HomeMy WebLinkAbout1991-12-10 Appointment
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TIff CITY COUhCil. or fO'NA CITY IS C~SIO(".NO AN
APPOlNll,IENT 10 IH( 'OUOWIIO BOAAD.
l,IAVOfIS YOUTH (UPl.OVU(Nt BOARD
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Dace.ber 10, 1991
KAYaR'S YOlTrll EMPLOYMENT BOARD
Dna vlclncy - Unexpired Tefl
Dlca.ber 10, 1991 - April 15, 1992
Dlvt Jlcoby
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. CITY OF 10l/A CITY .
A9VISORY BOARD/COHHISSION APPLICATION FORM
IndlvldUl1s IIrvtnq on Boards/COII11llssfons pllY an III1l0rtant role In Idvlslnq the
Council on r.stters of Interest to ou, cOmlntty and It. future, Appllclnts IllIIt re.tde
III low. City.
The Cfty Council .nnounctd Advisory Board/COII11llssfon vacallcles 90 dlys prIor to the
d.U the IPIlolntJItllt 11111 be Ill4de, This period provides for a JO'day adurtlstl19 period
IlId . 60'd.y trltntn; l)trlod for ntl/ Illtllters. TIle trlllllno perIod allOltS nelllllfnters to
b,cl)llf f...nlar with the r.sponslbllltles Ind duties of the advisory board/col!l1llsslon
befor. tltcOolllno I full votlno IIltl!(Jtr,
After. vlclncy hu bUn .nnounced .nd the JO'd'l .dmt Is tno period has explr.d. the
Council rettell1 .11 IppltCltlons durlllO the Inforlll.l 1I0rk IIsslon. The 'PIlollltm.llt Is
IlInounced .t thl n.xt forlllll Council lIItetlng. Appolntle. serve IS unpaid volunteers,
Council pr.fers thlt III .ppllutlons IllISt be .ubnltttd to the Ctty Clerk no later
th.1I on. w"k prior to th. IlInoullctd Ippollltlnlnt d.t.., PLEASE USE A BLACK INK PEN,
TIllS APPLICATION IS A PUBLIC DOClJI1ENT AIIO AS SUCH CAN BE REPRODUCED AlIO DISTRIBUTEO FOR
TIlE PUBLIC. TIllS APPLICATION \lILL BE COHSIOERED FOR J HOHTIIS ONLY AtlD AUTOI'ATlc.\LLY
CONSIDERED FOR AHY VACA/CY DURING TIIAT TIllE.
ADVISORY 8OARO/COHiISSION /lAME rII/lJIt11~ lI~dI. (J,,~. TERM" I:, 'l.
lWiF..12JJw (JtJl.tl&l HOllE riDiiiS.~~P- k.11.L Ie 52245
Is your hOClt Iddrtss (Ifst.d .bove) wlthtn tho corpor.te IImtts of Iowa City? '('A.
OCCUPATION 5I/PtRIJIt;IJR EMPLOYER JrPA /P::J'
PHONE HUH8ERI HOlE 339-v~1../(' BUSINESS 35'1-2272-
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
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\/HAT IS YOUR PRESENT KNOIII.EOGE OF nllS ADVISORY BOARD?
\/HAT COflTRIBUTlONS 00 YOU .FEEL YOU CAU /lAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
':;"1 ~::J;:;J.!:t# aA1~ ~/AAfjAIM.
SpeCific attention shovld bo directed to possible conflict of Interest II defined In
ChlPters J62.6, 40JA.~~ of the Cod. 0' Iowa. Should you bt uncert.ln wIIdthor or not a
potential COnflict 0' Interest u~9', cont.ct the Leoll Department, \ltll you have .
conflict 0' Interest? YES 4NO
If you Ir. not S'I.ct'd~OU wlnt to be notifIed? ~YES ___NO
Do you current Iy urve on .nother low. City Bo.rd or COl!l1ltss ton ~ES 0 C)
'1'1 ,n
It has bOln Council polley not to pormtt an tndivldu.l to SOrv on two Bo~rds.2r ~oimh.
lIons .t the same t 111I8 , ~ 1m z9199 \.;' I
" June 1988 i
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CITY OF IOWA CITY
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IlC CtIY COl.tQ rI au em IS ~ A1I'OMVOIII
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D.c..b.r 10, 1991
BROAllBA.\'ll TEI,[C~NICATIOSS rootlSSION
On. VGCAncy - IInuplrod tar. - O,callb'f 10, 1991- !lArch 1], 199)
Ron.r C. ChrlltlAn
420 lIutchlnlon Av.
Ono vAcAncy - IInoxplrod tor. - Docollbor 10, 1991 - !lArch I), 1994
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2168 Plaan Vlav Drlva
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0.:", IVI.lltO> TlLl~CI'll~ ':'\111 Ill. :-9\ IIt~:~, :1I:r~llIO.
UHIYC.'I'v CA"C.A 11""21"
. CITV OF IOWA CITV .
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BROAD BAllO TELECOI?lU!lICAT/OIIS COlfIU!IOH mllUrtOH FOI:l
Indlvldu.1s If,vlnq 011 'OIrd./Comhslon. pl" .n l~o'llnt '01. III .61hl~ III,
Council 011 IlI4tters 0' Interest to our co.."."nlty and Its Mutt. AP9I1C1nU ftJlt mid.
In 10\11 City.
Tht CHy Counc 11 announctd Advho,y Dwd/Comtlllon mancltl 90 d,,1 ~rlor to tII.
dltl thl appointment 11111 bt lI.d.. TIlls p.rlOd pmldtl 'Of . JO'dl1 ad,ertlllll9 period
and a 60.da1 tralnln9 ptrtOd for nell ~fttrl. Tht tralnlnt period .11011I ntlllldfrs to
DecQllt '&IllfJ lar wllh the respans lbllll tts and dut It I 0' hi advllor1 bo.td/comIIlIOll
bo'or. btcomln9 . fvll votln9 ~mClr.
After a vacancy has bun announced .nd the JO.dalldmtlll/19 period MI tlplrtd, till
Council mhllS all appllcatlon. dvrlnq tht Inforllll 1I0rk ImIOll. TII. IQ90lnllut II
announced at the nalt 'ormal Council ~otln9. Appolnteel IlrYI I' unPfld yoluntlerl.
Counc 11 prefers that III Ipp IIcat lonl cnt bt lu~1 Hid to tllo C Itl C lert 110 liter
than onl we.k prtor to thl announcld appolnt~nt dltel. 'tEASE USE A BLACK IKC P(~.
TillS APPLICATION 'IS A P1JBLlC OOClJiEHT AlID AS SUCH CAll BE ~moouero AhO DISTRIIUTtD ,0.
TIlE PUBLIC. nns APPLICATION VILL BE CONSIDERED 'OR J HOHmS ~I\.Y A.~ AUTO""T1CALU
CONSIDERED FOR ANY YACANCY OURIHG THAT TI~.
ADYISORV BOARD/COIflIS510N IWlE 13~oIt~,~",,, TIm (.. ~
HAliE ~€I-. G-. <=~~')1,r1L HOI~ ADDRtSS to . ~ $*\\1('
II ,our homo address (lilted Ibmllltthln the corporate Han. of Iowa Clt11 4>
OCCUPATiON OW,) JofOl/}~(Yl4 ~4'" &.PLOVER $~Lf.ltJtJll&.SI"t e.,~~
PIIOI/E HUH8ERt HOM! 33 g..13S'<1 BUSINESS ;)),h.,~( m,"~~
EXPERIENCE AlID/OR ACTIVITIES IMICH YOU FEEL QUALIFY YOU 'OR nlls POSITIONI \
.1Jj t2A O/~ .: rv ..~dlt\ VN/'/, 111 114'. ()f/. ~~ /l~,~: $O/l\l:
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IlHAT IS YOUR PRESEflT KI/Olll.EDGE OF THIS ADYISORY BOAR01 l, TT'l. 0.(. NJ"/"
IlHAT COI/TRIBUTlOIIS 00 YOU FEEL YOU C^'~ tV.KE TO mlS ADVISORY BOARO (OR STAll WSOII fOR
APPLYIIIGI? I) Z 7' hi'''' tkJ.~"'r!' l!ff1,'1fl/tJfff /Jrll1.rr..tt' ,J ,fW\- ~1-.,
J("D<JJ ,,~u f f!,tl'nt,..~c. 01 ""Co\' 1311 l~ul^ II~, ~p"'J 1IJ (4""",
Specific attont Ion should bo dtrected to pOSllbl1 conflict of InllfOlt II d.flntd III
Chophrs 362.6, 403A,22 0' tho Coda 0' 1000a. Should 10U be uncerl.llIlt!Itther or IIOt .
pot,n1tlal conflict 0' Interast tJC~s s. contact tho Lt9al D,plrteont. Illlly04J hm I
con Ict 0' Intorest7 YES NO '
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If you are not "'ectad, do you want to bo notified? ~m _NO ~~
00 you currently $Irve on another 101/1 Ctty BOlrd or Comlulon1 _YES iL NO
"
It hiS been CouncIl polIcy not to pormlt In Indlvlduel to I.rv. on 1110 IQJrdl or C~II'
,Ions It the same tlA\Q, "! , .).165
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- CITY OF IOWA CITY -
BROAD BAllO TELECOIflUNICATlONS COI91ISSION APPLICATION FORlI
Individuals sorvlnq on Boards/COIll1llulons play an l~ortant role In advlslno the
Council on Ntters of Interest to our cOtll~Jnlty and Its future, Applicants Mt rosldo
In Iowa City.
The CIty Counc" announced Adv Isory Ooard/Collllllss Ion vacanc fes 90 days prIor to the
date tho appolntmont will be made, This period provides for a JO'day adwertlslnq period
and a 50-dOl training period for new members. The training period allM new members to
bee one famf! tar with the respons Ibll I ties and duties of the advtsory board/comlss Ion
bofore becoming a fu 11 vot Ing member.
Aftor a vacancy has been announced and tho 3D-day advertising period has expired, tho
Councfl revlellS all app1fcatlons during the Informal work session. The appointment Is
announced at the next formal Council meeting. Appointees serve as unpaid volunteors,
Councfl prefers that all app1fcatlons Il\Ust be subnftted to the City Clark no later
than one week prior to the announced appointment dates. PLEASE USE A BLACK INK PEN,
THIS APPLICATION 'IS A PUBLIC DOCUBEIlT AND AS SUCH CAN BE REPRODUCED AlID DISTRIBUTED FOR
THE PUBLIC. THIS APPLlCATlDIl WILL BE COIISIDERED FOR 3 HOIITHS DillY AIID AUTO~TlCALLY
COIISIDERED FOR AllY VACANCY DURING THAT TIME, I " J
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ADVISORY BOARD/COItlISSIOIIIWlE 8r.-Jb--l Tr..:k,....^::,"!~-!.~~:.n TERM ) YoUt
HAIlE 7i"" hile.r HOME ADDRESS 21t!' I'I~II V..~W Pr, ...rc:;.r.9
Is your home address (listed above) within the corporate limits of Iowa Cfty? yoi!.t
OCCUPATiON &.n);.v EMPLOYER J/t)).s g." k
PHOIIE NIIH8ER: HOME :n ,p-/R?~- BUSI/lESS O....,.,/O",!J.}
EXPERIEIICE A1ID/OR ACTIVITIES I/IIICH YOU FEEL QUALIFY YOU FOR TIllS POSltrOIl:
~e,J,'r/c....'; 0,0 Jo-... C,>, ItUr ~)o'c~,,~ ~.r, ''''~l:. ~.?/l j......
S.,Irf,.Lc. 1I"'''.rJ;L, ~)ue III C'o,...,,..,,,ot/J.. .,L...\,....." G.~" .,0
or. 'r',..
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\/HAT IS YOUR PReSEUT KIIOIllEOGE OF THIS ADVISORY BOARD? ~ S"'--e..-,.r /".;'..,.I"t"'; Mt
o~ ~ "",*"..Il/", 01) -nle. cr>......M,ufol) .. .;i~. IH..... 0-1' /Jege-JI....H.tlJ t\1L.JQ</
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\/HAT CONTR BUllOUS DO YOU FEEL YOU CAll /lAKE TO THIS ADVISORY BOARD lOR S ATE REASON FOR
APPLYIIIG)1 7'1r."., A 1\Il' liJllo/"c.,v,~I,l .I~ v'...,r~.'s .5'. ",..../,pl!J 7'Ac.I
..2 "-<>,, t'....,,;L,..,l,..,Lt, )I\P.....tbjt. l/~lU .L .It....I:.. .rf!-"fl/.JtJ )4
-t-I,,'I CD'" .....fS.l,'Ofl
SpocHlc attention should bo dlrocted to possible conf1fct of Intorest as deffned In
Chapters 362.6, 403A.22 of the Code of IOWA, Should you be uncertaIn whether Of not d
potential conf1fct of Interest exfsts, contact the Legal Departmont. Wf11 you heve a
conflict of Intorest? YES"'~ 'NO _ ~
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-1'1 0
If you aro not selected, do you want to be notffled? ~YES -..Jib:i P: ""
no:( - -
Do you current ly serve on another Iowa City Ooard or Cotlll1lsslon? :TAA 0 JIO"
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It has boon Council polley not to permit an Individual to sorve on t!~a~ @OlTlllts-
s Ions at the same t Imo, ~~ ..
Jll6j 1988
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STATEMENT OF INTEREST
A "yos" anl~er to ,ny of the following qutltlonl ~tll not ntcelUrtly
elclude you fr~ conllderltlon for appointment to tho low, City Broadband
TtleccmvlllutlonJ CCtl'lIllIlolI, Hower", the InforNtfon wfll mist our
LtQal Dopartment In deteralnlng whothor or not there Ny eKIst a conflict
of Intorest which would preclude your further conlldoratlon,
Are lou or Is any lIltClber of your Ilmfdlatt family or 'nyone
dependant upon youl
., 4n emplolee 0' or , stockholder In either Herltago C~nlca.
tlonl, Inc" or a subsidiary or Ilalted partnershlp(s)
(Including Cablerlslon Associates VIII, the gen.ral partner 0'
which Is or Is controlled by 'ny 0' tho above?
Yos 110 -L
b, An ~Ioyee 0' or a stockholder In Iny radio or television
statIon or news publication operating In Iowa City or serrlng
the Iowa City am or 0' any parent company or subsidiary
thoreo', or In any other ,""nner a'ft1latod with ,ny 0' tho
aboro? '
Yes
110 X
.
c, An omployoe, stockholder, partnor, or proprietor. 0' .ny
corporation or business which has or 11 mely to have a
slgnl'lcant contract or business connection with elthor
Horttago COll'r.luntcatlolls, Inc" or a subsidiary or llmltod
partnorshlp(s) (Including Cablevlslon Associates VII), the
general partner 0' which Is or 11 controlled by any 0' tho
above?
Yes 110 >t.
If you have answor 'yos" to any 0' the above quest Ions, p 10110 Includo a ,
complete explanation using ,ddltlonal papor I' noco"ary.
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STAT!MEMT or I"TIAlSl
A 'YII' AnSWlr to Iny of thl following qUlStlons will not n.cuwlly
..cludlYOll (roo consldmtlon for IppolntMnt to th. 1M City Iroadblnd
TlllCCClllllnlCltlons Co:IllhslOIl. HC'wIYlr. thl InforllltlOll wtl1 IUht our
Llgll O,plrtllnt tn dltlr.lnlng whlthlr or not th.r, DIY 1.lst 1 conflict
of Intlrlst which would pr.clud. your (urth,r consld.r.tlon.
Arl you or 11 Iny Wber 0' your Illlltdtat. ,...l1y or .nyOl1'
d,pend.nt upon you I
I. An ~Ioye. o( or I stockholder In .Ith.r Herltlg. C~nlc.-
tlons, Inc.. or I subsidiary or lIaltld pertnershlp(s)
(Including Clbllvlllon AuoclltlS YIII. the gonerll pertner of
which Is or Is control lid by Iny of the abovl?
VIS No ..i-
b, An '1I'910YII 0' or a Itockholdar In Iny rldlo or tal.vlllOll
sutton or news publlcltlon operating In 10111 City or serving
the Iowa City am or 0' any parent COOlPlny or subsldllry
ther.o'. or In .ny othor lanntr am lIat,d with lilY 0' thl
lbon? '
Y II Jt...... No
"
c. An employe,. stockholder. plrtnlr, or proprlltor. o( Iny
corporatlOll or buslnm which hIS or II Ilkely to hm .
slgnlflc.nt contr.ct or bustnlll connoctlOll with .Ith,r
Hlrltlg. ComunlCltlonl. Inc., or a lubs Idllry or IIl1lltld
partnershtp(s) (Including C.bllvlslon Associ. tal YII). tho
gonlrll partn.r of \ditch II or II controlled by .ny of thl
above?
.\
YII 110 .x-
If you hm enswer 'YIS' to any of tho above quostlons. plolSO Include I
c~llto e~pl.natlon using Iddftlonll papor tf nec.lslry.
B) ;.,oc.~ 1/01,/1/11. (M'''~f..I'N,) ,,J Kt('//J, FI'""I ]:O'oM fr C,r..,.
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