HomeMy WebLinkAbout1990-02-20 Appointment
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RECEIVED;'cJ
OIrY Rnd
114 North Oodgl
to.. CI ty, to.. nUS
Nlyor John NoOon.ld
Clvlo Clnhr
411 E. Wllhlngton Itrllt
10.. City, to.. UUI
allr N.yor NoOon.ld,
On N.roh I.t I will b. t.klng . n.. po.ltlon In Au.tln,
T..... Thl. .111 nlo...ltlt. ,y r..lgn.tlon rro. th. 10..
City PUbllo Llbrlry lo.rd or Tru.t....
I o.rt.lnly ..nt to th.nk you .nd r.lro. oounoll ...b.r.
ror your kind .upport during ,y tl.1 on th. Llbr.ry lo.rd,
Slnolr.ly your.,
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lHE CITY COUNCIL OF taNA CITY 19 CONSIOERlNO
APPOINTMENTS TO lHE FOUOWlNQ COMMISSION:
HISTORIC PRESERVATION COMMISSIO~
Two vlCl/lClts T1v"'Vur TI!lTII
March 29, 1m . MIlCh 29, 1993
llI4Ies cllIlt HiIlOl1c PrlltlVlllon ConvnlsaIon 1nWft:
conducting lIudItt lot lilt lderdlcatlon IIld dftIgnItIon cI
HiIlOl1c DIItr1ctI; IMwfng IIld ICtklg upon all IppIallonl lot
CItUIcelI cI ApproprlIltnlll; cooperIIlng wth pIcptftf
C7WI1III Ind cay IQtIlCIea rlgardlng IIII1G<ti cI dInQtrOUI
COIldftIonI; fII1hIr1ng lilt 1fI0ftI cI hlslOl1c prllGl'llllon h lilt
Cfty by mlklng rlCOO1lTllndltlonl en prllllVlllon IlIuIt, when
.pproprIItl, by InCOU'IQIng lilt prcllCtlon IIld ~
cllfructllU wth hlatorlceJ, 1IChIl0Cl1l1l CI CUIlllll YIkII, IIld
by IIlCClIIQIng pt/ICIlIlIld orgenlzltlonllo bIcomt InYoIm
In prllllVlllon 1ClM,",
Io;vl CIy lppOInIod memberI cI boardt IIld commlsalonI
must blllIglbIt 1led0ll cllIlt Cfty cllov.a CIy,
TIleH appomw will bllllIdallllMl FIIlNaIy 20, 11l'JO,
mooting cllIlt ClI'( ColIlcI II 7:30 p.rn. h lhI ColIlcI
CI1arnbIII. PIIIOIlI '-'lIISlod h bIIng conIldtrld lot IhIIa
poeIlonIlhoUd COIUct lilt CIy Clerk IlIlMl CMo Ctnlll, 410
E. Wllh/ngten SIIMI. AppIIcItIon Iorma arlavllleblt!rom lilt
Clefk'I oIIIct upon request.
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~1n1es: 4
Females: I
February 20, 1990
IIISTORIC PRESERVATION CO~IISSION - Two vacancies - Three-year torms
March 29, 1990 - March 29, 1993
SUlan L. Licht
611 Brooklldo Drlvo
(hal larvad ana unaxplrad tarm)
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Jamal (Jim) St John
. 735 Kalvlck Driva
Eloanor L, Staalo
715 E. Harkat Stroot
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Y8Jos~3[fto9rh A~anuo
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Stove Van DerWoude
730 N. Van Buron
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- CITY OF IOWA CITY.
ADVISORY BOARO/COI91ISSION APPLICATlOtl FORM
IndivIduals serving on Boards/CommissIons play an Important role In advising the
Council on matters of Interest to our COllllluntty and Its future. App1tcants must
res tde In Iowa C lIy.
The CIty Counc 11 announced Mv hory Board/COIl'lIllss ton vacanc les 90 days pr tor to
the date the appotntment wtll bo made. This period provIdes for a 3D-day advertIs-
Ing pertod and a 60.day tralntng period for new members. The traIning pertod allows
new members to become familiar with the responsibilities and duties of the advisory
board/cmlsston before becoming a full votIng member.
After a vacancy has been announced and tho 3D-day advertising pertod has expired.
the Council reviews all applications during the Informal work session, The appoint-
IllOnt Is announced at the next formal Counctl meetlno. Appotntees serve as unpaid
volunteers,
Counctl profers that all applications must be submitted to the CIty Clerk no
later than one week prior to the announced eppolntment dates. PLEASE USE A BLACK
INK PEN.
THIS APPLICATION IS A PUBLIC DOClflEtlT AtIO AS SUCH CAli BE REPRODUCED AND DISTRIBUTED
FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY.
ADVISORY BOARD/C0I91ISSI0/1 !lAME HiBtorio proservation TERM 3-year
NAME Davo Parsons HOME ADDRESS 10) South 7th Avenue
Is your home address (listed above) withIn the corporate limits of Iowa City? Yes
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OCCUPATlOII Controller EMPLOYER Frohwein 01'fioe Su~ply
PHONE NUMBER: HOME 336-4913 BUSINESS 336-7505
EXPERIE/ICE AlID/OR ACTIVITIES \/HICH YOU Fm QUALIFY YOU FOR THIS POSITION:
+ Litelo~ Iowa City rosident
+ Longstanding interest in oentury-old buildings and arohiteoture
+ I own all available books on Iowa City and U 01' I History
+ Ilusybody
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WHAT IS YOUR PRESEIIT KNOIILEDGE OF THIS ADVISORY BOARD?
Conduots studios tor tho identi1'ioation and preservation 01' historio
buildlnRo and diutriotsl reviews and provides input on applioations,
IIHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON
FOR APPLYING)? I'd llke to holp ensure that Iowa City exploreD every
opportunity to preserve and restore hiotorio struoturos and distriots.
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Spectflc attention should be directed to possible conflict of Interest as defined In
Chapters 362.6. 403A.22 of the Code of Iowa. Should you be uncertain whether or not
a potential conflict of Interest exhts. contact the Legal Department. 1111I you
have a conflict of Interest? YES x NO
- -
If you are not selected, do you want to be notified? ..!..YES
This app1tcatton will be kopt on file for 3 months and t
automatically consIdered for any vacancy durtng that time. I"
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. CITY OF IOWA CITY .
~VISORY BOARD/COHHI~!JON APPLICATION FO~ .
Indlvldulh Itrvlng on BOlrda/C...I..lona pllY In Ilportlntroll In .dvhlng thl
Council on I.ttm of Interut to our c...unlty and Ita futur.. Appllc.nta luat mid.
In low. City.. .
Th. City CouncIl Innounc.a Advlaory BOlrd/Coealaslon v.c.ncl.a 90 daya prior to the
dlt. the Ippolntl.nt 11111 be lad.. This p.rlod provldu for. 30-d.y Idv.rtislng period
and a 60-d.y tr.lnlng period for ntv I.lbm, Th. tr.lnlng p.rlod 1110111 nN ..Ibm to
blc..e f..lll.r IIlth the r.lponalbllltl.1 .nd dutle. of th. .dvl.ory bo.rdlcOllI..Jon
b.fore b,collng I full voting I.lber.
Aft.r I v.clncy hal b..n .nnouncld .nd the 30'd1Y Idv.rtlalng p.rlod hi' explrld, the
Council revlNa .11 Ippllc.tlonl during the Infol'lll IIOrk ....Ion. The Ippolntltnt Is
.nnounc.d at the n.xt fO....l Council ..etlng. Appolnt.u tuVl II unp.ld voluntem.
Council pr.fer. th.t III Ippllcltlona IUlt b. lubtlttld to thl City CI.rk no Ilt.r
thin one IIl1k prior to thl Innounc.d Ippolntalnt d.te. ~LEAS~ ~ 6 pLACK l!!5 fi.!!.
THIS APPLICATION IS A PUBLIC DOC~ENT AHD AS SUCH CAN BE REPRODUCED AHD DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION IIILL BE CONSIDERED FOR 3 I<<l/fTHS OHLY.
ADVISORY BOARD/COItUSSION NAME 11/ SrC/( .'e.. (JflF~,,,';"n,......., TERH
NAME S1tvl ()ANPrtt CJ.1!<1t?L. HOHE ADORESS 'no,.; ~ /$,~,,.;
II your hOle .ddrla. (ll.tld .bov.) IIlthln the corporlt. lllltl of low. City?
OCCUPATlON..iE!L.f/Jl'.(6 tit:> .. r,.., IM'M'T cio( EMPLOYER
PHONE HUHBERS: HOME 1.H'of. CI9 ". 'J BUSINESS <';!m~_
EXPERIENCE AHD/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION:
8 r-J'lfff ",'.If n C11 'fII1J ~""""" ,Jr,...",. I ~ Ibu7< I'UAK<WH"~S
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(I/'O Hd/J~fS ,N- C.V,4 (',~ rtl.rll,,"n AlM~ICIt ."'~/~~.M;'
M(I",M"'I~. N'-110 f1~ nJ"~~~fJ. 4". TI111NOJ
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tI~ 1t'I'-t"/c "0411 t/Al/I.f1,".
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WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?
fAWlr/Cf?, - ",j,_ !u,.l ~th/~ JH~rJ~ 7H//
-4U7: ."1'h'" r.:::~
~//v' ;'7" ;nYt.. '/.
mt;/~4";'" .'I!~J~~s.
WHAT CONTRIBUTIONS YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON
FOR APPLYING)? I.
..... .J ,,~ ' ,
J/I'1tltrl. t>>1f_ rAlu~JJH,;,.., PIA~ J:.iA 1W. ,,~
Sp.clflc attlntlon ahould b. dlrlctld to poaalbl. conflict of Intlreat II d.fln.d In
Chaptlrs 362.6, 403A.22 of tho Cod. of 101la. Should you b. unc.rtaln IIhethlr or not a
potential conflict of Interut .xht., contact the Legal Dept. IItlI you havI e conflict
of Int.rut? YES NO
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If you .r. not .eltct.d, do you lIant to b. nottfl.d? _YES _NO
Thh application 1111I bl k.pt on m. for 3 month..
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tl2IlSili
THE CITY COUNCIL OF ~A CITY IS CONSlOERINO
APPOINTMENTS TO THE FOUCl'MNO BOARDS:
BOARD OF POUCE TRUSTEES
IllI
BOARD OF FlIIE TRlISTEES
FC4I VICIl'tCIN FC4Ioylll TIlIIlI
(t..o rOlllCh boW)
AprIl, 1800 . Ajd I, 10114
,
. IllIlI N'i tA IIIIIIIbIII tA lIlIlloIRI 01 Polcund no.
TruIt... 10 ldmInIal.lht ptI.olOn MdI WId tIIIn Nil
buUlIIt concerning lht ptnIlon IIIld III11nl1tc1 tcCOflIng 10
1Iw.
ApplIcI/U 101 lhtIt pottionI IINl be Wormtd on
pnIon IIwI WId ItgIIIItNt tcllont, lIlCltrIlInd lilt IInInclII
ImpIIcItlonIloIlIlt cay, WId rtpIINIt lilt btIIlnllllt oIlht
cay In ItI'IIng on lhtIt IIoIIdI. IowI cay eppolnlld
IlltI'I'IbtII 01 botrdI WId conrnIIIIonI fIIIII be IIgIblo tItctorI
oIlht cay 01 low. CRy,
TIlIIt IppOIrImtnla wi be mtdt II lilt FIbrutIy 20, 1890,
mHtJng oIlht cay COIIlcI II 7:30 p.m. In lht ~ CI1I/1lo
bttI. PIIIOIlIIn.1Il1d In btIng' conaIdtIld IoIlhtIt polio
IlonIIhoUd COIUQ lht cay ClQ Illht CMo c:..., 410 E.
WlSlllngton au.... ~Illon IoImIIIt IYIIIIllt from lht
Clttk'e 0lIIct upon IIqUIIl.
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~1B1os: 2
Poma los: 3
Pobruary 20, 1990
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BOARD OP POLICE TRUSTEES and
BOARD OF FIRE TRUSTEES
. Four vacancios . Four-year tena.
(two for oach board)
April I, 1990 . April I, 1994
Roblrt D. Allilon (ha. ..rved one full tena)
1203 Rochelter Avenue
Durell H. Wriaht
19 Forut Glen
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. cm OF 10.A mr .
ADVISORY BOARD/COMMISSION APPLICATION FORM
IndivIduals $irving 0,' Boards/Cmlsslons play an llI'\lortant role In ~dvlsl"9 the
Council on I114tters of Interest to our cO/llllUnHy ~nd Its future. Appllc~nts IlJJst reside
In low~ CHy.
The City Council ~nnounced Advisory Bmd/COIIl11lsslon vac4ncles 90 days prfor to the
date the ;ppolntment will be made. Thfs period provides for a 30'day ~dvert1sfng period
~nd a 6C'd~y tra In Ing per 10d for new members. The tra In Ing per lod a llows new members to
becOfllt f~mllt~r wHh the responsfbllltles ~nd duties of the ~dvfsory bo~rd/conm1sslon
before becoming a fu 11 vot fnO member.
Atter a vacancy has been ~nnounced and the 30.day ~dvertlslno period has expired, the
Council reviews all appllcatfons durl"9 the Informal work session. The appointment Is
announced at the next forlllll Council meatlng. AppoIntees serve as unpaid volunteers.
CouncIl prefers that all appllcatfons must be submitted to the CHy Clerk no later
th~n one week prior to the announced ~ppotntment dates. PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT AllD AS SUCH CAN BE REPROOUCED AriD DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATIOII \lILL BE COIISIDERED FOR 3 MOllTHS OIlLY AriD AUTOKolTlCALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BDARD/COHHSSION IIAHE,A.",.J,., B~",./.trr...d...\ TERM i../"....I' \
IIAIlE..o"," 1 I H- lJ,. ~j., ~ HOME ADDRESS I C, ~r'~ I to (, I~_ v
Is your home ~ddress (lIs't above) within the corporate limits of Iowa CHy? "'"
~ ) . -
OCCUPATION 'r..., T....'r~...,. ')l."~,~,. EMPLOYER 1';,:, It "I ,'.,1 R. .h
PHONE NUMBER: HOME 'H."',~~r BUSINESS 'S~")c'llY
EXPERIENCE AI/DIOR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
~}",k_,( ,-"It.. t'.(J....~..;,I,.,.,~ ..~.' :".""") r"I,,.,..:...~ "I",. '.,..1.
~"" '-1L;..r c.-...,,.., ::;""'J /-1",::;'"""" J2..~.k_,,'i. ,~ ,. ~I" "I,. .,...,
1!"I...,.1 '" ,.,.~ f"1.J,.
~AT IS YOUR PRESENT KNOIILEDGE OF THIS ADVISORY BOARD? ('l,.... .~to.~. ~:: . p,... .1 '
.~~;'~: ". tH.r..,.. ~,..",'/la.,,_. ,41.. (',,","J 1(\1.11 """, '~,"r..., {,I.,.
~, J;",..,. "f 1;+..(.~
\lHAT CONTRIBUTIONS DO YOU~FEEL YOU CAN HAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLY/NGll '~(''',:'\>''''",,,' ,.. ht"L, \ ...,1,,,..,/, t:.~,i ~'h-. ,'~"'I:.'
I"A~' h),iI J.... " "'./u,~/,. ',i1'~' i.. ..,...#"',....~ ,.~~ ).,,, .._" '"f
s~:~Jf7c' "~;;'~~1?n ;h~;ll~;A ~';r~~~~'~ pOlS Ible conflict of Interest IS defined In
C apters 362.6, 403A.22 of the Code of Iowa. Should you be uncertaIn whether or not a
potential conflict of Interest exists, contact the Legal Department.' \1111 you have a
conflict of Interest? _YES .;L:.NO
If you are not selected, do you want to be notifIed? ~YES _NO
Do you currently serve on another Iowa Ctty Board or Conmfsslon? _YES L NO
" ... bee. ,...." ""a, no, t. ,,,.,, .. I.d! v"" I t. ~ir !, ~Jiw il~ Conm Is.
stons at the same time. 1'1 t ,1!
. 1'1 FEB 9 i9OO'e: . ~B~
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"'IJ~nil K1n,Cll,C1tlk .3~.3
10*1 C,Iy,low.
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. CITY OF IOWA CITY.
AOVISORY BOARD/COHHISSION APPLICATION FORM
IndivIduals servtllQ on Boards/COo'IlIllsslons play an I~ortant roll In advlsl"9 the
Council on I114tters of tnterest to our cOllmJnlty and tts future. Appltcants Mt resIde
tn Iowa City.
Tne City Council announced AdvIsory B04rd/COIIIIlIsston vacancies 90 days prtor to the
date the appoIntment wtll be Ill4dl. This period pro', Ides for a JD.day advertlst"9 plrlod
and a 60.day tra!n!n; period for new members, Th. tralntn; period allows new members to
becone familiar with the responsibilities and dutIes of the advisory board/colllnlsslon
blforl becomln; a full vottn; memblr.
Aft.r a vacancy has been announc.d and the 30'day advlrtlsln; perIod has exptred, the
Council r.vlews .11 applications durt"9 the Informal work suston. The appointment Is
announced at the next forlll41 Council mltttn;. Appolntus urv. as unpaid volunteers.
Council prlfers that all appltcltlons must be submitted to the City Clerk no later
than one we.k prior to the announcld appoIntment datu. PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION \lILL BE CDNSIDEREO FOR J MONTHS ONLY AlID AUTDI'ATlCALLY
CDNSIOERED FOR ANY VACANCY OURING THAT TIHE.
ADVISORY BOARD/COIflISSIDN flAME Pollc. , Fir. TruicII Board TERH
NAME Robm D. ABhon HOlE ADDRESS 1203 Rochutlf Av..
Is your home addr.ss (listed abov'l within the corporat. limits of Iowa ctty? y..
OCCUPATION Accounc.nc EMPLOYER Unlv.r.lty of'Iova
PHONE HUMBER: HOME (319) 338-8580 BUSINESS (319) 335-0127
EXPERIENCE AND/OR ACTIVITIES IMICH YOU FEEL QUAlIFY YOU FOR THIS POSITION:
"
, Po. It Ion It chi Unlv.rllty Involv.. cI.h IInIR...ne and InvI.t..nt..
-
\/HAT IS YOUR PRESENT KNOWLEOGE OF THIS ADVISORY BOARD?
Curr.ntly 'IrvlnR on ch. board.
\lHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN HAXE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)?
!xolrllncl on cho boord.
Spectflc attention should b. dlr.ctld to possible confltct of Interest as defined In
Chapters J62.6, 4DJA.22 of the Code of Iowa. Should you be unclrtaln whether or not a
potent hI confltct of Interest exists, contact the Leoal Department. \llIl you have a
conflict of Interest? YES x NO
- -
If you are not selected, do you want to be noWled? -LYES _NO
Do you currently serve on another Iowa City Board or Cmlsston? ~ ~
It has been Council polIcy not to permit an Indtvtddal to serve t wo oar s or onm!s-
slons at the same time. ..wj~el /!m '~i;
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M CITY COUNCIl. OF ~A CITY IS CONSIOERINO
APl'OIHTMEH18 TO M FOl10'Jt\N0 IIOARO:
- ---"-,-_'",,-,,~',--~-.,,~--,,,---.,-,---'--
..,.,,--
UAYOftS votmt EMPlOYMENT 80AAIl
Two VUldII 'IInt-yw Temw
MIICIl27, 11180 . MIICIl27. 1883
.lIl1lt 0If ellIlt Mlyc(1 VCIAh E/nPO'/- IIoIId 10
pIC'l1dI JoIlIII VIItouI plttIlII'lC/loPlCll nI pldo 0Igrlu0
lIonIlot ~ yGIAI1 n JcIlnIon CoIny,
Iow1I CIy IjlpOlIUd rnembIII eI boIIdI nI commIIIlonI
, nul b..lgllilllllclOll ellIlt CIy ellowI CIy.
ThM lppclillMlU WI III mille II lilt FIlln*Y 20. 1090,
""*9 d lilt CIy COlrd II 7~ p.m. n lilt COlrd DlIIl\o
bIrt. pnn kUmlld h bIlng COIlIIdnd lot lIltM polio
lIonIlIloIAd cortaellllt CIy ClII1c II lilt CMc CerlII, 410 E.
WIlhilQIOn 8_ ~1lIon IotmI n MIIIllIIrom lilt .
ClII1c'e cIIIct upon IIqUIIl.
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FobrulIry 20, '1990
MAYOR'S YOUTII EMPLonlBNT BOARD. Two vlIclInclos . Throo yoor torms
Morch 27, 1990 . Morch 27, 1993
Robert A. Lehnertl (hae eerved one (ull-term)
6 Forut Glen
Carrie Z. Norton
920 Ginter Avenue
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- - -
. CITY OF IOWA CITY .
ADVISORY BOARD/COMMISSION APPLICATION FORM
IndivIduals servlno on Boards/Comnlsslons play an l"1lortant role In advlslno the
Council on matters of Interest to our cOll11lUnlty and Its future, Appltcants IlIJst resIde
In Iowa CIty,
The City Council announced Advisory Board/COl!llllss Ion vacancies 90 days prIor to the
date the appoIntment w1l1 be llIade. This perIod provides for a 30'day advert1slno perIod
and a 60-day tralnlno perIod for new members. The tralnlno period allows new mellters to
become familiar wIth tha responsIbilitIes and dutIes of the advIsory board/COl!llllsslon
before becomlno e full votlno mellter. ,
After a vacancy has been announced and the 3D-day advert1s1no period has expIred, the
Council reviews all applIcatIons durlno the Informal work sllSlon. The appoIntment Is
announced at the next formal CouncIl meetlno. AppoIntees serve as unpaId volunteers.
Council prefers that all applications must be submitted to the CIty Clerk no later
than one week prIor to the announced appOintment dates. PLEASE USE A BLACK INK PEN,
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPROOUCED AIIO DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 HONTHS ONLY ArID AUTOflATlCALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BOARD/COHiISSION NAME M 1\') ~ ..w- TERM
NAME CAw" c.)f,,~ HOME ADDRESS '1~ Gir~~ ~ n,L... Su.'lo_
Is your home address (listed above) withIn the corporate lImIts of Iowa City? ~~
OCCUPATION ~M ~wtW- EHPLOYER 1Al1"'~~ ~,..a..:,.)
PHONE NUHBER: HOME !JW- 'tfil-' BUSINESS 3;~-~ I~OZ-
EXPERIENCE MID/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
- 1!)~~~~tlId&1l~ku...lJ~ ctlw..,~ ~.~ 1oI~"~"'1,,~'1
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WHAT IS YOUR PRESENT KNOWlEDGE OF THIS ADVISORY BOARD?
~~E1lb~~ ~~'~~lJ~loJ..~
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\/HAT CONTRIBUTIONS 00 YOU ,FEEL YOU CAN flAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? 'I~~ M~(;P 15 L ~~'i ~:r. ~ t~ 1o~\W
~ ~ ~~~\i"" ~,JW-44J- ~~ 1l&\\I\'''' J.~ I.\"'~ 1-
t1M~1 , I
Specific attention shou d be dIrected to possIble conflict of Interest as defIned In
Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not a
potent fa 1 confl let of Interest ex Isu I contact the Leoa 1 Department. IIf 11 you have a
confl let of Interest? YES'/ NO
- -
If you are not setected, do you want to be notIfIed? ~ 1
f ,
~ you currently serve on another Iowa City Board or COI!lllIs ,0 _YES '7' 'NO:
It h b C 11 tf t It I dl Id I t trv OFnEBtw07Bol9OOar:sJol!lllts.
as een ounc po c1 not 0 perm an n v ua 0 uf
stons at the same tIme, "'j'~nK KIII,ClhCkli
'g',II,!, "Ju.n ,:),1
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- - - -
. CITY OF 10llA CITy .
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Coamfsslons play an Ill1lortant role In advfslnq the
Council on matters of Inhrest to our COlllllUnlty and Its future. Applicants IlllSt resIde
In Iowa City.
The City Council announced Advisory Board/COllll1lss Ion vacancies 90 days prior to the
Jate the appointment will be made, This period provides for a 30-day advertlsll19 perIod
and a 60-day training periOd for new members. The training periOd allows new members to
becone falllll lar with the respons fbll It las and duties of the advisory board/collll1lss Ion
before becoming a full votIng member.
Aft.r a vacancy has been announced and the 30.day adv.rtlslng periOd hu expired. the
Council reviews all applications during the Informal work session. The appointment Is
announc.d at the next formal Council meeting. Appointees serve as unpaid volunteers. ' .
Council pref.rs that all applications must b. submitted to the City Clerk no later
than one week prior to the announced appoln~nt dates. PLEASE USE A BLACK INK PEN,
THIS APPLICATlOII IS A PUBLIC DOCUMENT AlID AS SUCH CAN BE REPRODUCED AflD DISTRIBUTED FOR
THE PUBLIC, THIS APPLICATION IIILL BE CONSIOERED FOR 3 HOrlTHS ONLY AflD AUTOMATICALLY
CONSIDERED FOR AllY VACANCY DURING THAT TlHE.
ADVIS~Y BOARD/CDIt!ISSION /lAME~~~UtI4 f"'Pl.dU/ffnu-r TERM 3 ~R.~
/lAME f(06~1? r A, LEi I/tJ& Q.Tl,.. HOllE AODRESS-ilo~l>.""'T' (;',.~N
Is your home addr.ss (listed abov.) wlthfn the corporate limits of Iowa City?
OCCUPATION '&.\11 ~ alt EMPLDYERJ~R\ r ~~l'1 ~~41.1".J<
PHONE NUHBER: HOHE ~S'''~l'~ BUSINESS ~S'l.,.qoS"~
EXPERIENCE A1ID/ORACTIVlTIES IntICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
)12Cl.\lIOI.l~ cre~M. ~"13Q Yl"4" \~ '8oAR'tl - ~ Alt/lJ() aal2.., AlE;
,\)~~I)5" DC ,^^"JJ~(~"~,, 'P..a2.PI.C!.
UHAT IS YOUR PRESENT KNOWlEDGE OF THIS ADVISORY BOARD?
l. c:r 4- 'T IDN ,.
Specific attention should be directed to possible conflict of Interest as defined In
Chapters 362.6. 4D3A.22 of the Code of Iowa. Should you be uncertain whether or not a
potential conflict of Interest exists. contact the Legal Department. \llll you have a
conflict of Interest? _____yES ~ND ,
If you are not selected, do you want to be n ? ~YES _____NO
you currently serve on a er I ~ r Comnfssion? _____YES ..K. NO
~ ,
It has been Council polley n 0 p.Mf'2tAmln fv1, ual to serve on two Boards or COll11lls.
slons at the same time. ' II
,,~nHIIl,c.l,CitI' : June 1988 3~T
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Tll& alY COUNCIl. OF 'eNA CIlY IS CONSlOEAINO ~
APPOlHTMEHT TO Tll& FOUO'MNO COf.U.ClSSlOH:
CIVl8EFMCE COM~
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AprIl, 1000 . AprIl, tM
llIaIM: ApprOO/tIIlIItIInCt rod ptllII'oClIoIlII anNIlcnI
UNCI Irf "" Ctf cf Iowa Ctr. hoIdt hMmgI moMlQ
~ dIIcIlIrgt ctrte*lc:llcn n rII'tIl ct~ rod
IICtIlIInIIO "" bill cf b IbIIy "" IIClI cf "" elM. Mt(
lIIIlt*lQ II MlIra, _Il:llan U ~ n CIvplt( 400
cf "" Code cf Iow&
Iowa Cti eppcr.1d IllIInIln cf boIrdI rod eonYIliulonI
. nul bellgtlillMc:ICII cf "" Ctf cf Iowa Cti, r.tambn cf .
"" C1Y18IIVIce CommIulon IMl be rIIldItU cf lilt Ctf cf
Iowa Ctt pllCdlg lhIIr ~
TIIIIIppOIrtmttC '" be madllI "" FIIINIrf 20, 1m
II'oIIllng cf "" Cti CMcI II 7:30 p.rn. n IIlI CMcI CIIImo
bill. PIIIOnI rr.1IIIl1d n bIIng CCIlIldIrId let I!lII poIIlon
IIUI CO/UCI "" Ctf ClII1l II "" CMo Clnlf, 4 to E.
WUltlgton 8ltNl. ~Illon IcImI .e MIIllII trcm ""
ClII1l'. oIlIct upon rIqIMl.
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lohlles: 2
Females: 0
Fobruary 20, 1990
CIVIL SERVICE CO~~ISSION . One vacancy . Six.yoar term
April 1, 1990 . April I, 1996
John Alan Maxwell, D.D.S.
113 W.ah1nston Park Rd.
Lyra W. Dlckaraon
324 Poat Road
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- - - -
- CITY OF 10llA CITY -
AOVISORY BOARD/COMMISSION APPLICATION FORH
Individuals servIng on Boards/Comntsstons play an 1111l0rtant role tn advlstng the
Council on matters of tnterest to our cOl!lllUnfty and Its future. Appltcants IlUst restde
In Iowa City.
The City Counc tl announced Adv Isory Board/Colllllhs Ion vacanc les 90 days prior to the
date the appotntment will be made. This perIod provIdes for a JO'day advertIsing plrlod
and a 60-day training period for new members, The tratnlng periOd allows new members to
becane famtltar wtth the responslbtlitles and duties of the advisory board/COllllllsslon
before becomIng a full votIng member,
After a vacanc)' has been announced and the JO.da)' advertistng period has expired, the
Council reviews all app1!cetlons durIng thl tnformal work sessIon. The appotntment Is
announced at thl nut formal Councll meeting, Appointees servI as unpaid volunteers.
CouncIl prefers that all appHcatlons ~lSt be submitted to thl ctty Clerk no later
than one week prior to the announced appointment detest PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION IIILL BE CONSIDERED FOR J MONTHS ONLY AND AUTOI'ATlCALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BOARD/COIftISSION IIAME ~"ui~ Stf1),'(t L'~",~,,'t>- TERH ffr" /991J" 191((,
NAME ~H1J hilA,) 1Il~'/lA)cu. .~'b..s, HOME ADDRESS..l!LWAsnl..,1n. P/:, R~,
Is your home addrlss (listed abovll within the corporate lImits of Iowa City? .JVE1
OCCUPATION "De AlT1S1" EMPLOYER S~LP
PHONE MlMBER: HOlE 3$'/-623D BUSINESS 331- "1'~
EXPERIENCE AND/OR ACTIVITIES "~ICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
'Z~,f ,;. JAW !'~(l-.f
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("Vf~ 2rv,'t/i 4\t ~"rH/J~"1M
(1A,~..J.fd..r -Iu c1",/~ i Srm, flllI'7>,'rAt.. I!lf"_;,,,rl1 II; ~"';e J:\,,,n~
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\/HAT IS YOUR PRESENT KNOIII.EDGE OF THIS ADVISORY BOARD? :r SFllIJn Ik 711~
a.nll/. Slluit" "r...",,'s,//I>. {w.. 1'18'-1'88.
, \
WHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYlNGl? 'PaF -n !UUlM ~et/J"t(; ~f4,tIi() :r ~/"'/l( 'Z' It_/I( A
14" ;4 IJLJ.} oJiJ. 1,..",i"'A ,i 3'1.PdIlD '" 6t IlJ )"
SplclfiC attention should be directed to possIble confllct of interest as deflnid In
Chapters 362,6, 40JA.22 of the Code of Iowa. Should you be, uncertain whether or not a
potlntial confllct of Interest exist" contact the L8Qal Department. 11111 you have a
confltct of Interlst? YES ~ NO
- - .
If you are not selected, do you want to be notlfted? ~YES
Do you currently serve on another Iowa City Board or Co
NO
-
It has been Council poltcy not to permit an Individual t
stons at the same time.
.,
-+ ' NO
-,-1
r ..
ve on two Boar ~' COIllllIs-
FBI , 5 ~!'" ~{98
3~5
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- -,.. -
. CITY OF IOWA CITY .
ADVISORY BOARD/COMMISSION APPLICATION FORK
Indlvldulls serving on BOlrds/Cmlsslons pllY In 111'1l0rtlnt role In advlslno the
Council on matters of Interest to our connfty and Its future. ApplIcants IlIUt reside
In Iowa City,
The City Council announced Advisory Board/Col!llllsslon vacancies 90 days prior to the
dlte the appointment will be made. This period provides for I 30'day Idvertlslno period
and a 50. day trainIng perIod for new members. The traIning period allows new members to
becane famll Ilr with the rupons Ibfl It les and duties of the advisory board/COl!llllsslon
before becomIng a fu 11 voting menter.
After I vaclncy has been announced and the 30.day Idvertlslng period has explrld, the
Councll rnlews all applfcltlons durlno the Informal work session. Tho appoIntment Is
announcld It the n,xt formel Council meeting, Appointees s,rVI as unplld volunteers.
Council prefers thlt III Ipplfcltlons /!KISt be subnltted to the City Clerk no later
thin one week prior to the announced appointment dates. PlEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS OIILY AlID AUTOI'ATlCALL Y
COIISIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BOARD/COHlISSION IIAliE Civil Service COll1lllsslon TERK 1990.96
HAHEJm \I. Dickerson HOME ADDRESS 324 Post Rn!d. 10wI CHy, IA 52245
Is your home address (listed above) within the corporate limits of lowl City?
OCCUPATION Employment Supervlsor.Personnel EMPLOYER The U~lverstty 'of low~
PHONE NUMBER: HOHE..J1!21 351.7567 BUSINESS (319) 335.2661
EXPERIENCE AIID/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
SPoe attached resume.
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\/HAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Information from publfshed
naterfa1s.
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\/HAT CONTRIBUTIONS DO YOU .FEEL YDU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? I cln bring 18 years of experience In personnel field, IncludIng
almost 2 years In labor relations.
I ,
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Specific attention should be directed to pOSSible conflfct of Interest IS deffned In
Chapters 362,6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not a
potential conflict of Interest exists, contact the Legal Department. Ilf11 you have a
conflict of Interest? _____yES --!-.NO
If you are not selected, do you wlnt to be notffled? ..L.YES _NO
Do you currently serve on another Iowa City Board or COl!llllsslon? YES X NO
-,-
It has been Council policy not to permit an Individual to serve on two Boards or COl!lllls.
lions at the same time. .
Juno 1988
a~5
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lyra W. Dickerson
Personnel Services
University of Iowa
Iowa City, IA 52242
319.335.2661 !workl
319.351.7567 home
EMPLOYMENT
6/88 - present
8/77 - 9/86
EIIplo)'lllCnt Supervisor
Personnel Services, University or Iowa
Duties:
Supervise and participate In the recrultln9 and Inter-
viewing of general service. professional and scientific
applicants In order to provide qualified applicants to
unlvers I.ty departllllnU.
Develop sources of manpower for the university needs and
~Intaln contact with referral egencles In order to
maintain a viable pool of applicants from which
departments may solect employees.
Represent The University of Iowa at Unemployment
Compensation claim hearings.
Confer with employing departments regarding staffing
needs and basic procedures of the employment process in
order to assist them In securing qualified employees.
Condpct Interviews with current employees in order to
advise them on appropriato paths to follow to progress
along their chosen career path.
Conduct workshops for campus and civic groups in order
that they ~y better understand the function of the
employment service as It related to their needs,
Supervise the maintenance of records of employment
operations In order to provide a summary to Indicate
compliance with applicable University, Regents, and
Federal requirements,
Analyze work flow In order to recol!llllnd changes In the
procedures used by employment staff so the organizational
objectives can be lit In a timely and efficient manner.
Counsol applicants and employees In order that they may
better understand the Regents Herlt System.
Supervise and partIcipate In the examination and
evaluation of general service candidates In order to
Insure the fair and equitable treatment of all candidates
seeking Regents Herlt positions.
Supervlso the certification of general service candidates
for referral from ollglblllty lists In order to ensure
that the appropriate cendldates are referred In a timely
manner, '
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10/86 . 6/88
Acting Coordinator Employee Relations
V.P. Finance and University Services, University of Iowa
Dut les:
, 4/77 - 8/77
Advised departmental staff on proper ways to apply the
provisions of the BargainIng Agreement between the State
of Iowa and the American federation of State, County and
Hunlclpal Employees.
Attended third-step grievances and advise heartng
officers on proper procedures to follow.
Conducted/participated In leetlngs between departmental
representatives and AFSCHE representatives to resolve
labor-management concerns.
Conferr~d with/advised Personnel Sarvlces staff regarding
matters related to the Bargaining Agreement.
Represented the University of Iowa In Unemployment
Compensation claim hearings.
Conducted staff development workshops In Interviewing,
Labor Contract Administration and Supervision, and
Dealing with Problem Staff Hembers.
Conferred with the Department of Afflnnatlve Action to
resolve conflict situations.
Participated In the negotiation process between tho State
of Iowa and AfSCHE.
E~ployment Representative II
Porsonnel Department, University of Iowa
Duties:
Condijcted Initial screening and evaluation Interviews of
applicants seeking employment with the University of
Iowa,
.
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Disseminated Information regarding Initial and prOlllOtlon-
al employment with the University of Iowa.
Kept abreast of EEOC guidelines and applied theso to
applicant/departmental matters.
Special Assignments:
Prepared and conducted a series of Interviewing
techniques workshops,
Developed a training manual for employment Intervlewors,
8/74 - 4/77
Elployment Representative I
Personnel Department, University of Iowa
Duties:
Conducted Initial screening and evaluation Interviews (or
applicants seeking employment with the University of
Iowa,
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Disseminated InformatIon regarding tnltlal and promotion-
al employment with the University of Iowa.
Kept abreast of EEDC fUldellnes and applied these to
appllcant/departmenta matters. i
I
4/72 . 7/74 Iowa Employment Security CommIssion I
Iowa CHy, Iowa
Manpower Specialist I (6/73 - 7/74) I
Duties: I
I
Received and wrote up Job orders from employers In Iowa I
Clty/Coralvl11e.
Evaluated, selected, and contacted applicants for each I I
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Job. . I i
Interviewed and evaluated applicants seeking work. j
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Maintained good public relations with applicants and I
employers. , I
9170 - 6/71 I II
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9/68 . 6/69 Instructor. Women's Physical Education, Unlversfty of I
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Iowa I I
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EDUCATION I ~..--
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_ _.,,-_u Graduate School. College of Business, University of Iowa, Iowa City, Iowa I
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Undorgraduate School - Auburn Unlversfty, Auburn, Alabama, B.S. Educatfon i
I, i I
Contfnulng Educatfon Unfts: I I
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Intervfewlng Skflls . Institute of Publfc Affairs, Unlversfty of Iowa i I
t Women fn Management - Center for Labor and Management, University of ~ l
I I I
, Iowa ; I
t ,
Career Plannfng . Unfverslty of Mfchlgan i I
i \
Functions of Supervfslon, . Instftute of Public Affairs, Unlvorsfty of , I
Iowa ! I
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PROFESSIONAL MEMBERSHIP i '
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CUPA Employment Councfl Member 1981-19B3
Unfversfty of Iowa Staff Council 1980-1983 (Vice Presfdent BI-82) i
jl
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American Busfness Women's Association - Old Capitol Chapter, Iowa City, IA
(Presfdent 1982-1983, Recordtng Secretary 1981.1982)
REFERENCES I
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References will be furnished upon request, 1
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CITY OF IOWA CITY
Hm
THE CIlY COUNCIL OF 'C//A CIlY IS CONSIDERING
.APPOINTMEHTS TO THE FOLLO'MNG COMMISSION: '
BROADBAND TELECOMMUNICATIONS COMMISSION
One VICIIlCy . TJnt.ytar 111II1
MIICII13, 11l1lO. MIlCh 13, 1993
One VICIIlCV . Unexpired 1m
FIbIuIIy 20, IIlIlO . MItch 13, 1891
TIloM IppC/nlId to !hi BTe IIl1ll1lint w11ak. ptIIln
lilt rtntgOlllllont cf !hi CtbIt 1V IrInchItt.
TIlt cUltt cf !hi Brotdbtnd TIltc:ocTmtIIcIl Como
mIIaIon IncUlt ItI'Itng It . rtYIf,y boIId to ftIOt.It dlapUn
btlwttn Inf IUbtcrRlII 01 pold IUbtcrtber IIld !hi CIb/to
VItIcn c:omptn'fj rtYlMg w ~ rtpOl1t by !hi cablto
VItIcn comptn'f to !hi cay ItItqlMtd by !hi Ctblt TIItvIIIon
0IdInInct; woddng wlh lilt puIlIIo, lilt rntCII, lilt cay, W
!hi CtIllMIon comptn'f 101 lilt pIIpOIt d f!lIImg ItCOmo
I!lIndIlIonI on moue IIaun: It'tQtOIng In CCIIII IClMJn
JllIIUtIt to !hi "'tdNt mcnIomg IIld fiIklIllcn cf !hi
~1V rtttemln !hi cay,
Iowt cay IppC/nlId memIltrt d boIrda W COIMlIIIlonI
mual be IIgIblt tIIc101t cf lilt cay cf Iowa cay.
TI1tIt IppC/nlIIlIIU wII be rnIdt II !hi FIbIuIIy 20, 1IlIlO,
mttlIng cf !hi cay CoIIlcI II 7:30 p.rn. In lilt ColroclI
CI1tmbtII. PII10Ilt /nI11t1t1d In being conaIdtItd IOIlhts.
poUIona IhouId COI1IItt!hl cay ClQ II lilt CMc CIrlIr, 410
E. Wlth/nglon Bittel. App/lcIlJon Ionna ar.lVllltbI. ~om Iht
Cltllc'. oIIIct upon rlqUltl.
1111111 WUIIINGION .11111 "OW4 ell!, IOU '"11' filii ",.,,,, , 14\ ''''1111.''''
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Ka1111 2
Falll41all 1
Fabrulry 20. 1990
BROADBAND TELECOKHUN1CATIONS COHKlSSION . Ona vaclncy . Thrlo-Y.lr tlra
Kirch 13, 1990 - Karch 13, 1993
Dianne RucinskI
1800 Calvin Ct. '7
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.
Ono vlcancy . Unaxplr.d tOri
Fobruary 20. 1990 . Kirch 13, 1991
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. CITY OF IOW4 CITY.
BR04DB4ND TELECDHHUHIC4TIONS CDHHISSION APPLIC4TION FORH
Indlvtdulls urvl"9 on BOlrds/Ccmllulons pllY In Iqlortlnt roll In Idvlslll9 the
Council on matters of Interest to our c~ntty Ind Its future. Appllunts IIIISt restde
In lowl ctty. .
The City Counc t1 Innounced Mvllory BOlrd/Conmlls Ion vmnc les 90 dlYs prior to the
dlte the Ippolntment will be mid.. This pertod provides for. 30-d1Y Idvertlslng period
and I 60.d1Y trltnlng period for new .embers. The trllnlng period Illows new members to
becone flmfll4r with the responsibilities Ind duties of the advisory bOlrd/conmluloll
before becoming I full voting member.
After I vlclncy hiS been Innounced and the 30-d1Y Idv.rtlslng pertod hiS expired, the
Council rnl.lIS 111 Ippl1catlons durtll9 the Inforlllll work sessIon. Th. .ppotntment Is
announc.d at the n.xt fornll Council De.tlng. Appolnt..s serVi IS unplld volunt..rs,
Council pr.f.rs thlt III Ippllcltlons IIXlIt be subnltted to the City Cl.rk no liter
thin one we.k prior to the Innounced Ippotn~nt dltes. PLE4SE USE 4 BLACK INK PEN.
THIS APPLICmON IS A PUBLIC DOCtJiENT AND AS SUCH cm BE REPRODUCED AND DISTRIBUTED FOR
THE PUBLIC, THIS APPLlCATlOII WILL BE CONSIDERED FOR 3 HOIITHS OIlLY AIID AUTO,"T1CALLY
CONSIDERED FOR AllY VACANCY DURING TH4T TIME.
ADVISORY BOARD/COHHISSIOllllAHE..L'.4.b11'. C/lMM /1,t,IOtJ . TERM :. \,,'
NAHE--'DIANJoJA l(l11r.;JoJc,k', HOI( ADDRESSjMO ~4~LH.CJ Ai'?-
Is your home Iddress (listed Ibove) within the corporlte limits of lowl City? 'f~~
OCCUPATlON~ 'P,l'lfel,snt' EHPLOYER IS
PHOIIE NUHBER: HOHE~13"'t.\ DUSINESS
EXPERIENCE ~D/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITIOII: .I nlh';l
Mk,D. Iii I;Jd!.S COl.\fo\l)l\llC,hol'\ .w.nM U'lUl~~Olol~ltJ-'Jfllll~!::!.
.
IIl1rl t\\~ ""(I'OX-fJtt 1I1l-t.r~~~ II'lC.t,\/JIt. 1"('}I-llW1ol1 I\Md....p.IU1.lIt.
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..l.J1n",. 1'\011. (1(1" rl!!.lu'l'. ,. PUII'JAI4'. '11'1 MfUlt,tH,,\tj .,.lC,t4A'v.....~r
~~Q.YO~; ~~~~~~~~~G~' OF THIS ADVISORY B04RD? '
_11)",r... Clh.( 1/\ AU~l)~t.rliB-;
\/HAT CONTRIBUTlOIIS DO YOU FEEL YOU cm /W(E TO THIS ADVISORY BOARD (OR STATE REASON FOR
,
APPLYJIIG)? ,PnMt\ M r'o\~ lLrtOu.l,,"I~, M f'DMM IJIlIUL"-t'l'^ f'/!<ltll/'L.lI\
..lJ.l.u-h h.lr, I ru,\ "".rll. Ornll/\I'.l ,~ 0" I'll" V\I'~ I"t~~IUN'.k
~\(C"_ I_~'lil'llh. II'./.uI\MldLC". n. pMltlllt.
~petmcl~~t~\1on ttl,oJfcl~~ Jf~rJtfa ~~rdis?g;ev coifllct of interest as defined In
Chlpters 362,6, 403A.22 of the Cod. of IOWI, Should you be uncertain whether or not a
potential conflict of Interest exists, contact the Legll Deplrtment, Will you hive a
conflict of Interest? _____yES ~NO
If you Ire not selected, do you wlnt to be notified? ~YES _____NO
Do you currently serve on another lowl City BOlrd or Conmlsslon7 _____yES ~ NO
It hiS been Council policy not to p.rmlt In IndlvldUl1 to serve on two BOlrds or Commls.
slons at the slme time,
June 19B8
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STATEMENT OF INTEREST
A 'yu' answer to any of tho follO\/lng questions wl1l not necessarily
Ixclude you from consideration for appointment to the Iowa City Broadband
Te1ecomnunlcatlons Comnlsslon. However. the lnforlll4tlon will mist our
Legal Department In determining whether or not there I114Y exist i 'unfllct
of Interest which would preclude your further consideration,
Are you or Is any member of your Imedlate family or anyone
dependent upon YOUI
a, An employee of or a stockholder In either Heritage Communlca.
tlons. Inc.. or a subsidiary or 11alted partnershlp(s)
(Including Cablevlslon Associates VIII. the general partner of
which Is or Is controlled by any of the above?
Yes No 'i
b. An employee of or a stockholder In any radIo or television
station or news publication operating In Iowa City or serving
the IO\/a City am or of any parent company ~r subsidiary
thereof. or In any other IIIInner affiliated with any of the
above?
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Yes No ~
c, An employee. stockholder. partner. or proprietor of any
corporation or business which has or Is likely to hm a
significant contract or business connection with either
Heritage Comnunlcatlons. Inc.. or a subsidiary or limited
partnershlp(s) (Including Cablevlslon Associates VII). the
general partner of which 1s or Is controlled by any of the
above?
Yes NO..L
If you have answer 'yes' to any of the above questions. please Include a
complete explanation using additional papar If necessary.
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