HomeMy WebLinkAbout1990-11-13 Appointment
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CITY OF IOWA CITY
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THE CITY COUNCIL OF IOWA CITY IS CONSIDERING AN
APPOINTMENT TO THE FOlLOWING 80ARD:
BOARD OF ADJUSTMENT
Onl vaclncy . F1v.yuI T Irm
JanuOly 1, lG91 . January I, fGGe
DUll..: In Ipproprlat. COI.. and lub/act to Ipproprlat.
cond.1on1 and II/~uarQ', mlkl Ipeclal axcaptlont to thl
IIrml 01 thl ordlnlne.. In hI/many with glneral purpo.. and
Intlntand In Iccordlne. with glnlral or lpecBIo wi.. ther.1n
contllned Ind provided that Iny proPlrty ownar IggrllVld by
th. action 01 thl Council In thl .doptlon of luch r~ulallonl and
r..tridlon. may p.lillon thluld Board of Adjultm.nt d~lCt~ or
modify r~ulatlonl and IIttridlonl II applied 10 .1ICh prop.rty
ownl,.. It can on~ tel pU,.ulntto thl zoning ordlnanc.. It
hll no POWII to Ict upon Iny Ordlnancll other thIn thl zoning
ordlnancl. It Clnnot grant I Vl/lanct un/"I Iptclflo III/ulory
luthorily provklll for gllnllng I vl/lanel. V.rl.nc.. glinted
undlllowl Codl, Chlpter414.f2(3) Ind Iowa City Municipal
Codl A-8.10.28H l(d) mlY on~ be granted In thl ca.. of
'unnoc,"ary hard.hlp.' Th. hardlhlp mUlt bl .ubllanlla~
l'rfoUl, rill, Ind 01 comp.1ll1'i!l forca, as dbtlngullhed lrotl'
rluonl 01 convlnltne., mllXlm~ltlon 01 prol. or capric..
IoWI C.y Ippolnted mlmbera 01 boardl Ind commlulonl
mUlt bl I"gilll. Iloctors olthl Cily 01 Iowa City.
Thia Ippolntmlnl will hi made Ilthl Novlmber 13. f Gge.
mlltlng of thl Cily Council at 7:30 p.m. In thl CouncU Chll11'
b.,.. Plrsonl Intlrllted In b.lng conlldlred lor thll polltlon
Ihould conllct th. Cily CI.r1t II thl ClvIo C.nter, 41 e E.
Wuhlnglon StrllL Appllcallon lorml all avallabll Irom thl
Clerk'l olllcl upon "quilt.
410 rUT "'''SUlhOl0h "1111. 10"" flit IOVrA In...IIU 'tlltl IIt.IOOO. foB Illtt lit..."
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Novlmber 13. 1990
BOARD OF ADJUSTMENT - Ono vacancy. Flvo.yeor tem
January I. 1991 . January I, 1996
Candace Boyd
935 South lawn Drive
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. CITY OF IOWA CITY -
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on BoardS/COlll1llutons phy an tlTllortant role tn advtsi"9 the
Councn 011 matters of Interest to our cOl!lmlntty and tts ruture, Applicants Mt reside
In Iowa City,
The City Counctl announced Advtsory Board/COlTJlltsslon vmnctes 90 days prIor to the
date the appotntment 11111 be made, Thts periOd provtdes for a JD-day adverttst"9 periOd
and a 60'day tratntng periOd for nell menters. The training pertod allolls nell menters to
become famtllar IIlth the responstbtltths and duttes of the advtsory beard/COlTJlltsston
before becomtng a rull voting member,
After a vacancy has been annOunced and the JO-day adverttslng periOd has exptred. the
Counctl rev tells all appltcattons durtng the informal 1I0rk sesston, The appotntment ts
announced at the next formal Counctl meeting. Appointees serve as unpatd volunteers.
Counctl prefers that all appltcatlons must be sutrnltted to the City Clerk no hter
than one lIeek prtor to the announced appointment dates, PLEASE USE A BLACK INK PEN.
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? r
THIS APPLICATION IS A PUBLIC DOCUMENT AllD AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC, THIS APPLICATION WILL BE CONSIDERED FOR J MOUTHS ONLY AlIO AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME,
ADVISORY BOARD/COIflISSION MilE -e,Dc1tA (l{- ~+lllfltL TERH 5"/N,"
flAME r tl.Vl\l{.i!e. Bo~~ HOME ADDRESS q~"i <'nl<l.1Jl(lIl11 "[)~i~t',
I s your home address (~tsted above) IIlth In tha corporate I tmlts of IOI/a C t.ty? y~.;
OCCUPATION ".~1.,\",V' l.i ('.l' t'l -t-..",. ~t'I'\ EHPLDYER~.(.
PHONE NUHBER: HOME 3tJl- ~.7t'i'f J BUSINESS '3(.,( r 'I JIILI
ElPERlENCl ~'~:,~: ~"~;~I::~:,~ ~~.:R" :':=~O~: ;~,,~~ 'I
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ll!l. $ (Jf'r.""'~t,- u,..i~ ,. Ji.!t'/t, u\ Llu.i4nJJjr\'",... r ~..t . .,,,.:, ~t..(. '1.!I~rl:' I
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WHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
~PPLYING)? or d!~ '4~'b"nr ,.~ "L; h~"'_ .'( '1,','/rt1h'-/'^j -fr IIlr l'dUI.....,"ft ~
.~ll./~,,~ 1\.., J:':t.~.j"4': .;. T.'",^ c.I., fIJ'f/'/Ilr'''''J( s.".. II """'ILl. '112''''''',) ,;,...
~lC~;,;::i.;;~ ;~;::;:- ~".;,~;~} ,;";:::, ,i: t~;; :;~ ':'''':,;.:;:''~:l ';;;,:~': ~';;
Chapters 362,6, 4DJA,22 of the COde of Iowa, Should you be uncertatn IIhather or not a
potential confltct of Interest exists, contact the Legal Department, Wtll you have a
confltct of interest? _____yES ~ND
If you are not selected, do you want to be notifted? ~YES _____NO
Do you currantly serve on another Iowa Cft
It has been Council polIcy not to permit a
slons at the same time.
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NOV I 3 OOJ
YES ':L NO
two Boards or Comnts-
June 198B
Mullnll K1~,c.trCllrl
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CITY OF IOWA CITY
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THE CITY COUNCIL OF IOWA CITY IS CONSIDERING
APPOINTMENTS TO THE FOLLOWING COMMISSION:
HUMAN RIGHTS COMMISSION
.
Thr.. welnclll . Thr"'YIOI t.rml
J.nuary t, i881 . January I, 1004
Thl dutlel of mlmbers of thl m.mbers of lhl Human Rlghll
Commlaalon III to provldl 101 lhl o.n.,11 wllfara 01 th.
dillnl ollowl City by atudylng lha relatlonshlpl 01 peopll 01
vlrlous flCII, COIolI, Clledl, rlllglonl, nlllonal~lel. mil Ind
Inclllrlllllvlng w~h1n thl community. To provldl procedurll
101 Ihl op.,aLOn of lAid Commllllon to IRmlnal. pr'judicl,
In/ol.,lnc., blgolry Ind dilCllmlnatlon In lhl City 01 Iowa City,
lowl, by dlClarlng dlacrlmlnatory plaC1lcllln 'hI If'" 01 publlo
ICCOmmodlllonl, .mploymlnl and thllelllng, lOll, flnlnclng
or lhawlng 01 rill proplrty 10 bl Igalnl' publlo polley Ind to
provld. prOCldurll for Ihl Invasllgltlon 01 complalnll and
conciliation Ind 10 provldl for In/orcemlnt
Iowl City Ippolnled mlmbere 01 boardl Ind commlallonl
mUlt bl IllgtJle .1101011 ollh. City ollowI City.
Thlllsppolnlmlnll win b. made lllhe November 13, 10Ue,
milling ollhl City Council a17:30 p.m. In lh. Council Cham.
bl,.. PlrlOnllnt.,lIled In being conaldered 100lhell podlonl
lhould contDCtthl City Clerk, CMl Cenllr, 410 E. Wllhlnglon
Strllt Appllcallon lorml II' Ivallabll from lh. Clerk'l offlc.
upon requllt
tlll,Ul IlI411lt"QIOlrllllIIIIIO.." fin IOW4 IIIU.llh"11f1 IU."".,u lilt, JII.IOOl
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Halasl 3
FClIlOlolI 3
Novombor 13. 1990
IIUllAIl RICIITS Co.'lMISSION - Throo vacancloa . Throo-yaar tarml
January I, 1991 - January I, 1994
Hlchaa1 A, Jogorlt
228 S. SUllllllltt
lIarold R. I/allbronnor (haa 8arvod two full toml)
1~25 Callfornla Avanuo
Chla-lIl1ng Lu (has larvad one full tom)
1219 Tyler Court
.
Ray lIalnal (has aorvod one full tom)
19 Clendale Ct,
Ed Aranldorf
21~ I/lndlor Drive
A1l1on AIIlol Ca1ltad
225 N. Covernor
Rlck Craf
628 2nd Avonuo
Lha A. Oxloy
527 E. Co11ogo St, '1
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- CITY OF IOWA CITY .
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals servlnQ on Boards/COfIl1Ilsstons play an l"1lortant role In advlstnq the
Ceuncll on metters of Interest to our COl!1llUnfty and tts ruture. Applicants IllJst restde
In Iowa City,
The Cfty Council announced Advisory BWd/Conmfsslon vacancies 90 days prior to the
date the appOintment will be made. Thfs periOd provides for a 3D-day advertlslnq periOd
and a 60-day tratninQ periOd for new rntmllers, The tratntno periOd allows new members to
become famll tar with the res pons 1bll It tes and duties or the adv Isory beard/COI!l1l Iss ion
before becomino a fu II vot inO member,
Arter a vacancy has been announced and the 30-day adverttsino periOd has exptred, the
Counc II rev tews a II app IIcatl ons dur tnq the Inrormal wor~ SfSS ion. The appoIntment Is
announced at the next forme! Council meetino. AppoIntees serve as unpaId volunteers,
Council prefers that all applications must be submitted to the Ctty Cler~ no later
than one wee~ prior to the announced appoIntment dates, PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUHENT AlID AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION \lILL BE CDIlSIDERED FOR 3 HOIlTHS OIlLY AIlD AUTOfolATlCALLY
COIlSIDERED FOR ANY VACANCY DURING THAT TlHE,
ADVISORY BOARO/COl1l1SStOII !/AIlE IIul!lAn RIRhtl COllllllllllon TERM
1/AllE I,laa A. Oxlay HOHE ADDRESS S27 Ean ColloRo Stroot, 'I
Is your home address (lfsted above) within the corporate limits of Iowa CIty? VOl,
OCCUPATION At tornoy EMPLOYER II.yok , IIayok , l'lollnnd ~ Brown
PHONE NUMBER:" HOHE 119/m.9561 BUSINESS 319/331.9606 .
EXPERIENCE A/ID/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITION: AI an attornllY,
I underltand the procoduro Cor lub~llllon or 4 complaint, tho Invo'tlBatlon oC that complAint,
tho procoll oC conolllatlon, and tho romodlol ayallablo, I allo havo oxporlonco In obJoctlvo
doclllon maklnR, In nddltlon, I hAve worked olololy with my Cather to dovolop Idoal Cor hll
eon8ultlnft hUlItntt!lll. which eonflhtll or .'Y'n~ sensitivity somlnar. on tho topics or racism
and sexll~ In tho work PIACO, Currontly, all US WOlt olllploYOOI (oontlnuod on rovorlol
\lHAT IS YOUR PRESENT KNOIILEDGE OF THIS ADVISORY BOARD? I o~ ra~1l \Ar with tho dut101 oC tho
Commission, tho rolo oC tho Conmllllon ln tho oOlllplalnt and concl1latlon prOCOOI, and tho
b r ' roo 0 olbllltles to ro~oto non.dllcrl~lnatlon Ind 0 ual om 10 ont to tho Iowl City
\lHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN KAKE TO THIS ADVISORY BOARD (OR STATE )~ON (OR
APPLYING)? I Cool that I havo a RrOAt doal to oCCor tho IIuman RIRhtl COr.u:llulon, I om
26 yoarl old, And I am a now mombor oC tho Iowa City bUllnol1 community, I havo 11vod In
Iowa City Cor lovon yonrl, and I am onthullaltlo about 10rvlnR .~o (contlnuod on ravorlo)
SpecifIc attentIon should be directed to possIble conflict of Interest as defIned In
Chapters ]62,6, 40JA,22 of the Code of Iowa, Should you be uncertain whether or not a
potentIal conflict of Interest extsts, contact the Leoal Department. \1111 you have a
conflict of Interest? YES x NO
----- -----
!,
If you are not selected, do you want to be notified? --x--YES _____NO
Do you currently serve on another Iowa Cfty Board 0
It has been Council polfcy not to permit an Indlvt
slons at the same time,
, X /10
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rds or COl!l1lts-
NOV 6 1900 ne 1988
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EXPERIENCE AND/OR ACTIVITIES CONTINUED,
natlonwldo lIlust attond ono or his sOlllln.rs, Tho lo~ln.rl .re .110 Biven to other Ilree
corporate olllployeo sroupl, Thereroro, I reo I thlt I a~ aw.re or and lenlltlvl to the .any
dlrrerlnt typOS or dllcrlllllnatlon which .re prolont In our cOQlllunlty and loclety ln sener.'
CONTRIBUTIONS CONTINUEDr
cOlMlunlty In 10lllO capacity, ospoclally In tho capacity or prolllotlns hUlllan riGhts, I believe
th.t al a youns Individual, I could brlns a now porlpoctlve .nd new Idoal to tho Coamllllon,
AlthouSh tho curront COIMIIIslon hal a roputatlon ror dodlo.tlon to hUlll.n rlShtl and errectlve
Ilrvlco to the cOllllllunlty, I rool that slvon the opportunity. a nou 1Il0lllbor would Inlure the
contlnuatlon of dlverso Idoal and Intorolts within tho COllllllllllon.
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- CITY OF IOWA CITY -
AOVISORY BOARO/COMMISSION APPLICATION FORM
Individuals servlno on Boards/Cmissions play an tlr.,ortant role In advisino the
Council on matters of Interest to our cOl!lllUnity and Its future, Applicants /Iljst reside
In Iowa City.
The City Councll announced Advisory Board/Colll11hs ton vacancies 90 days prior to the
date the appointment will be made, This period prevldes for a 30-day advertis1no period
and a 60-day tratnlno periOd for new members. The tratnlno period allows new mellters to
bee one familiar w1th the respons lb Il it les and dut les of the adv lsory board/COlll11hs Ion
before becomlno a full votlno mellter,
After a vacancy has been announced and the 30-day advertislno period has expired, the
Council reviews all applications durino the Informal work session. Tha appointment is
announced at the next formal Council meetlno. Appointees serve as unpaid volunteers.
Council prefers that all applications must be sutJn1tted 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 REPRODUCED ArlO DISTRIBUTED rOR
THE PUBLIC, THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY AND AUTOIlATlCAlLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME,
ADVISORY BOARD/COIflISSION NAMEuuman RI2htl Comlalon TERM 3 yrs.
NAME Rlrk c.ar HOME ADDRESS 628 2nd Avenuo, Iowa City
Is your home address (listed above) within the corporate lImits of Iowa City? yel
OCCUPATION "'p.nt.., owner Advanced Dellgn Bldrl. EMPLOYER lolf
PHONE NUMBER: HOME 338.m8 BUSINESS IOme
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Active In
.av ri.htl effortl In Iowa City for 20 years, Including effortl to Include "uxual
orientation" In Iowa Clty'l lIulllan Rights Code and In the Unlverslty'l lIulllan Rights
Pollcy, Co.founder and lIt year coordlnltor for ICARE. Iowa Center for AIDS Relourcel
and Education, 1988 Reclplent of tho habel Turner Award from thh cOlllllllulon,
I have a olear understanding how "dlfferonce" becolllOl the buh for dhcrlllllnatlon,
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I alii very fallllllar with the
cOlllllilonl purpole and role In our co~munlty, terms of offlco, "melting tllllel, etc,
WHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? AI dllcrlllllnatlon agalnlt 10lblanl, bllexuall, and glY 1Il0n contlnuel to Incrlal
I feel I can offer cloar Inllghtl Into tho moanl to addroll It. I allo have excellent
knowledge about AIDS/IIIV dllcrimlnatlon, and alii conlclentloul about hUlllan rlghtl for
SpecifiC attention should be directed to pOSSible conflict of Interest as I~m~~a' in
Chapters 362,6, 403A,22 of the Code of Iowa. Should you be uncertain whethar or not a
potential conflict of Interest exlsts, contact the Leoal Department, W111 you have a
conflict of Interest? YES x NO
- -
If you are not selected, do you want to be notified? !.-YES F-~O L E ~
Do you currently serve on another Iowa City Board or COlll11isslo YES x NO
,V 6199)
It has been Council policy not to permit an individual to serv on two Boards or 0 Is-
slons at the same tl.me, ..
'.1. ~jl!'.
June 196B
ao~S
.
f '/ I'-'Cf ,,-, .
. CITV OF IOWA CITV .
ADVISORV BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Comnlsstons play an l"'llortant role tn advising the
Council on matters of Interest to our cOllJ11untty and Its future. Applicants IIlJst reside
In Iowa Cfty,
The City Counctl announced Advisory BOdrd/COllJ11lsslon vacancies 90 days prior to the
date the appo Intment w t 11 be made. Th Is per I od prov Ides for a lO.day advert Is I ng per I ad
and a 60.day training periOd for new members. The training periOd allows new members to
become famtllar with the responslbtllttes and duties of the advisory board/COllJ11lssfon
before becoming a fu II vot fng member.
After a vacancy has been announced and the lO.day advertising periOd has expired, the
Counctl revfews all applications durtng the Informal work session. The appointment Is
announced at the next formal Council meeting, Appointees serve as unpaid volunteers.
Council prefers that all appl1catlons must be submitted to the Cfty Clerk no later
than one week prior to the announced appointment dates, PLEASE USE A BLACK INK PEN,
THIS APPLICATIO/l IS A PUBLIC DOCUMENT AlID AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC, THIS APPLICATlO/1 IIILL BE CONSIDERED FOR l MONTHS ONLV AlID AUTOK4T1CALLV
CONSIDERED FOR AI/Y VACANCV OURIIlG THAT TillE.
ADVISORY BOARD/COHmSION IIAME Ihllllan RIRhts COlllllllulon TERM 1/1/91-1/1/91.
IIAHE All.on AllIes Galatad HOHE ADDRESS 215 N. Govornor, Iowa City 52245
Is your home address (listed above) within the corporate limIts of Iowa City? yel
OCCUPATION Hedlo&l Librarian EMPLOYER Horcy IIolp1tal
PHONE NUMBER~ HOllE 354-9703 BUSINESS 339-3660
EXPERIENCE AIIDIOR ACTIVITIES IIIIICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I havo
lived In IOWA City Cor rlvo yoarl, DurlnR tholo flvo yoar. I havo 11vod In rontal
ro ert and lator urchAlod 0 hOlllo In Iowa Clt, I havo boon a Itudont al wall
al a roCelllonal In tho cOllllllunlty, Tholo dlvor.o oxporloncol hAVO onhancod lilY
abl11t to .00 llluel frolll lIIan lido., I Cool that lilY oxporlonco comblnod With
my commltmont to civil rlRhtl quallfl01 11I0 for thl1 pOlltlon,
IIHAT IS YOUR PRESENT KNDIILEDGE OF THIS ADVISORY BOARD? I om aWGrQ of tho bOllc functlon
of tho II\lJ1l1n Rlfthtl Ccmmhalon In handllnR COlllplalnts DC dhcrlmlnotlon ond worklnR
to promoto non-dllorll111nAtlon In Iowa City, 01 wall 01 tho procel' by whlch thl1 1.
IIHAT COtlTRIBUTIOIIS DO YOU ,FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE RE~ Y8N'
APPLYING)? I am cOllllllltted to 01vl1 rlRhta, and havo choaon A profolalon In which thl.
II vory Important (Ilbrorlanahlp - oqual Occola to lnrormatlon) 01 woll aa bolnR por-
lanally commlttod to oqual opportunity, I would 11ko to carry thl1 out In my olvlc
Spectffc attention should be directed to possible confltct of fnterest as defined '1n
Chapters 362,6, 40JA.22 of the Code of Iowa, Should you be uncertatn whether or not a
potentIal confltct of tnterest exhts, contact the Legal Department, 11111 ycu have a
confl tct of fnterest? _YES -LNO
If you are not selected, do you want to be notified? x YES NO
- -
Do you currently serve on another Iowa Cfty Board or C ~n? 1 EEt,
It has been Counctl poltcy not to permit an fndivldual ~t;rve onS~ol
sfons at the same time, ~ NOV
toIlI~nItKI"'1 '10Al
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NO
or COIlJ11Is.
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. C II! Of 10l/A C I r r .
I LEn ADVISORY OOARO/COIVI/SSfOIl APPLlCAIJOII fORII
'" I," i9'J;1.. U .,,'~ " "","e..., " r '"' P '" '" '"'''''' "r. ,. ." h'~ tho
Ntbuncll on n Itt rs or Interest to our cOl1llll/nlly and Its ruture. Applicants IllJst reside
II announced Adv lIorr BoardlConml1l Ion vacanc les 90 days prior to tho
10 appe Intment w III be made. rh Is por lod prov Idos r or a JO.day advert Is Ing per I ad
and a 60'day training period ror new members. rho training periOd allows new members to
becone familiar with the responsibilities and duties or the advisory boardlcemnlsslon
berore becoming a rull voting member.
Alter a vacancy h4\ boon announcod and tho JO'day advert Is In1 per lod has Uplred, tho
Council revlows all applications during the Informal work SOli on. rhe appolntmont Is
announced at the nOlt rormal Council mooting. Appointees sorve os unpaid volunteers.
Council prerers that all applications must be subnltted to the City Clerk no later
than one week prior to tho announced appointment dates. PLEASE USE A BLACK IIIK PEII,
TIllS APPLlCAIJOII IS A PtJOL/C OOCUllEl/T MID AS SUCII CAli BE REPRODUCED ArlO OISTRIDUIEO FOR
!lIE PUBLIC. IIIIS APPL/CAIIOII \lILL DE COIISIOERfD FOR J 1I0lHIIS DilLY AlIO AUTOAAT/CALlY
COIISIOEREO FOR AllY VACAlICY DURIIIG TIIAf TIIff.
"""RY" DIC."!lJI~,' "~'N;.CJt (1, H~\.,~
IIAIfE-CJ ~ II0llE AOD~~~~
Is your ho~me.., 0 filII... "I,' th ,. tho "'.".,. II.,.', ", ." CI 'r~_ ~ .
OCCUPATlOII ~ EIfPLOYER, *. ll. ~_ .
PIIOIIEIIUIfBER: 1101 ,~5l:iilSY OUSIIIESS. C' _ 'i06 I
EXPERIEIICE AIIO/OR ACTIVITIES IIIIICII YOU FEEL QUALIFY YOU FOR IIIIS POSIIIOII: ~'" l~I" C!h.
' " j I
. ,., ~ .
f
t .
SpeCific ottenllen should be directed to ollfble co fI ct 0 In erest as delfned In
Chapters J62,6, 40lA.22 of the Cede or Iowa, Should you be uncorlaln whothar or nolo
potential conrllcl of Interest UI{jI, contacl lhe Legal Department. \1111 you have a
conrllct of Interest? YES ~"O
If roo '" .., 10'''''':;'.. ''"' t, .. "'If,.d! t." _'"
00 you currently serve on another Iowa City Board or Celllnlsslon? _YES ~ liD
It has been Council polley not to permit an Individual to serve on tl/O Beards or Conlnts.
slons at the same lime '.II fl.. 0.. ,",uf1- " II /" ",/" 1U:<< fI...~ ~
I'<Jf.. J...... "'"- 'tf"'" ...... '........... JU.... <'V "-L;"z. )l68 - T .
tI.i,. -!...IU"*-~ _VJ "",*,"'j< f J.......,.,~ . "" "" ~
I ..:.1..... . ..--I", As,WtllV.a.I.f.t..v,I".,I, ,.. '
~~~~~ /M..\.l,.........
- - cl
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".
IndIviduals serving on BoardS/Ccmnlsslons play an II11l0rtant role In advlslno the
Counc I I on mat ters or Interest to our COi!l1lUn Ity and It s future, App lleants lIl.lst ru I de
In Iowa City.
The City Counc II announced Adv lIory Board/COI!I1Ilss Ion vacanc les 90 days prIor to the
date the appointment will be made, This periOd provides ror a JO-day advertlslno periOd
and a 60-day tra In fng per 10d ror new members. The tra In Ing per 10d a Ilows new members to
become familiar with the responSibilitIes and duties of the advisory board/comlsslon
berore becoming a ru II vet Ing member.
Alter a vacancy hu been announced and the 30-day advertising periOd has e~plred, lhe
Council reviews all applicatIons during lhe Inrormal work session, The appointment Is
announced at the ne~t formal Council meeting, ApPointees serve as unpaid volunteers.
Council prerers that all applications must be submitted to the City Clerk no later
than one week prfor to the announced appelntment dates, PLEASE USE A BLACK INK PEN.
-
- cm OF 10l/A CITY _
ADVISORY BDARD/CDHHISSION APPLICATlOII FOAl!
THIS APPLICATlOII IS A PuBLIC DOCUMENT AIID AS SUCII CAll BE REPRODuCED AlID OISTRIBUTED fOR
TlfE PUBLIC. TIllS APPL/CATlOII IIILL BE COIISIDEREO FOR J MONTIIS OIlLY AIIO AUTOK4T1CAlLY
CONSIOERED FOR ANY VACAIICY OURIIIG TIIAT TIME,
Jan, 1991-1994
AOVISORY BOARD/COlimSIOIIIIAME IIUNn Right. Collr.l1ulon TEAl!
IIAME Hlchul A. Joqont HOME ADDRESS 228 South S\IIIIIllt, Iowa Clty
Is your home address (listed above) within the corporate limIts or Iowa City? YES
OCCUPATlOII Protouor EMPLOYER Unlvonity of Iowa
PHOIlE NUMBER: HOME 354-3269 BuSINESS m-0901
-
EXPERIEIICE AlIO/OR ACTIVITIES IIIIICII YOU FEEL QUALIFY YOU FOR TIllS POSlTIOII: I havo
boon cOllVlllttod to tho actlvo punual of IIU1114n Rightl for qulto ION tllllO. It 10011II
thh t 0 of cOIlVllI..lon h tho bolt fOl'lllOt to onouro 0 l1411t of IOrvlcol and continuo
Public oducatlon for tho IIIOn dlvono co nontl of our COllllllunlt. WhUo traditionally
bolng lonlltlvo to 00 10 of color WOlllOn and tholo of dlfforln othnlo and roll louI
b groundl, I havo bocome IIlOro undorltandln of handlca od and a llluol Ilnco IIlOvlng to
IIHAT IS YOUR PRESENT KNOIILEDGE OF THIS ADVISORY BOARD? Iowa.
I follow ltl actlvltlo1 falrly clololy and thlnk It II an oxcellent fOfU5 for lnvOltlqatlng
.
;1
IIIIAT CONTRIBUTIONS DO YOU .FEEL YOU CAlI K4XE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYINGI? I WOI actl.o ln udlclal bodlol whon In colla o. I alii lonlltlvo to tho noodl
and llluol of tho dlvorlo groupo roprolontod In Iowa Clty, and I AlII conf ont t at I w
brln both commltmont and falrnoll to thOIO hoarln 8 and Involtl atlonl.
SPeclftc attentIon should be dIrected to posstble conflict of tnterest U deftned tn
Chapters 36Z,6, 40JA,ZZ of the Code of Iowa. Should you be uncertatn whether or not a
potential conflict of Interest e~fsts, contact the Legal Department. 11111 you have a
conflIct of tnterest? _____yES ~NO
" you are not selected, do you want to be net tfted? x YES NO
----- -----
Do you currently serve on another IOwa City Board or Comlssl
t has been Counc II po Ilcy not to permit an tnd I v tdual to ser .
s fons at the same t tme,
f 1. :: I FI C, n
- CITY OF IOWA CITY -
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals servtnQ on Boards/Comntsstons play an IlI'4lortant rele tn advtstnq the
Councll on matters of tnterest to our conmunity ana tts ruture, Applicants Mt restoe
in Iowa Ctty,
The City Council announced AOvlsory Board/Conmtsslon vacanctes 90 Oays prior to the
date the appotntment wtll be made. This periOd provides for a lO.day advertisttlQ periOO
and a SO.day tratninQ pertOd for new members. The tratntnQ pertoo allows new menters to
become famlltar with the responsibilities and duttes or the advisory boaro/conmlssion
before becomlnQ a full votinQ member.
After a V4Cancy has been announced and the lO.day aOvert Is tnQ per tOd has elp I red. the
Council reviews all applications durinQ the Informal work session, The appointment Is
announced at the next formal Council meettnQ. 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 REPRODUCED AriD DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL BE COIISIDERED FOR l MONTHS Of/LY AriD AUTOMATICALLY
COf/SIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY ~OARD/COfimS,I9N rlAME /ll{",'1 1f,',lfJ (~u,IJ,'"TERM !,v ~(II- j
:IA'~E /I,/ruU ~ /.4'//r('ltllrt' HOME ADDRESS 1J',lf ('I /'7.,.;"" ,A....t
Is your home address (listed a~ove) withJ~ the corporate Ilm~ or Iowa City? \I f.f
OCCUPATION 11'4 ~)]ljk,,(''''' )/J ((,'I lor EMPLOYER jut JI'rCl,i~ 1.J"7f'J::C,,-
PHOf/E NUHBER:.HOHE,1/'1-1 )I~f)ll BUSINESS 11Y. 1S/-/~JS .
EXPERIENCE AND/OR ~CTIVIT/ES IIHICH YOU FEEL QUALIFY YOU FOR THIS POSlTlON:
T ,(,ll,,~. Jf('/... a" fir ("";"/JJ"O~ -K.',~ t~( J)(I.)r (yrlIYJ
/Jrr;, ~~ i{( (0;"'''' r :fo " r~t1 '1tr e,."/'II'i/dl;. Ii~' f't'
PII jo t u ( 0 ~ " , ,,1"~ 4 J ." ".7 J 1" C 4 I( J
t ~
,
:,
IIHAT IS YOUR PRESENT KNOIILEDGE OF THIS ADVISORY BOARD? -rlr (,'" ",..iJ ,'~., lll\l;-,Kj_
"1~J,t. ;,,/....\ 1i"t'i/I,ro (~ f.. ~ .;,H/~7f(7f,.
t7~J 1,'1') i. 111,'/('0..,' I, 'JI'O'" r4tJ IV f,.' ("~i.1l1J "(III'"
WHAT CONTRIBUTlOIIS DO YOU .FEEL YOU CAll MAKE TO T~IS ADVISORY BOARD (OR STATE REASON FQR
APPLYING)? -:;:. )/ll.o' ~ . ,11 ( ti, 0...... /~'(q dill" 7-,(\ /',l r- (; "":.)
u-(i(( ""~, '~JI f~ (~ilt~'JJ/U~"" .rr ~IoJt:t~7;r"
')c.,'I-H1u el,.,. , ",/7Ir 1''t1..t~{ /i,l tot/I.,.o ~
Speciffc attention should be d rected to possible conflict of fnterest as defined in
Chapters J62, S. 40JA,22 of the COdd of Iowa, Shou Id you be uncarta fn whether or not a
potential conflict of Interest ex~, contact the LeQal Department, 11111 you have a
conflict of interest? _____yES NO
If you are not selected, do you want to be notiffed? ~YES f/D
Do you currently serve on another Iowa CHy Board or COITl111ssto~? 'r~,I~~:;~~Th
I t has been Counc 11 po I fcy not to permit an f nd i v ldua I to serve on ttt~~a8dl99} to . is.
sfons at the same tfme, ~
'11;;,\, ~ ~.Y;~~I:.~
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)
. CITY OF IOWA CITy .
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals serving on Boards/Comnisstons olay an tll'Oortant role tn advising the
Council on I114tters of Interest to our conmun lty ano 1ts future. ADD I lcants IllJst res loe
In Iowa City,
The Cfty Council 4nnounceo Aovlsory BoarO/CcnmlSS10n facancles 90 oays prior to the
date the appointment will be maoe. This periOd provides for a 30-day advertising periOd
and a 6D-day tralntng perioo for new memllers. The training periOd allows new memoers to
becane famlll4r with the responsibilities and duties of the advisory bearo/conmisslon
befcre becoming a full vetlng member.
After a vacancy has been announceo and the 30-day advertising period has expired. the
Council reviews all applications during the Informal work session, The appointment is
announCed at the next fcrl114 I Council meeting. Appointees serve as unpaid volunteers,
Council prefers that all applications must be submitted to the City Clerk no hter
than one week prior to the announced appOintment dates. PLEASE USE A BLACK !ilK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT AlID AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC, THIS APPLICATION IIILL BE COllSIDERED FOR 3 MOIITHS OIlLY AlID AUTOMATICALLY
CONSIDERF.D FOR ANY VACANCY DURINr. THAT TIME.
~om:~y aOARD/COlimSIOII flAME 1-, . ",{ERM 3 v.!-IJ :V(,'Jo'"
1/AIlE U( J c,~rA-JH/N(.r L../IL HOME ADD ESS 'LeI( ('v~~'
I
Is your hcme address llisted above) within the corporate limits of Iowa City?
OCCUPATION /.e,d"'~\II.t'J aJ..e.;, ;/-rn" EMPLOYER lil,~ -v4-t,
PHONE NUMBER:- HOME 3$tf ~16 z,..' BUSINESS 3'3S" ~~t _
EXP R1EIICE AIID/OR ACTIVITIES IIHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: rl'lI\~ IIV1>-
. ~;" ~ e\. t \ ~ t-v "lA I 7+7'. Z-H-79.
( -t ' 7C/\J. ~ 'Cot.
WHAT CONTRI BUTlOIlS DO YOU .FEEL YOU CAli 'tAKE TO TillS ADVISOR',
APPLY!IlG)? I ",
'I
J.'"
~
.., V J'" #l, I 1I
DO~RD (OR STATE RE. SON FOR I
Specific attention should be directed to pOSSible conflfct of fnterest as defined in
Chapters 362,6. 40JA.22 of the COde of Iowa. Should you be uncertain whether or not a
potential conflict ef Interest exl,ts" contact the Legal Department. Will you have a
conflict of interest? YES L-' NO
- -
If you are not selected, do you want to be not ffled? V;ES NO
- -
Do you currently serve on another 10Wd City Board or Conmisston? _YES ~~~o~l
It has been Council policy not to permit an Individual to serve on ~ltf .BOlIr.IOSAor lC,onmis.
slons at the same time. 0(; I.J!fJ,J I
i _J.une...l9.88
1~I;r ~l 1(,(1 ~,l) \.1~lk I
I, ''':~..!:'':':__.. . ..,^ J '"
.-.- O(LJ ~
I , I I F, [, j:'
. CITY OF IOWA CITY .
ADVISORY BOARD/COMMISSION APPLICATION FORM
Individuals servln9 on 30ards/Cmfsstons play an I~ortant role in advtsln9 the
Councll on il'i4tters of Interest to our comnun Ity and its future. App licants IIlJst res Ide
In Iowa City.
The City CounCIl announceo Advisory Soard/COllll1fsslon vacancies 90 days prior to the
date the appo !ntment will be IIl,Ide. Th Is per I Cd prov 13es for a 3D-day advert fs 1 n9 peri Cd
ano a 60-dal trafnln9 perloo for new memoers. The tralnln9 periOd al lows new memllers to
becone familiar with tile responSlbfllties and duties of the advisory board/collll1lssfon
before becomtn9 a full votln9 memo4r.
After a lac.ncy has been announced and the 30-day advertfsln9 periOd has expired. the
Councll reviews all applications durt/lQ the informal wor~ session. The appointment Is
announcec at thb n.~: 'or14 1 Counc!; ~etin9, Appointees serve as unpaid volunteers.
Councll prefers that all applications must be Mmitted te the City Cler~ no later
tllan one wee~ prior to the announced appointment dates. PLEASE USE A BLACK INK PEN.
TIllS APPLICATION IS A PUBLIC DOCUMEIIT AlID AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
TIlE PUBLIC. TIllS APPLICATION \lILL BE CONSIDERED FOR 3 MO'HHS OIIL Y AIID AUTOflAT/CALL Y
CONSIDERED FOR ANY VACANCY DURING THAT TIME,
ADVISORY 8OARO/C~ffmSloll 'W1~R tJrlv lIut'fllN ,f!t-ifrS TERM 1991- 1'19 'I
IIAUE ~lty Ih,,,J~.5 HOME' ADDRESS ,'1 &,f./AJOAt.e' C.~::rbtJ).4 C,"Iy,:r61UA-
Is your home address (listed above) within the corporate limits of Iowa City? yes
UCCUPAi/ON /1IA~4~ EMPLOYER,tI.41J1Q#t C"4rAn.'l<, S~5rI!r\S
PHOIIE NUMBER:. HOME.Jd::j$'I_ldil ~ eUSINESS :U'1.3SV-'t7,oo Ihr 7//
-
EXPERIEIICE AIID/OR ACTI~ITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
:r. A,.. allL.<~ A ,tt~III'!~ D1= 'tHI! Ht,,,,4J ~('Hrt C!tJ"''''/r-J/'N
k"".. A, ~" 6"""'", ''''Do :r "" "" 'cr,'" -.. "" ~
.iJ.4t, tJrt9~y C.L(/~..,1 ~rolCti IMt.I9~:;""N IAJ X"~4 C'h'" ~iJ (!ofc~~
~/(APnw-r. IAJ 7"~e atJrl#~II,J, 1~~fNfO ~,,~
5~"" ,,'(:1 4.. ",.. (!." elf" .
WHAT IS YOUR PRESENT XNOWLEDGE OF THIS A VISORY BOARD?
Aw; 11- ~JA,rlt"~
-
WHAT CONTRIBUTIONS DO YOU ,FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPL'fING)1 T Qt1,.e. ,4,) l.u~..,. ,,v ~"o4cd-nNb ~/lIt.. l'J..,o
nu~~ ,.e(.~rs PJI!.. Au. Xc. AvO w~"'1l ,4o)1t6~
Specific attentIon should be directed to possIble confltct of Interest as defined tn
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 Le9al Department. WlIl ycu have a
conflict of fnterest? _____yES ~O
If ycu are not lelected. do you want to be notiffed? ~S _____NO
~e you currently serve on another Iowa Cfty Bo
It has been Councfl pOlicy not to permit an
lions at the same time.
YES
V;;o
-
I ual to serve 0
OCT I 7 1900
Boards or Comnls.
June 1988
tAMn K 1:111. till '1111
I .. r.', 'I\"~
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CITY OF IOWA CITY
tmi
THE CITY COUNCIL OF IOWA CITY IS CONSIDERING AN
APPOINTMENT TO THE FOLLOWING COI.IMISSION:
.
P,4RKS AND RECREATION COI.IMISS~
On. vlCIllC'f . Four,'lIllrm
JIIlUI/Y I, 1001 . JIIlUI/Y I, 1005
Thl dUlJ.1 01 m.mb.,. oIlhl Pw IIId R.CllIllon Commll.
lion III 10 rlCOmm.nd IIId IIvltw paid... rultl, rf\lu~llonl,
ordlnancll IIId budgl'l IIlIlIng 10 pw, pltygroundl, racrl'
a11on1l Cfnl.,.1/ld Mull! fUndlon1 0/ iii. ciy IIId mllil lueII
rtpOrII to llil Ciy Covndl II iii. Commltllon duml In lhe
publlo Inlll"t; 10 Illrelll brOld IIljlOt\lbliy 101 lilt dlVltop.
mInt 01 pw, racrltllon c.nt.,.. pltygrovndt IIId Mull!
Ildlllltl 10 "Mllil Ciy, Incklding iii. ettllJon IIId IjIpOlnt.
m.nl 0I1dv1101y groUPI to mllil ltudltl.
Iowl Ciy tppOInlld mlmbers 0/ bolllll IIId lllmmlnlona
mUll be IIgIlIt .ltctOll of llil Ciy 0/ Iowl CIly.
Thle appoIntmlnl wil be mldlllllil Novmlbar 13, 1000,
milling 0I11i1 Ciy Coundl II 7:30 p.m. In iii. Coundl Chlnl.
bl,.. P'/IOnl In!trlltld In being lllnlldtrld 10I1Ii1e pollllon
lhould lllnltd lilt Ciy Cllrll II llil CMo C'nllI, 410 E.
Wuhlnglon S~III. Appbllon forml III IVIlIlbIt 110m llil
CI.rll'l officI upon rlqUlIL
t" 'u, "UIII'-(dO'- ".'11'10'" (I" 10'" '''...111...,'''1..1....'''. 111'111.....'
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HalOlI 5
FOIllOIOII 3
Novolllbor 13. 1990
PARKS AND RECREATION COMMISSION - Ono vacancy - Four-yoar torlll
January I, 1991 - Janu,ry I, 1995
B111 Blanchard
2402 Novada
Bl11 Brandt (hol lorvod one unoxplrod-torlll)
2309 Tudor Drlvo
Charlol T, Trow
411 KacBrldo Road
.
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. CITV OF IOWA CITV _
ADVISORV BOARD/COMMISSION APPLICATION FORM
Indlvfduals serving on Boards/Ccnmhslons play an Important role In advlsinq the
'ouncll on matters of Interest te our cOl!ll1unlty ano its future. Applicants IIlJst reside
In Iowa City.
The City Councll announceo Advtsory Board/COl!ll1tsslon vacancies 90 oays prior to the
da te the appo Intment will be maoe. Th is periOd prov Ides for a 30-oay advert Is I nq per I ad
and a 60-day training perioo for new members. The training perloo allows new meiOOers to
become familiar with the responSibilities and duties of the advisory board/ccl!lI1lssion
before becoming a fu 11 vot ing meiOOer.
After a vacancy has been announceo and the 30-day adverthing period has expired. the
Counctl reviews all applications during the Informal work session. The appointment is
announced at the next formal Council meeting. Appointees serve as unpaid volunteers,
Council prefers that all applications must be SUDnitted 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 OOCUMENT AIlD AS SUCH CAN BE REPRODUCED Arlil DISTRIBUTED FOR
THf PIJ~ur. fJlr~ APPI rrATIO" 1/111. RF CDIISIDERED FOR 3 MOIITHS OIILV AND AUTOI'ATlCAllV
CONSIDERED FOR ANY VACANCV DURING THAT TIME.
ADVISORV BOARD/COI1~ISSION IlAHE.l?w:x~ AHA fi'"mnt.';'11 TERH_Vlleo.~ !t,,/~,.
I II'. ,;AI
1/AIlE t'~;-k~ T." r;"u) HOME ADDRESS 'III /1n, R,,"'; f' ;r;/ '114~ ~
Is your home address (listed above) within the corporate limits of Iowa City? ..res
OCCUPATION J...n U#} "".. EMPLOYER ~ e If' '
PHONE NUMBER: .HDME .3S/~07()9 BUSINESS .=3:3[. 7.5'.5'1
EXPERIENCE AIlD/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
""' IS '?" PRES"T ," '0' ","IS "'IS", """',~~.:l!"~~~
~~~~loAJ'JJM),J. ,
IIHAT CONTR BUTlONS DO YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)?
,
S,"HI, ,,;..,;.. sO.." .. dI .et" to ''''''1. ...flle' ., I. "01" D'''~'' I";P?
Chapters 362,6, 403A,22 of the Code of Iowa, Shou ld you be uncerta i n whether or not a
potential conflict of interest eX1st~ contact the Legal Department. 1It11 you have a
conflict of interest? YES ~ NO
- -
If you are not selected, do you want to be notified? V"YES ,ND. J
- -:Ir.(,)
1 you current ly serve on another Iowa City Board or COl!ll1hs Ion? _YES' ~"'//lf~ ~"'
, ./
I t has been Counc I I po Ii cy not to permit an Indlv idua I to sarve on two riG~ 101!Dh . b:
slons at the same time.
~,
.
, , I Ft [I h
. CITY OF IOWA CITY.
ADVISORy BOARD/COMMISSION APPLICATION FORM
Individuals servfnO on Boards/Cmlssions play an I~ortant role In advlslno the
Councll on matters of Interest to our conmunlty and tts future. Applicants IIlJst reside
in Iowa City,
The C t ty Counc Il announced Adv hory Board/COlrl1l1 SS Ion v4C4nc fes 90 days pr lor to the
date the appointment wi II be made. This periOd prey Ides for a 30-day advert Is tno perfOd
and a 60-day tralnlnO period for new mellters. The tralnlnO periOd allows new mellters to
becone familiar with the responSibllltfes and duties of the advisory board/colrl1llsslon
before becomfnO a full votlno member.
Arter a vacancy has been announced and the 30-day advertlsino periOd has expired. the
Council reviews all appllcatfons durlnO tlie Informal werk session, The appointment Is
announced at the next formal Council meetlno, Appointees serve as unpaid volunteers.
Council prefers that all applications I!I1Jst be submitted to the City Clerk no later
than one week prior to the annOunced appointment dates, PLEASE USE A BLACK INK PEN.
THIS APPLICATlDI/ IS A PUBLIC DOCUMENT AlID AS SUCH CAN BE REPRODUCED AIID DISTRIBUTED FOR
THE PUBLIC, THIS APPLICAT/OI/ \lILL BE CONSIDERED FOR 3 MOI/THS ONLY AIlD AUTOMATICALLY
CONSIOERED FOR ANY VACANCY CORInG THAT TIME,
ADVISORY BDARD/COIiHSSIO', flAME lJJI:/I.'; r k;.t"'IIfi.'.~' TERM 011' Yt~R
flAME 8/.: l $t,'ANL'r HOME ADDRESS .),01(</ ;4,,",,( N'
Is your home address (listed above) within the corporate limits of Iowa City? ..Y~~~
DCCUPATION_V.~'1d" ~'/~~'r"~417;w'u ....4~UIt'&l, EMPLOYER /S,{''IIIIIJ1' l!e411.Y,
PHONE NUMBER~ HOME .~5'/.. l/76~ BUSINESS .;)~~5..J() 7 .
EXPERIENCE AI/D/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
/k.s~".y .s'e~WHt I re/l~ 7l"~
,
! d
\lHAT IS YOUR PRESENT KNOI/LEDGE OF THIS ADVISORY BOARD?
ht'lllft! 1'tfe' 1:1''1 dll(N'.../1. "II MII1TEI!s 1iMr 11,&'~',r f'A/W; '"
$~ J:l!.M>tlN 1111' B.4 ~
\lHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPL YI NG)1
Specific attention should be directed to possible conflfct of interest as defined In
Chapters 362.6, 403A,22 of the Code of Iowa, Should you be uncertafn whether or not 4
potential conflict of Interest exists, contact the Leoal Department, \1111 ycu have a
confltct of Interest? YES v NO
- -
If you are not selected, do you want to be notified? V' YES
Do you currently serve on another Iowa f.l Bdbrd br
It has been Councll pol icy not to permt a i6etv1dK~9000
s fons at the same t tme,
MIIII" " Mm. C,I, CI/lk
lo":.r.~L.!~~!-~
NO
-
? _YES ~NO
e on two Boards or Commts.
June 1988
J.Ol,~
'!' ::' I -, t] ,,-,
. CITY OF IOIlA CITY .
ADVISORY BOARO/COI94ISSIOII APPLICATlOII FORM
Individuals servtnQ on Boards/CommiSSions play an Important role In advlstnQ the
Councl I on matters of Interest to our conmuntty and tts future. Applicants IlIJst restde
In /0114 City.
The City Council Jnnounced AdVISory Board/COlIl1ltsslon vacancies 90 oays prior to the
oate the appol ntment will De lIIade. Th Is per t O<l prev Ides for I lO.day aovert 1$ I nQ periOd
and a 60.day tralntnQ pertOd for new melllOers. The tralnlnQ period allows new lIIelllOers to
Decone famtltar with the responSIDtlltles and duties of the adv1$ory oeard/conm1$slon
Defore becomlnQ a fu 11 vot InQ memller.
Alter a vacancy has been announced and the lO.day advert tSlnQ periOd has expired, the
Counctl reviews all applications durlnQ the Inforlllal work session. The appointment Is
announced at the next formal CounCil meetlnQ. 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 DOCUHEIIT AIID AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATlOII \lILL BE COIISIOERED FOR l MOIITHS OIlL Y AND AUTOI'ATlCALL Y
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY aC~RD/COftHSSION ~IAHEJ~,.J. ~~~...t\"~ TERM
ilAliE HOMS ADDRESS 'J. ~
Is your home address (llsted above) wlthln the corporate 11mlts of 1000a City?
OCCUPATION ~t.H~~~ EMPLOYER W, ..J.. ".
PHOIIE NUMBER:. HOME ~C;/'4l.,.~Z, BUSINESS ~o(;4ID .
EXPERIENCE AIIDIOR ACTIVITIES IMICH YOU FEEL QUALIFY YOU FOR THIS POSIT/OIl: X lu.vt ~
,~ ~
l /1\&
Speciflc attentlon shou be Irected to poss be conflict of lnteres as defined 1n
Chapters l62,6. 40JA,22 of the Code of Iowa, Should you be uncertaln whether or not a
potential conflict 0' lnterest exl~ contact the LeQal Department, \1111 you have a
con'llct of tnterest? YES ~NO
I' ycu are not selected~YOU want to be notlfled? ~YES 110
~o you currently serve on another Iowa City Boa ~ itYES .kNO
stons at the same time. AlXl 2 A I~
June 1988
1~lllUn, II "'01 1
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