HomeMy WebLinkAbout1990-10-02 Appointment
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CITY OF IOWA CITY
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THE CIlY COUNCIL OF IOWA CITY IS CONSIDERING
APPOINTMENTS TO THE FOLLOWING COMMISSION:
HOUSING COMMISSION
On. VlClncy , Un.xpkld I.,:n
Celeb., 2, lOGO. MIY t, 1001
On. I'ICIIlCy , Un.xpkld I.rnl
Celebl/ 2, lOGO, MIY " 1002
On. yaclncy , Un.xpkld lerm
Celeb., 2, lOGO, MIY " 1003
Outlll 01 the Houelng Commlaelon m.mber. Includ.
Invllllglllng, eludylng, IlYi1wlng and IIII~zlng lh. hoUlIng
n.lde end lh. meellng of eudl n.ld. wm, the CIIy 01 Iowa
City end InYlellg~1ng and d.t.rmilllng . elum 11.11 IX~I or
olher II.... whl/.lhll.lI. unll", unllnh'Y or OYII<rowdld
houelng condillone, and Iludylng, InYllllgDlIng and meklng
rocomm.ndoUone 1I1.111ng 10 lh. elllrlng, r.pl.1nnlng and con.
ellvCllon olllum .,lIe Ind provldlng dwonIng plocee fO/.ldor~
p.llone Ind plllOne 01 low 01 modI/lie Income.
Th. p.llone lppOiIIlld 10 th.1I poehlone .~o win em. II
m.mbell or .homlll m.mbell 01 Ih. Houllng Apptala Bolld.
Iowa City appointed memb.1I 01 boardl .nd comm~llonl
mUll b, .lIgibl. elOC1orl ollh. City ollowl City.
Thllllppoilllmenle wUI b. mlde allho Oelobl/ 2, 1000,
milling 01 th. City Coundl Il 7:30 p,m, ill lh. CouncU
Chlmbell, PellOnllnl.rllled ill b.1ng conlldorod for lhlll
polhlone ehould conllCllh. Chy Cltlillllh. Civic C.nIOl, 410
E. Wuhlnglon SlrllL Appl1c:ltlon forme Ir.lyoUabl.lrom tho
CI.Iil'. 01111:. upon roquolL
410 rUl ..UII"H110" \HIIl I 10Yl'4 fill' 10'" IlHOdlU 1'11'11"01001' fA). ,)ltl )h.'OO'
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Maloll )
FOlllo11011 I
Octobor 2, 1990
1I0USING COHllISSION - Ono vacancy - Unoxplrod tona
Octobor 2, 1990 - Hay I. 1991
Paul A, ESll
1801 Stovunl Dolvo ,)
WIlliam J, Kolly
1108 Sunlot Stroot
Ono vacancy - Unoxplrod tona
Octobor 2, 1990 - Hay I, 1992
Rogor J, Rol11y
404 North Ht, Varnon Drlvo
Robin Paotzold-Durumorlc
168 Rovoncrost Drlvo
William J, Kol1y
1108 Sunsot Stroot
Ono vacancy - Unoxplrod tOl'1ll
Octobor 2. 1990 - Hay I. 1993
Pnul A, ESll
1801 Stovons Orlvo ,)
Jamal L, lIarr1a
219 Ronalds Stroot
Robin Paotzo1d-Durumorlc
168 Rnvoncrolt Drlvo
Wl11iam J, Kolly
1108 Sunsot Stroot
Chevalier Monsanto
510 Garden Street
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Octobor 2, 1990
MlIOII J
Folllo1 101 I 1
HOUSING COKMISSIO~ . Ono vacancy . Unoxplrod torm
Octobor 2. 1990. Hay I, 1991
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On vacancy. Unoxpirod torm
Oct bor 2, 1990 ~Hay I, 1992
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Rosor . RolUy
404 No h Htf Vornon Drlvo
'Ono vacancy . U~111rod Lorm
Octobor 2, 1990 - M I, 1993
Paul A, ESB
1801 Stevens Drive '3
James L, lIarrls
219 Rona1ds Stroot
Robin Paetzold-Durumoric
168 Ravoncrest Drive
/711
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, CITY OF IOIlA CITY ,
ADVISORY BOARD/COHHISSION APPLICATION FORH
I nd i v Idua Is serv Ing on Boards /Comnlss tons p lay an l"1lortant ro Ie In adv is Ing the
Council on matters of Interest to our cO/TlllUnlty and Its future. Appltcants nust mlde
In Iowa CHy,
The CIty Counc Il announced Advisory Board/COlll1llss ton vacanc les 9D days prior to the
date the appointment will be made, ThIs period provtdes for a JO-day advertising pertod
and a 6D-day tratntng periOd for new members. The tralntng period allows new members to
become familiar with the responsibilities and duties of the advisory board/comnlsslon
before becoming a full votIng ~mber,
After a vacancy has been announced and the lO-day advertisIng pertod has expired, the
Council revtews all appltcatlons during the Informal work session. The appointment Is
announced at the next formal Council meeting. Appointees serve as unpaid volunteers,
Council prefers that all appltcatlons must be submitted to the City Clerk no later
than one week prior to the announced appoIntment dates. PLEASE USE A BLACK INK PEN.
TIllS APPLlCATlOfI IS A PUBLIC DOCUI~ENT MID AS SUCH CAll BE REPRODUCED MID DISTRIBUTED FOR
TIlE PUBLIC. TIllS APPLlCATIOfl IIILL BE COI/SIDERED FOR l MOIITIIS OflLY ArID AUTOAATlCALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME,
Oct. 90' - M4Y 92'
ADVISOR.Y BOARO/COflllSSIOfl 1lAME...TtA,; (1,'1 I~.lff.. f'~IM · WI, TERH Oct. 90' - H4Y 93'
tlA/~E Iff"','1' 4a.~(.. 0 ~t^,~,,:a,{ HOME AOORESS I"/'~""dl'/'('{.I{ y^....
Is your home address (listed above) within the corporate lImIts of Iowa Clty?~____
OCCUPATION IkhJ:Ir~'(~-^ I ,'..>,:,\..' EMPLOYER
PIIOI/E NUfIBER: 1l01~E J.n /tin BUSINESS
--
EXPERIENCE AI/DIOR ACTIVITIES IIIIICII YOU FEEL QUALIFY YOU FOR TIllS POSITION: 1lllilt" f';"N
fllij'j'lP /t,r,/ II/I~'t', ~ II:':'M Sit/'IIflr,' 10':, ,I ...'.tM(~' ,,'f')MW lILt 1"""F(o"'~I"I',
I /1I;t6.Jr,I,4..'",) :, ,,":--1'; ,'tl.lr' -,'r-.Z '!A,' ..'U~~ I'/fit.!)" /111/:tC') It'..'} Tllf
('t./jJ; (i:l.t/1 lio t1""I,/(.I,'.f~~t'rtl'i "').~I:itl/'('( Ih;A'Hf'. />IllI'IlII' Ii ',"Il'l , I II/ltr."
I:t t.'~ (~ 11'1n! lil"!]f,) /.il ~/n,g Ilt'-'"I.~ 711A'tll't II lllf }eN! .;71 ( I'I('d:l.l'( IMEX'I-t.lIM'
lA'/' ' 11/" ~l ',fI~,(1" I'D .('It "';~h- (/' T/l1 11~"" '1'10 If )j~~ ,7l,('!; ,
WHAT IS YOUR PRESENT KND LEDGE OF TillS ADVISORY BOARD? r ",., tlll'RI'/. tf I'.~ ('l'jll. ~
lil:~) 11/,,/ ,~\II',{)(,r ~')N(I f"ff.J 11I'I"l,(.,W,.T '",' /?tnllll,'J,! t,r,1
of";, ,,It:.~ II.L,~ 1/111, uO'^ ~ I.,,t ~..>,('
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WHAT CONTRIBUTIONS DO YOU FEEl YOU CAN MAKE TO TIllS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? .f l.lill ~/ 1 Ii..? Mu 71' {'f/"il6,','l ;: tiliI4"; 1,t;t/,~i~'7 I{I/I'II!~
'~...'I/~ /lITlI :11/1/'/(/.11 (~,: '1)~ d.> I(l'tr't",! II. /.iil) {f ill. 51t'v\" I /t"~l(' /,~Id
7711. .~#it./l1('t! 1. /.t'.td'\,r>!; /l",'J/ 11// 1.1>< ;; ,;',' v').ffll' 101. I(.i~~ {~'Y
,
Specific attention should be directed to possible conflict of Interest as defined In
Chapters J62,6, 40JA,22 of the Code of Iowa, Should you be uncertain whether or not a
potential conflict of Interest exist;. contact the Legal Department, Wll1 you have a
confltct of Interest? __YES -!-NO
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If you are not selected, do you want to be notified? YES ~UO
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sslon? _YES ~O
Qo you currently serve on another
~ CiJy Blard ~r C
Irr,jltSn ~n~11~ua',
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serve on two Boards or Commls-
It has been CouncIl policy not to
s10ns at the same time.
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June 1988
J
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ADVISORY BOARO'COHHISSION APPLICATION FORM ' ,.'
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, CITY OF 10llA CITY.
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Indtvlduals servtng on Boards/Coomhstons play an t~ortant role tn advht"9 the
Council on matters of tnterest to our COllmJnlty and tts future, Applicants IIllSt restde
In Iowa CIty,
The City Council Jnnounced Advisory Board/Conmhston vacancies 90 oays prior to the
date the appot ntment will be made. Th Is peri od prov Ides for a 30'day aovert h t"9 perl ad
and a 60-day traintng perloO for new members, The tratnlng period allows new members to
become famll lar wi th the respons lb Illt leI and dut les of the adv hory boaro/conmlss ton
before becomtng a full voting member,
After a vacancy has been announced and the 3D-day adverthlng pertod has expired, thp
Counct1 reviews all app1tcatlons durt/lQ the Informal wor~ session. The appotntment Is
announced at the next formal Council meeting, Appointees serve as unpaid volunteers.
Counct1 prefers that all appllcattons IIlUSt be sUl)nHted to the CHy Clerk no later
than one week prior to the announced appointment dates, PLEASE USE A BLACK INK PEN,
THIS APPL[CATlON [S A PUBL[C OOCUHEIIT AlIO AS SUCH CAN BE REPRODUCED AIIO O[STR[BUTEO FOR
THE PUBLIC. TH[S APPL[CATlOII \I[LL BE COIIS[OEREO FOR 3 MOUTHS OULY AlIO AUTOMATICALLY
CONS[OERED FOR A.~Y VACANCY OUR[IIS THAT TlI'.E,
AOV[SORY BOARO/COIfHSS[OIl/IAHE I. C, Hous I ng Comml IS I on TCRII fu 11
11A1~E James L, Harris HOI'.E ADDRESS 219 Ronalds Street
Is your home oddress (listed above) within the corporate llmtts of Iowa Ctty? ves
OCCUPATION professor emeritus EMPLOYER formerly the'Untv. of low4
PHO/IE NUMBER: HOI'.E 33B 1459 BUS[NESS retired, use home number
EXPERIEIlCE AUD/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITIOIl:
I am retired from the Graduate Program In Urban & Regional Plannlngl
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th@r@ I t~ll~ht thp ~nur~@work in hou~1nnl comml.n1tv develoDment. and
social polIcy,' Before entering teachIng In 1967 I was a practicing
architect and urban planning consultant In Massachusetts, wtth a
sDeclJ.ll.t..ln subsidIzed houslnQ, urban revitalIzation. etc.
\/HAT IS YOUR PRESENT KNOIILEDGE OF THIS ADVISORY BOARD? J am aware of I ts scope
and feel comfortable that I can readily functton In deallnQ with the
~copc of the Ctty'S prugr~m5 and opportunities,
WHAT CONTRIBUTIONS 00 YOU ,FEEL YOU CAli MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? I can only repeat what I have stated above,
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Specific 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 conf1tct of Interest exists, contact the Legal Department, \/111 you have a
conflict of interest? _____yES ~NO
If you are not selected, do you want to be notified? . YES NO
00 you currently serve on another Iowa City Board or Conmtsslon ~hi ~ENGl n
It has been Council policy not to permit an Individual to serve ~~'tw6E90artl~~ cio~ s'
slons at tho same tlme, I nave been appointed 10 what 't1~nk ~
Is an ad hoc commltlee on affordable housing, Mllllnt.YMlWQI
"o'IC,1 1001
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- CITY OF IOWA CITY -
AOVISORY BOARD/COKHISSION APPLICATION FORM
Indhfduo\" servlnQ on Boards/COlIl1Ilulons play an IlI'Clortant role In advlstllQ the
Counc tl on matters of tnteres t to our COlTmln Ity and Its future, App lIcants IlIJS t res Ide
In Iowa City,
The City Counctl announced Advisory Board/COlTlIllsslon vacancies 90 days prior to the
date the appointment IItl! be made, This period provides for a 3D'day admtlslllQ period
and a 60-day tralnlnQ period for nell members. The tralnlnQ period allM nell members to
become famtllar IIlth the responsibilities and duties of the advisory board/comnlsslon
before becoming a fu 11 votlnQ member,
After a vacancy has been announced and the 30-day advertising period has expired, the
Council reviews all applications durlllQ the Informal work uulon, The appointment Is
announced at the next formal Council meeting, Appointees serve as unpaid volunteers,
Council prefers that all applications must be su~ltted to the City Clerk no later
than one week prior to the announced appointment dates, PLEASE USE A BLACK INK PEN.
TIllS APPLICATION IS A PUBLIC DDCUHENT AND ,'s SUCH CAN BE REPRODUCED AIIO DISTRIBUTED FOR
TIlE PUBLIC. TIllS APPLICATION I/lLL BE CONSIDERED FOR 3 HO/IlHS OIlLY AND AUTOMATICALLY
COIlSIOE~O FOR AllY VACANCY DURIIIG THAT TIME,
. ,
ADVISORY BOARD/CDH4ISSION IlAHE11o~,':I"" i:'rlh'" ,;'/,1/1 TERM.3 VO.;1,r::;
j' .. I' \l I"" -I niL ~ ~
IlAHE tI,,' to l,.", "OHE ADDRESS "", .) :\":h; I'll/ ,. '~..:~
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Is your home address (listed above) within the corporate limits of Iowa City?
OCCUPATION CIl/n(l,.t '!.fl.:"" J rm '^"I I~h ,.1\..," EHPLDYER ,\jfi' ; ",~ I ::"n,p';-,~I ;v,a;..",.;
PHONE NUHBER: HOHE.'qq.,;; ~,5:J ~ :- BUSINESS ....;; 'i ,'1.1) 'l . ~ C'/ c,.~
EXPERIENCE AIID/DR ACTIVITIES \IIIICH YOU FEEL QUALIFY YOU fOR THIS POSITION:
1" ) '" I' \.f\,.~"1.' }" r. n " j,..\-' ~
.~. '~/(' (t'f',I",I\I~.-""\ t},':t.I'.t,,(t~, '1,:" '. ~rf'.'J"I""""'1 rl>',.~. 1\';'
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,..~~It .rft<l ...-'.,,.. ~-.!i,_-J.''\ I~.' ~O!,\~""~ c::,,':~ :1(' ,.' f'~...) ".~).... .",'
".~~14 ~:'J"I;\I../f,;.:~" 0"'.\ '(')\" ,r.:r.,.A~I'l~'~' [\,,- ,..,t.-L'".'" "','
I" ", ),'k"O ,.{Ie'. ;",01 (" :1 .::Hn 11~ll/ll, ll"~l ur,/-" (>
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C:'r ~J ".. "1 ~.I I" ,>~ "-,,,,'h '..., , ,111.1, "\'l...~, r-I.I 'L ~,;, II ,'j ../~~ 0 ~
I/HAT IS YOUR PRESENT KNOWlEDGE OF THIS ADVISORY BDARD?:J" ..'<11 c> (. ":/1 ~. -r, .I~,-,
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rO't..-,'113 ~t.'r~t'nt.l"'fl,,"1 ,01("":":' r' -4'~_'. '.......)n,~.."" ~..,:...J'(., ",~)/t';-r...l'-;"',
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WHAT CONTRIBUTIONS 00 YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
. 1 '
APPLYING)? -" ~~\!IC;C11 '){,;0,- t'. ./.,' II'r\,',o,,~ ~/-' t" '.:I
^ r' \' "1 'I I ,\' , '
U''', ,,,,t,,,,'.- I:'---'V'''' ,,? ...C;rl'~' ~,1 ,I,J!"',',~"/ ,.,... ':I),.a..). .~r-r',~I\."'A"II,)(l';
_., I.. ...(, I I \ .. 2 I 'J' "', . 'J' _, T, ,
"" J I ~I h..'~l1Qr' t.,:) e{l..~~l 1,I,I'" '-. \' 'f;' ~.:r,'lj,,"~'h ( ~"Jt '~n~'
Specific attention should be directed to p ul'6'le l'~ol\'fi'lc'tI'o 1 Ili~~r~~ds de; Md In
Chapters 362,6, 4D3A,22 of the Code of Iowa, Should you be uncertain whether or not a
potential conflict of Interest ex~s, contact the Legal Department, 1/111 you have a
conflict of tnterest? YES NO
- .
If you are not selected, do you want to be notified? ~ YES ~D
00 you currently serve on another Iowa City B~ard or C ssl~? ~~S / NO
It has been Council pol Icy not to permit an indhldual erX/Jpor otWll..BO or Comn1s.
slons at the same time, ~t ~
J ne 988
IlIln It Klff, ClI'I
10WIC~ 10WI
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, c: T f JF : J~A :::, ,
ADVISORY BDARDiCDH.IlISSION APPLICATION FORM
Individuals servtno on BOardS/COOl11lsstons play an tll'()ortant role In advtstno lhe
Council on malters of Interest to our COl!lllUntty ano Its future, Appltcants Mt reside
tn Iowa City.
The City Council announceo Aovlsory BwolColTJ1ltsslon vacancies 90 ddyS prior to lhe
dd te the appointment w t 11 be lIIaoe. Th Is per t 00 prOV toes for a lO-oay advert Is t no per 100
and a 60-day tratntno perloo for new memoers. The tralnlno pertoo allows new memoers to
become (amt1tar with the responslbtllttes and dulles of the advtsory boaro/COlTJ1llsston
before becom1no a full votlno memoer,
After a vacancy has been announceo and the lO-day advertising pertOd has explreo, the
Council reviews all appltcattons durlno the tnformal wor~ session. The appointment Is
announced at the next formal Counctl meettng, Appotntees serve as unpatd volunteers.
Counctl prefers that all appltcattons must be submitted to the City Cler~ no htrr
than one week prtor to the announced appotntment dates. PLEASE USE A BLACK INK PEN,
THIS APPLICATlOII IS A PUBLIC DDCUME/IT AlID AS SUCH CAli BE REPRODUCED AIID DISTRIBUTED FOR
THE PUBLIC, THIS APPlICATlOl1 I/IlL BE COIISIDERED FOR l MOIITHS OlllY AIID AUTOfo4ATlCALLY
COIISIDERED FOR AllY VACANCY DURING THAT TIME,
ADVISOR BOARDICOIofH SIOII IIAME .1" " ~RM ~ J
IIAHE t) Y" 'IlL HOME ADDRESS rotf AI. mi. tl'lI(J1I PR., . '~J
Is your home address (11 ted above) wtthln the corporate llmtts of I wa Ctty? ~
OCCUPATION &l1k~ EMPLOYER t'//t. t1 .1, ~
PHOIIE NUMBER: HOME ) 3S!f-J.38tf- BUSINESS ~ ..~_
EXPERI liCE AIIO/OR ACTlVI IES I/HICH YOU FEEL QUALIFY YOU FOR THIS SmON:
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June \988
/79/
'0 [V rl " , 5
, CITY OF IOWA CITY -
ADVISORY BOARD/COMMISSION APPLICATION FORH
Indlvfduals tervtnQ on Boards'COlll1Ilulons play an fll1lortant role tn advtstllQ the
Council 011 matters of Interest to our COllmlnlty 6nd Its futur.. Appltcants Mt reside
In Iowa City.
The City Council announced Advisory B06rd/Conmlsslon vacanctes 90 d6yS prior to the
date the appotntment will be made. Thts perIod provtdes for a 30-day advertlslllQ period
and a 60-day tratnlnQ pertod for new members. The tratnlnQ period 61 lows new menters to
become famtl tar with the respons tblllt lu and dut tts of the adv tsory board/conmt u ton
before becomtnQ a full votlnQ menter,
After a vacancy has been announced and the 30.day advert Is InQ per lod has expired I the
Council revtews all applications durtllQ the tnformal work suston, The appointment Is
announced at the next formal Council meetlnQ. Appotntees serve as unpaid volunteers,
Counctl prefers that all applications naut be subnttted to the Ctty Clerk no later
than one we.k prior to the announced appotntment dates, PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AriD DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY AIID AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIKE,
ADVISORY BOARD/COHHSSION flAME //.-, .t//!w,jlJ"'" 1/ TCRH .~' ,... ,,~,"~!
flAHE It.l',/I,'" i /r{'/I... HOME ADDRESS/I.'.",;,' "..-n.. ;;:;-.../, '''I LJ
Is your home add~ess (listed above) within the corporate ltmlts of Iowa Ctty? Y c-~~
OCCUPATION ;!-.:-'!,.....,.. EMPLOYER'
PHONE NUMBER: HOME 51!' ,;'~,. '1'1' i BUSINESS
EXPERIENCE ANDIOR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
,.
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IIHAT IS YOUR PRESENT KHOIILEDGE OF nns ADVISORY BOARD? /. dl",It;:, J/o~, ,,"'/., "'"I
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IIHAT CONTRIBUTIONS 00 YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)?{,/~ ,";I/' ..y." " .. L":;'Nt.
NO
"lIlllnll. KIII,C"IC~lk
louCl1 IOWI
17'11
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- C lTY OF IOWA CITY .
ADVISORY BDARD/CDfI.IlISSIDN APPLlCATlOI/ FORM
Individuals servlnQ on Boards/Commissions play an Important role In advtstnq the
Council on I114tters of Interest to our cOl!lllunfty and fts future, Applicants lIIJst resfde
In Iowa City.
The C tey Counc t1 announced Adv hory Board/Conmi$s I on vacanc les 90 days prior to the
date the appointment will be made. Thh periOd provides for a JO-day advert1s1nq perloo
and a 60-day tratnlnq periOd for new melllbers. lhe tralntnq periOd allows new memtlers to
become famll14r w1th the responSlbt11tles and duttes of the advisory board'conm1ss10n
befort becomlnq a full votlnq memtler,
After a vacancy has been announced and the JO-day advert1s1nQ period has uplred, the
Council reviews all applications durtnQ the Informal work session. Thu a~polntment h
~nnounced at the next forll\4l Council meetlnQ, Appointees serve as unpaid ~olunt~ers,
Council prefers that all applications must be submttte<l to the City Clerk no later
than one week prior to the announced appointment dates, PLEASE USE A BLACK INK PEN,
THIS APPLICATIOtl IS A PUBLIC DOCUMENT AI/D AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATIO/l \/ILL BE COIISIDERED FOR J HOIITHS ONLY AIIO AUTOMATICALLY
CONSIDERED FOR ANY VACANCy OURING THAT TIME,
ADVISORY BOARD/COH~ISSIOII /IAHEIl., .t,/~~' (~II).IJJI SJiin TERM 3 t//(,
IIAHE(/~r/'Ajil'JI At JJ!I'I!.J(;AIJr" HOME ADDRESS ~Jt1 t;,/Uw 5;,
, ,
Is your home address (ltsted above) wlthtn the corporate limits of Iowa City? 61'~
OCCUPATIOI/ /Ji<4'q/ j;;.j IJh hf EMPLOYER
PHOtlE IIUMBER: HOME j ~'l - IJ d~ BUS I NESS ,
EXPERIEIICE AIID/OR AcTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITION: (1-/(,,1'
, .,... (/" '0 "./ "
, it
, i
WIT, IS ,m" !RESENT "OI1.EDGE OF "'IS AD'IS'" '''RD~ ~>.:. ,.~ .~ ?,;,,;, ,..,t'
,A~~~f.~;:~~;':/7/.-;a-,!;.t",~.k ~ - ; .-
WHAT CONTRIBUTIONS D((-YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (DR STATE REASON FOR
APPL YUlG ) 1
Specific attention should be directed to pOSSible conflict of Interest as defined In
Chapters J62,6, 40JA,22 of the Code of Iowa. Should you be uncertain whether or not a
potential conflict of Interest exists, contact the Leqal Department, '0'111 you hale a
conflict of interest? YES ~NO
- -
If you are not selected, do you want to be notified? ~ES _NO
Do you currently serve on another low fty ~oarl or Eonm on1 _YES '?/ND
It has been Counct1 pol Icy not to per n 011lll1J1dUA.!.. t ve on two Boards or COrmlls-
s Ions at the same time. I~I l'l':f;;lJ
Millin It ~IJI,CltyClllk
IOWI e,l IOWI
June 1988
/711