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HomeMy WebLinkAbout1991-02-19 Appointment II~o., I I ; . ft- -,_.~,~"-S- ---. -~_.'.__ Il\UB THE Cl1Y COl.flCl (1 rNlA Cl1Y IS COlSUIlI<<I III motU. llENT 10 lIE FOU.OWflO C()IlM51OH: , ~T C()IIU!WCf! en. YU'iC'f . Ila.". In llrclI " I"' .llrclI I, 1"7 Met: To..'" aI ". powtII pIlId "M Mil _lIIdor Ctolplll mol". Code oIlofa,lIltIlI". poont 10 ..hid UpoII. To -'t '*""'1fIIO\ft 0I1wt"" ". WaIoN 01 ". SlIUII 01 ". sw. oIlofa 10 be !roW lor IipoIt MOM'- AU.lIdI dlMd .. lW6liI 01 ofllnlIIt lor 1ipoIt~ WI be 1I'idlI'" ~ Mil DoIAt crial of ". AipoII CoiMIilIoIl. dlpolIlId .. ". Ctt T,...." IIId dIIMMd odt 011 ". .....1IIIW\1I 01 ordI 01 ". AipoII ColMIUiorI. lofaUt~lIItIIIbnolboWlMllOlllllftiIilN IIMlbe. .Ildln of ". Ctt oIlofa Qly, TNt ~ibIIII" be NIt II". FlIiNry ,II, ,,,,,lIMIt 01". Ut Cotd 0I7JO pA In ". en CNnibIn. PwnI WntlId In btInQ =nlIdltId lor iii plIIIOII thclAd llriIcI ". Ctt an 01 ". CIllo CIlIllf,410 E. WIII'qIon Sh.I, ~ 1m lit mIIIiII hlWli. ClIr\'1 olet ~ rllVi'l .11 IAII WAI"I~O'O~ 1I1~" .IOWA fllV, IOWA "'1101111'11111 1"01111, lAX I"" "I'"I1J9;1. i ._..'____.._~.."_..~...>>_...,,,~..;............._k."';... '+' ....,..-...,,, '--"''"~-''''''-''''''_'-'-__.'',I ~J. ,I..i ".' ,.<d..... "'_', "'.~ _"j ... .,;',. >, ',,~'_1,. . I I' .,' I I I ~ ,. , " " I . ' ,I: I I ;'.i .. rl , ~, /b . - 1141 III 3 . I Foult.. I 1 ! , I i r I I ! ..-,; FebruArY 19. 1991 ,. i: I , AIRPORT COMMISSION . Ono VI coney . Slx.yoor tOri I14reh I, 1991 . Karch I. 1997 , " . !' I , I I . I t :. i ~ l' Robort L. Illeka (hll Ilrvod one unoxplrod UnI) 3116 Junipor Drivo ~ j , , i .f------ ! I i I I , ''';.-"~~- -,----- ~.__._-- ,. ;, , I , " i i" I i i I I I , I , I " , .L.. --;,. 'T' J' .. , .. ,i I I I , i I: i , i .~ I I i' ,~' I . I , I' 'j .. II I. I . t . . . I. I I i , , ~. .,,' I I I I , L J?~ . .~ '.~.... .........----...---p---__...._._I__________._.__..__._~_. _....-_.,--w_...---._'---~~-__--.4 "[I .' " ~, '~l -' / . CITY OF IOWA CITY . ADVISORY BOARO/COMMISSION APPLICATION FORK Indlvtduals strvt"9 on Boards/CCllllltsslons play an f'llortant role tn advlstno tho Council on I14tters of Interest to our COllllllntty and tts future. Applicants Mt reside In Iowa City. The City Council announced Advisory Board/COft\1llsslon vacancies 90 days prior to the date the apjlolntment will be IlI4dl. This perIod provtdes for a 30-day adurtlslno plrlod and a 60-dal tratnlng pertod for new members. The traIning period allows new members to bICOlIt familiar 'otfth the responsibilities and dutIes of the advIsory board/colllllsslon before becOlllng a full votl~o member. Arter a vacancy has been announced and the 30.day advlrtlstng period has expIred, tile Council revtlws all aPllllcatlons durtno the Informal work smton. The aPllolntment Is announced at tile next formel Council melting. Appolntles serve as unpaId volunteers. Council prefers that all applicatIons IIllSt be subnltted to the City Clark no later than on. week prtor to till announced appointment dates. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUHENT AND AS SUCH CAN BE REPRODUCED AIID DISTRIBUTED FOR TIlE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY AHD AUTOI'ATlCALLY CONSIDERED FOR AHY VACAICY DURIIIG THAT TlHE. ADVISORY BOARD/COIflISSION flAME Airoort Cor.unisB1on TERK 1991-1997 IWiE Robort L. Hicks HOHE ADDRESS 3116 Junipor Drivo, Iowa city, 111 Is your home address (listed above) wlthtn the corporatl ltmlts of Iowa CIty? Y~i OCCUPATION Diroctor ot Enginooring EMPLOYER Orlll-n Labotatorios . PIl0NE HUMBER: HOlE 351-4117 BUSINESS 338-5411 EXPERIENCE AlID/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITION: For tho oast I jL4 yoars I have livod in Iowa City and held managorial positions with Shollor Globo and Oral-n. This oxperionce couolod with tho importanco o~ good transportation tacilitios tor a growing community nfovides an oxcellent oeportunity Cor me to adviso on industrial and onvironmental hsun. \/HAT IS YOUR PRESENT KHO\ILEDGE OF THIS ADVISORY BOARD? J1avinCl served a partial term )11/99 to prosent) I am aware ot tho boardh activitios and the tuture ~lonqes that taco the board. WHAT CONTRIBUTIONS DO YOU ,FEE~ YOU CAN MAKE TO THIS ADVISORY BOARD (DR STATE REASON FOR 'I APPLYING)? With my business exoorionco at Shollor Globo and Oral-n I teol . I I can assist in providinq quidanco tor tho airport commi~sion that will ! allow it to better Borvo our community. Spoclflc attention should be dlrlcted to pOSSible conflict of Interest as dlflned tn Chapters J6Z.6, 403A.22 of the Code of Iowa. Should you be uncertaln whether or not a potential conflict of Intmst exists, contact thl Legal Department. \/111 you havo a conflict of tnterest? YES X NO - - If you are not selectld, do you want to be nottfled? X YES - NO - YES X - NO Do you currently serve on another Iowa Clt Board or Commlsston? I 1r\ serve on two Boards or Commts. JAN 2 4 I~I IJ , ii,;"" ~ '1/1 r,'h c.". '0 I. - . It has beon Council poliCY not to r stons at thl same time. June 1988 It,' /. ;./:(4t I h :;,1/ $i . .' , - , I i, , I I . , [I I' --, 8 ___ --" ., \ ~'&.. CITY OF IOWA CITY I I' I' I \ , i , I I I ~I~~' I ,.' i \~ .. I 1l2IS lItE CI1Y COlIICI. Of IOWA CI1Y IS CCtl$lOOIflQ AI'POMVDlTS TO TIE FOUOWfIQ COIIIlSSOI: pllO~lM) mfCOUUl.fl(~TOIS Clllll/I$$IOII TIIO~' TlvttlNI- u.d\ 11, Ii'll. LlMdI I" ltil TIN ~"1lt8TCII" .....lINpIII.. ....r~ .. 01.... CItlI TV hrll"1M. ThtMltolllt htlItd T~ CoNnIlllon k:WdI MMit U . M boIId"'" dlfWt belIMft ." ~ 1'1 P*"II''''*''* ItId Ilt atJlMIon ~ /flWlg ItId IlIIlt9 rtpOl1I br Ilt atlMblllll!.pllft " Ilt CIy Ultqild br Ilt ClIilt TtIMlon Q\Na: ~.... p.ljc, ...1ft<<Ia, Ilt CIy,IIlII'" atlMbl~lorlltpupoMoI~~lonIOIImua _: ~.. oNI Ie'" pnuI/\I" lit tIIIcM IIIOIlIomg IIlII _don 01... CATV ')1M"1lt Ctt, IowaClr ~MmberloIboIIdI w~lIMlbt IIgIiIt olldall 01.... Ctt 01 Iowa Ctt, ThtM 'l'ohntnlu. bt II\IIIt 1111I FtIIrwt It, '"I,-lnt 0111I Ctt CMd 117:30 pili. bill CMcI C11Mibt11. I'tnont "lItIIltd.. btilg CI'IIIldrtdlor Mt po&IIont JIiouIIlIOIIIKllll cay CltIt 1111I CMc CtnItr,410 Eo W~ SUt!. ~ IonN tit mIlIiIt m... C\II\', oIlet ~ IICf*l " I' , . I: I I: I I il . I I, , (. I III IAll UIHI~OIO~ 111111 .IOU rllY. IOWA 111""111' ,.111111,11", 'AI 1'"1 .11,1111 ';{93 "..,.._....................,..... '.>...._.. ~,_,_, _....;~.....-_.-'.. .........^ ._...... ,.",,-._. ,,,....~, ......". ....... .... .-. ---, "- ,~,~ ,~...... '..., _.;_ "'_'~"' ,,,,,,.'..l .-.. """"~' ._.' "". ".,',., :t,:;~;1 ',.....-.- ..,< -","'.,.,'. -" ..;~, :',';,..,J ";i:,~'":':.,.::. . . . E' - I -, -, .' q I ~ltIl 2 ,...1011 I '.bruuy 19. 1991 IROADIA.'IIl tnEcaoMIlCATlo.U CllIOlISSIOH . TIIo vtctncl.. - Thr.. y.u t.m Karch 13. 1991 . H.rch 13. 1994 I.tty lrunl And.r.on 1600 Sprue. Court Rob.rt (Rob) Levi. soe Kirkwood Av.nuI Plul J. CI.IIII (hi' ..rv.d on. un.xplr.d tlra) 1006 Arch.r Av.nu. Jlffr.y S. For.aan 2440 Shldy Ol.n Ct. fl9J ,-. --"'''-~"'''-'_.---'----'-~'''''~'''''''-''''''-'-'''-_.'''~-'-~''-'''"'--'....._........~."~';.;..~,:;.~Jl'ii:ii~j~J~;. i I I it '1 it I , : :1 I I -....1 i I i i i , I I i , j ,1 i I ~ .. , I , i: , I ,. \ I i I I I i lor- II , " Ii I I. I '. ,I Ii , , I, f I: I' I i. .. . . ...._.._---_._.,...,--_._---~----- I" ~ . . .f I 1 I " " I;. t I; i' i I, f, I I. f' I 1 , . ~.' j. ",' , I I , t] i.l. 8 . Ef' . . . CITY OF IOUA CITY. BROAD BAllO TELECOItlUlIlCATIOIIS CDlIlISSIOII APPLICATION FOIllI Indhlduals sll"ll"9 on Boards/COIlI1llulons play In l'1lortant role In advlsl"9 the Council en NUers of Interest to our cOolQlnlty ana Its futur.. Applicants Mt resldo In lowo City. The City Council announced Advisory Ooard/Cormlnlon mancles 90 dlys prIor to the dat~ the appointment will be made. This porlOd provldos for a 30.d1Y adv.rtlsl"9 p.rlOd and a 60'day training P4rlOd for nlw IIldlltm. The t,,'nlno PfrlOd .lIews n'lt N<<Cfrs to becone (amnlar with the responsIbilities and duties of tho advisory board/comlulon bofor. becoming a full voting membor. Aft.r a vacancy has boen announced and the 30.day adv.rtlslng perIod his .xplr.d, tho Counc Il rev lellS ell app liCit Ions durlll9 the Inforlla I work SIn Ion. Tho IllPolntalent Is announced at tho next formal Council meetIng. Appolnte.s s.rv. IS unpaId voluntl.rs. Counctl prefers thlt all appltcatlons IIalst be subllltted to the CIty Clark no liter than one week prior to the Innounced appolntmtnt dltlS. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOClJiENT AND AS SUCH CAN BE REPRODUCED AlII DISTRIBUTED FOR THE ruBLIC. THIS APPLICATlOII IIILL BE CONSIDERED FOR 3 HOIITIIS DIllY AND AUTO~T1CALLY CONSIDERED FOR AllY VACAIICY DURING THAT TI~. ADVISORY BOARD/COltUSSION IWIn:",\\,/" ~,I 'rc~ ",...,,' II t" "..,11 TERM fWiE~r~.: v (. ):..':~"'~l~ HOlE ADDRESS )~LoI 1/..,,/, (./.. . J, ~!,.. ("'" I Is ~our home addrm (listed above) wIthin the corporat. IllIlts of Iowa City? ~,' OCCUPATION ,I:!. i?~d"I",1 EHPLOYER11,,1,;...,... '.. .,1 '7:"'.'r PHOIlE HUH8ER: HOME ~n, fJ \. I BUSUIESS ;.',11 I Ie EXPERIEIlCE AIID/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITlOIl: _....I~\I,lr-lv ',Il}". I., 1/.1 J '11 ;'",.,. .I/.t l....~ _ ~ I,.t ' "1 . ,I, I .., "t,t", ....,. .\" \.1,'" f ,",.. . . . I 'I I' I.' I .f IJ. '., -(. \.~ "^ ,J" .' "'i ,,'..- I t f, .q/\ t, "" \ -I I' . I" " '11 - I'~ I ,., ....f,"- , . l ..' I. t .! ~\ I, ',' h,.' ,I,,,, .'. b . , \' , . . ,. I... . ,Ii' " ,iI'l" I,r \/HAT IS YOUR PRESEIlT K110IlLEDGE OF THIS ADVISORY BOARD? . \/HAT COIlTRIBUTlOIlS DO YOU FEEL YOU CAlI HAXE TO rnls ADVISORY BOARD (DR STATE REASOIl FOR APPLYIIIGI? -;;/ }:\, ~~I I.I,,,,.t,,/). .h,. ., II """ !'r::.J1 '!r IIIL'! "'v I, "f'I",\,,~, If, , ( SpecifIc attention should be dIrected to possible conflict of Intlrest os dlflned In Chopters 362.6, 403A.22 of the Code of Iowa. Should you bo uncertaIn whither or not a potential conflict of Intorest exists, contact the Legal Dopartment. IIIll you hm a conflict of Interest? ......YES ~NO If you are not selecte~, do you want to be notIfied? ~YES '......NO Do you currently serve on another Iowa City Doard or Commtsslon? It has been Council polIcy not to permit an Individual to serve on slons at the same ttme. E ~ ....,...'.., . I I I I I , , , .' I I I I: , '. ,/ r, ./ ~A--~~I ~ ~~-~~~~- - - . STATEHEI/T OF INTEREST A 'yes' answer to any of the followIng questIons will not necessarily exclude you from consIderatIon for appoIntment to the Iowa City Broadband TolocOlllnunlcatlons Cor.mlsslon. However, the InformatIon wl11 mist our Legal Department In determInIng whother or not there may exIst a conflIct of Interest whIch would preclude your further consIderatIon. Are you or Is any member of your IlmItdlate family or anyone dependent upon you: a. An employee of or a stockholder In eIther HerItage CommunIca- tions, Inc., or a subsidIary or limIted partnershlp(s) (Including Cablovlslon Associates VII), the goneral partner of which Is or Is controlled by any of tho abovI? Yes No ~ b. An employee of or a stockholder In any radIo or television station or news publication operating In Iowa City or slrvlng the Iowa City area or of any parent company or subsldhry thereof, or In ony othor IlIInner aff11tated with any of tho abovI? Yes 110 \ c. An employee, stockholdor, partnlr, or proprietor of any corporation or busIness whIch has ar Is likely to have a significant contract or buslnoss connection with elthlr Herltago COlIInunlcatlons, Inc" or a subsIdiary or llmlted partnorshlp(s) (Including Cabllvlslon Assoclatls VII), the general partner of which Is or Is controlled by any of tho above? Yes No \ If you havI answer 'yes' to any of tho abovo questions, please Includo a completo explanation using additional paper If necessary. _n....._....__..........____""._~...... .........,... .......~ ,..// { '>r'1t{ /"'7// f ~ 29~ ~ L E O' I I I I I r I " . i " !.' t' .1 i I' I: j' , I I , , ., i i. j , j I' , I . . i-" .: I 0 :t f... , L' t.. ~~ I ,- '!'Y ^F ''',' ClOy . ..,I 'J ....." . . 3;,o~o~~rtJ :E.:C~:I!-l"'I:c~m:;~ CQltHSS:CII '''.I:~~!C~t :J~' Inalvlauals urvlnQ on !Olr:s/Comhstons play 3n 1~~ort3nt rol. In J=.'~"~; :r,t :~,.~~II ~n Ntttrs of In:trest to o'Jr ~OI!l'l'Jnt:y ana Its Mm. ~ppllcants ":Jl: r~sl':f In 1M CIty. ih. CIty CounCil annaunctd Aavlsory Doarc!Colll1llsslon va~an~les 90 aays prIg' t~ tr.t datt t~t appo'nt~.nt will b. m40.. This period provlees for a JO.day adverttslrQ p~rloa .nd a 60.d.y tr.lnlno rerlod for new members, The tr.lnlno period allows new members to btcClllt ftmflter with h. responsibIlities .nd dutIes 0' the .dvhory board/col!llllulon bo'or. btcomlno . 'ull votlno member. A't.r a v.c.ncy has be.n .nnounced .nd the 30.d.y advertlslno period pas explr.d, tho Council rovttws all applications during tho tnformal work lIulon. The ,ppolntmont Is .nnounced at the next formel Council meotlno. Appolnt..s s.rvI .s unpaId volunteers. Council preters that III applications must b. subnltted to the City Clerk no late" thin onl week prior to the announced appointment datts. PLEASE USE A BLACK IIlK PEII. nlls APPLICATION IS A PUBLIC OOCtRiENT AIID AS SUCH CAN BE REPRODUCED AIIO DISTRIBUTED FOR TIlE puM.IC. nlls APPLlCATlOIl IIILL BE COIISIDERED FOR 3 HOIITHS OIlLY AlID AUTOI"TICALLY CONSIDERED FOR AtlY VACANCY DURING THAT T1HE. ADVI~R&. BOARD/COItlISSIOH IIAME 9~0\IlIHND 'l'f.'L~r.o~~U!III)~':'IONn CO~'ofERI1 NA.'IE \ J. 0\9~LA HOHE ADDRESS 1006 .UlClIER 'VR, 1.0., H '522AO - Is your home address (listed above) within the corpor.te limits 0' Iowa City? ~n OCCUPATlON'DJUlICI' "ctIL'rY' EHPLOYER KIRKlIOOD co~\(umY comax PliO/IE IAlHBER: HOI!t5A.1611 BUSItIESS 1,8-8084 ElPERIEIlCE AIID/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITIOIl: I!lYIlmi_ 19'4' OI'l'Y lIRO'Illl,"n 'I'r.LP:CO\(~UIIt~''I'IO''!1 COlll4tll!IIOII. 1990.19911 PRODUl.lm "10 'lOI'l'ORiJ' I"I'V, , MONTHLY VIDrmm: KAOUINS OP romYI P.~.'1'.V. COMHUlII'I't PRODUl.lm ~'HAT IS YOUR PRESEIIT KNOIII.EOGE OF THIS ADVISORY BOARD? 1 nUl r.Xl'rnIF.!IC~ SI'M'nO ON I'!' \/HAT COtlTRIBUTIOIIS DO YOU FEEL YOU CAN AAKE TO THIS ADVISORY BOARD lOR STATE REASON FOR APPLYlIlGl1COIITINIIR III MY omCIn \3 C/IAIR, 9'1'0 'I'ECllllICAL SUl1COI4~IIJ'rEE FOR '1'HJ.: 1)91 ",RIg/NHL RR'lIlr.f, AND IN (YJ'Hm M''I''I'mS SpecHtc attention should be dlre~ted to POSSlbll conflict 0' Interest as de'lned In Cnapters 362.6, 403A.22 0' the COde 0' Iowa, Should you be un~ertaln whether or not · potential conflict 0' Interest ex~ts, contact the Leoal Department. 11111 you have a con'llct of Interest? _____yES .JUl.NO I' you are not selected, do you want to be notl'led? ~YES _____NO' Do you currently serve on another Iowa City Board or Comnlssl ---r- It has been Counctl polley not to permit an IndivIdual to se f w oards 0 s'ons at the same tlmo. JAN 2 8\99\ June 9 ..-. ......,., ',1"1" K ~1",CitICltlk 1(1.' el', .~~w, i I . I qJ, I. <;, \~. .- ;, I t . , " , I I , I ,. , I , r i I' i' I ~' [/,'83 S~ATEU:'IT OF HITEDEST A 'IU. ans.or :) Iny of the following QUest Ions will no~ necusW'; e.clude you from ~cnslderlt'on for appointment to the Iowa CI~y 9rClabl'~ Tel.cQlllllUnlcatlons Cmlsslon. However, the InformatIon w\11 mist our Leoal Oepartmfnt In deter.lnlng whether or not thlro IIIIY e.lst a conflict ,of Inter.st whIch would preclude your furthor consideration. Art you or Is any _er of your tmedlate f4JIIlly or anyone dependent upon youl I. An ~Ioyee of or a stockholdor In either Heritage Communlca" tlons, tnc., or a subsldllry or 1I1111ted partnershlp(s) (Including Cablevlslon Associates VII), the general partner of which Is or Is controlled by any of the abovI? Yos "0 ~ b. An e"loyee of or I stockholder In any radio or television station or news publIcation oporatlng In Iowa City or serving the lewe City IrII or of any parent cOlll\lany or subsidiary thmof, or In any other IIIInnor afftllated wIth any of the abovel Yes ' "01- c. An t'Oloyee, stockholder, partner, or proprlotor of ony coro~ratlOfi or buslnus which has or Is likely to hO'lO a slonlflc.~t contract or busIness connection with either HerlU;e Cmunlcatlons, Inc" or a subsidiary or ltmlted partnorshlpls) (Including Cablevlslon Assoclatos VII), the general partnor of which Is or Is controlled by ony of the abovel )( Yu 110 " !! I, I i , I I I I I . ,t: - If you have answer "yes" to any of thl ebove qUlstlons, pleese Include a complete explanation using additional paper If neclssary. 1 i . i I: " , ,. I Ii . ! I I I : 1 ! I, 1 ; I I , i . I I -_.._.........'"'_......"..........""--......~ -_.~..-_...... ....,._~. ~~_. .""- .--- 0193 .>.~"._,~._.... ..~'_~'_''''.~. ".....__..........~_....-~ ......~..."~.,,..... .'-" ." .-",~.;".."',.,......."....-""'"'" t"j ....~T~~:,,/;. , . I I I' I' I i I I I I I ..' I I I I '. I ,. I: ~ I I' !, " I I ; I I rr' c' .8 Lf ", . - . . CITY OF 10W~ CITY . BRO~DBAlID TELECOIflUllICA TIOIlS COIIlI SS I 011 APPL I CA TIOII FOAlI - Indlvtdulls sarvt"9 on BOlrdl/COoTIIllsllonl play In llI'Clortlnt rolll In Idvlsl"9 tho Council on r.stters 0' Intorest to our comJnlty Ind Its 'utur.. Applicants aust resld. tn lowl City. Th. City Council Innounced Advisory Oolrd/Comlsslon vmncles 90 dlyl prtor to tho dlt. the Ippolntment wtll be medo. This porlod provld'l 'or I 30.day .dvirtlslno p.rlod .nd . 60'd'1 trtlnlng PVrlod 'or n~1I ~m. The U,'n/ng pfriOd .1I0i1S ntli llItffbers to b.CllM '::lfllar with the responslblllttes .nd duties 0' tho 'dvlsory bOlrd/coll11llnlon bo'oro becoming. 'ull voting Mor. A,t.r . vlc.ncy has been Innouncod Ind thl 30.dly .dverLlstng pfrlod hiS .xplr'd. tho Council rtVIM .11 Ippltcetlons durt"9 the In'orllll work session. Tho Ippolntm.nt Is Innounced .t tho next 'orllll CouncIl Ie.tlng. Appolnt.ls slrv. as unp.td voluntl.rs. Council pr.ters thet .11 .ppllclttons lllUSt be sub1lltted to tho City Clork no lator thin ono weak prIor to the announc.d Ippolntment dlte,. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCIJIENT ArlO AS SUCH CAN BE REPRDDUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPL I CATlOII IIILL BE COIISIDERED FOR 3 HOIITHS DIlLY AND AUTOI'i\T1CALLY CONSIDERED FOR ~~ VACANCY OURI~ THAT TIKE. ADVISORY BOARD/COHHSSION IlAME 8ru.)J~~IJ Ttlc!(CWolll~I(Jhcns TEPJI ANY NAME 'R(,~t (Rob) Lt&Jl~ HOKE ADDRESS )'()8 1S:J1!.~Io:Of:e...jI'; Is your home IIldr.ss (1Ist.d abovo) wlthtn tho corporltl llmtts 0' Iowa Ctty? 'fcrs OCCUPATION r.. S~ J"",f, ~ EHPLOYEU~..P!:"k~ ~ 6rvtllll/ 'fI."lkrs PHO/IE HUHBER: HOKE ,Jr.~ - '1/,11/ 1.. BUSINESS S - '3 , EXPERIENCE AI/D/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSIT lOll: e 0 GI'JJIIJh~. St~ "1,;\,,/,0- ~M, ,~a~tU~!". ,(>tJ/'t1~~. fl... ~ ..,~ ~ . I I II . ~'61 'i7, " fll ,PitT',' &/ 'I s 6" ~ . .to ~I"l. (ml +tJ N1 aIlUAMfIt~, IlHAT IS YOUR PRESE/lT K/IOIILEDGE bF THIS ADVISORY BOARD? c.:~"''''I\\lilt. ",lvl~t S ~..(~"I 'I ~r~ll"lIIMIIlI"~ htll I ~\o,/\!\ LillI/,t,. ~u-t",..,~", 'r, ("ott..~r,;,1/Il' Ii,,.,, j ,1" .J II .:;-r-:;',' I I 1l./fI"',\\,," I'ttk .. <<"'1 I. .... .' WHAT COHTRIBUTlOIIS DO YO FEEL YOU CAll /lAKE TO TIllS ADVISORY BARD (DR STATE R~ASON FOR'~'.~t: APPLYIIIG)? ~~k4.........J G.~)~lI/'ft..f ~dl.'toI) .... ~"II"/V"'L,l~',.I\~ wt+l),.. I J , : ~ )4~ sUJ'/f. 111 ~ II.. t~,~,,; j!IJi1j..l..1!.e.xJ" .1 kUll I~ ~tl.' "... ..t.t. -p?'~J ! k~L ~l..\i 1....Jr/I..Jc~\. ~~~ l. illOJ r\I''''~W' +4.. l,'l4, (,1 "1'~lj 'Ii.<\~. ~'lrAc\j !I: SpecHtc attention should bo directed to pOSSible conflict 0' inter.st as defined In I: Chlpters 362,6. 403A.22 0' the Codo 0' lowl. Should you bo uncertaIn Idlother or not a i potential conflict of Interest .xlsts. contact thl Legal Deplrtment. 11111 you have a i conflict 0' lnterest? _YES ~_JO I' you are not selected. do you wlnt to be notified?' ~YES .....~O Do you currently serve on anothor Iowa City BOlrd or Commission t" It hiS been CouncIl poltcy not to permit an Indlvldull to serv slons at the same time. L~ wo Boards or JAN I 8 1991 June 1988 s. ",.,,~ "",[,1\ .'" : IJO? ..._..IOl1~."~:~'.~~. t:l\7~ . I I I I , , I I 1 I' I I " .' , I i. , i I I , I I. , I' , I , I " , -~ r'-r~ E - ~ rv.,. . L'---- J--- --------- 1 --- '. STATEMENT OF INTEREST A 'yes' Inswer to any of the followlno quest lo~s will not n.murlly ..c lude you from cons lderet Ion for Ippolntment to tho Icwa City Broldblnd Telect'lll!!lJnlt.tlons Cj)lJlllnlo~f I/o-limr, the Infr.1'=:tIOtr will mht our LeOl1 Department In determlnlno whothor or not thore may e.lst I conflict of Interest which would preclude your further conslderltlon. Are you or Is Iny member of your fllllOdlate family or Inyonl depondont upon you: I. An employel of or I stockholder In either Hlrltaoo Communlca. tlons, Inc., or' I subsldllry or llalted partnershlpls) (Includlno Coblevlslon Assoclltes VII), the oenorll plrtner of . whl,h Is or Is control lid by Iny of the lbove? Yes 110 >< . t. An ,,~Ioyoe of or a stoc~holdtr In Iny redlo or television station or news publlcltlon oper5tlno In Iowa City or servlno tho Iowa City area or of Iny peront complny or subsIdiary thereof, or In Iny other manner af" lilted with any of the lbove? Yes IIO--X.- c. An employee, stockholder, partnor, or pro~rletor of' any corporation or business which hu or Is likely to have a slonlflclnt contrlct or buslnoss connection with olthlr Herlteoo Comnunlcatlons, Inc., or a subsidiary or limited plrtnors~lplsl llncludlno Clblevlslon AssocIates VII), the oenera I portner of which Is or Is controlled by any of tho above? Yes No -A- If you havo answer 'yes' to any of the Ibove questions, please Include a co~plete expllnatlon uslno Iddltlonll piper If necosslry. _..._.....-..-...._--.................-*--~~--.._....~_... ~..........~~.>~.. .~,......-~.~_._..*.....~",...-...__'.-_n..._.._..__.,~........ ,.,,~_... ""-_,"-,w,<<..",,,_ ..'-," ..J.......' ""....(,.,',.~..~!...\..~..u'.:\'i:~i 093 . I r t I , I I I i .' I , , , , .' , j' !. , i j' I I I' ,I, I ! I, . ;' , I I !' I ! , I I I ! I .. __ rl ' " 8 b . . . ., !2bM D,lRobllcwl1 508 KJrk'Mlod A\'Cllut, Iow~ City, Iow~ 5mo WORK IUSTORY (PARTIAl) (J19) 354.9642 j' I I . , April 1990 10 Prelen~ AisllUIII A\1I1.1&er and Pre-pretl SupeNllOr, HOlpel1 & Sr. Prln~11, Iowa Oty, low.. I ovcneo .11 areas of production lNIIagemtn~ II ~1I11 much ollho Involclns and elIlm.ldna 0/ jobt, and gOflCf~1 penonntl policy 01 ~ ~nty employtO printIng c~y, Ai Pre-prllllupeMlOt I ovcneo .nd lChedule .11 lypOltnlns.l.youVpute-UP, CA/l'tlfa, platem.lJdns .nd proolrudlns. d1recdy lupervlllng Ihlea Iull.llme and l\\'O ~rI.Ume employctt. I coonllll.lll lChedullns wllh lho prllS and blndely lupeMlOI1. Since Februuy 1990, J am relpOI1Ilble IOf pur~llns .lIllOCk.luppllellnd IIMCCS lor \he cOl!1lIny, I have been Inll/Un'ltnulln Ihe company'slnuoductlon oIlour.colOf prOCelS prlnllng, duocontt and C~mef~ e/fCCU 10 lullne oIlCNlcel. I am cull1ndy Involved In lho Implemenutlon oIa Cov~lenl compultl job CQttlns. elllm.lllng and lI~cklnSIY'~m In our shop, From Octobet 19S9, Pre-press 5uptNllOr. Marth 1989 to Seplember 1989, Canlm Opcntor and PLalCm.lktt, Janu~ry 198510 D<<embet 1988, P"tntt, Ambtoll & lewls db~ liberty c;,.phla, Aullln, Tew, My partner ~nd Illwed ~II dellgn, productIon, lalel ~nd managemenl functlonl ola commtfcl~1 gr~phlCl 110010, Sel\'lCellncluded dlllgn and I~yout, lIIulllallon, phototyptllnlng, umer~ III\'ICII, IIlhogrlphy ~nd printing consuhancy, September 1983 10 December 1984, penonnel Tec.hnlcl~n, Benlnu 5ecllon 01 Ihl OffiCI of penonntl Servlcel (OPSERI, thl Unlvenlty 01 T e~aut AUllln, My Individual arm 01 relponllblllty and e~peIIlll wera tha benefiu p~chges 01 employcts on leave without pay 110m lhl unlvenlty and unlvenlty rClflOl\lIllO former employ" clalml for Itala unemploymenl compcnlallon. AugUI11981 to Augu1l1983, Admlnlllntlve Clerkwl\h Iplluppolnlmen~ OPSER, \ha Unlvcnlty 01 Te~as.1 Autlln, 25 hOUri' week I oper~led \he small dep~rtmlnt print mop, NnnhiS an MI. 1250 offltl dupllulOr, malnt.llnlng tha office'slloreroom and record I~clllllel, ~nd supervlllng lhree p~rI.tlme clerks, 15 houri' week 1 was.nached 10 the Temporary Services Project IUTempll 01 OPSER, The purpolO 01 UTemplls to provlda IholHerm lecrelarlal and c1erlc.llupporl tor unlverllty deparlmenll, Ilnlervlewed and pllCed applicants, malnlllned monthly hiring recordl, ~nd prep.red payroll dala. Specl.1 proleculI.lIlgned, November 1979 to April 1981, Cal.loglnaAssllt.nl, the lIb,.ry, tha EpllcopalTheologlcal Seminary of lho SouthWell, AUllln, Tem, I relalrched and prepared orlgln.1 cat.loglng lor books .nd perlodlcall, '!I111ed !Cholan and semln"lans with research probleml, tre.led monthly lobby dllpl.ys and conducted correlpondenca lor tha Cat.loger and Relercnca llbr.rlan, , luna to luly 1978, Rmmh Alllllanl, Ihe Englllh Program, AUllln Collega, ShOlman, Taul, Ai the recipient 01 a Cullen Program Development C;ran~ I had broad relponllbillty for desIgn 01 an Inuoductory coulla In literary lheory .nd crltlcllm lor program concentratoll. I rud .nd evalu'led posslbla courla texu, ' and researched .nd drafied an Inltl.llyll.bus, In .ddltlon, I wrota and delivered twO lectures lor vIdeotape, ona on ""Itolla's Poellcs and lho other an Inlroductlon 10 theories of .rchetypes In IIteralura. OC(lllon.l, Freelance mlptwrller, volca and on.camera lollenl, Eyecon producllonl, AUllln, Texal, fills Counly Delenllon F~clllry ~nd fills Counry Counhouso Renov.tlon, M~xay &, Rlffla M~lte' P/~n, Volca 1.leni and scrIpt rewrlta lor a prelenl.lIon video, November 1987, Threa public lervlca .nnouncemenu for Travll County ITem) hller Sui I, Scrlpulnd volca 1.lent, FebN'ry 1988, ' ror a LIvable Fl.r"", a convellltlon wIth WIlla Kenoyer, Production dellgn, final edltlnssolpl.nd on. camera lalenllor a video Inlervlew of . thIrd pllty prcsldenll.1 candldata, March.Aprll1988, , I ,. I j I " ~?3 .',...., I ",--. -,;-;.. .......".,.....-..-.. .." rl . I 8' - ~, - _. ~obtrt D~",,1t EDUCAnON ~ 198110 Mitch 1982. The Unlvenlly at TWIll AUSlln. 30 hours arldu.1O credllln RIdJo. Telovlllon-fUm, IptCI.llutlon In film 1heoIy, hhlllly IIld altlclsm. CPA II wllhw.w.1 WII 4,0, , 5qlcember 197510 MAy 1978. Austin Colltse. ShellNn, Tow, B.chelor 01 Arts wIth honol1/n fn&Ibh, M.IY 1978. MlllOllln phllotophy IIld SlUdlo 111. Member, [nllllh ProanmAdvIIOlYCo:nmlaN, 5fpcembet 1976 10 MAy 1978 Hew F.IIowVtJp In [nl"sh, Aptll 1977 EclilOrat colleae IIICtIt)' I1\Ilulnt. Slnptns/on, IlIIult)' 197710 MIlch 1978 Honan Thesll, D11CftTl1ns ~ poeI1y 0/ Robert Lowtl/ md NIn, SWon, December 1977 DI1IIonh FtlfooMhJp nomlllH, ApttllS78 June 197410 MAy 1975, Non/s TeXolI SUIO Unlvenlly, Denlon, Tw>. Study In lllerlture. philosophy Ind studio 111. Seplember 197310 December 1973, Th, Unll1l1lly 01 Houllon, Houllon, Tml, Bulc Iludlel, CONTINUINC EDUCATION , Aptll 1985, Kod.k Ifll1lnll1 on Cr.phla pholosr~hy, 1I11N d.Y' 01 Inlemlve Inllructlon In lech. nlquts olltlphla p/Iocos'aphy .nd d."ktoom operlllon, The selllonl were divided Inlo.n Inlloductlon to lundlmonullllld I1\IlCfI.11 (day \l, h.lftone photoglaphy (day 21, .nd lpeclal effoctl (day 3), Kodak Ind C&mpbell P.per Comp.sny jolnlly holled the IImlnall, which wer, held In lI1e lacllllles 01 Kod.k'l IOUth~Ctn ~10Il0I1 he.sdqu.r\Ct1ln 0.11.1, TeXolI. luly 1990, Kod.:k semlnlr on ConLtctlns lechnlquct,. h.II-<I.y sell Ion on melhods and Ules 01 conl.ct prlnllnll/led In sraphla photogllphy, Th, lemlnlt W'I hOlled )olnlly by Kodak and Mldwtllem P.per ComplllY In 111, Sher.lon HOlelln Cedar Rapldl, Iowa. Seplember 1990, Balle Supervlllon, a Keye Semln.r dOllgned 10 c1arl~ IIId Improvo suporvllory Iklllland methodl. Th4111-<1ay lemln.u WII held In tho Sloullor FII'O SelJons HOlOlln Cedlt Rapldl, Iowa, VOLUNTUR SERVICE SprlnSlnd lummer 1990, Craphlc Arll Advisor, Unlled Action lor Youlh, Iowa Clly, low., '1'1'0111111. anc, and Inlltuctlon In I1\Ilerllll, 10011 and lechnlques 10 a Iroup ollNnl produclns a IIlorary m.lsuln" ~/temar/'It Shapts of Reality, In a program lunded by tho Iowa Atu Council and admlnlltered II1roulh th, Synll1esll Atu Workshop 01 Unlled Action lot Youth, Sprlnl1990 10 Present. Edllorlal and Deslln Advllor 10 lho Iludonlllaff 01 Th, HU/llJn Condition, Ilablold publlcallon devoled to pollllcal, social and cullurallllues, Th, publlcallon Islunded lhroush 1110 Sludenl 5onllo II tho Unlvenlly 01 Iowa, I havo .110 conlrlbuled lIIulllallonl lor IOmo 01 tho artlclel, I L__'_'"_'~''h''''' "_"-'"""'."<<"" . '''_'.' ... ".'..._........_,.... "".,.,,,~., ....._'.....,...',... ,,~. """".'. . ,...;, "0" "".~.' ,,,' ~'13 . "',:.l.<C ;>t;~';:.I;J . I l' ,.' I I . I I ! I ,! \;. . " I' I: I I I I i I: '. i , I I '. , I' I. I , , , I ,n " 8 $'__ ---- . , - Robtrt D.lRoIlllClrlt INDEP[NDOO PUBUSIIINCi ACJJYlJY AI/ttot1, .IIHr.Irt Jocxru~ P. O.IloK 891, AuslIn, TW178767. Cuesl edllOr lor VolUlllll X, Nmr 1 of 11I11 jourNlllf po&y IIId shor1 nctlon, /IN 1989, Alrbose & ltwfl, p, O. ao. ~201, AuslIn, Tws 78765. Publllhen of 'lttles 0( ch.Ipbooks 01 poelIy: fMd Bona, by I, R. Ericson, July 1988 XUtI, by [dwfn 8uW~Iot.JuIy 1983 MfUthaa, by Mlch.lel DllInOIt. Octobet 19114 S1ttchtt In rht CmtlJrow. by tmcy Htlllnsh.1U1tn, Odobet 1988 Radtu N~IM. by Rob ltwfllmyselO, MMch 1989 A/plM, P. 0, 8o~ ~201, Ausdn, T'U178765, ConlllbudnB [dllOr oIIld productJon COIlIulunlllnc.1983 (No. 9) 0( . flllLlsy and weird nalon IM\I,\/, l'ecolo \VhlllNn, AustIn, Tws. Exocullve [dltM 01'11I\,I11 presl publl"'lnB collective ICllvo from 198210 1986. Publlc~IIQllllncludo: PfflIIdo.I.lonB Ilory In JW1'9hlet fonNt! by Ricardo S~nchtz. 1986 NiShI Dlnfl', Ilolnl publ/c~1on wilh Aileron P,en 01 ~ book.lonSlh potm soquoncel by A/ben Hu{flllcklfl', 1985 IVltWw M~IUlnf, I shon.11wd 13 ISlue) ITIoIBulno 0111I, IIlmturo ~nd culMe, 1982083 PUBLICATION CREDITS T!rt Crffl/800k, SIHpy Trot Publllhln.. Fon WllIIh, Tew, 1981, Ch~pbook 1)1 potms (OUI 01 print! 6,Alleronpresl.Auslln, Tow, 1983, Ch~pbookolpootm(OIIlofpllnl) . RfII/m Nlltvr, AmbroIo & ltwfl, AustIn, Teul, 1989, 1100 IbovOI Potmt, rovlOW1Il11l eU')1ln numeroullINII pt"1 Joum~II,ITIoIBulnes .nd ~lhoIOSI". tl.93 - "~_..~.. ". -- '~-~'"'~'--'''_._~---~.'''''~'~"'''''''''''''~'''''''''''''''"'''''''''''''''''N_;-, .'- ->,.,.",;" ..<.e........_'.,., "., ......"'..i.........-".""..,,.,..,...._, (, "~._.~ l.i . i i'-,-,:', I j. I I .'- :' , , d ;1. I , i , I , .' I' \ I , I ~ I l , I I , , I I /: ( I I , i I i , II , ~ I 'J I " .' j i, f I I , , I . [I .' / Y , 8 q .' . CITY OF IOWA CITY. BROADBArID TELECOItlU!IICATlOIIS~ISSIOII APPLICATION FOPJI Indtvtduah urvt"9 on Boards/ClllI'flIlsslons ploy an tll1lortant rolo In advlslllQ the Council CII Ntt~rs of Interest to our c~nll, and III future. Applicants Mt restdo 'n Iowa ctty. The City Council announced Advisory Ooard/COilllIluton vacanctes 90 days prior to the date tho appointment will bo made. This period provides for a 30.day adv.rtlslllQ period and a 60'daJ training period for now IIlelllbers. Tho training pertod allow, n.w lIlIIlIbors to boco:ll famfllar with the responstbllltles and duties of tho advisory board/comlsslon boforo beco.lIlng a full voting IIItll'ber. After a vacancy has been announced and thl 30.day advertising period has exptred, tho Council reviews all appllcattons durlnq th. Informal work suston. The appointment Is announced at tho nut forNI Council meeting. Appotntm sem as u',pald voluntaars. Council prefers that all appllcattons Mt be sublllttled to the City Clerk no later than one week prIor to the announced appointment dat.s. PLEASE uSE A BLACK INK PEN. THIS APPLICATION 15 A PUBLIC DOClllENT ArlO AS SUCH CAll BE REPRODUCED AND DISTRIBUTED FOR TIlE PUBLIC. THIS APPLlCATlOII IIILL BE CONSIDERED FOR 3 HOllTHS OIlLY AND AUTOIlATlCALLY COIISIDERED FOR ANY VACANCY DURING THAT TIHE. ADVISORY BOARD/COIflISSIOIlIIAHE TERtlAnv munlll HAHE Botty Bruns Anderson HOllE ADDRESS 1600 Spruce Court. Iowa CIty Is your homo addross (listed abov.) wIthIn the corporat. limits of Iowa CIty? yos OCCUPATIONOwner..Secretartal Serv,/Temp. Agency EHPLOYER BEST OFFICE SERVICE~ PHOIIE /lUHBER: HOI1l:--1lliJ 354.2212 BUSIIIESS--1.illl 338.1572 EXPERIEIlCE AriD/OR ACTIVITIES \illICit YOU FEEL QUALIFY YOU FOR THIS POSlTIOIl: Long.standlng Interest since cable's InceptIon; free.lar.co .rttor; graduated from UI In 1985 with degree In Journalism & Hus COCIl1lunlcatton (Hlnor: lIemen's Studlesl: keen desIre to learn more of how Cablo TV Interfaces with such a dlvorse communtty as ours; well-rounded Indlvtdual from a poor family with seven chIldren (the oldest and ONLY one to graduate from college); cOCll1lunlty.mlnded; compasslonato; roady to give back. _____ \/IIAT 15 YOUR PRESEIIT KIIOIILEDGE OF THIS ADVISORY BOARO? I am awaro of the make.up of thIs board and tts responsibilities regarding Cable TV and othor public access mattors. This board recmends ollcles rates etc, to the CIt. I havo much to lnarn but do so NrRIBUTIOIlS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASOrl FOR , APPLYIIIG)71 brlng no preconcelvod tden about exactly what I can do, except'study, listen, ..learn. o~fer suggestions based on background and lots of publtc contact. I am ablo to attend..mu1jnqs rogul~1s conmltment IS a serious rmonslblJltv. SpecHlc attentIon should be directed to possible conflict of tnterest IS dlflned In Chapters 362.6, 403A.22 of tho Code of Iowa. Should you be uncertain whethor or not a potential conflict of Interest exists, contact the Legal Department. 11111 you have a conflict of Interest? ......YES ....x.NO , \ , , ! ,. , I I I' I , , If you are not selected, do you wa~t to bo n9tlfted? Do you current ly serve on another Iowa CHy I It has been Council poliCY not to permtt on f slons at tho same tIme, X YES ...... ...... NO YES ..L NO two Boards or Commls. I June 1988 ~?3 . I , f r/~'- ~-I ~ (I ' -.. ' --- . . It . STATEHE~T DF INTEREST A 'yes' answer to any of the following questions wtll not necossarlly exclude you from consideration for appointment to tho IOW4 City Broaaband To1ecOfl1llunlcatlons COfI1lllsslon, However, thl Informatton ..tll mist our Legal Department In determIning whether or not thero I114Y exIst a conflict of Interest which would preclude your further consideration. Are you or Is any member of your Ill'II1edlate famtly or anyone dependont upon you: a. An employee of or a stockholder In olther Heritage Communlca- , tlons, Inc., or a subsIdiary or limIted partnershlpls) (Including Cablevlslon AssocIates VIII, the oeneral partner of whIch Is or Is controlled by any of the abovo? Yu 110 X b. An employeo of or a stockholder In any radio :r t.l.vlslon station or news pubHcatlon operating In 1000a CHy or serVtrig the Iowa CIty area or of any parent company or subsIdiary thereof, or In any other manner ef" Hated with any of tho above? Yes 110 X c. An employee, stockholder, partner, or proprietor of any corporation or business which has or Is ltkely to have a sIgnificant contract or business connection with either Heritage COIl'II1unlcatlons, Inc., or a subsidiary or HmHed partnershlp(s) (Inr.ludlng Cablovlslon Associates VII), thl ~enoral partner of which Is or Is controlled by Iny of tho abovo? Yes 110 X If you have answer 'yes' to any of the abovl questions, pI else Include a cOlllple~o expllnltlon using additIonal piper If necosSlry. ........ ............_...._-~_.....""-~..-_---......--...--~.~'~..._..._-~...".......-;-~-..~.._~~,.H;h'.,~~h...t ,.' "-"""i<.~,_,,,.j_,....,,,..,..~,,..;,,s~._, $3 '-.:,'- ,>, '~.-"";~~';:\"";rLi.;;:;\',\ .' I I' .,' ; . , . ~ I' i I, , I l: i ! I I " I if i I , I, I i I . . . 1 I I..~ ... - tl , '1 ~l . . - .- \\' J) \ lit;. \ . \V' I I' I ." I ""'\:~.. , ~ , I CITY OF IOWA CITY I . , " m mE enY COlIlCL Of rJWA enY IS COIlSlllEIItlG APPOIIffilOOI TO TIE FO.lOlWIG COUlllSSal: ~ISTOf\IC Pf\(SERVAWl COUl/ISSlQ!! en. YIUIlC'/' Ttt"'I'II111111 lIMdl29, t~l.lIMdI29, trl4 en. YIUIlC'/' Ttt>>1'1I TtmI u.dl29, tell.I.iaIln29, trl4 (RlplMOnlaftI 01 WooclM Dil~ 1>;11,01 lit K1lor1c PrIWlllcn ComniuIon r.cbII: ~ ,w- Itt lor lit IdInIbIoft IIId ~ 01 HtlorIc Dil*II: rroIt<<4l/'1d acqupon II ~ lor C<<Iblt 01 ~lIMII; CIOCpIl!1n9 llI" prcM 0WIlIII1IId dtt lIlencltt rtg1/dn9 fII!1tdt 01 dIIiO<<M concllol\l: IMtltM9 lit ,1ollI oIlIilorlcptttrVdon h lit Cl'tby ~ rlCOftllllllldtlont CIll ptttrVdon Iuutt, IItltn ~ by tnllMIOhO lit proltcton I/'Id an/ImmIlIl 01 ,we"," . tillo11c11, I/dWIII (I MnI vN,l/'Id by ~ pmwl/'ld rtpUliI<<It 10 btcomI IrwoIitd h pllWt'ltion tcMtt. Iowa CI't IppOhItd IMlI'tbtrs 01 boaIdt I/'Id ~ IMlIlbe tIgijt ,1ecIort 01 lit CIty 01 Iowa CIy, The ~1lIlt" be madt II lit FlliluIrt 18, 19'1I,1lIN1In9 01 lit CIIt Could 117::10 pm, h lit Could C/IMlbIra, PtrtOlW InI<<tIMd h bMlg COlIlkllrldlor t.... poallont Ihoullconlld lit CI't C\lI\ II lit CMo CIlIItI,410E.WuIinglonS"at. ~IorI!llIltMlalJetOlllllt CIeI\'t olfict IIpOft r~IIL I' , i 1: I , I , " , :) I , I ____". ':_'_'~::"'..:': ~ " , " : ~:::,," _.: ':::::':_ "": ",,:':':"" . on "'" '" - "'$ ~ > ,. ....' ... ..,., " ....u> "I '''H 0,. ~ ".!/".I.r I I I .. rl I q ~ . . , , - '- Halaal 3 huhal 2 Fobruary 19. 1991 I/ISTORIC fRESERVATION C~lSSION - On. vacancy - Throo-yoar to~ Karch 29. 1991 - Karch 29. 1994 Ono vacancy - Throo-yoar tora Karch 29. 1991 . Karch 29. 1994 (Rop\.aontativo or WoodlavR Di.trict) ThOlU. G. Novton 1212 Gintor Avonuo Karyboth Slonnolor 1109 Davonport Stroot Dou~la' S. Ru.aoll (haa .orvod ono-full ta~) m KiabaU Rd. Cynthia Oti. Charlton 821 7th Av.. s. Willia. 8. Grabor 2228 Plaan Viov Driv. IIOODLAIIN D (STRICT Joyc. W. Barrott (ha. .arvod on.-full ta~) lOll Woodlavn l 1 , j ! , . .. .. .rR9~ f.liI..:;;I.It;i'~"L'lo""';;,l.i.~M<>....<t"(,",,,,,,,,,.J,oIO-,,,-,,,,,,,,,,-,,,,,_""04"'''''''' ..."..........,.....~,........"."""_'";....~...i~h, "" ~:...,.-...,,:,,~... ..-.,' .~.,,:.... ..i'~.. (.'I.J>;.,,",.'}'~' ~ Of.,.. >...; r>.1 ,-'I') '-',r-':: ;.".", , ,,\ ~', ".\ . , '." ".; "......."IIt'p.(-lal,l . Ii I ,,' I I I i' , .1 ij ,~ ., I: I .J I' ,. '. I. , -- -,.- .-.~;--- ~- --.. -.,..----------- r I : , , ,. ! '. I I' I I I, I I I I I I , '. ~, ~--3-""- / _ r---~. ~ . CITY OF IOWA CITY . . Woodlawn Dlltrlct · ADVISORY BOARD/COHHISSION APPLICATION FORM Indlvldulll urvlnq on Boards/COI1Illulons phy an llI'Clortant rol. In ~dylslfIIJ the Council on,llIIttarS of Int.rnt to our COmJntty and Its future. Appltcants Mt mlde In Iowa CIty. Thl City Council announc.d Adtlsory Bwd/Comllllon yacancles 90 d'ys prtor to the date the appotnt:.ent 11111 be IlI4dl. This perIod protldU fer a lD.day adttrtlll/lQ plrtod and. 6Q'd.y tr.lntno p.rlod for nlll mtmb.rs. Thl tr.lnlno perIod .llows n'lI members to blcone f..llt.r with the ruponslbllltlu .nd dutIes of the .dtt,ory board/coll\1llulon b.fore beCOllllno . full yotlno IIledltr. After. m.ncy hll boon .nnouncld .nd t~. lO.dAy .dvertlslno pllrlod hll uplred. the Council rul.1IS .11 'Pll"catlons durl/lQ the Inforlll4l work IIIIIon. Th. appointment Is announc.d at thl n.lt forlll CouncIl lIlt.tlno. AppoInt.., ,.ry. .s unp.ld yolunt..rs. Council prete" th.t III Ippllcatlon' ."t be 'ubllltted to thl City Ci~rk no Iltlr thin onl Wilt prior to thl announced .ppolntment dltlS. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAlf B( REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL B( CONSIDERED FOR l HONTHS ONLY AHD AUTOIlATlCALLY CONSIDERED FOR AHY VACAICY OURING THAT TlHE. ADVISORY BOARD/COHHSSION IWIE f1",/M'~ PI"/~UU"~'~" TUH ~/'" - IW1E ~o,~.. u.: ~arr(i~ HOllE ADDRESS 1/.111 ~~l,'"d low'\ II your home addrm (1lItld aboYI) IItthin thl corpor.te ItIlItS of lowI City? Yl..~ OCCUPAT 10N"':'\'J~"""" ~<I' EMPLOYER PHONE HUHSER: HOHE' '?I"p' HiLt BUSINESS - EXPERIENCE AND/OR ACTIVITltS WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: t. i,'''"", ,.,,: ~ ~ .. .'.A IJ . "'f.-, u,.\" " i):rh \.,.,- ~ .\,I,n.,. '''''&t'''''^'' c;rtl....'1 'B ~ \.1,'~w'1 ~t"M ~J.\~.. uItJ'.I.,.;L: ~,( ~ ,~, ~';""I"'U (',~\\t. Lll\.......,.d.~') \/HAT IS YOUR PRESENT KHOI/LEOGE OF THIS ADVISORY BOARD? .J:b,;.. ..,.'~. d ,.l 'Tt.IS (~,,,..J"'~I"" ".. t.a:tt,.4\n~,' r"'r:Y"l""n~I'4"" .. 4 ,H.'. (I Iv l WHAT CONTRIBUTIONS 00 YOU .FEEL YOU CAN /lAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~:t ..,...J-... I~r'''''''''' "'i \\J~\o'I... 'W) \.\,.., \''''~ ~) '1'(.. .t.j\........,..~'r.1. ,,~,.\J i'....".~gh'.., ~~fr..~'loJ.t'....1. /,' o!'..... "1; , I' Splciflc attlntion should be directed to pouibll conflict of Intlmt 41 defined in Ch.pters 362.6. 4DlA.22 of thl Codl 0' lowI. Should you bl Ilncertaln whother or not a potlntial conflict of Interest Illhts. contact thl Ll9al Department..WI11 you have a conflict of Inttrut? _YES L-.NO ':.' 'j,' '. . . , If you art not selectld. do you want to bo notified! ,,~YES' :....:...NO 00 you currently sarvo on another Iowa Ctty Board or 'CO/Illlllllon?"'" Y . ,'0" \'" h"1 . It has been Council policy not to permit an Individual to smo on'tw B ,Ions at tho same time. '1" .. t ..':, ~ . ~... __r ".~.,.,,,..~....... ... ~......_." n.daE 1M' j ~ 1 , J , I I ........~n..' ,.,............J,;,."..,...,..:. " I I I I I I I ! i' t , .' i I I j, I I t ,I . ,. (I, 'I.' 'i Y, . ,- . CITY OF IOWA CITY . ADVISORY BOARD/COHHISSION APPLICATION FORM Individuals 'mill? 0/1 B04rds/C=lnlcn, play an Iqlortant rol. In .dvlslno tho COIJnctl en Il'Jttm of lnterast to our c01lmlnlty .nd It' Mur.. Applicant, nut resld. In low. City. Th. City CouncIl .nnounced Advisory Bmd/Comluton vmncl.s 90 d'ys prior to the d.te tho .ppotntment will be m4dl, This period provldlS for a 3D'day ad~.rtlslno p.rlod and a 6O'day traInIng p.rtod for new memb.rs. Thl training perIod allows new memb.rs to btcono familiar with the rasponslbtlltles and dutlls of the advisory board/comlulon b.fore becomtng a full vottng IIImber. After a vmncy hIS beln announced and the 30-day adnrtlslno period hIS Ilplred, the Counc II revl.1It all app liCit Ions durlno the Inforlft~1 work smton. Th. appotntmant Is announc.d at the n.xt forlft41 Council meeting. Appolnt.es serve as unpaId volunteers. Louncll prefers that all applications .,st be submItted to the City Clerk no later than on. weok prIor to the announced appointment dates. PLEASE USE A BLACK INK PEN. .~ . . ~"" . :<.:.~' : \/HAT IS YO~R PRESEN~ I<HO~ED~E OF TIllS AD SORY ,BOARD?;-r~l~~\.. ~~ 'X.jl~:f ,,~(, \,,' i. i ~~\~~:~ 'i~:::::;:t.:: ;q:;-t\" \\'-'~' ~-~'''f'' .,. ,". >--.... I ~~ CONTRIBUTIONS DO YOU .FEEL YOU CAn IfAKE TO TIllS ADVISORY BOARD (OR STATE REASON FOR ' ! APPLYING)? 1" I..l~ ..........~'" l'o\"\l;l~..,"..\ ......t.:.....\~'l.:.." t,\.l.l.. r."-t....\\i:\,"'.(\...\lvol. i .. ,. \ . _ ,...) \ T ,1 ! . '.", .. . , ,", . I....., I ~ ,.~ I Qclflc attentIon should be directld to posslbl. conflict of Interest 'as of/ned Inj .! C aptars 362.6, 403A.22 of thl Codo of lowl. Should you b. uncertaIn wh.ther or not I potenthl conflict of Interest exists, contact the Legal Deplrtment. 11111 you hi'll a i cpnfllct of tntlrest? _YES -'2LNO 1 If you are not selected, do you wlnt to be notified? lLYES _--110 Do you currently sorvI on another Iowa Cfty Board or C It has been Counctl policy not to permit an lndlvtdua f slons at the slme time. NO or COI!l1lIs' J9rl .. , , I . i I , .' . ---~r . f q 5 I. . . CITY OF IOWA CITY. ADVISORY BOARD/CDHHISSION APPLICATION FORH IndivIduals servl"9 on Boards/COll1llsslons play an I""ortant rol. In advlslnq tho Council on matters of Interest to our cOl!lllUnlty an~ Its future. Applicants IllJst resIde In Iowa CIty. The City Counc II announc.d Adv Isory 80drd/Co.mrlss Ion vacanc les 90 days prIor to tho date the appoIntment will be made. This perIod provides for a JD'day advertlslnq p.rlod and J 60'day training perIod for new IIIfmbors. The traIning perll)d allM new lII.mb.rs to b.COlia f~mlltar IIlth the responsibilitIes and duties of the advisory board/colllllllston blfor. becomIng a full votIng member. Aft.r a vacancy has been announc.d and the JO'day advertising p.rlod has ..plr'd, the Council rovl.WI all applicatIons durtnq the Informal work s.sslon. Tho appolntlllent II announced at the n..t formal CouncIl meotlng. Appolnt..s '.rv. as unpaId vOlunt..rs. Council prefers that all applicatIons I!Klst be subnltted to the City Clark no latar than on. week prIor to th. announc.d appoIntment dates. PLEASE USE A BLACK INK PEN. THIS APPLICATlDII IS A PUBLIC DDCUHENT AlID AS SUCH CAn BE REPRODUCED ArlO DISTRIBUTED FOR THE PUBLIC. THIS APPLICATIOn WILL BE COllSIDERED FOR J HOlmlS OIILY AIID AUTO,"TlCALLY CONSIDERED FOR ANY VACANCY DURING THAT TINE. ADVISORY BOARD/COIfl/SSIOI/ IWiE HI~TORIC. fke~eRVATION CbMMISSI""TERH 3/l!t/9/. '/1'"'' IWiE WII.l.IA,., ~, GAA8ER HONE ADDRESS 222.8 I'I.AIII VIIW DRIVa, 5ZW. Is your home address (listed abov.) within the corpora to lImits of Iowa Clty7 YES OCCUPATlOH AB~TIV.c.ToR EHPLOYER SI!C:UAITY A&\tIlAeT UlMrANY PHONE NUHBER: HONE 351/. /185' BUSINESS m- q.z,/ EXPERIENCE AlID/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~P,STRMT(JP' r:M z. 'II YII~~< \ tgI~LlMI Oil ..(/lW1l (./'" t6AL fSntrr H/~tr . ~i.!J.2.f~I. ,J:Fe,tf(J~ C'IlUA,llY /.h~!!!~IlL $"e'~~ 141~1.'U. · I='Il'MI!~ '~rr.~N ~ v~LuNUr~ IJ/TlI~ ST~7' ~;;S;~u;'(~L S~frY ~p r'/.J1l 'l.""E.'jlr .JI:J. enr~l/~ /}.t.n ItVllnl! -,. d!.~!L!/!!:!l!/J.I t H~ltu.'-IJ. · r"'~-'I:l,4lt UG/I/[JJ1' If: <;,lJsr', ""'-MI:~~/CL8~At{) ~ ~f; 1I1I..1Il/l' IN II 5Mtfry 6ill.kIlDW "T, IS mUR P~SI'r XHOIllEoa. OF mil ADVISORY ,..." ~ lie ^_.... . ,_~"-,,,,,;, .&B!JiJ&J} .4fti"An&IJ1'...4AIIl....t 1ltII: .'!,,,,,, ANf P"~,"~71< liP A~r!.Y.l!!J1-:: .&r~!~ ~!'.!..!!.!1!!! . ./NCLUOI "!"lIt~ ~~~ANJJf~ "'sr~l1/ ll,111f/(rl AN/) 111II l'urulll " $, r~....tr U'Dd'. , , I , I I , WHAT CONTRIBUTIONS 00 YOU .FEEL YOU CAll MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPL Y I. "II :~ ";:.~ ". ""'" ":''' ;::. ::l!t'l'J<: ":~ n ;:'''::;' ~ L:: 6:', ~~ r,.,,"il>l.lC_f1 IJ"N " n L V ~__o) &r on' t:ml' A~" IJAAJ'f "7b PUA.f1I(1t. -mlilR <:ML4J. SpeCific attention should be directed to posslbll conflict of Interest as dlffned In. Chapters J62.6, 40JA.22 of tho Codo of Iowa. Should you bo uncertaIn whither or not a potential conflict of Interest exists, contact thl Legal Department. Will you have a conflict of Interest? YES X NO - - If you aro not selocted, do you want to be notIfIed? YES Do you current ly serve on another Iowa City Board ~onnl E It has been Council policy not to permit an Indlvl 4 tpE8e~vi IOSlt slons at the same time. , , X NO - ards or COIllllII. IIII~ KIII,CltyCllrl IOWI C'I IOWI ._ June 1988 . ,J9'1 [I ' , . 'cr b.. . " . CITY OF IOIlA CITY . ADVISORY BOARD/COKH/SSION APPLICATION FORM - Individuals Slrytnq on Boards/Cmlsslons play an tll1lortant role In adwlslno the Counctl on matters of Interest to our COl!\lljntty and tts future. Applicants IlIlSt restde In Iowa Ctty. Tho City Council announced AdYlsory Board/Comlsslon Yacanctes 90 d.ys prior to the date thl appoIntment will be madl. ThIs plrlOd proYldes for a 30'day adYlrtlslno plrlOd and a 60'day tralnin; period for new IIlIlIters. Thl train In; porlod allM new Ilflltors to becone famtllar with thl respons Ibllltles and dutIes of thl adYlsory board/comlu Ion blfore becomtno a full Yottno mellter, After a yacancy hu been announced and tile 30.day advertlslno period has expired, tIIo Council revIews all appllcettons durlno thl Informal work sessIon. The appointment Is announcld at till next formal Council ..ettno. Appotntaes serye as unpaid yoluntllrs. Council prlflrs that all appltcatlons IIXIst be sutnttted to the ctty Clerk no hter than onl week prtor to thl announced appoIntment dates. PLEASE USE A BLACK INK PEN. , , THIS APPLICATION IS A PUBLIC DOCUHEHT AND AS SUCH CAN BE REPRODUCED AIIO DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION \lILL BE CONSIDERED FOR 3 HONTHS ONLY ANi! AUTOl'ATlCALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COttl/SS/ON NAME IIlmrle Prmrvatlon Commlnlon TERM 3-'9-91 to 3-29-94 lUUiE Dougl.. S. Ru...ll HOHE ADDRESS 729 KI.b.ll Ro.d. Iowa City, IA 32245 Is your home oddress (listed aboyel within thl corporate limits of Iowa Ctty? y.. OCCUPATION AttornlY. IIr/ter EMPLOYER Stlln' RUIIIll PHONE HUHBER: HOHE (319))37-6835 BUSINESS (319) 351-5610 EXPERIENCE AlID/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR nlls POSITION: I .. lllkinR · . i o the IIlltorlc Preurvation COlllluion. I v.. Urat .ppointed in J.nu.ry, I ' 1988, .nd h.vI ..rvld a3 Chairp.raon 0 t. 01IlII U on . nCI pr, . .VI.. tivlll I involv.d in thl COllllulon'1 work 11lcludlnl the IU.torlc liuldl to 10111 \iny, puou.n.o 1nil989I' I .h. "".fl" Plluhu ,Hid,,' in,! nml under ornDllrlltton. the 10nl fan.. plannlnR prOC.II b'Run n I 1990 and onloing .urv.y and r....rch 1I0rk for n.v hi.toric di.trict.. i \/HAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? S.rvicI on thl board lincI 1988. Helllblflhlo In tho National Trult For IIhtorlc Pruorvation dncI 1978. \/HAT CONTRIBUTIONS DO YOU ,FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLY/NG)7 uld valuo a locond throo- aar tlm to COlI htl thl roparation of a co.prlhon.iv. pr..orvation plan or lalla City on to part c poto n 0 vor 0 prop additional hiltorlc pr...rvation dl.trict. to the lova City Council. Specific attention should be directed to pOSSible conflict of Interest IS defined In Chaptlrs 362.6, 403A,22 of the Code of Iowa. Should you be uncertain whethlr or not a potential conflict of Interest exists, contact thl Leoal Department. 11111 you have a conflict of tnterest? YES x NO - - If you aro not salected, do you want to be notffled? x YES NO - - Do you currently slrvI on another Iowa City Board or Commtsslon? It has been Council poltcy not to permit an IndlYldual to serve slons at tho same time. . Submitted January 29, 1991, I ,1^~u~19 m~ , I .:....,r.~ 'm,r.IIC~'1 "'1' ,~I, " It. , I d. 9lI1 '- " ,', , ".-.. " .,'.~ I .' ".,_.. ,,-.,...... ....,. . . i I , " : I i I i , I , , I I , , ! , I i il: II !I I , , i j- - rl., "I /}i :-, .- . CITY OF IOWA CITY . ADVISORY BOARO/COHHISSION APPLICATION FORM Indtvldulls IIrvtnq on Boardl/Cwlsstonl play an Ill'flortant rolo In Idvtllnq thl Council on Ntters 0' tntlrut to our cOllmlnlty and ttl 'uture. Appllcantl IIIlIt rutde In Iowa City. The City CouncIl announCld Advllory Board/COol1lItsslon vacanctu 90 days prior to thl datI tho appoIntMent will ba roadl. This period provldlS 'or a lO.day advlrtlslnq perIod and a 50'day tratnlng plrtOd 'or ntw Nmbers. The tralntng portod allows new Members to blcClllt 'amnlar with thl ruponslbllltles and duttes 0' thl advisory board/comtnlon bl'orl baco~tng a 'ull vottng memblr. After a vacancy has baln announcld and thl 30.day advertlstng perIod has uplred, tho Council revllllS III appllcltlonl durlnq thl tnforlllal work IlIIlon. Thl appolntmlnt Is announcld at thl nl.t 'orNI Council melting. Appolntlls 'IrVI al unpaid volunteers. ,Council preferl that all applications nJst bl lubmttted to thl City Clerk no later than onl wllk prIor to thl announced appoIntment dates. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUKENT AND AS SUCH CAN BE REPRODUCED ArlO DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION IIILL BE CONSIDERED FOR 3 HONTHS Of/LY ArlO AUTOAATlCALLY C9NSIDERED FOR ANY VACAfCY DURING THAT TlHE. . , ') . , ADYlSORY 8OARD/COHlISSION IWIE t, )to,'{ ..1.....'1 ;.,'/,'", liI"TERM /~"" IIAME . I ",' ,'JIt1 /1,"1, ,- HOlE ADDRESS lIt'!') i}",'1I /. ',,.r ,')f- . I II YOllr h04lf'addrlll (listed a on) wlthtn thl corporate IImtts 0' Iowa ctty? l 1I.; , OCCUPATION 1(1'/, H . EMPLOYER' PHONE NUHBER: HOHE '/ )1/ .J7,'" BUSINESS EXPERIENCE AND/OR ACTIVITIES IMICH YOU FEEL QUALIFY YOU FOR THIS POSITION: )' :,;. .. t/1',' .7,./IJ:":'JI I~"tl,n, ,-I:.t~, I ".'.,It'J,JJi. . ~r~' ~ "1' ',,... :";~'n"/"ijJ:r ,'., "",""; ;~ \/HAT IS YOUR PRESENT KHDIIlEDGE OF THIS ADVISORY BOARD? I. . I" . ; I I. I .' "' '/I.,J,j,',', /).., ,J I " . I' I' II' : I ,'L'r d -( .t '/1 ,,i. I ,. , . . ", . '1. <II II... "0' It' ,',11,'/ t.'./,J. IIHAT CONTRIBUTioNS DO YOU ,FEEL YOU CAN MAKE Ta THIS ADVISORY BOARD (OR STATE REASON FOR , APPLYING,)? ..J ~t'..,' ,~ r'-,J' , '."''''''( /., ~ J ,\~lt, IIf/~.,'1/ I,i,.j /"t,/~:(', (" "",', ,'.'.' Ii'" 1-/ll'oJi'i'?,'I" ,,'I1,;'/J v I.~ ,..'/(,::"",/11,11" )r'J il,:.'i1 III (';':", i!~!'1 I - ..' ; '.' " . ,.. . tI.,' ,. ..J' ".. I " ."4" I ,t ' , ",',,:,,',( t ~i q' \!, i" ; SplcHlc attention Ihould ba dlrectld to pOlllbil conflict of Interest 01 dlflned In Chapters 362.5, 40lA.22 of thl COdI 0' Iowa. Should you' bo uncertain whether or not a potential conflict of Intlrest IXlsts, contact thl Ll9al Department. 11111 you havo a conflIct of Interllt? ......YES ~NO , If you arl not selocted, do you want to be notlfted? -lL.-YES ......NO Do you currlntly Ilrvo on anothlr Iowa City Board or Co It has been CouncIl policy not to pormtt an Individual I stons at the strnt tiN, rA9'1 NO or COl!l11h. ...,...........-...,~._,..;'"""._.,~_c-.,'_ _'.' ,'__'~ .., .....'. "'-. ,'----..- -_. 'p.- .,- ~ ", , t,. i" _--A . , I I , I I I I j' I , . , , I I , i , I I II I: I I I' , I; - , . . -[I ' I q Jj(~. .. -. . CITY Of IOWA CITY. ADVISORY BOARD/COHHISSION APPLICATION fORH ~ Indhldulls urvlll9 011 Boards/COlllIlsslons play .n Iqlortlnt roll In advlltnQ the CouncIl 011 ftlttlrs of Intarlst to our C06mUnlty and Its futur.. Appllc.nts mult restde In Iowa City. The City Council .nnounCed Adtlsory Board/Comlnton manclu 90 d.ys prior to thl dati the ,ppOlntment will be lid.. This period protldes for. 30'd.y 'dtlrtlslnQ plrlod and a 6Q'day traInIng periOd for new me~lrs. Th. trainIng period allows new memb.rs to becO!!O fUlIII" with th, rtsponslbllltlu end dutlu of the edtlsory boerd/comlulon boforl becomIng. full votIng me~.r. Aft.r a v.cancy h.s been announced .nd thl 30'd.y advlrtlslng p.r1od has Ixplred, the Council rul.lIt all appliCAtIons durlnQ the Informal work sllSlon. Th. .ppolntlll.nt Is announc.d at the n.xt forlDll Council meltIng. Appolnt..s serv. as unpaid voluntl.rs. Council pr.fers th.t all appllc.tlons nlst be ,ubnltttd to the CIty Clark no later than onl we.k prIor to the announced .ppolntment dat.s. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUHEKT AND AS SUCH CAlf BE RfPRODUCED AlID DISTRIBUTED fOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED fOR 3 HONTHS ONLY AlID AUTOl'ATlCALLY CONSIDERED fOR ANY VACANCY DURING THAT TIllE. ADVISORY BOARD/COItiISSION tWIE f.l1g-t~/e1F r:rolSf~tllt ,.,~V TERH .~ ':I' HAHE r(;p)! M'141 no') HOHE ADDRfSS ,.2/2. (.:;'fJ,?~ /tVl Is your home address (listed .bov.) withIn the corporat. lImits of low. City? OCCUPATION~.MfjIII,r hlt014~ EHPLOYER (J,I,'ill. "C~A- , PHONE NUMBERl HOlE ,qW.. \"1.:", BUSINESS....)'1r. (~;! ~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU feEL QUALIfY YOU fOR THIS POSITIONl ~~/Y)f,;~,I/) IN fbucV "V~,-,e).",I 11.< i'r ~r.Jt; NWu'f(<1fIJ,\ .4IiD ~(f>b'S'b)N"~ N r- ~- \/HAT IS YOUR PRfSENT KHOIl\EDGE Of TIllS ADVISORY BOARD? - \/HAT CONTRIBUTIONS DO YOU ,fEEl. YOU CAlf I'AAE TO THIS ADVISORY BOARD (OR STATE REASON fOR APPLYING)? 4!k.'y,Mt-M" 6i' l(~~ (. MJ'') 1',IILTtI~,k. ,'>I"/J,FIC11j'tI: /,.f:. STdl(ff.'(f~ Sp4clflc attention should be directed to posslbl. conflict of Interest 01 defined In Chapters 362.6, 403A.22 of the Cod. of Iowa. Should you be uncert.ln whethor or not a potlntlal confltct of Interut Ill"t~ contlCt tho Legal Department. 11111 you have a confltct of Interest? YES VNO ----- ----- If you .r. not ,ollcted, do you want to be notlflod? ~ YES _____NO Do you currently ,erve 011 anothlr Iowa YES V NO ----- - ? It has been Council polIcy not to perml 'Ions at tho lime time. . o on two Board' or Commls. June 1988 .....~.._.....~..-.-'..,,'~.,. ",., ......~, .....,.. -....,... .,., J9q , ,,,I ~ , , i I 1 I' I , , , , I , I I I , .. , I I I ,