary
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Christie Cellman
Submit Date: Jun 07, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
5 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Mika J Covington
2401 Highway 6 East, Apt 40-106
Iowa City IA 52240
Mobile: (712) 314-8258
mika.j.covington@gmail.com
Nonprofit President
Mika J Covington
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
I am the co-founder and President of Next Generation of Cystinosis. NGC is a nonprofit org, run for and
by adults living with the ultra-rare disease called cystinosis. We work to represent the interests and needs
of adults living with cystinosis, provide support to the community, lobby the state legislature to pass a
Rare Disease Advisory Committee and help locate resources. I have worked with the ACLU of Iowa on a
lawsuit to establish civil rights for transgender people in Iowa. The decision from the IA Supreme Court
this last May. I currently serve on the UIHC Patient and Family Advisory Board. I volunteered with the
Iowa Pride Network from 2010 to 2013 on their College Leadership Team organizing and leading IPN's
Southwest Iowa Regional Gay-Straight Alliance Coalition. Finally, I have been involved with organizations
focused on protecting people's civil rights. I am not an attorney. Finishing my BA in psychology and
German (language, culture, history, politics). I speak English and intermediate German. I am proficient in
Microsoft Word, Excel, PowerPoint, and Google Apps.
What is your present knowledge of each advisory board you are interested in?
I understand that the Human Rights Commission ensures that the Iowa Civil Rights Code is enforced.
They help employers and residents understand the law and participate in events such as Juneteenth and
Pride, which I would volunteer to help at those events.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Mika J Covington
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
I serve on the Board of Next Generation of Cystinosis. I am not paid for that position. I do not believe
there would be a financial interest issue.
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
32
Country of Origin
USA
Sexual Orientation
Queer
Religion
Methodist
Mika J Covington
Do you have a disability
Yes
Ethnicity
Race
White
Gender Identity
Transgender woman
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Mika J Covington
Submit Date: Jan 09, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
6 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
T.J.Dedeaux-Norris
332 S Linn St 418
Iowa City IA 52240
8184005236
tj-dedeaux-norris@uiowa.edu
Associate Professor/ Artist
T.J. Dedeaux-Norris
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
T.J. Dedeaux-Norris is a mixed -media artist who employs painting, fiber, performance, video, and music
to explore the somatic impacts of racial, gender, and class socialization. In form and content, their work
poses a philosophical inquiry into the distinction between Self and Other, with the body as a social
microcosm of distinct yet discursive dynamics to observe and question. Everything is both permeable and
fractile. Dedeaux-Norris completed their BA at University of California at Los Angeles and their MFA at
Yale University. Their work has been presented internationally at the Contemporary Arts Museum
Houston, Mission Creek Festival, Nasher Museum of Art, Performa, Prospect New Orleans, Rotterdam
Film Festival, The Studio Museum in Harlem, Sundance Film Festival, and The Walker Art Center - among
other institutions. Dedeaux- Norris has participated in residencies at Grant Wood Colony, MacDowell,
Skowhegan, and Yaddo. They are a 2019-2020 Pollock -Krasner Foundation grantee, a 2022 Iowa Artist
Fellow, and a tenured Associate Professor at University of Iowa.
What is your present knowledge of each advisory board you are interested in?
I am newly acquainting myself with the HRC and feel that within my art practice and teaching pedagogy
that I embody and already practice the ideologies and concerns of the commission. Having lived in Cedar
Rapids/Iowa City for the past 6 years, I believe I've gotten great lived experience in understanding the
needs and gaps of needed programming and advocacy. I'm also an eager learner.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
T.J. Dedeaux-Norris
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
43
Country of Origin
Guam, USA
Sexual Orientation
Religion
Do you have a disability
T.J. Dedeaux-Norris
Ethnicity
Black American
Race
multi raced (black/white/native/creole)
Gender Identity
Fluid she/they pronouns
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
T.J. Dedeaux-Norris
Submit Date: Jun 25, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Air-in
Last Name (Phonetic spelling)
Fenn-l (like the letter l) Cha-met-ski
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
21 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Male
Aaron J Fennell-chametzky
810 Roosevelt St
Iowa City IA 52240
Mobile: (319) 471-2683
fcaaron02@gmail.com
Paraeducator
Aaron J Fennell-chametzky
Boards & Commissions
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
Experience volunteering for presidential campaigns, attending rallies such as a gathering against the
overturning of Roe v. Wade and as an ally at a march on Transgender Day of Visibility, going to a number
of my college’s Office of Intercultural Life events, being a Student Senate member in high school, and
being close to done with my degree- majoring in history, minoring in Gender, Sexuality, and Women’s
Studies, and getting a certification to teach secondary social studies- all of which I feel relate to this
position.
What is your present knowledge of each advisory board you are interested in?
All I know about it is what is listed on the card I was given: the duties of “Make recommendations on the
racial equity and social justice grants” and “Plan programs and activities to eliminate unlawful
discrimination,” as well as the requirements and term length.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Aaron J Fennell-chametzky
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Pedal Power MYEP Iowa City Community School District
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
21
Country of Origin
United States
Sexual Orientation
Bisexual
Religion
None
Aaron J Fennell-chametzky
Do you have a disability
A very mild one- high functioning autism. I don’t anticipate it would impact my ability to fill a role like this
one
Ethnicity
Race
White
Gender Identity
Cisgender male
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Aaron J Fennell-chametzky
Submit Date: Jan 09, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
7 months
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Denise Hagerla
174 Shrader Rd
Iowa City IA 52245-4920
7732181287
didihag@yahoo.com
Clinical Social Worker
Denise Hagerla
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
I've spent much of my 20+ years as a social worker serving marginalized populations and providing
education and support to other professionals working with the LGBTQIA+ community. I am always
seeking opportunity to create, live, and work in community that strives to uphold the values of diversity,
equity, and inclusion. This is a big impetus for my recent move to Iowa City.
What is your present knowledge of each advisory board you are interested in?
I've been watching the educational initiatives of the Human Rights Commission over the past several
months and have been impressed with the level of community engagement and the breadth and scope of
ways in which this committee reaches out to community for education and impact. I also have watched
several hours of the committee meetings to witness the content and purpose of these meetings.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
Denise Hagerla
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
50
Country of Origin
United States
Sexual Orientation
Lesbian/Queer
Religion
UUS
Do you have a disability
No
Ethnicity
Denise Hagerla
Race
White
Gender Identity
Gender non-conforming
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Denise Hagerla
Submit Date: Jan 09, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
7 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Male
Boards & Commissions
Ryan Hall
18 Kenneth Dr
Iowa City IA 52240
3158706939
rhall@newpi.coop
Information Technology and
Data Analysis
Ryan Hall
Which Boards would you like to apply for?
Historic Preservation Commission Board Member Information: Submitted
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Question applies to Historic Preservation Commission Board Member Information
Historic Preservation Commission Category *
None Selected
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
> Political Science Honors graduate of the University of Iowa with a focus in bias, protest, and political
revolution. Published academically on related topics. > Grew up in a poor single parent household and
became a first generation college student. Understands the struggles of navigating our educational
system without any prior experience or guidance. > Familiar with boards and their functions through my
work with the board at New Pioneer Food Co-op > Very passionate about Iowa City's history and it's
relationship with underserved communities. > Appreciative of the inclusivity that Iowa City offers while
understanding that our work has just begun
What is your present knowledge of each advisory board you are interested in?
> Familiar with the functions of the committees and their relationship with Iowa City as a whole >
Understands the limits of the boards as well as their importance > Good sense of board relationships and
how to constructively and inclusively navigate topics and build solutions
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Ryan Hall
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
33
Country of Origin
United States
Sexual Orientation
Heterosexual
Religion
None
Ryan Hall
Do you have a disability
No
Ethnicity
Race
White
Gender Identity
Cisgender
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Ryan Hall
Submit Date: Jan 09, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Ha-lee
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
1 month
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Male
Michael Halley
310 Finkbine Lane 2
Iowa City IA 52246
641-233-0445
mhalley25@gmail.com
Account Manager Ideal Energy
Michael Halley
Boards & Commissions
Which Boards would you like to apply for?
Climate Action Commission Board Member Information: Submitted
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
Served 12-years on Fairfield, Iowa city council and completed the Iowa League of Cities Certified Elected
Municipal Official program, so I'm very familiar with city government. More recently I served as an
unofficial advisor to the City of Fairfield Diversity, Equity, and Inclusion Committee, though I was not an
official member. I've advocated for human rights during my time as an elected official and would like to
expand that work here in Iowa City.
What is your present knowledge of each advisory board you are interested in?
I read information provided on the city's website, read the most recent meeting minutes, and watched the
most recent meeting on Channel 4. 1 have a general understanding of the commission's responsibilities
and activities.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Michael Halley
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
47
Country of Origin
United State
Sexual Orientation
Heterosexual
Religion
Do you have a disability
No
Michael Halley
Ethnicity
European-American
Race
White
Gender Identity
Male
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Michael Halley
Submit Date: Mar 14, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
2 years, 9 months
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Male
Boards & Commissions
Connor Hartig
108 S. Linn Street Apt 25
Iowa City IA 52240
Home: (563) 845-1232
connorhartig1232@gmail.com
Service Manager at Chipotle
Mexican Grill
Connor Hartig
Which Boards would you like to apply for?
Ad Hoc Truth and Reconciliation Commission Board Member Information: Submitted
Civil Service Commission Board Member Information: Submitted
Climate Action Commission Board Member Information: Submitted
Community Police Review Board (CPRB) Member Information: Submitted
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Ad Hoc Truth and Reconcilliation Commission
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
Political Science B.A., Philosophy in Philosophy, Human Rights Certification, Pre -Law (expected May
2024) Leadership and Non -Discrimination Training (2022/23 through Chipotle) Academics and
Professionalism Committee Member of Phi -Alpha Delta (Pre -Law Fraternity) (2021-present) Dubuque
Caucus Precinct Captain & County Democrats Committee Member (2020)
What is your present knowledge of each advisory board you are interested in?
The knowledge I have pertaining to each advisory board is limited to the content provided on the Advisory
Board/Commission site, as I just recently heard about the opportunity from the instructor of my
"Governance and Human Rights" course. Although I do not have a thorough understanding of the work
that each commission has done, I am eager and willing to put in the work to establish that knowledge.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Connor Hartig
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
20
Country of Origin
United States
Sexual Orientation
Gay
Religion
Agnostic
Connor Hartig
Do you have a disability
No
Ethnicity
German
Race
White
Gender Identity
Male
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Connor Hartig
Submit Date: Jan 09, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Thorn Hawthorne
327 Highland Drive
Iowa City IA 52246
8179805820
hello@thornhawthorne.com
Communications Specialist
Thorn Hawthorne
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
As a communications specialist working in the next town over, I serve alongside city council and every
board and commission. I've become extremely familiar with everything about the process and would really
love to be able to do the same work in Iowa City since I live here. I'm transgender, disabled, and a
descendant of refugees, so I'm also particularly well versed in related social justice and human rights
issues.
What is your present knowledge of each advisory board you are interested in?
I've been interested in and watching public meetings since I moved to Iowa City
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
Thorn Hawthorne
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
26
Country of Origin
America
Sexual Orientation
Queer
Religion
Do you have a disability
Yes
Ethnicity
Not Latino
Thorn Hawthorne
Race
Middle Eastern / White
Gender Identity
Transgender / Agender
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Thorn Hawthorne
Submit Date: Mar 22, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
3 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Jessica Hobart
4377 East Court St
Iowa City IA 52245
Mobile: (309) 948-0606
hobartjessica@sau.edu
Social Worker
Jessica Hobart
Which Boards would you like to apply for?
Community Police Review Board (CPRB) Member Information: Submitted
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
CPRB
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
I am getting ready to complete Johnson County Community Police Academy and have a master's in
criminal justice in addition to my master's in social work. Additionally, I have worked on many policies in
enhancing care for individuals within a hospital system. I also have experience in public relations and
marketing events to community members.
What is your present knowledge of each advisory board you are interested in?
Have reviewed past meetings for each board and have looked through the webpages for both boards. I
have also discussed CPRB with local Iowa City Police Officers.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Jessica Hobart
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
none
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
28
Country of Origin
US
Sexual Orientation
Heterosexual
Religion
n/a
Jessica Hobart
Do you have a disability
No
Ethnicity
Race
White
Gender Identity
Female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Jessica Hobart
Submit Date: May 29, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
3194003877
Last Name (Phonetic spelling)
Keycha'
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
30
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Anne O Kiche
2958 Keel Boat Loop
Iowa City IA 52240
Home: (319) 400-3877 Home: (319) 400-3877
aokiche@gmail.com
Educator
Anne O Kiche
Boards & Commissions
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Human Rights Commission
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
A strong advocate for marginalized communities. Chair of African community network, Director of DEI at
AAUW. Strong advocate RVAP among other responsibilities.
What is your present knowledge of each advisory board you are interested in?
Advocates for human and civil rights. Mediate discrimination complains
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
Anne O Kiche
List your answers here:
None
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
58
Country of Origin
Kenya
Sexual Orientation
Heterosexual
Religion
SDA
Do you have a disability
No
Ethnicity
Black
Anne O Kiche
Race
Black
Gender Identity
Female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Anne O Kiche
Submit Date: Jun 21, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Jayms
Last Name (Phonetic spelling)
Pahr-kehr
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
18 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Male
James L Parker
1908 B Street
Iowa City IA 52245
Mobile: (319) 331-9419
jparkeria@gmail.com
Registered nurse
James L Parker
Boards & Commissions
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
-10+ years as an RN working ob-gyn/ent/urology post surgical, med/surg float pool, emergency
department, psychiatric/mental health division -fluent in french, beginner fluency in Spanish -2.5 years
living abroad in France as a young adult -active in the Boy Scouts of America throughout my youth and
returned to it as an adult; obtained rank of Eagle in 1992 and completed Wood Badge Leadership course
in 2007. -BS in Management with an IT concentration; BS in Nursing; MS in Nursing student with
anticipated graduation in December 2023; plan to obtain a PMHNP license in Iowa after graduation. -
currently serving as a young men advisor (ages 13-15) at church -Addiction recovery program facilitator
with weekly meetings -moved around in my childhood and adolescence to various states providing racial,
cultural and socioeconomic experiences -10 years in the over-the-road transportation industry -3 years as
a jailer and 911 dispatcher in Smith County Texas
What is your present knowledge of each advisory board you are interested in?
Next to nothing.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
James L Parker
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
UnityPoint Health
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
49
Country of Origin
United States
Sexual Orientation
Male
Religion
The Church of Jesus Christ of Latter Day Saints
James L Parker
Do you have a disability
No
Ethnicity
Non-hispanic
Race
White
Gender Identity
Male
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
James L Parker
Submit Date: Jan 09, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
11 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Grace Kreger
20 S. Lucas Street, Apartment D
Iowa City IA 52240
5157107634
gkreger@gmail.com
Program Director Assistant,
Reach for Your Potential, Inc.
Grace Kreger
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
I have ten years combined professional experience serving individuals with disabilities and low-income, at
-risk youth (MYEP - Direct Support Professional/Program Facilitator, RFYP - Program Director Assistant,
NCJC - Youth Counselor). I have extensive professional and volunteer experience working on political
campaigns, most recently serving as an elected delegate in 2018 and 2020. 1 have additional formal
volunteer experience with Iowa City Hospice, Iowa Youth Writing Project, and Girls on the Run. As an
undergraduate student at the University of Iowa, I studied nonfiction creative writing with a focus on
gender studies, social justice, trauma, and empowerment. I am passionate about advocating for and
defending the rights of others.
What is your present knowledge of each advisory board you are interested in?
The HRC educates the public on discrimination and civil rights via public forums, activities, and programs.
The HRC also provides suggestions to City Council regarding legislation concerning discrimination. The
HRC meets once a month, and members serve for three years. This is an unpaid, volunteer position.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Grace Kreger
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
31
Country of Origin
United States of America
Sexual Orientation
Bisexual
Religion
Unitarian
Grace Kreger
Do you have a disability
No
Ethnicity
Caucasian
Race
White
Gender Identity
Female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Grace Kreger
Submit Date: Mar 21, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
15 years
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Male
Boards & Commissions
Mark Pries
1128 Denbigh Drive
IOWA CITY IA 52246
Home: (319) 321-5263
pries.mark@gmail.com
Lutheran Pastor, retired
Mark Pries
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Experience and/or activities which you feel qualify you for this position:
5 years as a Human Rights Commissioner in the City of Dubuque, Iowa (1978-1983); continual training in
Human Rights work as a theologian, pastor, and citizen; completing a first term with the IC Human Rights
Commission during which time I have received training in implicit bias, critical race theory, E.Q. (emotional
intelligence) toward understanding the necessity for D.E.I. (diversity, equity and inclusion) to enrich and
hold secure life of every resident. The IC HRC has just begun a 3 year strategic plan "Breaking Bread" in
which I had a contributing role and am prepared to invest all the more in the realization of this plan. I am
an old (73), white, heterosexual, married, male with a passion for the human rights of every person - a
willing and eager voice with time and energy to to serve.
What is your present knowledge of each advisory board you are interested in?
I'm completing a first term on the IC Human Rights Commission. My attendance record is near perfect as
we navigated our way thru the COVID-19 pandemic. I have led the training sessions for citizens to learn
how to apply for Iowa City's annual Human Rights grants and then contributed to the ranking and
awarding of these grants; I have served on the Human Rights Award committee this and last year. my
relationships with Stefanie Bowers, Equity and Human Rights Director, and commissioners is positive and
supportive.
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Mark Pries
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
73
Country of Origin
United States of America
Sexual Orientation
Heterosexual
Religion
Christian
Mark Pries
Do you have a disability
No
Ethnicity
German
Race
White
Gender Identity
Male
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Mark Pries
Submit Date: May 25, 2023
First Name Middle Initial Last Name
Home Address Suite or Apt
City State Postal Code
Primary Phone Alternate Phone
Email Address
Occupation
Advisory Board/Commission Application Form
This application is a public document and as such can be reproduced and distributed for the public.
This application will be considered for twelve months only and automatically considered for any
vacancy during that time. If appointed to a Board/Commission, all other applications will be removed
from consideration.
Profile
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific
qualifications are stated.
Date of Application (Date will be captured on form submission)
First Name (Phonetic spelling)
Last Name (Phonetic spelling)
Is your home address (listed above) within the corporate limits of Iowa City?
Yes No
How long have you been a resident of Iowa City?
Almost 8 years.
Gender (*This question is mandatory for the City to comply with the State's gender balance
requirement, which treats gender as binary. "Gender Identity" may be provided in the
Demographics section of the application below.) *
Female
Boards & Commissions
Viana Qadoura
1023 Tipperary Rd
Iowa City IA 52246
Mobile: (319) 671-2195
mariamgirlsclub@gmail.com
Volunteer job at Al-Iman
Center
Viana Qadoura
Which Boards would you like to apply for?
Human Rights Commission Board Member Information: Submitted
Preference on first choice (If multiple boards are being applied for.)
Interests & Experiences
Viana Qadoura
Experience and/or activities which you feel qualify you for this position:
I have been advocating and fighting for the rights of minority students, especially Muslims, since 2005
when my children started attending schools in a small, conservative, Christian town in Iowa. Resources
were denied and my efforts weren't welcomed by those in office due to my religion and to the headscarf I
wore. Both the school’s board members and the community around us wasn’t tolerant nor helpful in aiding
and supporting minorities which forced me to acquire tools that I could use to do so myself. I began with
letters to the editors at the local newspaper, started purchasing and donating to the District bias-free
books that represented Muslims as who they are and not what they were defined by others as, and I held
multiple meetings with the Superintendent and school principles on many occasions to address the
bigotry of the educators, the need to diversify the staff within the district, and the injustice that included
some threats towards me and my family. I fought to include my identity on behalf of my children in the
public schools by volunteering and doing various things which includes but is not limited to: reading
stories, sharing Palestinian/Arab culture during school sponsored events, celebrating our holidays with
others, and giving lectures to High School students addressing microaggression, biases, and shedding
light on Muslim’s true reality which was a total contradiction to what they had been taught so far. Moving
forward to 2015, I came to Iowa City and saw that regardless of the diverse atmosphere of the city and
the large Muslim community here, our youth - especially the Muslim girls - are still struggling, parents are
helpless, and the voices of those who are seeking justice, tolerance, and respect are neither loud enough
nor brave enough to be heard and responded to. I couldn’t help but start the cycle again, and I put myself
out there even more adamantly to better and save our youth and community. In 2018 I initiated the
Mariam Girls’ Club (MGC) for Muslim young ladies with the aim being to to connect, unite, and empower
them. The Club is a haven for our girls which allows and gives them the room to speak freely, to share
their trouble, to connect with each other, and to feel the essence of belonging and giving. This club is set
to empower young girls and to show them that they can maintain a dual identity while living in the United
States. Fostering the feelings of camaraderie and support is a major aspect that we work on. MGC is here
to tell our girls that we hear them, we love them, we will always be here for them, and we will grow with
them. Besides MGC, I have devoted the last few years to serving the needs of the students at Al-Iman
Weekend School at the Iowa City Mosque. While teaching and carrying out many responsibilities, I
simultaneously advanced and prepared an Islamic Studies curriculum that suits the children’s age groups,
and I initiated the Al-Iman Library which provides the children with what they need and with what is clearly
missing from public schools and libraries: books that represent them within the pages. Through the years,
I have been donating books to various agencies, and I have been at the forefront in supporting our
children in all grade levels throughout the district. I have also been organizing and hosting fun social
events for the Al-Iman School since 2018 and have since become the school’s official extracurricular
activities organizer. As of January 23, I was appointed as the Head of the Social Events Committee at Al-
Iman Center and have since organized by far one of the largest Holiday Prayer Congregation and
celebrations for our Muslim community in Iowa City and the neighboring areas. The privilege of being born
and raised in the beloved Holy Land - where our basic human rights were and still are denied by the
atrocity of the occupation - obligates me to advocate for the voiceless, and it demands me to lay the
groundwork to support others. So much work has yet to be done, and I refuse to be a bystander or to
watch the daunting principles of assimilation and submission take over our humanity while plunging this
nation into chaos. I am hoping that my work continues to shed light on the importance of co-existing
without being forced to relinquish our spiritual and ethical principles or to fear repercussions and worry
about being silenced.
What is your present knowledge of each advisory board you are interested in?
The Human Rights Commission’s recommendation to the City Council regarding the Racial Equity and
Social Justice Grant funding and the Youth Human Rights Awards are two things that I was introduced to
and became familiar with. I might not know much about the details of the work that this Commission has
accomplished or initiated, but from what I do know, I am confident that this is a great group of people with
like-minded principles that will tirelessly advocate for human and civil rights. Individual voices might not
otherwise make it to the City on their own, but with the Human Rights Commission’s advice and
collaboration we can eliminate and prevent discrimination city-wide.
Viana Qadoura
Potential Conflicts of Interest
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a
potential conflict of interest. The following describe some but not all potential conflicts.
The Housing and Community Development Commission makes recommendations to the City
Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no
persons who exercise or have exercised any functions or responsibilities with respect to federally
funded activities, or who are in a position to participate in the decision-making process or gain
inside information with regard to such activities, may obtain a financial interest or benefit from a
federally–assisted activity, or have a financial interest in any contract, subcontract, or agreement
with respect to a federally-assisted activity, or with respect to the proceeds of the federally-assisted
activity, either for themselves or those with whom they have business or immediate family ties,
during their tenure or for one year thereafter.
Most members of City Boards and Commissions are employed, and/or have a financial interest in
one or more non-profit entities. Section 362.5 of the Code of Iowa generally prohibits, with certain
important exceptions, a member of a City Board or Commission from having an interest in a City
contract. In order to navigate potential conflicts of interest for certain matters, please list any and all
business or non-profit entities in which you have an employment or financial interest.
List your answers here:
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the
same time. You will be asked to resign from one if appointed to another.
Do you currently serve on another Iowa City board or commission?
Yes No
(Optional) Demographic Information
Viana Qadoura
The City Council values all types of diversity on its Boards and Commissions. Your responses on
this page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the
groups(s) which it serves, please provide your information for the following:
Age
45
Country of Origin
Palestine
Sexual Orientation
Heterosexual
Religion
Islam
Do you have a disability
No
Ethnicity
Middle Eastern
Race
White Middle Eastern
Gender Identity
Female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the
community. Therefore, appointment shall take into consideration persons of various racial,
religious, cultural, social and economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent,
when possible to have at least one person with expertise in construction, at least one person with
expertise in finance, and one person who receives rental assistance. (Resolution)
Viana Qadoura
Misrepresentations on this application will constitute just cause for removal of an appointee. If you
fail to answer all the questions, except demographics, Council will not consider your application.
You are encouraged to contact individual Council Members to express your interest in serving.
Please Agree with the Following Statement
I certify that the information I have given on this application is complete and correct.
I Agree
Viana Qadoura
r
Advisory Board/Commission Application FormrYppr°
i y This application is a public document and as such can be reproduced and distributed for the
25 public. This application will be considered for twelve months only and automatically
CITY OF IOWA CITY considered for any vacancy during that time.
UNESCO CITY OF LITERATURE
If appointed to a Board/Commission, all other applications will be removed from
consideration.
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated.
Date of Application
8/29/2022
First Name*
Holly
Last Name*
Stevenson
First Name ( Phonetic spelling )
Optional
3198008421
Last Name ( Phonetic spelling )
Optional
Home Address*
4430 E Court St
City *
Iowa City
State
IA
Zip Code*
52245
Is your home address (listed above) within the corporate limits of Iowa City?*
Yes
Contact Phone Number*
3198008421
Email Address*
hastevenson@optimaelifeservices.com
Boards & Commissions
Select a Board or Commission you are interested in:
Human Rights Commission
Preference on first choice
If multiple boards are being applied for.
How long have you been a resident of Iowa City?
Occupation: *
Director of Diversity, Equity and Inclusion
Gender*
This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity"
may be provided in the Demographics sectionof the application below.
Male
Female
Experience and/or activities which you feel qualify you for this position: *
I currently serve as the Director of Diversity, Equity and Inclusion for Optimae LifeServices. We serve over 40 of
Iowa counties and I am based out of Iowa City. I have my PhD in Philosophy, focusing on social injustice, from
The University of Iowa and I also have my MAs in Philosophy and Gender, Women and Sexuality Studies. I am
published on issues pertaining to marginalization and intersectionality and I also offer a unique perspective being
from the UX and also having an invisible disability.
What is your present knowledge of each advisory board you are interested in?*
At present, I am aware that this board is doing invaluable work to both spread awareness and education to all
members of the community regarding their rights but also to promote social justice progress to make Iowa City a
city that is advancing DEI initiatives and making them a priority.
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of
interest. The following describe some but not all potential conflicts.
Potential Conflicts of Interest
The Housing and Community Development Commission makes recommendations to the City Council
regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise
or have exercised any functions or responsibilities with respect to federally funded activities, or who are in
a position to participate in the decision -making process or gain inside information with regard to such
activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial
interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with
respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they
have business or immediate family ties, during their tenure or for one year thereafter.
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a
City Board or Commission from having an interest in a City contract.
City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for
appointment to Boards and Commissions:
A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children,
children for whom the Council Member assumes parental responsibility, mother, father, son-in-law,
daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -
siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first
cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom
the employee is in an intimate relationship
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the same
time. You will be asked to resign from one if appointed to another.
Do you currently have a conflict of Interest?*
No
Do you currently serve on another Iowa City board or commission?*
No
Optional) Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on this
page provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the groups(s)
which it serves, please provide your information for the following:
Age
27
Country of Origin
United Kingdom
Sexual Orientation
Straight
Religion
N/A
Do you have a disability?
Yes
Ethnicity
Race
White
Gender identity
Female
NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the community.
Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and
economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent, when
possible to have at least one person with expertise in construction, at least one person with expertise in
finance, and one person who receives rental assistance. (Resolution)
Signature of Applicant*
Misrepresentations on this application will constitute just cause for removal of an
appointee. If you fail to answer all the questions, except demographics, Council will
not consider your application.
How long have you been a resident of Iowa City?
1 year
Occupation:
Executive Director, Immigrant Entrepreneurs Summit
Gender*
This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity"
may be provided in the Demographics sectionof the application below.
Male
Female
Experience and/or activities which you feel qualify you for this position: *
I am the Executive Director for a nonprofit organization that works with immigrant and minority business owners
to help educate and advocate for business success. We hold business summits in Eastern Iowa as well as in
other parts of the Midwest to bring people together to support and encourage the immigrant entrepreneurial
experience. Additionally, I serve as Branch Manager and Marketing Manager at Community CPA, a regional CPA
firm that is an immigrant and woman -owned business, and which serves a large immigrant and minority client
base.
What is your present knowledge of each advisory board you are interested in?*
I am interested in the Human Rights Commission. Currently, I know some of the members who were formerly
part of the commission, and I know that it advocates for civil rights in Iowa City, as well as make
recommendations for the city..
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of
interest. The following describe some but not all potential conflicts.
Potential Conflicts of Interest
The Housing and Community Development Commission makes recommendations to the City Council
regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise
or have exercised any functions or responsibilities with respect to federally funded activities, or who are in
a position to participate in the decision -making process or gain inside information with regard to such
activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial
interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with
respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they
have business or immediate family ties, during their tenure or for one year thereafter.
Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a
City Board or Commission from having an interest in a City contract.
City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for
appointment to Boards and Commissions:
A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children,
children for whom the Council Member assumes parental responsibility, mother, father, son-in-law,
daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -
siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first
cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom
the employee is in an intimate relationship
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one
reappointment to a full term in order to increase the opportunities for new applicants to serve.
Attachments:Resignation CPRB - Vander Vegte.msg.pdf
Item Number: 12.a.
July 11, 2023
Community Police Review Board - One vacancy to fill an unexpired term, upon appointment -
June 30, 2026. (Stuart Vander Vegte resigned) Correspondence included in Council packet.
Applications must be received by 5:00 P.M., Tuesday, August 29, 2023.
From:Stuart Vander Vegte
To:Tammy Neumann
Subject:Resignation from ICPB
Date:Monday, June 26, 2023 7:59:13 PM
** This email originated outside of the City of Iowa City email system. Please take extra care opening
any links or attachments. ** To the Iowa City Police Board,
With sadness, I must resign from my duties on the board. I will be moving to Centerville, IA
July 3rd and will no longer be a citizen of this fine town. It was a pleasure working with you
all.
Sincerely,
Stuart Vander Vegte