HomeMy WebLinkAbout1991-11-12 Appointment
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CITY OF 10 IVA CITY
Ifm
THE CITY COI.fICl c# IOWACIIY ISCOlSURlIO AI'flOInllUIIS
TO TIE rCllOWtIO IX)l&llSSQI:
~'OAC P'IUfIlVAIOI CCWlSSIOIf
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Novombar 12, 1991
11ISTORIC PRESERVATION COllltlSSION . Ono vAcAncy. Unuplrod TIR
Novombor 12, 1991 . KArCh 29, 1992
(RoprolontAtlvo of S~lt Strlot Dlltrlct)
JAY SoIlO I
331 S, Sumnlt Stroot
Ono VAcAncy . Unoxplrod TOrD
Novombor 12, 1991 . KArCh 29, 1993
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Dr. Botty Kelly
1108 Sunlot Stroot
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o 0 -I LI Ct
. CITY OF 10VA CITr _
ADY1S0RY 80ARD/COHH1SSION APPLICATION FORM
IndlYldulls "rvl/l9 0/1 80ltdS/C()'1lllntons plly In I~ortont rol, In .d,hlnq tn,
Council 0/1 IlI4tt.rs 0' Int.rut to our COlfmlnltYlnd tts 'utur.. AppllCfntl ,1IJ1t r"ld,
In 10111 City.
Tn. CIty Council Innounctd Ad,hory 8md/COo'Inhslon mlncles 90 d./S prior to tn,
dH. tho Ippolntlllfnt wtl\ bo m.sd.. Thh pltlod pro,ldu 'or I JO-dly Id"rttst/lQ pitIed
Ind I 60-d" tr,'ntng PfrlOd 'or n.w memb.rs. Th. trllnlng p.rtOd .IIOws new IIlfmb.rs to
b'cOlllt 'Imll Ilr with the ruponslblll t Its .nd dut Its 0' the Idv Isory bOlrd/comhs 10/1
bo'or. becoming. 'ull vottng ~mb.r.
A't.r . vIClnCI h.s be.n Innounc.d .nd the JO-dll Idv.rtlslng periOd nlS ,.plr'd, th,
Council rowt.WI III IPllltcltlons durl/lQ the In'orllll work SllSlon. Th. .ppolntm.nt h
announC'd .t th, n..t forlll4l Council ~'tlng. Appotnt,.s s.rv. IS unp.ld vOlunt.,rs,
Counc II pre'.rs thlt III .pplte.t tons "-1St b. IUtnltttd to th, City C1.r~ no hter
th.n on. we'~ prtor to the Innounc.d 'PPolntment dat.s. PlEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT MID AS SUCH CAN BE REPRODUCED AIIO DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION \lILL BE CONSIDERED FOR J HONTHS OflLY AIID AUTOHATlCALLY
CONSIDERED FOR ANY VACANCY OURING THAT TIKE.
ADVISORY BOAROIC0lfflSS10N IWlE HISTtM/t P~T/~~ TERM
IWlEJ~ V SIn"L HOKE ADORESS]]I S. SIII""71T Sr f1J.fJ.L
Is your homo .ddr,ss lltsted .bov'l wtthtn tho eorpor.t. 11111ts of lowI Ctty? y~:S
OCCUPATlON.!1P.H(rJl SJ:8",.,1\ EHPLOYERjlf-l'\J ...I T"IUII
PHONE NUHBER: HOKEJll.' 31.1 BUSINESS 33~-" ~ t H
EXPERIENCE AI/O/OR ACTIVITIES InlICH YOU FEEL QUALIFY YOU FOR THIS POSITION:! 4cvl! IU!"
ArJ...!IC.7/vl'. 1'1411MA.. 01 1~ (,1,II,ttlr sr. AJJlef r HAw" M/lTIc'e'.1t.tD I,.,
IJ-'!MIIJtA.rl~A Dt'l.lIt",,,f,.JT 41lifl T S iN .:rOU,f .:. m. r IIAoIt If IIUU'''~/Ili!
~y 1'Ih<~IN'\ kN'lJldDt.~ ,f I1n(H'T~c. r"H.~. ~~/IIhlNe., ASI TII,:rl((,
$..(!.. H'~'l1lr, ~1I"'nl1' SU/~T'~".
\/HAT IS YOUR PRESENT KNOIl1.EOGE OF THIS ADVISORY BOARDl t HI\4II(. If"'" 'TJIi" '~'AI(", ~4Ar
,
I I., ~ VI J 'tJ 'f.J'lIlrM~ n fVNcrlOIS f'J I11t. ,..PL
to IfJ 7M t'h1 r; 111M,! /f.,fA-h T"H,{. C""1IS11J1J'J D~1e.(I"rlll4 d~o4/':I/:e.
\/HAT CONTRIBUTIONS 00 YOU .FEEL YOU CAN I<<KE TO THIS ADVISORY BOARD (OR STATE REASON FOR
"PL""II OJ I ,,,' '" 'UHN ," '\ @'" lAM ~I M"'~ t "H"'t'_
1T. fl..I/,u;"jJ!..I'rTII/J M.TNITI€J JeAN 1.1t,olflbg,Jrr ~,t ~"l'Ij" s~
I r'~ Co Co t '" fI # P, 'flilt.vl! (~:m I S S. . IT. 't/:.
Speclftc .ttentlon should be directed to posslblo eonfl tet of tnt~~yt M d.flned In
CMpters J62.6, 40JA.22 of the Cod. of Iowa. Should you be uneorti'ti:?whUhe"i1r not a
potent III confllct of tntlmt tx~SI contact the Legal Departmen =lW\11 y.~ have.
conflict of Interest? YES NO ::;(") _ ~
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Y ~,r- l" '.'
If you aro not sel.cted, do you want to be notified? ~YES ~ ~ ::~
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Do you currently serve on another Iowa City Board or Comlsslon? ~~ES ~ NO
It h.s boen Council policy not to permtt .n tndtvldual to servo on two Boards or Commis-
sions .t tho same time,
June 19B8
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o CITY OF 10llA CITy .
ADVI~ORY &OARD/COHHISSION APPLICATION 'O~
Indlvlduols Wtl"9 0/1 &oards/Clmlsslons ploy on I~ortont rol. In adtlslnq t~e
Council 0/1 I\Itters of Inttrtst to our co~nlty and Its futur.. AppllClnts Mt rtS Id.
In 10\/' CIty.
rft. CIty Council announC.d Adtlsory BOird/COI!'Illlu ton tmnc lu 90 d'/S prior to t~.
dot. t~. oppolnt~nt will bt ~d.. This p.rlOd prOtld.s for. lDodoy adt.rtlslno p.rlOd
ond 0 600d'1 tralntno p.rlOd for new neIC.rs. Th. trolnlno perIod .110wS n.w memb.rs to
b.c~ f..11 tar with the rupons Iblllt Its .nd dut ItS of the Odtlsory bOird/collllllu Ion
b.for. btco.lnO a full totlno memb.r.
Att.r a yoconcy ~u be.n onnounc.d .nd tft. lOodoy adwtlslno period hu ..plrtd, the
CouncIl r'fl.1IS all oppllcatlons durl,.., the Informal work "ulon. Th. oppolntm.nt Is
onnounC'd at the n..t forl\ll Council nt.tlno. Appolnt.es Strt, as unpaId vOlunt.ers.
Council prefers thot oil applications ~st b. Mlmltted to the City Cl.rk no hter
than on. w..k prior to the .nnounC'd appointment dot... PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AhO DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATIOII IlILL BE CONSIDERED FOR J MONTHS ONU AHD AUTOK4T1CALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIKE.
unoxpirod torm
ADVISORY BOARDICDHlISSIOlIIIAHEJllntoril! Prl!norv/lHon Commlul6f.'l Nay 12.'91-MAY 29,
rlAliE nr notty--..Kolly HOKE ADDRESSlIOB Sunnot Stroot. IOWA City. IA993
Is your homo addr.s. (listed abot.) wtthln the corporat. 11.lts of low. CIty? yon
OCCUPATION Coll090 in.tructor EMPLOYER Kirkwood Community Colloqft
PHONE MlHBER: HOKE 351-4903 BUSINESS~lJ8-5595
E~~A~I,E~~A~tR~ ~JJnW~n~l~a~~~m~;Uf~l~hlBUII~~Ra~l\12~m~Nin IIAb'l lIio..
. A R oAchin in IIhtoric 1I0ue1n
I..,nbor of Amorlclln Socioty for TOlt1nq and HatorlA18, Boc D- 3 COlMl ttoo on
hiltf;U-!U pruuu{va~iun, ~UIV!II\j \III JUIIllIlUII CUUIILl HluL\ll.l\oul lurvllY of bul*kgsr
curtAnt 0 trAto ic Plannin Sonaiona/
doyolopod II coll090 tour of 10wlI City IIhtorlclll Illndmlll'kl IIn otor Cll oa urOI:
workbt;nJk, ~lu{.ud in I.hu UilU~{'Ulr u! p,luudg \Ie IfluL\I'!\ot 'HiJ50IwGtioft !!!!~
~, Momhornhip hI NAtlonnl "~1 Trunt tor Prolorvlltlon Ann
IIIlAT IS YOUR PRESENT KHDI.tEDGE OF THIS ADVISORY BOARD?Followod tho actlvitiOI of thiB
Commillion lineo ita incoption in 1983/ tho mAjor omphlll I 0 my q or 0 UCll.
ftl been in l,htorlGl11 preeerIJ.U8R, I re.W.J.zo
A ound to contributo. : am intoroltod!
WHAT CONTRIBUTIONS 00 YOU ,FEEL YOU CAN HAXE TO THIS ADVISORY BOARD (DR STATE REASON FOR
APPLYING)? d tor tho ronorvAtion ot local Itrueturol to
provido A bllaio for futuro 90norllt ono to roc09n zo, 1'0 ato 0 an on oy
Lhu ..ulLuu.l "lid "Lilli!" Ile.1tnljc of thh cOMunHy. III 10 1~.tM to d
~Q~Y~ ~~t~ to tho ublic And inyolvo thom in thin misnion. poa ora hn
~~~l'8 .tfn~!IS,prsti69veqbtn r~ e Oto Op~\~1 e conf c 0 nterut 4t de":!n
Chapters 362.6, 403A.22 of the COd. of IQlla. Should you bo uncertain Ifn.tIler or not a
potentlol conflIct of Interest exists, contact the Leoal Deportment~~ll1lYQll,.havo a
conflict of Interest? _YES ...LND :>=t ... ~
M.~ b; ,--
If you art not selected, do you want to be notlrled? ~YES ~ ~ j:1
Do you currently serve on another lOll. City Board or COlTllllsslon? _~ .ij../I01
,..:
It has been Council pOlicy not to permit an Indlvlduol to serve on tw~Boa~ or Comls.
slons at tho same tIme,
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June 1988
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CITY OF IOWA CITY
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TllE CITY COUNCl OF w:JWA crN IS CONSIDERWO
APPOCHTIolENTS TO TltE FOllOWING COIolIolISSION:
HUI.lAN RI(lIffS COUUISS~
TIv.. VIUIldt. . T!vtt'Y'lIlt1""
Jjr"j." I, 1m. JMlUIIY I, 1195
The tMlt. 01 mtmbtll 01 lilt mtmbtn 01 lilt IMlI/lI\9l1ll
CoInIQIIon 1/1 10 JlIOI'dt 101 lilt 0_11 ...hlt 01 lilt
""1M 01 Iowa Ctt by It~ lilt rtlalioN/llpl 01 ptOpIt 01
~1I1M rectI,... CI.1d1,1I1q1onl, NlIondJtI, ",..1Ild
1IlC.llrltt t,ing ..lNll \IIt~. To pmijt~..
101 lilt optIlt.Ion 011&\1 CommIaIlon 10 tImNlt JlI'~'
~1/lC" blooVy IIld diIcIlrnNlilll ~ lilt Ctt oIlowl CIy,
low, by dtdAtklo dilcrltnNlofy JlIICtlcN ~ lilt I/IU 01 pWIo
ecccmrnodtllonl, '~nc MIl lilt III~. '., I~
0I1holmg 01 rHl pICpIlly 10 be IOWl pIotI/'Cl poley IIld to
pIO't'Idt p!OCtdUlII 101 lilt InvNI~1t.Ion 01 ~. MIl
conciItlilll IIld to pIOVtd.loI.rlOICIIMlt
Iowl cay IpFClnlId mtmbtll 01 botId. IIld CIOIMIlIlilIlI
mull be '1Io~' "ICICI. 01 lilt cay oIlowl CIy. The HUlnI/l
RJoNI Commlltilll mtte. on lh.,04Hlh Iolondft 0I.1CII1IIOIIIIl
..7p.m.
Thtt..ppokllm.nc.lriIbe mid... lIltNowmbtr 12,1191,
llIIttilg 01 lilt cay Co4McI.. 7~ p.m. ~ lilt Couno1 CIItm,
bill. PIlIOIII kill/Mild ~ beilg lIllIlIlltltd 101 lilt.. potlillll
IhoIIll conlId lilt Cty CllrlI, CMl CMII, 4tO E. Wuhilglon
6ltttl. ~1t.Ion 101"" II' lVahbIt ~om lilt CItI\'t oIf.c.
upon rtq\lllL
.11 IAll U'"'~OIO_ 11.111 "OU rill, IOOA 1/'1101111 "1'11 III.'"".AI 11111 111.111'
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ollbor 12, 1991
11\1'".'1 R1CIITS COMllISSION . ThroG vAc4ncl.. . Thu..yur tOIlIl.
JAnUArY I, 1992 . JAnU.4fY I, 19U
lIuclA Couor
1111 Ilollyvood Blvd.
SArA E. lI.hl1n
923 IowA Avo, 1301
Rick cur
628 2nd Avo
John Cnbt roo
461 IIwy I 136
Bruno PIIOU
629 E. Jorror.on
Juon Chon
1182 E. Court
(h4. .orvod I tof1l)
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o 0 1 LI LI
. CITY OF IOWA CITf .
ADVISORY BOARD/COHHISSION APPLICATION 'O~
lndlvlduols urvlno 0/1 Boords/Cmlulons ph, In lroortlnt roll In 'dvhlng the
CounCil 0/1 Il4ttm of Int.r.1t to our COtmlnltl .nd Its 'utur.. AP9l1mu nat rtlld'
In Iowa Cltl.
Tn. City Council .nnounc.d Advhorl 8oard/Ccmlulon fIC.ncles 90 d'IS prior to thl
d.tI the oP9olnt4ltnt 11111 be a14dl. This p.rlod provtdll 'or 0 lD'dOl .dvtrthlng periOd
.nd . 60'dol trolnlng period for ntll mt~.rs. Th. trotnlng period .11011I n," ..nb.rs to
b.ccwne 'ami Ilor IIlth the respons tblllt III .nd dut III of the 'dvhorl bo.rd/COflllln ton
b.for. becomIng 0 full votIng memb.r.
4fttr a flConCl hu be.n announC'd and the lO'd.y Idr.rthtno period hu 'Iplrtd. the
Council rtvlllls oil OP9l1cottons durlno the tnforaolllork "ulon. Th. 'P9olntmtnt II
announc.d at the n'lt formal Council neetlng. Appolnt..s s.rv. .s unp.td rolunt..rs.
Council pr.fm thot 011 oppllcottons ~lIt be su~ltttd to the City Clerk no httr
than on. "..k prIor to the .nnounc.d .ppolntment d.t.s. PlEASE USE A BLACK INK PEN,
THIS APPLICATION IS A PUBLIC DOCIRiENT AND AS SUCH CAN U REPRODuCED AllO DISTRIBUlED 'OR
THE PUBLIC. THIS APPLICATION \/ILL BE CONSIDERED 'OR 1 HONTHS ONLY AND AUTO~TICALLT
CONSIDERED FOR ANY VACANCY DURING THAT TIME. ,
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ADVISORY BOARD/COHlISSION flAHEl1u '")/' III ~~f't,"tl\ TERIl~q5"
'lAHE.l1Jo.r~,ja. ~ea.$~c. HOME ADDRESS 1/1/ t1olh,WttiLBJud
Is your homo .ddr.ss (lIsted .bor.) IIlthln the corpor.t. limits of lowo Cltl? ~
OCCUPATIONllfl ~ (1/ I nt ~1f.c.l< EHPLOYER .&mL,lIllLltl f.!.u:L'I..
PHONE HUMBER: HOME ~ - (. 8USINESS~ I (
EXPERIENCE AND lOR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITION: t>~()~-
~ Cl.flMbed.
WHAT IS YOUR PRESENT KNOWlEDGE OF THIS ADVISORY SOARD?
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\/IIAT CONTRIBUTIONS DO YOU ,FEEL YOU CAN IW:E TO THIS ADVISORY BOARD (lI!!~Ata R~ FOR
APPLYING)? PP.cI.~, .~~ OJ{D.~^(Jr/. (1:1 ~ ~
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Sp.cHlc attentIon should b. dtrect.d to poulbl. conflict of tntor~st d~do"n'd tn
Ch.ptm 36M. 40lA.22 of the Codo of Iowa. Should you be uncert4tn lIhotner or not.
potentlol conflict of Int'rtlt .xhtsJ. contact th. Legol Departmont. 1I111 you have a
conflIct of tnterest? YES ~NO
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If you .re not s.lect.d. do you ".nt to b. notlfl.d? ~YES ___NO
Do you currently s.rve on another 1011. Ctty Bo.rd or Commtsslon? ___YES ~NO
It h.s bean CouncIl poltcy not to permit an tndlvtduol to servo on tllO Boords or Conmls,
slons at the same time,
Juno 1988
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FILED
9'OCT31 AHI/'07 ~1I~
CITY CURK
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Thu A"YhdJir/f.{JftldJipu ~I (l)flP,~P
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. CITY OF IOWA CITr .
ADVISORY BOARD/CaHHlSSION APPLICATION FORH
lndlvlduols Itrvt"9 on Boardl/CO!1Illlltons ploy .n I~ortont roll In advlltllQ the
Council on ~tt.rs of Int.r.,t to our co~nlty and It I futur.. Applicants lUst r"'d'
In 'a-a CIty.
Tft. Ctty Council .nnounced Adthory Bo.rd/COInllllon ,.unctts 90 d'ys prior to the
dot. tfte oppolntment wtll bo ~do. This periOd prOtide, for. 30.doy OdvertlllllQ p.rlOd
and a 6O'd.y tralnlno periOd for new nt6Cerl. Tft. trolntno p.rtOd 0110wS n.w memo.r, to
becOllt "..11 tor with the rtspon'lbllft tts 'nd dut Its of tft, advhory bWd/comln Ion
b.fore btcO.lltnO a fu II vat tnO IlOmoer.
Mter 0 vmncy ftu bun announCed .nd tile lO'd.y .d,.rthtno periOd ftlS e.ptred, tfte
Council redews all applfcottonl durtllQ the Inforlll.1 work stilton. Tft. Oppolntm.nt Is
announC'd at tile ne.t. forllltl CouncIl ...tlno. Appolnt.,s I.rv. .s unpold vOlunt..r,.
Council prefers thot oil oppllcotlons ~lIt be Mmttted to the City Cl.rk no lottr
thon one w.ek prior to tile annOunCed ,ppOlntllOnt dot.,. PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUHENT AND AS SUCH CAN 8€ REPRODllCED ArlO DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL 8€ CONSIDERED FOR J HOIlTHS ONLY AriD AUTOAATICALLY
CONSIDERED FOR AH'f VACANCY DIlRIHG THAT TlHE,
ADVISORY BOARD/COHflSSI01lIWlE IIULln Rhhu Co=lulon TERH
NAHE SUI E. llthlln HOHE ADDII(SS 923 101/., Au.. nOl, 101/' City m40
Is your homo oddrels (llst'd above I wIthin the corporat. IllIllt, of lowo City? Y'I
OCCUPATION IIu....n Strvlcu EHPLOYER Unlttd Way of Johnlon County
PHONE HUMSER: HOllE 339-1075 BUSINESS 338.7823
.
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
I) My pr.l.nt POlltlon vlth Unltod W.y plac'l .. vlth I4ny dlv.r.o porlonl and n..dl "In
onion un Y I .. un . _ ..
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3) Put AIDS ruurch tn conJmlon vlth public policy at IIarvard Unlvonlty
4) ForlllOr Io'RAC board 1Il..b.r
J} Work.d on .ducatlna bu.ln'I' cOl:unlty .nd tho unlv.rllty on r.ell. & ..xll. In adv.rt'8.
WHAT IS YOUR PII(SENT KNOWlEDGE OF THIS ADVISORY SOARD? It. dutl..
WHAT CONTRIBUTIONS 00 YOU .FEEL YOU CAN /lAKE TO THIS ADVISORY SOARD (OR STATE REASCH FOR
APPLYING17 I b.lln. .y phllolphy of "think Ilobal and .ct 10c.I" colncld.. vlth thIl
cOlllllulonl Ro.It.1 a.lnvolv.d In tho cOllllunlty politicAlly and vlth hll....n ttrvlea '8.nel..
vhlch .nabl.1 I' to off.r tho co=tlllon . unlqu. p.r.p.etlv..
Specific attention should bo directed to poulble contllct of Interest as defined in
Chapters 362.6, 40JA.22 of tho COde of la-a. Should you be uncertain whether or not a
potentlll conflict of Interest Ilhtl, contoct the Leool Deportment, IIfll you hayo a
conflict of 'nt4r4'tl . YES x NO
r/,\O/'l. IJ \,.,1." -
If you ar. not ~\.cVed,(~ you want to bo notlfted? .!...YES _____NO
00 you curreli61~ mY'iDd:.o,~~her Iowa City Soard or Conmlnlonl YES X NO
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It hu beon cou~n:poncl. not to pormtt on Individual to servo on two Soards or Comls.
slon, at tho same tYme~'~
June 1985
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. CITY OF IOWA CITY .
ADVISORY IDAAO/COHHISSIOH APP~~OH FDRH
Indhtduoh ImIno on 100rds/C()!Tolhllonl pia, In I",ortont rol. In Od1hlno the
CouncIl on ~tt.rs 0' Int.r.st to our co~nltl Ind Its 'utur.. AppllClntl lUSt r.sld.
In lowo Cttl'
TIl. Clly Council announced Adttsorl 'wd/COilftlntoll mlllelts 90 dOy, prIor to tII.
diU the Ippolntlllnt 1111I be iBId.. Thll perIod pr011dU 'or I JO.d" Idmtlllng perIod
.nd I &a'dOI trollllnQ period 'or "Ill IlIIb.r,. TIl. trlllll"\ perIod .11011I n," IItCtrs to
bleOlll ,..l\Ior IIlth the ruponslbllltlu ond dutlu 0' h. Idfhorl bOlrd/COlDlulOll
beto" bec04IlnQ 0 'ull votlnQ IlIfter. . ...'
A't.r 0 voconcl hos belli Innounc.d ond the 30'dll Idv.rtlslno perIod hll ..plred, tII.
Council re11.", oil oppllcatlons durlllO the Intorql IIort lIuloll. Th. oppolnt..nt Is
Innounc.d It the n..t 'oreal CouncIl llI.tlno. Appolnt..s s.rv. os unpold volunt..rl.
Council prefers thot III oppllcatlon' ."t be lublltUd to the City Cllrt no liter
thon on. II..t prIor to the Innounced OPPOlntment dot.s. PLEASE USE A BLACK INK PEH.
THIS APPLICATlDH IS A RlBLIC DOCIJIENT AI4l AS SUCH CAN IE RlPRODUClD AMI OISTRIIUTED FOR
. THE PUBLIC. nllS APPLICATlOH WILL If CONSIDER!D rOR J HOHTHS ONLY AHO AuTOl'.\TlCALLT
CONSIDERED FOR ANT VACANCY DURING THAT TIME.
ADVISORY BOARO/COHIISSIOH Milum Rllhll CO\l!llllon TtRH ) yu.
NAHE II.~ CuI HOlE ADORlSS~ Av.nu" lovI City
II lour hoet oddr.sl (1IIt.d ObOf.) IIlthln the corporlt. 11.,tl 0' lowl Cltl? Y"
OCCUPATION "'p.nto.. 0\11I" Adv.nud Dulin Ildu. EHPLOYER ..It
PHONE HUmERI HDME...llt:.Uoe BUSIHESS ....
ElPERIENCE AND/OR ACTIVITIES ~~ICH YOU FEEL QUALIFY YOU FOR THIS POSITIDNt Actlv. In
I" rllhl' ,fforl. In 10VI Clly for 20 y..r., Includlnl .ffort. to Includ. "..Iu.l
or~ov' Clty'l lIu'ln RllhU Cod. and In lh. UnIYl"lty'. Iluun R1lhU
--l2.Uc,. Co-founder Ind lit Yflr coordlnllor for lCAU, lovo C.ntn for AIDS RuourclI,
......nd Educ.tl~988 R,clpl.nl of lh. I..b.l Turn.r AVlrd frOl lhl. cOIDI..lon.
---.J hlYf . cluc und,ulIndlna hov "dUhunc." b.coau lh. b..h for dl.crlllntllon. ,
lIIlAT IS YOUR PRlSEHT KHOIILEOGE OF THIS ADVISORY BOARD? I II Vlry "lllllr with lh.
coal..lon. purpo.. Ind roll In our COCIUnlty, t.raI of offICI, u.tlnl tlu., ltc,
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lIIlAT CONTRIBUTIONS DO YOU .FEEL YDU CAN I'oUE TO THIS ADVISORY 10ARD (OR STATE REASON FOR
APPLYING)' A. dl.crllln.tlon 11.ln.t 1..blln., bl..IU.l., Ind I" un contlnu.. to Incr.
J f..l I cln off.r cl.lr In.llht. Into the 1.ln. to Iddr... II. 1 .1.0 hlv, IICIll.nt
knovhd.. .bout AIDS/lIIY dhcrlllnttlon, Ind II con.chnllou. Ibout hUltn rlahU for
SPIeI"c ottentlon Ihould be dIrected to poulbl. con'llct 0' Intertlt ..'mma' In
'Chlpttrl 362,6, 40JA.22 0' the Cod. 0' 10111. Should lrN be unmtlln llll.th.r or not I
potentIal confllc~ 9.' lnhrtlt ulltl, contut the Ltgl' D,plrllOnl. 1/11\ you have I
conflIct. 0'1 ,,,m.it!!1 YES x NO
\'\I':1~"III" - -
fl." oW 1\... I,}
I' youLor. not 1.I.ct.d) do you IIont to be notl'l.d? X YES NO
51Z lid ij~mlll - -
Do you curr.ntl1 I.rv. on onoth.r lowl City Boord or C~lsllon? YES X NO
, It hiS b.i~E~~~~;jpoIICY not to p.rmlt In Indlfldull to ,.rvl ~o BOI;;;-or Commls.
lIons It the lome tIft',
Jun. 1988
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. CITY OF 10VA CIff .
ADVISORY BOARD/COMM1SS10N APPLICATION FORM
Indhldu.ls urtlllQ 01\ Bo.rd"C~IIIfons plOI .n l'1lorUnt rol, In 'dttSlnq t~,
Council 0I\1\Itt,rs 0' tnt.rlSt to our co~nltl .nd III Murt, AppllCfnts Mt rlSld'
III Igw. CIty.
Th' CHy Council 'MounC'd Adtlsory BWd/COtnllllon t.wclIS 90 d'/S prIor to th,
d.t, the .ppotnt,ll.nt will b, ~d'. This ptrlOd prOttdlS 'or. JD'd', 'dt.rttstnq Wlod
.nd · 60'd', tr.tntno ptrtod 'or new 1Iltf(),rs, Th' tr.lnlno periOd .110., n,wllfllCtr\ to
bfCone '.mtll.r wIth th, rlSpon"bllltllS .nd duttlS 0' t~, 'dthory bo.rd/comtlllon
b"or, b.comlno 0 'ull tottno ~IIC'r.
Aft,r · v.c.nCl ~.s b..n .nnOunced .nd th, 30'd'l Idv.rtlslno p,rlOd h', 'lptr'd, t~.
Council r'd..., oil 'P9ltCHtons durtnq the In'or'll.1 wor~ "" Ion. Th' Ippolnt,'ll,nt I,
.nnounced .t the n'lt 'or1\l1 CouncIl ,nt.ttnO. APPolnt..s s,rv. .s unp.ld ,olunt..rs.
Council pr,'.r, thlt 01\ oPPllcatlons Mt b, su~lttld to the Cltl CI.r~ no let.r
th.n on. ...~ prior to the .nnounC'd .ppolnt~nt o.t.s, PLEASE USE A SLACK INK PEN,
THIS APPLICATION IS A PUSlIC DOCUHm AND AS SUCH CAN SE REPRODUCED AI/O DISTAlBUTED FOR
THE PUBlIC, TIllS APPLICATION \lILL SE CONSIDERED FOR J MONTIlS ONLY MID AUTOIlATlCALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME,
ADVISORY SOARD/COlfflSSION IWIE 11'........ fi,~/, 1'; t::..,''',~", TtRH ,_/_ r,~. I_I. '15
IW1E 7. Ii.. (;... P:h.. HOKE ADDRESS '1/1 11I11/ ~ ~}I
Is your home .ddrm I1fsttd .bm) wlthtn the corportt. lfmlts 0' Igw. City? vt'J
OCCUPATION /f:l.l,., / At ,<o".~ r EHPLDYER..r.'..... t:J<n,. '//0<:,....
PHONE HUHSE~: HOME )J'I - tf'80 SUSINESS )s.-y - 811(
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR TIllS POSITION:
~ t'..,I. ,.,,,,..~..I ........')1.4..'... .4.., ),.,...1; Ao~ ,..,
k..,:~ /.'~~z;, A'-1i:'. ,r ~&o.- . ,:-,,~_ .~h.
~.... .., ,<..., . ... , ... A .. ,.", , w
,'. ". r ./ 0' ...... ~
WHAT IS YOUR PRESENT KHOIA.EDGE OF TIllS ADVISORY SOARD?..z: ~..... /" I,A I
,<.....1." ...:z::.
,( r.
"AI CONTR/IUTlONS 00 rOOJen roo CM 10K! 10 TillS IOmOA! IO"{OR STAn RUSON FO'
APPLYING)?;,.~ ",/,,:/::,4 : /'$'.'" ,<"_. ;tc
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SP,cfflc att.ntlon should bo directed to posslbl. confltct of Int.rest IS deftned In
Ch.pters J62,6, 40JA,22 0' the Cod. 0' Igwo. Should you bo unc.rt,'n ~h.ther or not.
potenttol contltct 0' Interest ut.'~, contoct the LIQ.I Department. \/111 you h,ye .
con'llct of Inter.st? _____yES ~nD ~
- -
If you art not "Ieet'd, do you I/ant to b. noWfed? ..L.YES ~~ g ~
--+;;- ~ ~I
Do you currentlyltrve on another lew. City Soard or COllllltssfon? -.i)Ei :IL.~llQ
-,c-'J
."'-'. ..,
It h.s be.n Counctl policy not to permit .n Indlttdu.1 to 'fry. on tt~reo.las oflCommts.
s tons .t tho lame t lme. C?,~ 6 .:;
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;;: JII.~ 1988 ciIJtf7.
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. CITV OF IOWA CITY.
ADV1S0RV SOARD/COHH1SSl0N APPLICATION FORM
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lndhfduols urwt"9 on SoOrdS/CCf!lftlulons ploy In fll'Clort~nt,'ol. .fn 'dwtslllQ the
Council on II,ltt.rs 0' tnterm to our (o~n fty .nd Its 'utur.,.": ~ppI1C4nts II\jst res Id.
In lowo City,
Tn. City Council .nnounced Adwtsory Smd/Comlsslon wll.(~~39q',;9q.s~prlor to the
dot. the oppolntment 11111 be Il4d.. This p.rlod prowld'S 'or. JO'ooy 'dw.rthlllQ p.rlod
ond 0 6Q'dlY tralnlno p.rlod 'or ntllllltllters. Th. tralnlno peelpq' .1.'9!1:S. nell ~e/I'C.rs to
b.cone 'omlllor IIlth the r.sponSlbllltles Ind duties 0' tttt'.WJsmr:p,Olrd/comfulon
b,'or. becomtno 0 'ull votlno ~/I'C'r. .
AftI' . vomcy hu bt.n .nnounced .nd the 30'doy Idverttslno p.rlOd hu e.plrtd, the
Council r.wfell1 oil .ppllcatlons dur1no the Informol work slSSlon. The .ppolntment Is
onnounC'd It the n..t 'ormal Council ~.tlno. Appolnte.s strve IS unp.ld volunte.rs.
Council pre'ers that oil oppllcatlons Il\Ust b. subnltttd to the City CI.rk no loter
th.n on. week prior to the onnounCed .ppolntllltnt dotes, PLEASE USE A SlACK INK PEN.
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NO
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. CITY OF IOWA CITr .
ADVISORY BOARD/COHHISSION APPLICATION FO~~
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Individuals IIrwlno 011 BoordSlClmlulons plly .n l!'Ilortlnt role In .dwh1no the
Council 011 romers 0' Interest to our co~nltylnd Its 'utur.. Applicants Mt reside
In lowl CIty.
Th. City Council ,nnounc.d AdwtsOry BWd/Comlsslon lacancles 90 d.ys prior to tn.
dot. the .ppotntzent wtll be ead.. This p.rlOd prowtd'S 'or. 30.day odw.rtlslng p.rlod
Ind I 60-d'l tr"nfnq ptrlOd for new ~.rs. Th. tro/nlno p.r/Od .II~ n.w members to
b.cOllt flelllor with the responstbllltles ond dutles 0' the Idwlsory bo.rd/comtulon
b.for. becomtno 0 full wottnq ~er.
Aft.r . womcy hu be.n onnounced Ind the 30'dllldwtrthlno ptrlOd has 'lplrtd, the
Council rut.1IS oil .ppllcotlons during the In'oreal work lIulon. The ,ppolntment Is
.nnounC'd .t the n'lt foreal Council ~.ttno. Appolnt..s s.rw. .s unpold wolunt.ers.
Council pre',rs that 011 oppllcotlons "",st be sublllttld to the Ctty Cl.rk no Ioter
thon on. w..k prior to the onnounced .ppolntfttnt dlt.s. PLEASE USE A BLACK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUHENT AND AS SUCH CAlI BE REPRODUCED AllO DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION IIILL BE CONSIDERED FOR 3 HOHTHS OrlLY AIID AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIHE.
ADVISORY BOARD/COltflSS10N IWlEJjVMAtJ RI~HYf WM\4lfrwL TERH S'ec~NO
lWiE tJASO~eN HOlE AODRmJ.191 Ii. Ql(l~_ST..
Is your home oddr.ss (llst'd .bow.) wIthin tho corpor.t. It.,ts of lowo City?
OCCUPATION C A MP"f ~e-fj. EHPLOYER CH mE~ CHu~
PHONE NUHBER: HOlE BUSINESS_
EXPERIENCE ijlO/OR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITION' !
M , II 0
,jyJr.J&.1"(eA~ANA (IN'-'',,:).g ~..r 4tiL
~'f ,
II .A
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1IIIl! IS lO" PRES'" lNO"'DGE OF m~~":~Y_~:=~~~9.16~:
~~~~
\/HAT CONTRIBUTIONS DO YOU.FEEL YOU CAlI MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? ':! Ft,~ &1MP~&..VFN~ AN~~
~Ule nr M.y r{fN~d RWAtAAJ~ IAl .J)A~~ (
~elt'Jt.~ mil 01't '7JJ~ ~~~l:v.J~N.rttJJlJ:a. fF-
SpeCific attention should bo dlrectod to posslbl. conflict of Intimt"1f la1~/U'Q.
Chlpters 362.6, 403A.22 of tho Codo of lowo. Should you bo uncortoln whethor or not.
pot.n 101 conflIct of Intomt u~tsts, contact the Leqal Department, IIIl'dou have.
conflict of Interest? YES 0 :: _
- .... t:)
If you .re not sel.ct.d, do you wont to be notffled? AES _N~~ ~ )'J
("') .... t!,..,..?:
Do you currently serve on 4nothor 10114 City B04rd or Cmlsslon? -~-tr ~.l
It has been Council policy not to permIt .n Indlvlduol to serve on twf.lfoardti or 'Conmls.
s tons at tho ume time, :..r' ~
Junt"1988
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CITY OF IOWA CITY
~
THE CITY COUNCIL OF ~" CITY IS CONSIDERiNO m
APPOlNTUENT TO fllE FOllOWlNO OOAAD:
BOARD Of ADJUSTUENT
Ont YIWoC'f . fNt.Y.1I hIm
JtlMJlI1l, 1m. JINJI/Y I, 1097
CMAI: In 1jlpIOp/IIl. w.. tfld I~ 10 tpplCpllIlt
condllaN and ultglllldl, IIIIkt IptdIl .~ to I/lI
'.mII 01 tilt 0fdNtlc..1n tlltrnony "'" gtIlt/lI pIIfJlOHIIld
1rItn1 and In 1CCllIdw. "'" Otllt/II 01 ~ III.. tIIt,,1n
conlIkltd and pmldtd lIIIIln{ pI09tftf OWMIlOOrltwd by
lhe K110ft 0I1ht Councllln tilt adopCloft 0I1UCh rtg\llllloN IIld
1I1l~1onI m-r ptt.ilon tilt IlklIIoII'd 01 M;.nlllltnl (,1eW 01
rrodlt rtg\lllllonl tfld 1I1l~1oN u 'IIIlIltd to .uch pI09tftf
0WlIfI1, . tall ortIf K1 puraullllto tilt zoMo onIinanc.. .
hu no powllto K1 upon In{ onI'l/WiCtI IIllIr I/IItIIht zonlno
0/dtIInc.. . tannOI orlllll VllIInct WllH' .ptCifoe .lllil1Oly
.UIIlOIrt pIOYldtllor orWIg I VIlItnc.. VWrc" Olllllld
undlllo\u Cod'. CllJpCII414.12(31 and Iowl CJly Uunlc~1I
Cod. ".I.l0,WI 1(d) m-r ortIf be orlllltd In I/lI cut 01
'IMWC'''I/Y httd~. The httdlh~ mull be lIoO.lllllill,
urloul, 1111, and 01 ~Ino Iortt, u d'.11ng1A1htd 110m
III1011t 01 convtnltnc.. mulmlulloft 01 pIOIC 01 capIk.,
Iowl Crt IppOlnltd m.mbell 01 bow. Ind lIOII\mltlloN
mU'1 be .I~blt .1tcloI. 0I1ht C~ 0I1ow1 CIly. Th. Bow 01
M~'Im'nl mtllllht .1COnd Wtdntld.y 01 .Ith month II
4:30 p.rn.
Thlt eppo/IlImtnl wi! be 1IIId..11ht November 12, 1m,
m..llng 01 \h. C~ Councll.17~ p.rn.1n \h. Council Chlln'
bell. P.raon.lnllllllld In being con.kllltd IoIIh1t poli1lon
.hould conlld IIlI Crt CI.iII.1 \h. Civic Clnl", 410 E.
Wuhlnglon 6uIII. ~blloft form. "' .VlI1AbIt from \h.
CI~" clb upon 'oqllO~L
II' tAil UIHI~o'a~ 111111' 10lA fill. IOU 11I""IIt """ "'.111" IAI ,II" 11I.1t1l
11.003
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HALES. 2
'OOLES, 2
Novtlblr 12. 1991
BOARD OF AIlJUSTIIENT . Onl vlclncy . Flvl-y.n una
Jlnulry I, 1992. Jlnulry I, 1997
J.ff 8ntl
ZZSS RUIIIlI Dr.
(II.. oorvod In unoxplr.d um.)
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. CIT' Of 10llA CIT' .
ADVISOR' BOARD/COHHISS10N APPLICATION fORM
Indh Idua Is urt Ing on Boords/C~lu Ions ploy .n I II'Cl or to nt roll In 'dth 1"'9 the
Counctl on fIIlt.rs of Interest to our co~ntty and Its futur.. Appllconts Mt rnld'
In IVl/o City.
Th. City Counc tI .nnounc.d Adt hory Board/COIlIIlu Ion manc tn 90 d.ys prior to the
dot. the appOintment ~Ill be IIId.. This p.rlod prOttd.s for a lO'doy 'dv.rtlsl"'9 p.rlod
ond . 50'd.y tr.lntn9 p.rlod for ntw memb.rs. Th. trolntn9 period .11CW1 n.~ eemb.rs to
b.cono f.IlIt1lor ~lth the responsibilities ond duties of the 'dttsory boord/COllllllulon
b.for. becOlllln9 0 full votlno memb.r.
Aft.r . vaconcy hos be.n .nnounc.d ond the lO'doy adv.rtlstno p.rlod hos 'lplred, the
Council r.vl.w1 oil oppllcotlons durl"'9 the Informol work smlon. Th. oppolntm.nt h
onnounc.d at the n'lt forlllll Council meetlno, Appotntees serv. .s unpold volunt..rs.
Counctl prefers thot oIl oppllcotlons Nit b. sub1lltttd to the City Cl.rk no loter
thon on. we.k prIor to the onnounced .ppolntment dot.s, PLEASE USE A BLACK INK PEN.
THIS APPllCArlON IS A PUBLIC DOCUIIENT AND AS SUCH CAN BE REPRODUCED arlO DISTRIBUTED fOR
THE PUBLIC. THIS APPLICATION \lILL BE COIISIDERED fOR J HONTHS Olll' ariD AUTOHATlCALLY
CONSIDERED FOR ANY VACANCY OURING THAT TlKE.
ADVISORY BOARD/COHlISSION IWlE '" - TERM .')" 't-
IIAHE HOKE ADDRESS ~2.~S"S' R!lH..tLJj,., ..J~t., ~C. ~
Is your hoi!lO .ddrm (listed .bov.) within the corporate limits of lVI/a City? ~'.\~
OCCUPATION ;!:;, tI~~HI.....'i' f., ,,,/..:. H" EHPlOYERJ5./,..1' If A ~~\I"\ ,. c..,..
PHONE NUHBER: HOKE '~<;"1-7"'LJI BUSINESS 1q _ (.D9)'
EXPERIENCE AND/OR ACTIVITIES WHICH YOU fEEL qUALIFY YOU FOR THIS POSITION: ~
'II' 1~'1
WHAT IS YOUR PRESENT KNOWlEDGE OF THIS ADVISORY BOARD?
~IIN\ rtl ~
IIHAT CONTRIBUTIONS DO YOU .fEEL YOU CAN mE TO THIS ADVISORY BOARO (OR STATE REASON fOR
APPLYINGIl..::..r: -"f~ ("~I'Jr (.....d LV~";I"/ t..~ f'/J/I"~IlI./J-
~ ~ J : i :~;tJ "
~ ~ll'~' j;;, C~; ~ ".. II 1I11"/ll ,.. "~'1
Specific attentIon should be dIrected to POUlblo conflict of Intet~st .'i!. deftned tn
Chapt.rs 362.5, 403A.22 of tho Codo of lVI/a. Should you be uncerto""~he~~er Q! not a
potentlol conflict of Interest exists, contoct the Le901 Oepartment$:~I~ yoi)-Ihavo .
conflict of Interest? _YES ...2:LNO Q-< .!, :::
-In '
If you are not selected, do you ~ant to be notified? ~YES ~ ~ ~~~
Do you current ly serve on another low. City Board or Conmlss Ion? ~,jt H~
w
It has been Council policy not to permit an tndlvtdual to serve on two Boards or Conmts'
slons at the same ttme.
June 1988
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TIlE CITY COUNCl OF IOWA CITY IS CONSIDERING
APPOINTMENTS TO TIlE FOlLOWING COI.U.lISSION:
PAA~S ~D RECREATION C()I,IUISS~
Two VICWIt.. F0IA'1.III1,m
JIIMWy " 1892 . JanullY ',IlK
ThtcMlt.ol ~ ollllt PW and Rtet.. Commit.
.Ion .,.10 rlCOlMltlld and mItw poIcI.1, MI" legublbnt,
oninInct. and bIIla.1I IIWr,g 10 pW. Mgroundl, ltet..
Illonal cllllllt and culUl1l1und1onl ollht Uy and mall..ud!
rfllOl1llo the Cty Council II Iht Commlnlon dllm.1n lilt
pIAlIo !nI"'1l; 10 mrdt. bIoId lllpONblil1'01I1lt d.YI!opo
mini ol pW, rtetNlIon C.nt.1I, ~ and cu'urll
ItciIIlt.1o 11m the cty,lncl.dilg the CI.1lbn and eppoInl'
mlllI olllMtory O~ 10 mall. .lvdltl.
Iowl Cty IjlpCInIId membtra ol bow. and commlt.lon.
IIlIIIl bI 'Iolll. .1tdor1 ollllt Cty ollowl CIly, Th. P.....
and Rtet.1l1on CommIttIon mHIIII1. IICOnd WIdn.Id.y 01
tlcll rnonIh II 5:30 p.ll\,
Thtt.IjIpOInlmIlll. wII bI mid. 11111. NoYImbtr 12, nOt,
1IlIttr,g ol the Cty CMciI II 7:30 p.m.1n lilt Council ChIm,
bill. P"lOIII!nI"lIlld In blr,g conald"td 10111111. pol.1on1
thouId conlld lilt Cry Cltilllllllt CMo C'IlI", 410 E.
Wllhr,gton SI/IIL AjlpbtJon 1onn.1I. II'IIbbIt lrom 111.
Cltill.. olfc. upon rtqUlIL
II' 'All UIH'_OlO_ Ill'" ,'OU Clll. 'OU III""'''' III" 11I.!lIl"H""1 1I1"~0tJ'/
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FEllALESI 3
Hov.lb.r 12, 1991
PARXS , RECREATION ~~ISSION . Two vlclncl.. . Four.Y'lr TOrD
Jlnulry I, 1992 . Jlnulry I. 1996
Rlndy IIlIlaln .
1325 ChIDborllln Dr.
John E. Iollloy
920 E. Burllnlton III
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. CITY Of IOWA CITt .
ADVISORY BOARD/COHHISS10N APPLICATION FOAH
Indlvldulls strvlnq on Board"C~lnlons ploT In lroortont rol. In Idvlll"9 the
Counctl on IIIttm 0' tnternt to our COmJnltT .nd III 'utur.. Appllconts Mt rtl Id.
In lowl City.
Th. CttT Counctl announced AdvlsorT Board/COIQlnlon vmncttl 90 d'IS prior to th.
date the oppolntltnt wltl be IlIId., This perIod provfdtl for 0 JO.dll adftrtht"9 pertOd
.nd . 60'dll tratnlno pertOd 'or nlll memeers. Th. trolnlno porlOd allOwl n.w menD.rs to
becOlllO '.mnlor with the rnponstbllltltl Ind dutttl 0' the odvlsorT bOlrd/col'llllnton
be'or. b.coetnO 0 'ull votlno memb.r,
Aft.r 0 voconCl h.s be.n onnounCed and th. JO'dOl odvertlstno periOd hos ..plred, th.
Counctl r.vl'lII 011 oppllcattons durt"9 the In'orlll wort union. Th. appotntl.\.nt II
.nnounc.d ot th. nut 'orlllll Councllllltetlno. Appoint... IIfv. II unpaid volunteers.
Caunctl pr"m thot 011 oppllcattons Mt be subllltttd to th. CltT Clert no 10ter
thon on. w.et prior to the announced appointment dlt.s. PlEASE USE A BLACK INK PEN,
THIS APPLICATION IS A PUBLIC OOCUl4ENT AND AS SUCH CAN BE REPRODUCED ArlO DISTRIBUTED fOR
THE PUBLIC. THIS APPLICATION IIlLL BE CONSIDERED fOR J HONTHS OllLY AIID AUTO""TICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIHE.
ADVISORY 8OARD/COHIISSION IWlE
IWlE 1~1\ ~ . ~ HOHE ADDRESS
Is your home oddrm (lht'd obm) within the corporat. 1I.lts 0 lowo CI~ty? J
OCCUPATlON~ EMPLOYER &l4I"r",lIA'~~ ultl.
PHONE NUHBER: HOHE '331.$ !IS'? BUSINESS '35~'I/OV
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIfY YOU FOR THIS POSITION:
~lll (tk-tJ.(1dal. - ~ l~ft"'l'
j. ~~i;,~ 1t! ,iWVfl i'tl;;J!~ aMIIJJIII~A 11611 Atkl1i1},~,
3. r;~MJA ~IUlM rlo'" Uf-J11Jev)\t~J
lI. J:.4W d,ru
\/HAT IS YOUR PRESENT KHOln.EOGE OF THIS ADVISORY BOARD? ..!bll,!: Q.. (J1.I.11iNuJ
'g.~~7 ;::1~:~~1:':f': =:/;1~::Jl>>LI ~
WHAT CONTRIBUTIONS 00 YOU ,FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? I
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Sp clffc attention should be dlr.cted to p ntbl. conflict 0' tntomt as eflned tn
Chapt", 362,6, 403A.22 of the Code 0' lowo. Should you be uncertoln Ifhethor or not 0
potentlol conflict of Interest ulSls, contlct th. Ll90l Oeportment... I/IU! you have 0
conflict of tnter.st? YES ~NO ~ ~
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If you or. not selocted, do you wont to bo nottfted? ~YES ~ LJ ~
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Do you currently servo on another lowo City Boord or Commlsston? ~~ ~:~
c:n r"'J
It has been Counctl policy not to permit on Indlvlduol to serve on tl/~=foorls or COll'l!\ts.
,tons at tho same ttme, ~ C;
Juno 1988
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- CITY OF IOWA CITY -
ADVISORY BOARD/COHHISSION APPLICATION FORM
Vt.JI'~L - Ill'" $""
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lndhlduoh IIrtlnq on Botrds/CmlUlons ploy .n IrQorUnt rol. In Odtlslnq the
Council on I114tttrS of InUrest to our co~nlty .nd Its futur.. Appllconts AlIt rnld.
In lowo City.
Th. Cltl Council .nnounctd Adtlsory Bo.rd/COI!llllulon tmncln 90 d'lS prior to the
dot. the ,ppolntm.nt will be mod.. ThiS p.rlod prOtld.s for 0 30-d'1 odr.rtlSlng p.rlOd
.nd 0 60-day tralnlnQ period for n.w memb.rs. Th. trolnlnQ period .1 lows n.w merC.rs to
blCOIlO fallll1 Itr wi th the respons Ibll It ItS ond dut les of tho adt Isory bo.rd/comlss 1011
before btCOllltnQ 0 full yotlnQ IlItmber,
After a tocancy hIS be.n onnounC'd .nd the lO'da, odr.rtlslno period hIS uplred. the
Council retlews oil oppllcatlons durtno the In'~rmol work lIulon. The appolntm.nt Is
onnounC'd at the ne.t formal Council llIt.tlno. Appotnt..s s.r" as unpold tolunt..rs.
Council pref.rs thot oil appltcotlons ~st b. subllltttd to the City CI.rk no loter
thon on. w..k prior to the announc.d appointment dot.s. PLEASE USE A BLACK INK PEN,
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED ArID DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 HONTHS 9NLY AND AUTOMATICALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIKE.
ADVISORY BOAROICOIfHSSION rWlE PArka & Racruc Ion COI:llt..lon TERII 1/1/92 . 1/1/96
IWlE RAndy I/I\I.an HOKE ADDRUS 1325 Challborlaln Dr.. lova Clcy S2246
Is your home addr.ss (1Ist.d abor.) within tho corpora to limits of lowo City? YOI
OCCUPATION tavyor EMPLOYER I,f(. HOII~m , Trav
PHONE NUHBER: HOKE 351.3689 BUSINESS JJ&-7m
EXPERIENCE ANDIOR ACTIVITIES WHICH YOU fEEL QUALIFY YOU fOR THIS POSITION: t provloullY
lorvod on cho 80Ard or Dlroccorl or YMCA CADp I/Apllo (CodAr Rapldl). I hAVO two youn.
bo I rOloncl ullnK cho pArk IYlco. In cho loccor and baloball proarADI and I bollovo
IY 10Rol backaround woutd allllc II In cho Board'l rovlow or pollctOl, rulol, rOlu AC onl,
ordlnanco.. ace. al cho lalO rolaco co cho Parkl & Rocroaclon CoIDI'lton.
WHAT IS YOUR PRESENT KNOWlEDGE OF THIS ADVISORY BOARD? MY knovtodRO or chll Advllorv
lo,r,t II.U IJlfnfttt ,t".,"'th ,.nn""~U IInd ltht!u."to"" vhh romunltv .emborl. pArticularly
John BailOr.
WHAT CONTRIBUTIONS 00 YOU ,FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? I would IIko co bocolI Involvod In public IOrvlco and I hAVO a Itrona
Incorolc In IOlncalnlnR and I.provlna cho Parkl & RocroActon COAlII.lon, pArclcularly
uf th Pt!RlIl'rl rn I'!UIH~rtI (!onearntnR tho ronovlItton of NAPoleon Park.
Specific attontlon should be dIrected to POSSlblo conflict of Interest IS defined In
Chapters 362.6, 403A,22 of the Code of lowo, Should you bo unc.rtaln whether or not s
potentIal conflict of Interest exists, contoct the LeQol Department. Will you havo 0
conflict of Int.rest? _YES L_NO
VMOI'Al13 \/MOI
It you Ar'JIij!7f3s~lt9ted. do you want to be notified? -LYES _NO
00 louLOttfrw.li~!Oeq~ another 10110 CIty Board or COll11lhslon? _YES X NO
~ 'It has be~t~~lJpollcy not to pormlt an Indlvlduol to serve on two Boards or Commls-
s Ions at ""-ianlll rflllt.
Juno 1988
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