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HomeMy WebLinkAbout1991-10-29 Appointment n I:' I ~, e lo ()., r. ~ .. . , "nl I.~ \. . ' I.. . .. _" IJ;J Best Office Services " (, -';~{'~~ ,."o.~,'l'ik:' : ;'~,'I/t{~\,-i' ,~,~:~:~"' 1;.t1,.~"h ,~J, ",.'i~ -t"".''k~':'t:;9 ' ')r: "1:;/; t'1-!l 31Dn. DUllln&lDn "''i Iowa City. Iowa m~o (319) 3J8.lm octobor 22, 1991 Tho Honorablo Kayor and city counoil K,abora civio Contor Iowa city, IA 52240 ROI Broadband Tolocoamunicationl COlAillion Doar Kayor and Counoil KOlborl1 It il with luch rogrot that I tondor ay rOlignation frol tho Broadband Tolocollunicationl COllillion offoativo ialodiatoly, Huch to IY dlalllY, a rocont IOVO to Sundl' Kobllo 11010 villago haa placod 10 outl1do tho oity Ulitl and thUI, according to tho Itruaturo of tho COllillion, I no longor loot tho qualificationl to bo a IOlbor, I approoiato tho privllogo of Ilttlng for tholo fow Ihort lonthl and fool I havo loarnod a conlldorablo alount about tho procoll. In an orfort to continuo contributing to thl oity/oablo procoll, and a pononal intenlt of lino, I al voluntoodng to holp the PATV orfico with any projoctl thoy dool appropriato. PerhapI "tho othor lido" of Scott Boulovard will onl day bo annoxod al a part of Iowa City. I hopo 10 for two reOlonl--to again bo a .bon~ ride" citizen of tho aity I,lovo, and to porhopo oncourago bUI lorvic. to "loop" TOwnOrDlt, Scott Blvd" tho Indultrial COlplox, Bon Airo and takolidol I will watch thl procoodingl ugardinq refranchillng with luah intorolt. I too hopo that tho public aCCOII channoll will continuo to bo a largo part of tho Iyatol in our uniquo city. 8inconly, ~~ Botty Bruni Andorlon al Drow Sharfer I' /91lf - -, I C, =1 ,- -- ~~' II ~ ~ r' . ...... . \f n.... '. I . ... ..". ... ... JI HNSON COUNTY BOARD OF SUPERVISORS CH.W.Es O. OUFFY STEPHEN P. LACINA PA TIlJCtA A. loll!ADe IUCIWlD Eo IolYERS Deny OCl<ENf'EI.S Ootoblr 17, 1"1 I .-_. , John HoOonald, Hayor Iova Oity Oitr Counoil .10 lalt 'alb ngton Iova Oity, Iova 522.0 D,ar Hayor 'nd Counoil Hlmb'rl' During tb, foraal "Iting on Ootoblr 17, 1"1, tb, Board of 8UPlrvilor. votld to rloo..,nd H., Jln Hubll for appointalnt to tb, Iova oity Rivlrfront Ind Natural Aria. COllillion, Tbl Board fill. HI, Hubll il VIII qualifild for tbi. appointalnt, Inololld i. a oopy of a llttlr that VI lInt out to HI, Hubll rloo..lnding blr Ippoint'lnt, 8inolrely, ~~{f;I.~~/- BlttI Oolclnf.lI Obairptrlon BO/jh Inololure , , 00' Jan "ubI! 013 SOUTH DUBUOUE , P,O, BOX 1350 ' IOWA CITY, IOWA 52244 , 310,356,6000 /9/5 n I:' I ~, \-1 ,I I - HNSON COUNTY BOARD OF SUPERVISORS CItAllLES O. DUFFY STEPHEN p, LAClllA PATI\lClA A. MEADI RICIW\O Eo lAYERS omy 0Cl<EHf'EL8 Ootoblr 17, 1991 .lID Bulll1 RR la, DOl a.,.c Nortb Liblrty, Iova 5a317 Dlar Ha. IIIlbIlI YoU vlre formally rlcommlndld to thl Iowa city city counoil for Ippolntalnt to thl Iowa city Riverfront Ind Natural Areal Coaalllion during thl Doard of suplrvllorl foraal .llting on Ootoblr 17, 1991, Thil tlra il for,an unlxplrld tlra blginning i..ldiatlly and Ixpirll Dlolablr 31, 199a. . You viII bl rloliving notifioation fro. tha Iova citI city counoil, if our rloommlndation i. aoolptld and your IppO ntllnt blco... fiDal. Th. Doard of suplrvi.or. Ipprloiatel your lntarllt in .lohnlon county and your villinqn"1 'to I.rvl on thil ooaailllon. SiDoarl~, ,i'/1' 0,.J.../../;...J DItty OOIc,nfal. chalrpluon DO/jh 001 913 SOUTH DUDUQUe . P.O. DOX 1350 . IOWA CITY, IOWA &2244 · 310.356,6000 /9/5 n I:' I S 5 .1 I ^PPUCATION FORtI FOR nOhRDICO~IISSIOII \.\Sttu'\(J, \\)..~ ..~\ IlAlV: I . J~I'J J1JJ.clEI (:billS 6.) , : ADDRESS 1_ R.R,1I.;2 /J;t)~ tJ((~.l!.. tJ&..'nJ J.."311~r.y II', PIIOHE IlUliBEl\1 .3/9. (,~t. - l,~:J.. DATE I 10 . I. '/ I APPLICANt' FORI J},i.ot"lr"J. (J,,,,,~,,!!jll'" (BOARD/COtDilSSION) Phco of omploycanc (and/or acclvltlas such lIS hobblas I volunteer \lork. ctc. chllc you foel may qUllllfy you for ch1s poslClon). y.~ f1'IIIM",M'tlf"tlM/vllIl' if! (I f:i.t'Nq"l""" ...../l/t~t'. ~lllim.. 71,71..I'k;Y.c\~~ (',1..~\I~,7ly elll ,l1l! V'. iA, rr."(lh~lh ~ll'"' "'~)S~('(I:t1.:h~~,n_..A~:tl ~~fn;l f.d~n' \1.,.. 'J!,/! !:nvrd}''''''7 (;ulrl Y; lell' .h, j!..tdr:_!. .Y.a.'__{!.A ___:/'I, r , t'IJ,,.,.,rilI4l (I' illld. Tho followlng questlons wl11 asslst cho Beord of Supervlsors In Lts 0 I solocclonl howovt'r, 1c is nClc necesslIry to cOlllploce this 1n(01'IIII1:1on to be eliglble lor cons1doraclonr . 11 11011 much cima lI11t.you be IIUllng co devoce to thLs com1ttce? I..~ W4.I At (a.kw - AD. -10 :i I 2) Reason for applying? A W \.t' I , I ../o!.t lLrz.fcl'kJ..~/11'r..rLl;lI5 (c1.l rwrd./(j lim,) ,;,ICJ oJ, Ii}p -n~ ~d -Iv ~ . '. , ~ I ou.. I..-I,~ I,.,...tl tJa.or. , /l11l (C'hllll '(J f'f'",<"( lIJ 7wluinr~, .:J.dn-.tA . 3) Ccintr{bUt'10~ you aol )'OU can m~I(,o to, Cho/lloardlCebiiiilinonl ~c.J:tv.CJJ ' yJ I,~ -/'(nf. -k rlfl.""f)o71 -In U-. J} lof In...rI,;., lllllU'~d t~ ..':il.l 7f'~ ("vi tJ./'/!"n!} .II,~ IllY~ 7 y,.",\c.. \1);0/ ('(I'Mer/;;'.1 PI/Pi,);!- 3l~ kll,. Vl:"(IIN~:; t'tlsy "*' rtl i~/tllj lil7/1 :' J;;n t1/..J,(;llttli 4) Dlrocclon/Role you pOfce{vo of chls Doerd/Cemm1ss1on? 4t.i'~~/""'ttCi.'rr1.J 1""',1,(.,.,./)",,, t I.J'd..Ju Illt;tt 11'/_ , I 1}',71.I,n/u ('lli'l.. /),:...1' t/fl,~ ()Id-t./~, ' I 0 / 5) In l1eu of lor 1n edd1t1on co cho above I do you h4vo 4ny COalmonts ' to add thec may 41sLGC cho Iloord of Suporvisors Ln Ltl solect1on? 1'15 1~' - C L n C' I _' cr ,I I ~:&.. CITY OF IOWA CITY I!E THl! CITY COlIlCl Of rJWA CITY IS CCIIWRI/3 NI AlPOtIT. I/UIT 10 lIE fOUOWtIQ IOAAO: IOAAO Of mf~S Ole *Wf' flwt,.. In ~" '~.OImberJl, IrA '.h~oI"'oIhBordol~ IItd1~1imIgI IlINlncami'ljh..twl'fcodl. u-.lIUllbeqlllW br...Mdhiqloplll~lIIIIn~ lo~_ IndoII. IoorICIr~""oIboIIIIMd~lMtbe~ tlIclorI 01 h CIr 0I1od CIr. !iii '"cl.....btNltllhOcibtr29, '"I,....oIhClr CMaJ 117~,.... h CMaJ ClII.UI. ,.,.. hMlW" b\flg ~td llI..po\IoIl \IlNI*lId h ClrCllr\lIhCMo eN. 410E.W~I"," ~llIIII..MWlt"IIIC11l\" ... ~ rtqlMl . ~ III 1411 _41"1_010_ 111111' 10_. rll'. IU. 111""111' 11101 "'."11' In 11111 1I,.li9/1; n 1:1 I ~r '-I OCTOBER 29, 199t IOAlD or APPEALS . Onl Vlclncy . Flvo-yolr tOnt Jlnuory I, 1992 . DocI.blr 31, 1996 Th08l1 " Vlrdlrltlch 3 !vlrarlln P1ICI II.. Ilrvod In unlxplrld tint. Richard Oonlhul 1515 OubuquI Rd. . IlALU I 3 rDlALUI 1 19/~ ~ - n 1:1 I ~, EI . CITY OF 10llA CITY . ADVISORY BOARD'COHHISSION APPLICAilON FORM Indhldulh urvlll9 on 80lrds/C~lutons plly .n t",orUnt rolt In 'dvtslnq tht Counctl on Nthrs of tnttrut to our COllmlnlty and tts futurt. AppliCAnts Mt rtlld' In low. City. Th. City Council .nnounced Advisory Bo"d/CotIIIlUloll vmncltl 90 d'yS prior to tht dltt the .ppolntment wtll be Ndt. This period provldts for, JO.dly Idvtrttslnq ptrlod and a 60.dal tr.lnlng period for nt'll members. Tht tralntng pertod allM ntw membtrs to b.cono "lIItlllr with tht ruponslbtllttes Ind duties of tht Idvlsory bOlrd/col'l1llulon btfort becoming a full voting nembtr. Afttr I VlClncy hu bean Innounctd and tht ]D'dl' admtlslng period hIS uplrtd, tht Counctl revttlli III Ippllcattons durl"9 the tnforlllll work union. Tht appotntllltnt Is Innounctd at tht ntlt forNl Council netttng. Appolnttts Strv. IS unplld voluntttrs. Counctl prefers that all appllcltlons ~st b. subllltttd to the City Clerk no Ioter thin ont wttk prtor to the ,nnounctd Ippolntment dattS, PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PIlBLlC DOCUHENT AlIO AS SUCH CAll BE RlPRODUCED AIIO DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION \lILL BE CONSIDERED FOR 3 HOIITHS ONLY AlID AUTOt'ATlCALLY CONSIDERED FOR ANY VACANCY DURING THAT TIHE. ADVISORY BOARD'COIfHSSION 'lAME n....) I' f/' n"tlfl': TERM ':'.'''' NAME '1i'MIM~ '(( 11/:(.fl"")'J1SuI HOHE ADDRESS .a (l,A."'~'(4'" ;4."t;- . Is your home Iddrm (1lsttd abovt) wlthtn the corporltt limits of Iowa City? lr'i OCCUPATION ii:I'::'/IC'~'" EIIPLOYER !;II'f~ J,IJ,)'i ,~;,-<."" r,:.,'.4 ,:, 11.~ PHONE NUHBER: HOHE p:'jio '/~ BUSINESS';,f ,.; t. ,. (, EXPERIENCE AND'OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ..r I "'Iii.; .J.: If,..' ,I I, I /~,/,II'fl" 'T'cJ:.tI1. .:ti''(t..:,/' tn.," or,. (.'t'Tf,',,'. IT'I,(" ,',.' ,"'X'"l" 'It' , ..,." 'IJ' .L!!, ~ {l7j- IIJ t.,... t~~ iI'-J~/. IIIlAT IS YOUR PRESENT KNO\ll.EDGE OF THIS ADVISORY BOARD? .1 Ai',' ,f IN"..,.ItJ" IIHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN lIME TO THIS ADVISORY 80ARD (OR STATE REASON FOR APPLYING)? - ,lot.. vi''''; (', It (J1.'Jr~.Wf/,V Jii'JIJ.~ ~ Speclftc attention should bo dlrocted to poutblo conflict of Interut 'IS dtflned tn Chapters 362.6, 40JA,22 of the Cado of Iowa. Should yOU be unmtl,tn wh~hor or not I potent tal conflict of tntorost exists) contlct the Legal Departmen~~~lIlIJ y~ hovo a confltct of Interest? _YES ~NO '~:-' :'J =: ... -J, If you oro not solected, do you want to be notlflod? ~YES ~~D,~ :1 ~ , ,...,~ .... -v" Do you currently servo on another Iowa CHy Board or COIlIllllllon? ;YES.. ~: ~ . ~ ~ It has been CouncIl polIcy not to permtt an tndlvldual to serve on two Boards or Commls" slons at the same ttme. Juno 19B8 /9/6 n I:' I S q . CITY OF 10l/A CITy . ADVISORY BOARD/CaKHlSSIDN APPLICATION FORM ,\ I Indhldulh SlrYl1l9 on Bo.rd"C~hSlons pllY In I~ortlnt roll In IOytSl1l9 the Council on I114tters of Interest to our CO~~lRlty .no its future. Applicants Mt resto. In lowI City. Th. CIty CouncIl .nnounceo AOYIsory Boaro/COIllllsslon yacancles 90 o.ys prior to tll. Olt. the IppOlntment 11111 bt 114oe. This perIOd prOYldos for. 3D.dlY ,ottrttslll9 perIOd .nd I 60.dlY trllntn9 periOd for new neteers. Tile trltntn9 perloo .1 lows nell IImb.rs to become f.mllllr IIlth the responslblllths Ind outtes of the ,oYlsory bWO/comlnlon before btcomtng I full votln9 IIlIte.r, Atter I YlClncy h.s been .nnounceo Ino the 30.011 .overtlsln9 periOd hIS ..plreo, the CouncIl rulelli III Ippllcotlons durt"9 the Infor..l 1I0rk suslon. The Ippolntment Is Innounced .t the ne.t formel CouncIl ne.tlng. Appolnte.s serve IS unpllo yolunt.ers. Council prefers th.t III .ppllcltlons /lint be subllltttd to the City Clerk no lat.r thin one lIeek prIor to the Innounctd .ppolntment olles. ~WIll.AOI~ THIS APPLICATION IS A PUBLIC OOCIR1ENT AND AS SUCH CAll BE REPRODUCED AIIO DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR J MONTHS OflLY ArID AUTOI'.\TlCALLY COHSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY 80ARD'COlfilSSlON IWlE BoA'" o.f AJO/)~A IJ TERH S't" IW1E...J(iGh ""I' rl,J:>"",A A II e HOME ADDRESS' IS" IS" Duh vo/I.I~ Rd, " your hOIl .ddress (listed .bov'IIIHhln the corporlte lllllits of lowI City? 1'11(" OCCUPATlOH ("k.( H-ur../n... ?n~-+~,... EHPLOYER ')1?l G"'.-\J '.1A ~~'H'" C,IIJI PHONE NUH8ER: HOKE 3S"~ "Ii 19 BUSINESS 13 fl. 112j- EXPERIENCE ijjD'OR ACTIVITIES WHICH YOU FEEL QUALifY YOU fOR THIS POSITION: Gl-AduA--I~, Urlr. B.s' nil?",,.,. 0""... ?a",.......", e)(.'Ot!........... ,,~ ("-.rk."..~'okV ~..z.l,~u:'c.~";;~~ J~~ c..... I,. ]..J -IliI'ul,. FA-ll."::' .' "l~ , A f'Ct'ff C 0.1,.. ,c;"'t ..SA.II" f"Jt./~ IlHAT IS YOUR PRESENT KHOIl1.EDGE OF THIS ADVISORY BOARD? 'i?~A!o_l./~ IHh""I4I-.M.-I._ bl' c.u~..._~ hull"..... . ,- CfJJ,~ IIHAT CONTRIBUTIONS DO YOU .fEEL YOU CAN HAXE TO THIS ADVISORY BOARD (OR STATE REA SOH FOR APPLYING)? E. lOe"','..~.. Avod k'..owl,~.. 01' 'tit" co....r~~ ...x.. <i~J"v, 140 <-.- < !~~ c u -..... ~ - h: /J.Z .;::~~ --:.:.";;. i,-Ift' ,",-J m#/f,. ~"UI'r.. t:tJ"'~/''&J1. Speclffc attention should be directed to possible conflict of tnterest, u defined In Ch.pters 362.6, 403A.22 of the Cod. or IOWI. Should you bo uncortaln wl!tther Or not a potentlll conflict or Interest exhts, contlct the Lf9.1 Oep4rtmenti\~ IIl11yoo hm a conflict of tntorut7, _YES ~..NO : ':.- -:-: ',: '. , .-. .1 If you are not selected, do you lI.nt to be notltlod? -,K..YES . NO ". ---:"" . . . Do you currently servo on .nother low. Ctty Board or COtlI'Ilhs'onl -:~ES L NO , , It has been Counctl poltcy not to permit an Indtvlduol to servo on two Boaros or Commls' s'ons .t tho samo tlmo. Juno 1?88/?/1J 1C' n I:' I b 0 ftQ,W THI CITY CMC" 0' IOWA CITY II CONllDlRlHO APrOIHTMlNTI TO THI 'OU.OWlHO BOARD: BOARD 0' lXAMrN[RI 0' ....UM8rRs Ont YlCtney . Two-YfM I"," lJounwtmll'l PhInbtII JtIMlttY I, IIU. Dtctmbtl21, 1112 One YlCtney . Two-y", I"," 1R'p/II"'''tlvt 01 tII. rubllcl JtlNttY 1,1112. Dtctmbtl21, 1112 ThI dutlt. II mtmbtIt 01 lhI. IIotId tI. 10 ..tmInt tll tppl. CII'II. d.!lrino 10 II'IQIQ' In lilt ~ 0/ bvllntlt 01 pMnblng, wII.t1111 It . rnttlll phInbtt 0/ 1o""'tyI'IIII'I plumbll, tnd 10 'ltllt Ie",," 10 compel",1 tppIc"'I.. low. Clry tppOInltd """"*' 01 boIId. tnd commlltlon. mull be .1Ig1bIe tllClon c'lIIt Clry 01 low. Clry. ""It ~lm"'ll will be mtd. .1 lilt 01lobtl2t, 1It1, mltllllG 01 lilt Clry Ccunel,1 7120 p.m.1n tII, Ccunel Chtm. bll', rtltOl\.lnltl.utd In btIno COIIlldtltd '0/ tII", potItlon. chouId COllIlCl tII. Clry CItIIl.llIIt CMo C"'ItI, 410 I, Wtlh. 1lIG100011I..L Appllc.llon '011II. tI. evtiltbl. I,om tII. Cltrlr.'. DIlle. upon lequtlL \1 I /9/7 n I:' I b 'I ' OCTOUR 29, 1991 HALES. FElIALES I &oA~~ : lAD OF ~~INERS OF PLUMBERS . Ono vaclncy . Two-yoar cora ( Journl,.,n Pluablr) Jlnulry I, 1992 . DICI.blr 31, 199] lick P. ..chlldlr 1374 SlncI r. Or. Onl vlclncy . Two-Ylar tlra (Rlprlllntltlvl oC thl Public) Jlnuary I, 1992 . Dlclablr ]1, 199] rrlnklln J, lllp.trlck ]n25 Crllahton St, II . /91'1 n I:' I b e . CITY 01 10VA CITY. ~OVISORY BOARD/COMMISSION APPLICATION IOAH Indhldulh smlno 011 BOIrdS/COldIsSloIlS pIlI In lroortlnt rol. III 'dtlslno lh. Council 011 IlI.Itl.rs of Inl.rlll lo our cOl1!lln'ty ,nd Hs futur.. AppllClnts Mt rllld. III low, Clt,. Th. Cltl Council Innoullced Adtlsorl BOlrd'Comtuloll flClnclts 90 d'1S prior to lh. dlt. the Ippolntment 11111 be IIl4d.. This parlOd provIdes for, lDodll Idurtlstno periOd ,nd . 6Qod', tr,llIllIO parlOd for nlll ~lClrs. Th. tr,lnlno periOd III~ nlll mtmO.rl to b.cone f..llllr IIlth lh. rllponslbllltles Ind dutlll 0' the ,dvlsorl bOlrdlcomlsslon b,'or. becomlnO I 'ull votlno DtfC.r. Aft.r , vlClnCl hll be.n InnounCtd Ind tII. JO.dll Id,.rtlslno periOd hll .Iplred. lh. Council rul.1II III 'ppllcotlons durlno thl In'orlll 1I0r~ stlllon. Th. Ippotntlfttnt Is .nnounc.d It lh. "'It forlll Counctl DI.tlnO. Appolnt.IS Sir,. 's unplld ,oluntl.rs. Council pre'm th,t III IppllCltlons lint be subllttltd1oto the Cltl Cltr~ no liter thin 011. w..k prior to tII. ,nnounctd ,ppolnllltnt dIlts. ~"1IS&1A:1LACK~~4 THIS APPLICATION IS A PUBLIC DOCI.04ENT AHO AS SUCll CAll IE REPRODUCEO ArlO DISTRIBUTED lOR THE PU8LIC. THIS APPLICATION IIILL IE CONSIOERED lOR J HONTHS ONLY AlIO AUTOI'ATlCALLY CONSIDERED lOR ANY VACANCY DURI~ THAT TIHE. AOYlS~ Y BOARO),COltf ~SIDN IWit ~</' I"(~ ~r R,"~,"',JCI"" ,t." YEAH if} 0 c,,~ IWfE .e. IJ HOlE ADORHS 1.01. .\.\1\11. F'... Or Is lour home 'd~'SS (llst.d Ibov.) IItthln tII. corporlt. 111ft, 0' lowI ~~t!! ~Irl OCCUPATlON-1h~I'" EHPLOYER-L..:l"'R~ C' .lhl. PHOIIE HUHBER: HOKE .~r4~1 BUSINESS ,n 7 0 '/l.S', EXPERIENCE AHO'OR CTIVITIES WHICH YOU FEEL QUALIIY YOU lOR THIS POSITION: \l~' ....Q In UI"I"\ IH .1 i ~ IIIlAT IS YOUR PR!SENT KHOIA.EDGE OF ~IS ADVI~ORY BOARO? I ~ :114 k'~ ~' ":I~~~~_ eM.. r/l(\~'~ (,f,it) R,'V"lll l.'f,'M... (\o1~k('," rC, fI(' 1 ,. . \/HAT CONTRIBUTIONS DO YOU .FEEL YOU CAN mE TO nlls ADVISORY BOARD (OR STATE REASON lOR , !IILYlKGII ~~ Ot,~; ~'~;~Q''l~UJJII. \..~ ""tMhtn , , I ""~ " Sp.clflc IttentlOll should be dlr.ct.d to posslbl. conflIct of Int.rest II d.flned 'n Chlptm l62.6, 40lA,21. of the Cod. of 10111. Should IOU b. uncerl41n llMthtr or not I pot.ntlol conflict of Interest exhts, contlct the Leo.1 Deplrtlll.~t" II~II YQU have a contllct of Int.rest? _YES LND : ~= :..l ',: ~ ~.' " If IOU ore not sel.ct.d, do IOU want to be notltled? 4YES --F-N~~; . 00 IOU currontll servo 011 anothor 1000a Cltl Board or COlTl1Ilsslon? :~:YES :::.A. NO . '. ,. It has boen Council pollcl not to permit In Individual to s.rvo on two 80ards or Commlso Slons at tho samo tlmo. Jun. 1988 1'117 1'''1 -- - ~ - ,n 1:1 I b :1 . CITY OF IOWA CITY. AOVISORY BOAROICOHHISSIO~ APPLICATION FORM ,I I .~ .~ ~ ~ \\ ~ ~ ,J ~ '\ ~, ~ '" i Indhldulh IIrwlnq 0/1 BOlrd,IC()lllIlutonl pl'l .n t'Clortlnt roll In Idll,tR9 the Council 0/1 II\Ittm 0' Int.rut to our cOlrll'Jnltl .nd It, 'utur.. AppllClntl Mt rnld' III low. Cltl_ Th. Cltl Counc II .nnounc.d Adw IIorl Board/Cl)o'!I:It" ton wlClnc In 90 lUl' prtor to the dlt. the .ppolnt..nt will be II\Id.. Thl, p.rlod prowld" 'or. lO'dll Idl.rtl,lno plrlod .nd . 60'd.y tr.lnlno p.rlod for new mt~.r,. Th. trllnlno p.rtod Illowt n.w ..1It.rs to b.cone '.mll Ilr with the rupon, Iblllt In Ind dut In 0' the .dlhorl bo.rdlCOl1ftlu Ion b.fore becoming. 'ulI yot Ing IllIllter. After. w.Clncy hit beln .nnounc.d .nd the lO.dlY Idmthlng Wlod hIS .Iplred. the Council r.wl'lII III Ippllcltlonl durtno the Informal work lIulon. Th. Ippolntll.nt h .nnounc.d .t the nllt 'orll\ll Council lllI.tlng. Appolnt..l ,.rw. I' unplld 10Iunt..r,: Council pr.tt" thlt .11 Ippllc.tlon, /!aut b. 'ubfllltttd"to the C,ltl_Clerk no liter thin 0/1, w..k prior to the .nnounc.d Ippolntllllnt dltts. JL&ASE.tuss.:~8UCL rll1f(~ TlfIS APPLICATION IS A PUBLIC OOCUHENT MIO AS SUCH CAN BE REPRODUCED MID DISTRIBUTEO FOR TlfE PUBLIC, TlfIS APPLICATION IIILL BE CONSIDERED FOR l HONTHS OlllY "liD AUTOI';\TICALLY CONSIOERED FOR ANY VACANCY DURING THAT TIHE. ADVISORY BOARO'COHHSSION flAHEI1.,,,, '.,hu,,' w" ./ lillI/It",.., TERM -d I'" , HAl1E,!,,)(I... Ij,;(,S;J,d,-/ct:' ~OIE ADORESS ~1().2~C~t!<Phl:4 ,u-. .>.,u.'I~- I I' your home Iddrm (I ht.d Ibm) wlthtn the corporlt. limit' 0' 1011' C Itl? Yf!:i OCCUPATlON.6'~.t.......P /t'"/m",- a,(; /J./'t't ;.-,. EHPLOYER it;.',,. ,"/ /....(,41... PHONE NUHBER: HOHE t3;7"~l.~1 BUSINESS " EXPERIENCE AHD'OR ACTIVITIES IMICH YOU FEEL QUALIFY YOU FDR TlfIS FOstTlONI <SId )t!fI/~ !1'1"~"''''J1,,,.,j;J 4"""t',rr.>- ,Af'J l/.P_,.,,~... {']!::;;/.... It. ')"1.' t 1't.''.;I.~" '~ ~~,'''''''~~~, PPo...l1lffj. e.JlJ 'l~' 1'f'J?,','p., t'l' -tt.~ II..~ j.'.n" dl'uM/'f.1 {',i" ~ L' 'ik. i. .ll ,i d,f wt:1:&J,1t!Sf';.1J ~&.,,~ (.t.!4df,wt. .~ (I",,:~~, 1 1'1: J,::/J; :,)#tlf.,I.l.tfj ',(,.. h("'/~' 1Li~ .8"M'/ P""~/~ ~JaHJ. #'~41' 7'1;,." ,J~.".it9 IlllAT IS YDUR PRES!~T~KHO""EDGE OF,T!!I,!S ADVISORY ~ARD?III'..,,,, "'fL W~O!,,~~ !~ /. ~ ,'0' {'CA, tI~ """,It (J;:;;t(" .zJr....U,d.s. .0.;,/ 'f.'/'/"~ 01' ,"t'ot . ,..dfrM' '. t . I !\ot"" 1''',y,j.,J J INtll ~ C" I'ltI/llflJlr1 ,~ ~~.... II"'; ~) 5..1 "'" CI ,/ h 5 ~ c' e~t 6A ,~I~A d. elJ (~p6"lble conflict of Int.rest IS dltfned In C .pters 362.6, 40lA.22 of tho Cod. of lowI. Should lou bo uncertatn wh.thor or not. potontlll conflict 0' Intomt tx~s, cont.ct the Leo.1 Deplrtment. IItll lOU have a confltct of Intor.,t? YES ND - If you .r. not ,olected, do you w.nt to bo nottfled? ~YES ----110 Do you curr.ntly servo o~othei)low' Ctty Bo.rd or Comml,slon? ___YES ~ ND , It hIS been Counctl pol tcy not to permIt .n Indhldu.l to 11m on two Boards or Comh. ,ton, .t the ,.me tIme. 4' ,/ Juno 19BB /,'.w,ll.; ,f'~ l'~l(J ;f't;th(~ /9/7 , ('\(~. I I , I I [ , ! I n I:' I b LI tmW THI CITY COUNCIL 0' IOWA CITY II CONSIOmlNO AP. 'OINTMENT' TO THI FOUOWIHO COMMISSION: IrNIOA erNT(A eOMMIISlON Two VlCtllCltl . nllttoytll 1_ JlIMltl'f I, ltlZ. Otcllllbtl ~I. lIt4 Th. dutltl 0' mtmbtf. 0' Iht ItnIor Clllltt Ccmnllllon tI. to: I, 1tIV. In III tcIvIlOI'f roll to III. City Cound willi II9t1d to nltdl 01 lilt ItnIot CIIIIII. 2. Mtll. 'Konvntnd.llont willi 'tOlld 10 polIcl.. tnd PfO' OIMl' .1 lilt Itnlor CIIIIII, 3, Join 11.11 tnd olhtr Inll/llltd petIOlI. In Ittlllna tiI.. qu.I.1IntncltI "IOIIICII 'Of optr.tlon 01 lilt ItnIot C",. III, 4. IncOUlI9' lull ptIllclpellon by Nnlor CIWIllIIn lilt PfO' gltll\t 0' lilt ItnIor Ctnll/, I. IntUl.III.IIII..tnIor CIIIIIlIt .IIHIivtIy 1nll9ltltd Into th. communllY tnd COOPt/II.. willi O/Otnll.tIon. with common gotl.1n m..1Ino lilt need. 01 .tnlor elw.nl. O. 11M In III tdvoceoy roI. with ..gild to th. ntedl II ItnIor cldltn.1n low. City, low. CllY .ppolnltd /lItmblll 0' bolldl tnd Ccmnllllon. mUll b. tllglbl. .IKIOfI 0' III. CllY 01 low. CllY, Th... .ppolnlm.nt. will b. mtd"1 th. OClobll 2t, ,,,'. mlttlng 01 III. CllY Cound .171~0 pm. In III. Cound ChMl' b.lt, 'II101lIInII,..ltd In being COllIId.lld 10111I11. POIIdOllI IhouId COIlIKllh. CllY CIII\ 1111I. CIvIo C.nl.., 410 E. Wlthlnglon IUIII. Appllc.,1on '0Im. tlllVtil.bI. ',om th. CI.",'. ollie. upon ,equ"l. .......... ---,-- - ]1 19/'1 n I:' I b S ! 1 I , I I I I OCToara 29, 1991 " SENloa CENTra OOKHlssrON . Two vtclncl.1 ' Thr'I"Yllr tlral Jlnuuy 1, 1992 . Dmabu 31, 1994 Aan.. a. Kuhn lias r. JIUlnon St. Htry Annl Hlddon 428 5.Suclt HArthl LubuoU 117 Clenn Or IVI 1/111111 Kllly 1108 Sunlit Strltl HArk ThOlSplon IUS Vlllt,1 Flra Ct. TOll Hulllr mo lurry Or. . I' HALlS I 2 'DlALlS I S /9~ ne Ibb . CITY OF IOWA CITY . ADVISORY BOARD/COKHISSION APPLICATION FORM ,\ , Indhldulls Strvt"9 on Bmds/C():1IlISllons ploy .n tq)orUnt rol. In 'dttsl"9 the Council on I\Itt.rs 0' Interest to our cOlmlnlty .nd Its 'utur.. Appllunts Mt rtsld. In low. City. Th. City Council .ntlOunCtd Adthory Bo.rd/Cwlnfon tmnefti 90 d.ys prIor to the dlt. the .ppolntlltnt lIlll be ilI4d.. This period prOtldes 'or. 30.dlY .durthlno perIod .nd I 6O.dly tr,'nlno p.rlOd 'or nlll memOers. Th. trllntno porled .llows n.w Ilt~.rs to bec* ',IIII114r lIlth the ruponslblllttu .114 dutlu 0' the .dtlsory bOord/colllllSllen b,'or. b.collllno I 'ull votlno memb.r, Art.r . mlncy hu be.n .nnounCed .nd the 30-d.y .dv.rthlno period hu uplrtd, the Council r.vl'lII III Ippllcltlons durlno the In'orlllll lIork union. Th. Ippolntlll.nt Is .nnounced It the nut 'orlllll Councll"eltlng. Appolnt..s Itft. U unplld volunturs. Council prettrs thlt III Ippllc.tlons IlIUSt b. subllltttd to the City Clerk no httr thin on. lIttk prior to the Innounctd Ippolntment dUes. PlEASE USE A 8LACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUHENT AND AS SUCH CAN BE REPRODUCED AfID OISTRIBUTED FOR THE PUBLIC. THIS APPLICATION '/ILL 8E CONSIOERED FOR 3 HOtlTHS ONLY AND AUTOllATlCALL Y CONSIDERED FOR ANY VACArcy DURING THAT TlHL ADVISORY BOARDICOHflSSION rWlE ) /l-/I.' (~~ klt' ( (}III/II TERM .3 ~'... 11AI1E --r;;/JI "III/. L/f,(! HOIiE ADDRESS Ilt,t) !Jt/lly' j),f. Is your hOIlll Iddr.ss (llst.d .bot') within the corpor.t. Itllllts 0' low. City? OCCUPATlON/I ~ rIA' E () _ EHPLOYER . PHONE HUHBER: HOIiE 9.'i'I.1J ~ 7" BUSINESS EXPERIENCE AND'OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION~ I. '. ....,.. . I " ' , (, . .. .IV'" ~.~ t . ' .-,,, 't" '/, ..'.' . (. '''.1 ..""'It' 'f, ,/ ../..ut ,,;~ / ~ IS. YOU) PRES.ENT KHOIA.EDGE OF THIS ADVISORY BOARD? 0,:/;{. Ii h,I.'1LJtZ~. ~~ l) "11 It~/tf:,. <- - WHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN HAXE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? /-:1, /.;' I ",' , '!J'. ' ,.' ~ it. ~.~" . /. . SpecHlc Ittentlon should be dIrected to pOSSible conflict of Int0L4st ~ d.flned In Chapters 362.6, 403A.22 of the Cod. of Iowa. Should you bo unCtrt~cfhlltll.r~ not a potent III conflict of Interest exlsh, contact the Leoal Dep4rtllltnS::)IIH 1~have a conflict of Interest? _YES -t'-ND ~-< ~ ,_ If you 4ft not soleeted, do you want to be notlffod? -L YES ~;g ITI -r-- -:0 r:J Do you currently servo on anothor Iowa City Bo.rd or Commission? f{iS ~ NO - It h.s boen Council polIcy not to permIt an IndIvIdual to s.rve on two Bo.rds or Commls. slons at tho slme time. Juno 1988 19/K .....--- --..........- -.- r-- - n · I:' I b '-I - CITY OF IOWA CITY. ADVISORY BOARD/COHHISSION APPLICATION FORK IndlvfduIIs Slrvllltj on BOlrdSlCOilIIIlsslons pl.y .n t'1lorto~ no~' rill 'dv\stlltj the Council on IIItters of Int.rest to our co~nlty .nd Its futur.. AppYlcants iIl,Ist rnld. In 101/' City. ~T7"' ' .~: Th. City Council UlnounCed Advisory Bo.rd/ComlnlOll v.cJnclu 90 d'YI prior to tll' dote the .ppolnteent will be IlId.. This p.rlOd provldn for I('~Qod~I'dv,.rttsllltj p.rlOd .nd I 6O-dlY tr.lnlno p.rlOd for new mtma.rs. Th. trllnlno ptr(6d'~'I~'n.w memo.rs to b.cOllll fllIlllhr with the responslbllltln .nd dutln of the 4~vlsori' DblrdlcomllSlon b.for. becollllno I full votlno llIt'Cl.r. Afllr I mlncy hiS Dlln .nnounCed end tII. JO-dll advertlslno period hIS uplred, the Counc II rev I.IIS .11 Ippllcot Ion. durIng the Inforeo I work SlIS Ion. Thl Ippolntllltnt Is Innounc.d It till n'lt forBlI Council ".tlng. Appoint.., s.rv. IS unplld volunt..rs, , Council pre firs th.t .11 .ppllClttons ..ut be subalttl<l to thl City Clerk no leter thin on. W.lt prior to till Innounced .ppolnteent dltn. PlEASE USE A BLACK INK PEN. THIS APPLICATION IS A Al8LIC DOCUHEHT AND AS SUCH CAlf BE REPRODUCED A/ill OISTRIBUTED FOR THE PUBLIC. THIS APPLICATION \/ILL 8E CONSIDERED FOR J HDNTHS OIILY AlID AUTOI'ATlCALLY CONSIDERED FOR AllY VACA/(Y DURING THAT TlI'l. ADYI50RY 6OARD'COltHSSION /WIE $ttJ/~€(b.",~ #~tMI's.JIII4I TERH '. I f: """'P.~<<. IW1E 1H1tt.N K~t HOlE ADDRESS IId1 S';/.lUtf/'f/o~ ~ a/If Is your hOlllllddrm (1 lted Ibm) within till corporlt. II_It. of 101/' CltyVerJ.' OCCUPATION A5t~'m El1PLOYER.v~' PHONE HUHSERI HOlE JIf",/.rJ. -!;,J.J BUSINESS 11I119 EXPERIENCE AHD'OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITION: (Jw ~"',.Mr A'.....~.~,..,..A1t',.....,.I"t1',.44 ~./fJ/I ~A-wu..A.- ~,.~ ;lAJMuAfJ ~.hY~~A ""~ ~~ ~ Y..l~ ~~~,.,. ,", ~~J."" l'1I ~~.. ~ (W-J AlQV~' ~ "sWP,fllf " \/HAT IS YOUR PRESENT KHOIA.EDGE OF THIS ADVISORY BOARD? '//m('I'1hfI#I'IHI w/~~J-~. ~~.u'~l>>Aw 1.~~AiI1 ~/6~1~"J .Y""~iutl'. \/HAT CONTRIBUTIONS DO YOU.FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASOIf FOR APPLYING)? .z'''~ll')JlW~ "~""D.1\'JI\lr"SII.tr. ~/J " ~ "",,, .f6'dl14 ~ ~ ~~ ,;' '~"b.~ Sp.clflC Itt.ntlon .hould be dlrect.d to pOUlblo con'lIct 0' Interest II dlflned In Ch.pters 362.5, 4DJA.22 of thl Codl of 101/'. Should you be unc.rtaln llh.ther or not a pot.ntlol conflict of Interest exlsts, cont.ct thl LIO.1 D.partllont, 1/111 you hm . conti Ict of Int.rest? _YES .LNO If you .rl not sll.ct.d, do you wlnt to bl notified? ~YES _NO 00 you curr.ntly sm. on .noth.r low. City Board or COIllIItulon7 _YES .:i.. NO It h.s b..n Council polIcy not to p.rlllt In Indlvldull to .orv. on two BOlrd. or CommIs- sIons .t the Slme tlllll. Junl 1988 /911 <' , -...........- - ,- - np IhFI - -- ~ l ltJ; ll;r...... ~fll~ ~r. Gnf(,. ~frl'ocr.{:,... ~~ ~,.MI~ ~""t", " · ~-+~It!'~'~.A:,(~ ~Wl~ .p~ N" ~....,,-:.. a.~k1. ~_ ~.... "';.0'''''''''-' o1"7'''t4~, ~,"4 ~II~ ... ."t...t...... ~AItW '4~ ,.:,WI"""~ II _,-V (A~ ' ,.,nIt ~;~ .:JM,.,(.- ,4, N4J1r b ,.:"", M ~ 41ur ~Mttltl f6'l.. -P1'MIf '1fld",oh'JtN'<< ,;. ~'"' ~tM..,.: If' ~_;'';t1 ,doHJSd'#I'It(/~ IN~"" ",~~.w~~, .",.,.k u.:" 1N.1N,~~~'II.d"'/. ~. :b~ ".....:v.N, ~AJ.u,(J>>.Jhti 1iS~ ~~"""''(h/f')'M4 ,'*SJ~ ICM:'(, ,( ~,m,.,.,. ~..:,.." ,",~h Rdr~,tI ~I Au.c X ~JI'cw,1M ;:;I""'~_'I yl'k ~.9' IJwc !~f/IJ~,!"f't ~,.,,,( 'I ~~ f ~ i!J/IIJIdt I'ltMII'.t, t1.tuI,rI<<Jy ~~~ I.fr!'u~o ""4 ~,u ..aIw....w..1 ~1f;,'.A. 7a ,yeU..af 1:/J/J.fU1t..~. , .:f:ftfJ"":', ~, .u U';"'Nlto JI"'I, :bJ4IoIWte~ 7:K~.&Ia. "glf~'1J ~~4;~;(U ~",~..II'l~;w.. .,<J';#IJ' ~,JIJ"'1, /91K 11 , I : , , n,? Ibq . CITY OF IOWA CITY. AOY/SORY aOARD/COHHISSION APPLICATION F~~ ,\ I i I I I ! ; I lndhldulh urYI"9 Oft 80lrdS/COl'IIIlnlon. pl.y In tlOortint role In .dvlst"9 the Council on IIItters of Intertst to our co~nlty .nd tts future. AppllClnts.!llst ''''de In IQII' C Itl. The City Council Itlnounctd Advisory 80.,d/COoTIlItsston vlClnctts 90 dl1S prior to tile dltt tll. ,ppolnt4ltnl "III be ~d.. This period provldts for. 30.dlY .dvertlslng perIod .nd . 6O'dll tr,'ntno p.rtOd for new memoers. The trltnfno p.rlOd .II~ n.w llme.rs to becOllt ,..tll., "'tII the rtsponstbllttl" Ind duttts of the .dylsory bo.rd/colllllnlon b.fore btcoefno . 'ull votlno _er. Alter, tlClnCy hu be.n .tlnOUnctd .nd tile JO'dly Idvtrttstno partOd hu uplrld, tile Council "YIM .11 Ippllmlon. durl"9 the Inforql work suslon, Th. Ippotntment Is Innounc.d .t tII. nut fOrSll Council ",etlhO. Appolntm Slrv. IS unpltd voluntttrs. Council pre"" th.t .11 Ippllullons ~st b. sublllttld to the City Clerk no liter thin Oft. w.tk prtor to tilt l/lnounctd Ippotntmtnt dllts. PlEASE USE A BLACK INK ptN. THIS APPLICATION IS A PU8L1C DOC\R4ENT ANO AS SUCH CAN IE REPRODUCED ANO DISTRIBUTED FOR THE PUBLIC, THIS APPLICATION I/lLL IE CONSIDERED FOR J HONTHS ONLY AND AUTO~TlCALLY CONSIDERED FOR AllY YACA/(Y DURING THAT TillE, ADVISORY IOARD'COHlISS/ON IW1E SeAJt'ol't ~IJTt.A.aOMHl nlUt rh~&c. y~ IW1E m~^TV."" L"b~IlDeL HOlE ADDRESS / 1'7 Lc.ulJ l)A. Is your,_ Iddrus (lIst'd .bm) wlthtn tII. corpOflte IIltts of low. Cft~..:t.!:!.- OCCUPATION l'bu)llJ&U 6Er""w. ~A. EMPLOYER .ICll,~'" (!.rri 'Iu&!Ic../JbfC.'1 PHONE NUM8ER: HOllE .~)'!!. il$oCt 8USINESS ~$t. -8 ~o" EXPERIENCE AHO'OR ACTIVITIES WHICH YOU fEEL QUALIFY YOU FOR THIS POSITION: XA", ." M.UJC.. IJ WIT''' "l.lI~ruA ~b~' AM. "~C1.. oJlJ &~ 01= rl!.. Uo:'~/t.c.l ~eAlI.j) """"or~~ l2.~ ~Rb ?~&:iIC{CJJI.. Au., Au "'1) ee.ibU)~ oPO .du ~I", . e.. l. Tty '...... .. !II) Ae. -Icl./..A", rTt+ &AJ'T"I&' UJ~1l a.~I)" At)P. \/lIAT IS YOUR PRESENT KHO,^,EDGE OF THIS ADVISORY BOARD? LI1Il/TC4 "'D whAT I"tI& RUb i~ b4t~l~icH) ,.,.,1> ~f!llt d""AI"'~ !\0Le. . \/HAT CONTR/BUnONS DO YOU .FEEL YDU CAll !WE TO THIS ADVISORY 8DARD (OR STATE REASON FOR APPLYING)? :r 4.... e.YfI1A:-.JJt.<<tL /.UI~ 1"~~'U C'IJeA9.fl.Tlc..~,xJ. t1JJ_ aU Ad.vo~'Tc. F'DA. eLdu.Lr IoUb" :tbe.i~ ~ ",'tel4.0~u;- - - ..., '-' Spoclflc .thntlon should be dIrected to posslbl. conflict of Int~ ~ dmntd In Chlpt.rl JaZ,6, 403A.22 of the Cod. of IUtlI. Should you bl' U"Ctrt~~~ht1ller:: not a pottnthl conflIct of Interest ulsts, contlct the LtQal DtPartmanttl('~lfFtl ylUhlve. a conflict of Inttrest? YES .,.lL.NO ~r- "'0 m - :"g} :: C If you Iro not s.l.cttd, do you w.nt to be notIfIed? ~YES ~ ~ ~ w Do you currently Slryt on .nothor Iowa Ctty 80ard or COoTIlIIsslon? _YES ~ NO It has betn Council polley not to ptrmlt In tndlytdual to s.rv. on two 801rd. or Commls. stons .t the slme ttme. June 1988 19/! n 1:' I '-I [I . CITY OF IOWA CITY 0 ADVISORY IOARO/CnHHlSS/ON APPLICATION FORH IndivIduals smlno 0/1 8WdslCOIlnlsslons Plo, an III1l0rtant roll Iii 1dvlslno the Council 0/1 I14tl.rs of Interest to our COll~jftltl and Its futur.. Appltconts Mt resld' In IOI/a CIt,. '/...,~ .,.., '? Tft. Cltl Council announc.d Advisory eoald'COolllIlsslon vacanC'ltS'90 GIlS' 'prIor to the date the appolnt.ent will be ..d.. This perIod proy Ides for a JOoSP7)"~W~~ 'no period and a 600dlY trllntng perIod for new ..rl, Th. trllnlng parlOd"il oifr'l'i~ Milt", to btcOllf f..fllar with the responsibilities and duttes of the adYlsory ~64rd/colll1ltlllon befor. btCOolllng a fu II vot Ing ~lCer. After a manCI ~I be.n announCed Ind the JO'dll adurtlslng period has uptred, the Council revlM all Ippllcotlonl durIng the Inforlll work selllon. Th. Ippolntlll.nt Is announc.d at the n..t forollOl Council ~.tlng, Appotnt..s I.rv. as unplld volunt..rs. Council pref.rs that all appllcotlonl nlst be subllltted to the City Clerk no loter than 0/1, w.ek prior to the 4nnounCed appolntDtnt dltel. PLEASE USE A BLACK INK PEN. TIllS APPLICATION IS A PUBLIC OOCIllEHT AND AS SUCH CAll BE RfPRODUCEO AND DISTRIBUTED FOR TIlE PUBLIC. TIllS APPLICATION WILL BE CONSIDERED FOR J HOHTIlS ONLY AriD AUTOI'ATlCALLY CONSIDERED FOR ANY VACANCY DURING THAT TIllE. ADVISORY BOARD'COltllSS/OH ~WlE ~& "'~I./~ ,dtl.~"JltL"i~hJERH . NAHE · J HOlE ADORfSS~d:.. ..lun",f,A..,( I. lour hone d .s. (ll.t.d abov.) withIn .th. corporlte ll~t of 101/1 City? ~ OCCUPATION " .1 ltu EHPLDYER tc ",Ii;t ')1(J..( (j-- PHONE HUHSER: HOllE BUSINESS 3. . 7 i EXPERIENCE AHD'DR ACT/!/T/ES ~ICH YO~EL QUALIFY YOU FOR TIllS POSITION: A.ilhll'j;41 ..l tut,l ~ ,\ I \/HAT IS YOUR PRfSENT KHOI.tEOGE OF TIllS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU ,FEEL YOU CAN HAlE TO TIllS ADVISORY BOARD (OR STATE REASON FOR APPLY! NG) ? I I ; , Sp,clflc att.ntlO/l Ihould be dlrect.d to possible conflict of Interest as defln.d In Ch4Pters m.6. 40JA.22 of the Cod, of IOW4. Should you be uncertaIn l'Il.thor or not a pot.ntlal conflict of Interest exists, cont4~t t ,!alQOPlrtm'Jlt.w ~!.ll YOU.l.h4Y8LA conf,llH q( ~t..vest? A-YES 0 " NO .f.. ...., (la..tllf1.~7'~'jjf~~ M 1(.".{j~//(l~ ~ (1m.~'l.1i;2;;,~"""" <1.1 7 (( ~r "r :!1). 1-" l"yOu ar, not I.f.tt.d, do you wlnt to ~notl .d7 YES ~. NO - - Do you currently IOrve on 4nother lowl CIty BOlrd or Conmtlllon7 _YES ~ ' , 'It hu bun Council policy not to porllft In tndIYldual to lerto on two Boards or COlll1lts' slonl 4t tho same tIme, June 1988 /9/K n I:' I '-I " . CITY OF IOWA CITY. ADVISORY BOARDICOMHISSION APPLICATION 'ORH Indhtdulh urvl"9 on 80lrds/COl'IlIhslons ph, .n flllort.nt rol. In IdwlSl1l9 the Council on ""tt.rs 0' Inter.st to our COel~jftfty .nd Its futur.. AppllC4nts Mt rnld. In lowI City. Th. City Council .nnounced Advisory BOlrd/Comlsslon w.c.nclu 90 d'IS prior to the 6.t. the .ppolnt8tnt will be lid.. This p.rlOd prowld.s 'or. lO.d.y .dv.rtlslno p.rlOd .nd I 6O'61Y tr.lnlno period 'or new memD.rs. Th. trllnlno perIod .llows n'w"mD.rs to bOCOflO flmtltor with the rnponslbllltl.s Ind dulln 0' th. .dvlsory bOlrd/comhslon be'orl becomlno . full votl~o nImb.r. After I v'WCl hu be.n InnOllnCtd end tII. JO'd'l .dmtlslno period hIS .aplrtd, the Council revl.1IS III IppllCitlons durlll9 the In'orlll work slSSlon. Th. Ippotntftltnt h .nnounc.d .t the n.at 'orlll Council me.tlng. Appolnt..s s.rv. .s unplld volunt..rs. Council prettrs th.t III IppltC4tlons ~st b. lubllltttd to the City Cl.rk no liter thin on. w..k prior to tII. .nnounctd Ippolntment d.t.s. PLEASE USE A BLACK INK PEN. TlfIS APPLICATION IS A PUBLIC OOClJllENT A/Ill AS SUCH CAll BE REPRODUCED ArlO DISTRIBUTED 'OR TIlE PU8I.IC. TIllS APPLICATION I/lLL 8E CONSIDERED 'OR 3 HONTIlS OIlLY AIID AUTOAATlCALLY CONSIDEREO FOR ANY VACANCY DURING THAT T/KE. ADYISORY BOARD'COHIISSIOfl/WlE ~ t~\\IO' (~\\'f.\ Cc:''''lnl~I~TER.'t ~ y..,,, , IIAI1E A ~ "t., R, \\ L4.hl'l HOKE ADDRESS U!l5 t~ J..(.'t't'\' ,,), \1 c; 'I', I. your home tddrm (Iht'd Ibov.) withIn the corporlt. It.lts 0' lowI City? ~ OCCUPATION ('1'. ~ .,.......11' \. i II EHPLOYER PHONE HUMBER: HOKE ').., "i1. ':).~ ~ t BUSIHESS EXPERIENCE AHD'OR ACTIVITIES WICH YOU fEEL QUALIFY YOU FOR nus POSITION: Y i~ I'''l''I.. , Lt' ,17 .f.t., a. ..l.4\M ClJ~. e.. v "J;~l teL U4.<1 "" , (J' "'" , \, ' :0.-1/1'\\ ,I I 1" , Spocfflc .tt.ntlon .hould be directed to poUlblo conflict of Int.rest IS d.fln.d In Chlptm 362.6, 40lA.22 of th. Cod. of lowI. Should you b. uncertain wh.ther or not I potentl.1 conflict of Intorest exists, contlct th, Leol! D,plrtlllont.. Iltll; jou hm I conflict 0' Interut7 -Io;;:.YE5 _NO , ;-,.1.., ~-'. '-1 .1 If you ere not uhct.d, do you wlnt to b. not fflod? YESMa' I . - -... r.J t Do you currently um on Inothor Iowa CIty Board or Comlsslon? ~YE~, LND . ~t:''''': . , ,. ~ It hiS b.on Council polIcy not to p.rmlt In Indlvldull to s.rvo on two'Solrds or Commls' slons It the limo tlmo. ; Jun. 1988 If/If n I:' I '-I '~' ,I I o CITY OF 10VA CITY 0 AOVISORY BOAAO/COHHISSION APPLICATION FORM Indhtdulh u,.,lnq on BOlrds/COI1lIlulons pllY In tl'llortlnt rol, In Id~ISI"9 tll, Counctl on ft4tt,rs of InCtrtst to our co~nlty Ind Its futurt. ApplIcants IUlt rtstdt In lowI CIty. Tilt City Council announctd Ad~tsory BOlrd'Comtsslon VlClnclu 90 dllS prIor to tile dot' tht Ippolntlltnt IIt1l be IlIdt. Tilts ptrlOd provldu for I JO'dlY tdvtrttstnq ptrlOd Ind I 600dlY trllntng period for ntll ftItIlClerl. TIlt trllnlng perIOd 111M ntlllltlCerl to becOllt f..llllr wltll the ruponSlbllltlu Ind MIlS of the Idvtsory bOlrdlCOlllltsllon btfore btcollng I full yotlng membtr. Afttr I mlncy 1111 betn Innounctd tnd tile JOodlY adytrt Is Ing perIod hn tlplrtd, tile Council re~IM III Ippllcotlonl durlnq tile Inforllltl wort uulon. The Ippolntmtnt Is InnounCtd It tilt ntlt forllll Council ..ttlng. Appolntttl stryt II unplld voluntterl. Council preftr. till! III Ippllcltlonl nut be sublllltl~..~..,~~t ~Ity Clert no Itter thin ont IIttk prIor to tile Innounctd Ippolntment dltlS. ~~,UCnNnflr.'7' TlUS APPLICATION IS A PU8LIC DOCUMENT ArlO AS SUCH CAlf BE AtPRODUCED AIO DISTRIBUTED FOR THE PUBLIC. TIllS APPLICATION WILL BE CONSIDERED FOR J HOHTIlS OIlLY AIlD AUTO/lATlCALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARO'COHHSSIOH 'lAME )t/t'/ur &llu,' TtRM 'J Y~~/~ IlAMEJ.)~ r J( Th"VJ'o./ HOlE AOOAtSS"U ~/LL(,Jt' ':tJ./'/I\<.:t; .rn'f" Is your home oddrm (lI.ted Ibovt' withIn tile corporatt IIllts of lowI City? ;a, OCCUPATlON~ ~ r EMPLOYER fir (',.. M ';'''''./01 L PHONE HUHBER: HOlE 3.n - () t/ J? BUSINESS S, ,v/r EXPERIENCE NlO'OR ACTIVITIES WHICH YOU FEEL QUALIFY yOU FOR THIS POSITION: .I. It^" /111."111"'( w,..,.~ ,Utt/ol,'I)(' tLl4.(. ,'''.:.(r 11t.NI( .u/.1 ''''11111' tf1tlV ;:IJ'" "v~~,.r ' , \/HAT IS YOUR PAtSENT KHOlftEDGE OF THIS ADVISORY. BOARD? .~. HI , , .13~ ~ ",t 6),',. If S lll, 'I-~ .,..J,,. J f<.. F'! t!. cf ~ i I--..Y dl' fCI.,,'c,'t'J F'or -rAI' ('(~AI (1(- \/HAT CONTRIBUTIONS 00 YOU .FEEL YDU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASCH FOR APPLYING)? ]. W,./' /( w,,!-I,.; 41j"t l" )/OI.!I't tt>" ~ of: Jt'IoI.,I/" ~/';", 2~~ ,L..!],v,.l (""41.. r "Ilhl 4lu<l"~ /J,.' -Io~~/'''' J./tl,ud J. . SpecIfic Ittentlon should be dlrectod to possIble conflict of tnttrut II deftntd In Chlpters 362,6, 40JA.ZZ of the Code of IOWI, Sho\lld you be uncertaIn whtt,her or not a potlntlll conflict of Interest tl~tll contlct the Logll Dlptrtmlnp 111\1 you 11m I conflict of Inttrut? YES NO :~: :..l.; - ,- .. . .', ~.... If you art not seleCtld, do you wlnt to be nottflod? ~YES __NO~ :'~ .: Do you currently sIrVI on Inothlr lowl CIty 80lrd or Commts.lon? ~y~S ~ NO '. .. It hiS bOln CouncIl policy not to pormlt In Indlvldull to lerve on tllO B04r41 or Commls, s Ions It tho SlIllI t 11llI. June 1984 /?/8