HomeMy WebLinkAbout1992-03-03 Appointment
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MIELAN. TUOCER. BOYUl, MU\.LI!N, BRlGIIT Ie \YALXER
AnollNl\1 AT LAW
lIaUAN V ",,&AII
lIaUAN M 1UCUI
D\MIL It IOIU
CWW A. WUWH
mntIN ".lCln
IlIUCI L WAWIl
IlCILWl N. 1UCUI
nlOlW Il ClWlAH
tm'IH.. uaHlmllD
CIAIY ~ 1CI01f
.VIlIl.'VT L I'OII'tA
IUUI L IWIAIIX
IOIIN MAIU'f
>>1 N.WIf
',0 IOlll\lll
IOWA CIT'( IOWA all"
LOW MMJolAH 1.-llllI
IIUi
011I )M~
nunlOh1:
(lIt) ,.,..1104
FobruDry 24, 1992
Hr. Darrol Courtnoy, HDyor
city of Iowa city
Citr HanAgor'o orflco
civ c contor
410 E. walhington
Iowa city, Iowa 52240
a., Iova city Airport co..illion
DOar Hayor Courtnoy'
TIl1i put YG:lf I vu cppointed to Ii tUI!I 1m th~ IQII4 city
Airport co..illion, offoctlyo octobor 1, 1991, ondlnlJ Harch 1,
1996. AI a fonor Air Forco oft1cor and pUot, I C]roatly
Ipprociltod thil appointlont, Ind hDd hopod to provldo 1010
bonoficl11 input to tho ICVD clty Airport.
I hlYO onioyod IY allociatlon vith tho othor 10lborl of
tho Coulllion, but IY wHo and I DrO lovinIJ frol Iova city to
tho hOlo vhich wo hayo In tho COttDC]O ROIoryo ArOD of Lnko
HlcDrldo in Solon, IOVI, on tho 24th of Hlrch. slnco I wlll
no longor bo I rOlldont cf Iovl clty It luch tllo, nor In
olllJlblO oloctor withln tho city of IOVI clty, I t1nd lt
nocollary to lubllt IY rOlignation.
Thoro 11 I prolont arbitrltion lattor pondlng vhlch I
will pDrtlclpato on through tho bAllnco of thll month and
through our lonthly lootlng on Harch 17. I IIIUIO It thlt
tllo thoro will bo no furthor Ictivity And tho offoctlvo dato
of IY rOlllJnation would bo on Karch 24, 1992, and I roquolt
that you plollo accopt thll rOl19natlon.
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'obruory 24, 1992
PAllO 2
I thonk you, John HoDonald ond tho othor .oabore of tho
clty counoll for tho opportunity I hoYO had.
vory truly your.,
IJal4fl., /(, '{;;; lilJ'-
Wlllla. H. TUckor
IIHT/nb
001 Rlchard Dlu.
ChalraDn, Iowa clty Airport Co..l..lon
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TIll CITY COUNCl 01 ~A CITY IS COIISlO("'1Q AI,
mocHTI.llNT 10 nc 'OllOY.VIQ COloWlSSIOIl:
AJNlOftf rOl.lM,SS'O,.
Or. vtul'Cf . S.''Y.lllttm
""'ell 1, 1m. MlICIII. ""
OvIitl: To ...,Cil. .. lilt pow.1I 0'11II14 10 O\itllftll
IOWnIInltI ~ltf 330 olIN Co4t oIlowl. .'~llllt
powlt 10 Itl uld wpore. To II'AlIIt cmlyl/ll IIftOlIlC 0/
11.11 \lIi1Wn lilt IimillliOnl 0/ IN l"'vllI 011/1I 11111 01
rv.., Iv tf It..~ 'Of ';'-;0.1 W-...lii. lit I\i;li iliiiriO Irvm
llllllon Of 01l'4Mi.. /Of wpore P\IPOltllllll be InltIlIlt
'1AInd IblOM. conllol 01 lilt AiIpor\ Convniuion, MPOIlI'
14 \lIil/ll/ll Oty Tlmlllt, Iftllllilwltd 0tI1 011 lilt IVIllllft
Wllflllll Of 0Idtf 01 lilt Airpore Comrniu~
Iowl Oty Ippoinlt4 fl\tfIIbtIl 01 boIIdlllld ConvnilllOlll
mull be IItblt .1tc101l 01 lilt Oty 0/ low. Oly. lilt Air.
pore Commi.1lon mttlllllt l/IiId TIII14I, 01.1<1I fIlOIlIIIlI
7;00 p.m.
lNI .ppoin\llltlll wI be INdt II lilt ""'ell 3. 1m.
mtttlnQ 01 lilt 01, CO\I'iCll II 7:30 p.m. In lilt CO\IlCIl
ChIInbtIl, "'lOIlIlnllflllt4 In btIno CMIfI4 IO/INI
potiliolllhol.ld COIIllell'" Cll, Clt/\ II lilt CMc Clftllt.
410 t WuNnglO11 lulll, "~li011 to/mlll1 .v...blt
trom lilt CIt,\'1 ollie. upon IIqIAII,
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lUrch 3. \992
AIRPORT COKHISSION Ona vac.ncy . Slx.yaar t.,.
Karch 1,1992 . Karch I. \998
Richard Y. alua (1111 .arvad ona unaxplred ta,..)
2041 Rocha.tar Ct.
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lIovard 1I0ran
2407 Cro.tvlav Ava.
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. CJTY OF IOWA CITY.
ADVISORY IOARD/COHHJSSJON APPLICATION FORM
JndhlMh ItrYIIlQ on lotrdl/Ccmlulonl pl'l .n Il'Clort.nt rol. In 'dftll"'9 the
Council on ~tt.rl of Int.r'lt to our cGnBunltl .nd It I futur.. Appllc.ntl mult r.llde
In low. Cltl.
Th' Cltl Council announc.d Ad,lsor, lo.rd/COInlnlon 'ICinclts 90 d'll prior to the
dat. the ,ppolntltnt 11111 be ..d.. This period pro,ldn for. 30.d'1 .dmtlslng period
.1Id . dO.d.y trllnlno pttlod for nfl/ ..rl. TII. tr.lnlno pttlod .IIM n'"lltrCtfI to
blCOlIt f.tlll" IIlth the responllbllltles .nd duttes of the .d,lsor, bo.rd/COlllllulOll
blfor. btcOllno . full 'otlno _.r.
Aft.r . f.c.nc, h'l bI.n .nnounced and the 30'd., Idf.rtlllno period h'l ..plred, the
Council rtflM .11 .ppllcetlonl durl"'9 the Infor..l 1I0rk lIulon. Th. .ppolntm.nt Is
.nnounced .t the n..t for..1 Council ...tlno. Appolnt"1 I.r,. .1 unp.ld folunt..rl.
Council p,,"rl th.t .11 .ppllc.tlonl "lit be lubaltttd to the Cltl Clerk no liter
th.n on. 1I..k prior to tII. announced .ppolntlltnt d.tu. PlEASE USE A lUCK INK PEN.
nns APPliCATION IS A FIJILIC DOClNHT AICl AS SUCH CAN I( R!PRDOUCED AIO DISTRIBUTED FOR
TIlE PUIl.IC. nns APPLJCAflOH \lILL If CONSIDERED FOR 3 HONTHS DH\,Y AIIO AUTO~f1CALLY
CONSIOERlO FOR ANt YACAIeY OURING THAT TIll.
ADVISOR IOAAO/COHUSSIDH IWll 11:"'?cJr+ fOlll'":JJ"OHff.PJ1--..fs, y~"v.
IWIl ^ or HolE ADOR!SSj..407 ('r(~1v:t!&.J 11",(
1I1041r IIoIlt Add"u (Ihted .bo"llIlthln the corpOrlt. 1I,ltl of low. Cltl? V,"
OCCUPATION 01. o~.'''t''""h'f EllPI.DYER J' c. If. '
PHONE 1MI8~~-1 3o(,'{ IUSINESS--a.n :2.(,.,4
EJPERJENCE AND/OR ACTJYITIES WHICH YOU fEEL QUALIFY YOU rDR THJS PDSJTIOH:
II ~p ;" hu.../ irf IhpAJrr~AA
1: V" "1 ',d,\I,-{,)' Nt k.; lit ~ ll(c.,
'/"11"""",,,,,,, ,. "I\.~{ /.'M- /;I~"t .'~, Il.c. (J1.,L1(,CAf.!
f<..." ~ oj ek\(' ./C.tu4 f\a.o h (f~.l -ro ,.. fM,li~t.. t~
J lJ {\l.4\.fi'~ tic,'" .. . I tt": ..I.", ,,~J , I, "
\/HAT JS YOUR PR!SEHT KHOII\EOGE OF TIllS AD JSOR BOARD? 11 c I 11..(
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\/HAT CONTRIBUTIONS DO YOU.FEEI. YOU CAll /WE TO TIllS AD~1S0RY BOARD (OR STAff. REASON FOR
APPLYJNGI? ~ '" w"I::~ kl1tl er, ~ .0,_ If'., tI,4//'~ltl'
l?y U::k(t:~ ~ l'bV't I\~ ; ~Ivf~ ~JJ'~&::J.
SP.ClfIC .ttentlon Ihould be dlrtet.d to poulbl. conflict of Intmst ~"d.flned In
Ch.ptm 362.6, 4D3A.22 of th. Cod. of low.. Should 1011 be unctrtllA IIh.Uler or not a
pot.ntl.l conflict of Int"..t uh~l. contAct thl Leo.l O.p.rtlll.nt~rYl9j lou..ha,,, a
conflict of Interest? _YES .:t:;.NO >::j ;0 ~.
no( I l-
It 1011 1ft not select.d. do IOU lI.nt to be notffl.d? .L YES ll&,-, N ''1'1
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Do 1011 currtntl, "". on .noth.r Jowa Cltl Board or CGmllulon? ~ f NaJ
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It hll been Council pollCl not to perllllt .n Indhldu.1 10 II". 011 two Boa~ or COll11lh.
Ilonl .t th. lalllt time.
June 1988
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- CJTY OF JO~ CITY -
ADVISORY BOARD/CGHHJSSION APPliCATION FORH
Indhldulh tfNlno 0/1 8o.rdJ/COIISlulonl pl., l/l l'1lortlnt role In .d.lltllQ lhe
Council 0/1 AlUm of InUrtlt to our c~nltll/ld Its future, APIlllc.ntl Mt ruld'
In Jow. Cltl.
T"e Cltl Council l/lnounced Ad.llorl B4ard/CornlnlOll .lUnclu 90 d'11 prIor to tile
dIU the .ppolnt.ent 11111 be ..de. TIIII period pro.ldel for. 30-d" .dftrtlllllQ p.rlOd
.nd . 6O-d', tr.lntnQ period for nN ~er., The tr.lnlnQ pertOd .11M I\N IIIl:Cm to
becOllt f..l1l., IIltII the re.ponllbllltlu .1Id Mlu of the .d.UO'" bo.rd/comlulon
before becomIng a MI .otlno _er.
After a ..Clncy' hi. be.n announCed l/ld tile 30-d.y' I4ftrtltlno periOd 1111 e.plrld, tilt
Council re.le", all .ppllmlonl durlllQ the Info~1 lIort IlIIlon. The .ppotn~nt U
.nnounced .t the n.at for..1 Council lIetlng. Appolnte.I I.r.. .1 unpaid .olunt..r..
Council prefm that .11 .ppllcatlonl .,It be lublltted to tilt City Clert no I.ur
tII.n O/Ie ""t prior to the l/lnounced .ppolntlitnt datu. pt.W! USE A BLACK In PIN..'
THJS APPLICATION IS A PUBLIC DOCI.tIEHT AICl AS SUCH CAll BE REPRODUCED AIel DISTRIBUTED FOR
THE PUBUC, THIS APPLICATION \lILL BE CONSIDERED FOR J HONTHS OHLY AlID AUTOI'ATlCALLY
CONSIDERED FOR Alff YACANCY DURING THAT TIle,
ADVISORY BOARD/COHiISSION HAH! A",: rt:t.r ("'MMI5$1,,"'/ TUlI;' tn
NAliEj'/l\"A~') Y 01. VM_ HOIl ADDRESS J.c.'//I /2,('(' IJ,:'~,r,.!... (.'i:
1l1our hOIII addrlll llllted .bofellllthln the corpor.te llllts of low. Cltl? n!s
OCCUPATION V"lt'. "hS/lJfN'f'" EllPLOYER He,r"WL.c'lr.,'IS /,(.,(.,
PllO,~E I<<llla!~: HOlE 3-N' r'{!o I 1lJ$IHUS "35'.';..:../1 () ~-
EXPERIENCE AIel/OR ACTlYI IES IMICH YOU fEEL QUALIFY YOU FOR THIS FOSlTIONI
','~ "II i:,(,,'- I 'h 'lR v.1,') /1' )tI;ti//;IS tit") d(.((I
I I '~' , '~I 1- .' "-,'17 'l..;'J' (l, .')/u/' \,. ~"
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11 1116'1 ( A I' L IIiJJ:..,.)h .,'
, ,t1 A I, '" {, I liSt!. v. I ~; S'iitP ~I NA. 1 'i1.1~
IIllAT IS YOUR PRESENT KHOIA.EDGE OF THIS ADVISORY BOARD? I : h'; II t' ,(, ' . ,
\/HAT CONTRIBUTIONS DO YOU.FEEL YDU CAlI mE TO THIS ADYISORY BOARD (DR STATE REASON FOR
APPLYING)? u) t' ',' M).' {f.l~'-,_:' , I", ),.h:M Irt. :~v-:.
, -.. I. " ~I it' 1,,(1/. I{~I.' ::: ~/II' (II ( ':'t; (. II' t(l-
-r' d; I T ,,,\~i~ " '(,'III" ~Nll ,(.~. 'tE-',
Specific .ttentlO/l Ihould be directed to pontble conflict of Interut II deflned In
Ch.ptm 362.6, 4DJA.22 of the Code of Jow.. Should 10u be uncertain ...hether or not ·
potential conflict of Interut "~It , contlct the Leoll Department, \ltll you hm I
conflict of Interut? YES NO .
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If you art not ulected. do IOU lI.nt to be notlfled? i( YES NO
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Do you curr.ntl1 lerfe on .nother lowI Cltl BOlrd or Comml'Ilon? _YES .2S: NO
It hi' been Council polIcy not to permit .n Indlfldu.' to lerfe on tllO BOlrdl or Commll-
IIonl It the ..lilt tiN.
June 1988
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FILED
9UED II "/lIOr Sf. Fobrmy 2, 1992
TO. ALL CITY COUI/CIL HEHDERS lo*~{M~,E,~I\\Ii\
FROH. John OckonCola - Vlco.Chalrman, lova City Airport Co.-l.llon
Doar Hr. Hayor & Hombora oC City Council.
At tho Harch 3rd 1992 Council Hooting rou viII bo alkod to
Ippolnt I Cltllon Voluntoor to CIll I po.lt on on tho lova City
Airport Co.-Iaalon,
Tho poaltlon i. IVIIloblo bocouoo tho LorI currontly hold by
Dick Dlum viII ond, '
I vould liko to tlko In opportunity It thla tlmo to rOllnd all
council momborl thlt bocluoo of chlngoa modo to Chlptor IV of tho
10vI City Codo oC Ordlnoncol In 1991, Hombora oC tho Airport COIIII.
lion IIY Ipply Cor I rO.lppolntmont.
I havo dllCUOlod vlth Dick tho COlllaalon'a dOllro to havo hll
ro.apply. 110 hon villingly agrood to do thla.
Dick'l background In aviation II vory dlvorao and lncludoa lany
aroal oC oXportllo that aro valuablo to tho ~Qn~ln~~d good rclctlan.
chip vitll tho eo.munlty ond tho Itato and Codoral rogulatora.
Thooo arOl1 Includo.
I. Six yoarl oxporlonco 00 Prooldont of tho lova Public Alrport'l
Alaociltlon.
2. An oxtrololy good knovlodgo oC Ind Iblllty to vork vlth tho FAA.
3. Throo youl oxporlonco DO tho ChDlrlan oC tho lova CILy Airport
COlll/llllllon,
4. Exporionco on numorouo Itato airport pllnnlng bodloo,
5. A background In bUllnol1 Ind cOllunlty pllnnlng , lanagOlont.
6. An ongoing vorklng rOhtlonohlp vILh III lovolo of city atarr.
7. Vory activo in Commllolon oCCalro and actlvltlol.
O. An activo Jnatrumont-ntud Dualnouo Pilot.
Tho training and blckground that Dick pouoaa oXcooda that of
lomo vory oxponllvo conlultanta, but bocluao Dick bollovol 00 Itrongly
In tho tuturo oC tho 10vI City Airport va got hla talonto ao a pUblic
lonlco,
During tho laat throo YOUI, vhllo DiCk haa boon Chairman, tho
Airport Commlalion hal aocurod voll Qvor$l million In funding from
tho FAA tor mlJor Ilrport Improvomonta.
Wo hI va olIO boon approvod for Inotallatlon of a vory aophlatlC4tod
lutomltic vOlthor roportlng Iyotom and OovorDl nov approach ayatolo,
vlth tho FM paying 100 porcont of lnntallatlon and malntonanco coota
(contlnuod pallO 21
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tor both tho voathor and approach oyotODo, 8at~ty, utility and pro.
toction troD liability havo all boon groatly onhancod by thooo I.p.
rovo.onto.
AI vo 10VO torward In planning tor tho tuturo at tho airport
during tho noxt aix yoara, I boliovo that'Dick'1 paot ottorta and
oxporionco vlll bo at groat valuo to tho bity at lava Cltr and tho
Airport Co..loalon,
Docauao I bOllovo that thla pOlltlon ahould bo tillod by tho
loot qualitiod po roan vho can dolivor tho boat aorvicoo tor lava City
and that polltlcl haa no placo in thoao appolntDonto I Itrongly urgo
you, to ro-appoint Dick'DluD to tho Iova City Airport Co..ia.ton.
Thank you tor taking your tlDO to road thlo, I aok nov tor your
oorioua'conaidoratl~n at it. It I can bo at any aaalatanco or anDVor
any quoatlona ploaao tool troo to call 10 0 351-2048 (vork) or
351-3461 (hODO I,
~~70r01Y' /J (/
y~t oct~
(John Ockontolo
Vico.Chairlan
lova City Airport CO.lloolon
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TIll CITY COIlIICII. OII(f-NA CITY IS CONSIDElIlI/O AN
API'OIHlMENT to till rouO\WlG DOAN):
JQItNSON COIlNTYAOWA CITY AlRI'OIIt
IIlN!lIO IOA"O 01 AOJ\JSTI.lWT
ar. yawey . rlv.,yuI 111m
hb/ully 2e, 'Ill . r.b/uIIy 2e, 'D17
Tht powll' I/ld cMlt. 01 lilt IkWd 01 AdjUtlmtf\IIl':
l. tONlI1/ld dtcidt .~aI'l'lNIt III. tltQed INr.llln
tIIOIln lIlY tdmIril\l'U.' ICIIon In lilt tIIlOIClIMnl 01
lilt O/'doNnC',
2. to Nil I/ld dtcidt 011 IpeciaI ,IUpliOll. 1"'1 "'
Ipeel'iCIIy plovidtd 'Olin lilt OIdoNnC.,
2. to .\IIIIoIil. 011 .~alln IptC,loC mil VIIIIIlCII ',om
lilt 111m. 01 lilt OIdoNnC', VI/III'ICII ortllled by lilt
IkWd 01 Adl\lllllltnlllllY orIy b. o/.nttd In IN CIt. 01
'l.1't.CCW!I't !\!!~tNe,' T~ ~dibp must be
'~Ilanli&l, IlIiou., Ital, I/ld 0' compelollO IOIC', II
dlll.\Iltd IromrlllOlll 01 convtrltnc., IIItlimlllllon
01 plO',1 01 Uplln,
Tht DoIId 1IIt1l. ..1Ilt cd 01 lilt ClIIltperlOll. low. CIty
'PPOlrlltd mtmbtI. 01 boIIdl I/ld commI.tIonI musl be
t/tQ<blt .1tc10l. 01 lilt CItY 01 low. Cily,
tN. .ppoInl/lltlll l'l. be mtd. .1 lilt MIlch 2, '892,
IIItlliflQ 01 lilt ClIY COItd II 7:20 p,m, In lilt COItd
ChI/lIbIf.. "'lOIIIlnlllllltd In btir<o contldlled IOIlh.
polillon t/1OUd COIIllCllhI City CIt,~ 1I1h1 CIVIC C.ntll,
410 I. W'I/WloIOll SII.tI, AppLUlion 101m. "' ,v,.,bl.
Irom lilt Clt,~'. oWu upon rrqUlIl,
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IIIrch ,. 1991
JOlIlISOII COIIm'/IOIIA eln mroar One m.ne1 . rlv,.,m una
ZOIIIIIC IO.WI or AIIJUSnllXf r.bl'llU1 26, 1m . r.bl'llU1 26, 1997
110 ^ppl:(C1~:lIn5
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THE CITY COUNCl OF ~A CI1Y IS COHSll)(RtlO AN
APPOCHTUEHT TO THE fOUOYNlG IIOAAD:
AH1W1. CONTROl ~SOI\V B()AIID
One VICIIlCY ' T1wIt,11I1IIm
~"'tt2.~1, '"'
TIll Mil C111/11 AnNI CoI*CII ~ BoIId III III
pIOIIdt tucII ~ I/Id IChIcI U I" rlqlind lit
1/1121E ~1IftIIIll bthrIt/Il/II c" C111ow1 c" I/Id N c"
CII CoIWIf, 01 U 11II1 be rlqVlllId by N c" CoItd 01 c"
I.lwolf C111ow1 c" 01 by.... CIt CoItd 01 c" ~..
IOIC11Co1IMh.
TIll ptIIOll MlIclId lot IIlIt ~iIIl\IftI mw belli tl!9b11
I. ai ill Ciy 01 ion Ciy,
ThII ~"'lliI be NdlIlIIII LlIIdl" 1m ~
CII N C111111 c" Courd 117:30 p.1II. n N CoItd CIIII\IbM.
PlflOllllnllllllld n bIlr<g CONllItId lot IhlI poIIjoft IIMI
COIllICl N c" ClIt\ 111/1I eM: CtI'CIf. 4'0 E. w~
litH!, Iowl c", ~1IIon IotmIlIIlYUlbIIlofO'I rlqVllt
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IIALlS I 2
rEllALUI 2
IIArCh 3. 1992
A/lIIlAL comOL ADVISORY BOARD . On. v.uncy . Thr".yolf tal"l
April 5. 1992 . April 5. 1995
J.nlce II. Bachr (1141 ..rvod 2 Ml tOnd,)
210 Wlnd.or Drlvo
Jullo a. lIoyok
7 Klaball Rood
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lUrch 3. 1992
HALtS I 2
FFJlAL!S1 2
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AllllIAL COmOL ADVISORY BOARD . Ono VA ncy. Throo-yur tor.
April . 1992 - April S, 1995
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- CITY OF IOWA CITY ,
AOYISORY BOARD/COHHJSSION APPLICATION FORM
Jftdhldulh IINfl19 on 10lrdl/COlIIllulonl pllY In tll1lortant rol. tn 10vhtllQ the
CounCil on aatt.rl of tnt.r'lt to our c~nlty Ino Its futur., Appllclnts must r.slo.
1ft (CIlI City.
Th. City Couftcl I U1ftOUftUd Aov tsory BOlro/COInfu fOft flCanctn 90 0111 prIor to the
dlt. the IppolfttDtftt viiI be ..0.. Thll p.rlOd provfo.s for I JO-day 10v.rtlltllQ p.rlOd
Ina I 6Q'dlY trltntno ptrlOd for new Dt:C.rs. Th. trlfftlnO p.rtOd II lows n.v memo.rs to
btcOllt f..lIl., vlth the rnpoftllbllltlu Ind duttn of the Idvllory bOIrO/colll1lluton
befOt. DfCOlltftO I full votlftO ~r.
After I vmnC1IIIs Dftft IMOUnCed IIld tII. JO'dll lavlrttsfftO periOd hu ..plred, tII.
Council rtvllWl III IppllmtOllS durlllQ the Iftto~l vort sullon. Th. Ippotntm.nt h
InftouftCId It tII. ft..t 'or..1 Council Ifltlno. Appolnt..s slrvl IS unplla voluntllrl.
Couftcfl pre"rl thlt III IppllCltlOllI IIlUlt be subllttld to thl City Clert no liter
tIIllI onllfHt prior to tII. IIlftOUIICId IppOlntlltnt Oltll. ,PUASf'USE A aLACK INK P(Ni
THJS APPt.lCATJOII IS A PUILIC OOClllEHT AICl AS SUCH CAlf BE REPRODUCED AIC DISTRIBUTED FOR
THE PU81.IC. THIS APPLICATION WILL BE CONSIDERED FOR J HONTHS ONLY AND AUTOHATICALLY
CONSJDERED FOR AllY YACA/cY DURJHG THAT TIlE.
AOYlSORY IOARDICDIflISSION IWfE AMhl.L. fOltrr..J1. hDulUI.'l R.alrJERM 3 Y'~..s
IWfEJ&Alll~ (n - I'lWA.... HOlE ADDRESS
II your IIoet lCIaml (Ihtld lbow.) vlthln thl corporlt. 1I_1t1 of lowl CIty?
OCCUPATJON.,bltltl.A'Elr/.- EHPLOYER SGu:
PHONE MJHIE~I HOlE...:ut:..u1~W.,() IUSJNESS...1/~ ~ :'f}t.I~{,~d .
WPIEHU AltUM AGTlYIrIU lallCII YOU reEL OIIALIn YOU FOR THIS POSITION: I MI. II
/-llr ~(lJA.1I ~,l. (A.1Il ""U, Mr"AUI. flt //Jlll. ~' pur" t"I<"r","" ;; ~~ _
jIllltl~""" f',tt"ftf ~lm',." .~IP7' I /nIlP ~'):;..l~", ~IJ '!!!!:...!E!:!:!!.- r'1I!!J' Iff
l~rn(,J It"" 1A~k\J lIy ~'Ilo" ".,~" /If CUlt", IN'.W UUI1.f.t~ ~ ~~
J/I~ tl(M..MA.ll.> At IflI ~IlJIl"'), It Anoj,'~" O,1rlA.. :;,;,:,~... 1t:1.4"1"'~( . Iff,.... I1HF N
~"A141,", 'hi' hf'"".,...t n. tW lw..,"J IUllte. I!~ (f!_u~ ~~r ~:~lJ.!!!.IJ~OlW
l/HAT IS YOUR PRESENT KHOI4.EDGE OF THIS ADVISORY BOARD? I I_,;{C PPIf., J) fl....... of,
IlIlJfllrPA.. .(",JuJO /f'.. l~nhJ AfJ~ ~}m" ':'/~._ IJnlJ~ IlIJ11.IJ'&df.
..4': /.,.J-'v/tJllI..
\/HAT CONTRJIUTJONS DO YOU .FEEL YDU CAlf IWCE TO THJS ADVISORY BOARD (OR STATE REASOII FOR
APPLYING)? II) /.tt'lrJlI<J .., filt:' nll.l:o J h''f Jp. ~}J'AIA,fIM:"r-I/J:'U. t/,J(htft
tt,."WI,:", ,., "'/I,' 1~~1. 0 ~y Ill' r~ l'lJ'lJM(IfH, fJ.I,.a. IAI 1:Av'/J({" I:A.,>
&Jlk- IrU#w iIIl'" ~ "IAJItIl hi n:::JM/ fh!.m If ~.i~'~::f("!:~~~ ~
Spltlflc ettlfttlon Should be dlrect'd to pOlltbl1 conflict 0' Intlrnt II dlftnld In
Chlptlrs 362.6, 40JA.22 0' the COd. 0' JOWl. Should YOU b, uncertain "h.ther or not a
potlnthl conflict 0' flltlrllt I.~I I, contact thl Lt~al Departm,nt, Will you hav, 4
conflict 0' Interllt? YES NO
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I' you Irl not SII.ctld, do you vlnt to be notl'I'd? ~YES _NO
Do you currtntly slrvl 01\ Inothlr JOV4 Cfty B04ro or Commtlslonl _____yES ~ N~
It hiS bl.n Counctl polIcy not to plrmlt In Indlvtdual to SlrVI on two Boards or Commll-
Ilonl 4t th, lUll time. ,
June 1988
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. clr, 01 IOWA clr, .
~ISOR' 10AAO/COHHISSION APPLICATION FORH
IndhtMh UNI~ 0/1 10Ardl/ClmlulOlll phI .n lroort.nt rol. In .dflllll9 th.
COIIncll 0/1 Ntttrl of Inttrllt to OIIr CO/'ll\lnltl f/ld III Murt. Appllcantl IUIt ruld.
In lowl Clt,.
Th. Cltl Counc I I f/lnOllIlCId Adf 1I0rl IoArd/ComlulOll fmnc III 90 dill prior to th.
dati Ch. .ppolnClfnt wIll t4 Nd.. Thll p.rfOd profld.I (or. JO'd', 'dt.rtflfng period
.114 . 6O'dll trflnlno ptrlOd for nN llIfbtrl. rh. trflnlllO ptrfOd .1IM /\Ill ..~trI to
btC(l:If f..nIAr lflth th. ruponllbllltlu Artd Mill of th. .dfllorl bOfrd/comlulOll
befor. becOllno . full yotlno lleO.r.
Arttt . YlClnC1 hu btlll .nnounCId f/ld tII. lNI1 Wf.rthlno ptrlOd hu Ilplrld, tII.
Council rtfl.", III .ppllCltlOlll clvrlll9 th. InfOrNl lfork Imlon, Th. .ppolnt..nt II
.nnounc.d .t tII. ntAt forNI Council It.tlno. Appolnte.I I.rf' .1 unpjld yolunt..rl.
Council prtf", thlt .11 .ppllCltlOlll lUll be 'ubllltttd to the Cltl CI.rk no liter
than 0/1, If.,k prior to tII. .nnouncld .ppolntltnt dUll. PLUSE USE A ILACK IIIK HN.
<01 lJ' ,,,...
THIS APPLJCATlOlI IS A PUILlC OOCOOHT AI4l AS SUCH CAlI IE AtPROOUCED AI<<l DISfAllunD FOA
THE I'IJIl.IC. THIS APPLICATION VJLL IE CONSJD[A[D FOR 1 HOIlTHS ONL' AI/D AUTO~TlCALLY
CONSIDERED FOR AllY YACAIC' OURING THAT TIlE.
AllYISOR, 8OAAO/COHflSSION Mj).'lItr1/11 (mIll'} TEAll ({I"~,,J 11.f(III~1
M ~J/I Ji~ Ii IItMK HOle ADOAtSS 'K'ill,lIt1 h ~dlltl .T, (,
f
Is lour /IoIlt addrm (11Itld .boy.) within tII. corpor.t. lIaltl of low. Cltl? Y'~
OCCUPAfION...4lQ/J,,"W,h - o"'~t11 "'(fU EHPLOYER 'i dl .
PHONE MJH8E~1 HOIE-3f I- '/H~ BUSINESS :5t2mt'.
ElPEAJENCE A1IO/OR ACTIVITIES IMICH YOU rtEL QUALIFY YOU rOR THJS POSITION: :r Ill",
~;~ Z:~:/'~;"~~;/rJ~ I~: /2:h;IItI~:M;:;';, ,:,~/;:~;~'~~
:^:,/~~~,,~~ f"!(>~A:~: If:~'A, ~Jt~ :!':f~:~'J n~ /)~;~~ ~':J.~~~!'/~
!.JiM lit.. F~(hl'd I,,,, III rI II. ~ JItJlMJ'~. Sbtld'1"
\/HAT IS YOUR PAtSENT KHOIMOGE OF THJS ADYISORY BOAAD? :l IJ~ U! ii/V;"" I.n'IJ.
/Jfll lid,. hn film./- ,/1,,, 1U1,,~,.h'/~ fJt II,,, "dll/j6/)' hIM ,,1.
:r "Uti!- nlllh,IIN,-I- (},J. 11./, 'ldflll~'J ...1-c),ff.. 9,1.
\/HAT COHTRIIUTIONS 00 'ou .FEn YOU CAN !'.AXE 0 THIS AllYlSOR' BOARD lOR STATE REASON FOR
APPLYING)? _T I1ftll~ (I.. ''dMm ~ ta.,IJ, ,. 11",1 '(DlP1mM jl"'u.
(}#lJ.llllt~ ,,/JDII.of MtJ~1- J.J"''!Jl. .7 ./.., J T 1111t1, /,J 1^i1/,Jhlt}~_
n'-lt) nn~~/rl<JJ )tlilJ\" A) hltJII,,.f l,,"rfIJlt(/~, nMHI.
,
Specific .tttntfOll should be dlrtCttd to poulbl. conflict of Inttrllt " d.ftn.d tn
Ch.pttrl 362.6, 403A.22 of th. Cod. of JOWl. Should 1011 b. unctrtlln llh.th., or not I
pot.nt 1.1 conf Ilct of Int'rllt .. IIl1, contact th. LIQII O.partll.nt. l(111 1011 hm I
conflict of tnterut? _YES ~HO C
:olM ~ ~
Jf you Ir. not ,.I.ct.d, do you lflnt to be notified? ~YES ~~O I ~
- N 1-
00 you curr.ntly I.rv. on .noth.r JOlII City Bo.rd or Comml'Iton? ~~ESt:~NO
It hu been Counctl policy not to ptrllllt .n Indhtdu.1 to "rve on ~lJ B~rdlqr Co","".
,Ion, It the 'Ime ttme. ~ C)
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Jun. \988
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m! CITY COUIlCll. 01 ~A CITY IS COII$lO(RltIO An
AI'fIOWT"'U/T TO Tll! 'OlLo\wlO COMI.IlSSlOII:
BROADBAND mrrDMI,!\m1CAT1ONS rO/J"',SS1ON
0n4 ~1WCy . TlvIt'Y.lllt1m
"'11(/\ U.1IU.I.IIICII U.lttl
Tht PttIW 'POOinlld '0 .,.. BTC II 11'0. IlIlIt d
II~I PIll In .,.. 'tntOOl"liOnI 01 .,.. ublt TV 'rlll(hll,
Tht duliu 01 .,.. ~ T .1tc0000000001liOnl
Commllllon ~ "I'f!roo III ,,,,Jew boiId 10 ftl4lY. dol'
puttl btlWltn Illy IlAlwlbtf 01 PG'lftlltlllAlW\btl tnd lhe
ublhlllon COIllPI/ly: ,"'1tw1Ilo tnd l~tIrog ftPOlU ~ .,..
ublivlllon COIIIPI/lY 10 .,.. Or., II r~~ ~ I!l! CP.!t
flievtl'Oll Orllinlnc.: ~lIrog ~1Il"" PIAl/oC. the 1lIIN, .,..
Ory. tnd lht Clblivlllon COIllPI/ly 'OIlht PltPGII ollll.lllrog
,tcomrner.dllloni 011 ~1I1out III~': tng.gIrog in other Ie'
IMlltl PIt.lIIIlIIO lht IfftcllYI moni'oring tnd "'lIuIllOI\ 0'
lht CATV Iyllllllln.,.. O,y,
Tht ITC mltll .,.. INrd Wtdrotldly 01 tiCII month II
1:11 p.rn. Iowl Ory IPOOln'Id rntrnbt,. 01 boiIdl tnd
(ommlllloni mull bt lligobI. tltclOlI 0' lhe O,y of Iowl
Ory,
Thlllppoln'lI\ffIl 1'111I bt INdI II the l.III(h 2, 1112,
mltling 01 lht Cily CMI:. It 7:20 p,rn. In .,.. CMI:.
Chirnbtrl, ""101I1 Inl"llIld In btIrog (OIIlldtttd '01 tNl
PGlllion Iho\Jd (OIIllellhe Ory Clerk II .,.. CIvIC Clftltt,
.10!, Wllhlng'OII Slrltl, APP/OCllion 100mlll. Iv'ol4bl.
from the Clerk', 011(1 upon rtq\ltll,
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Karch 3, 1992
BROADLl~ TELECOHMUMICATIONS COKHISSION Ono vlclncy. Throo.yolr tOrD
KArch 13, 1992 . Kirch 13, 1995
Diana !taur..n
738 Doarborn
lIovard lIoran
2407 Croltvlov Avo.
Bruno Pllott
629 E, Jorrorlon
Troy Stovon. (1111 IInod I unexplrod tor. and I rut I lOrD.)
3D3S E. Court St,
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TlUC(HMI1CATI01lS COIOIISSIOl1 ,On. ymncy. Three-y..r UI"I
Kirch 13, 1992 . Karch 13, 1995
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1I000ud Houn
2407 Cromllll Ayo, \
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Ifllno '1Iote
629 E. Jorrouon
'\
Troy Stoyon.
3035 I. Court St.
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IAWIMIO TELECcmJ!/ICATlOIIS COItllSSlOll APPliCATION FOAlI
IndIYIMII UNI~ 01\ Iwdl/Comlulonl pl'l .n t"4lort.nt role In .dytsl~ the
Council 01\ ftltterl o( Intmst to 0IIf eOl'Qlnltl .no Its MUff. Appllcantl NSt restd'
In 101/1 Cltl'
Th' Cltl Council IIInOutleN AoYllorl Coard/Camlllton y.caneles 90 O'lS prtor to tne
d.t. tho .ppolntatnt wIll DO AlO'. Thll p.rtOd proytd's (or. 30'd'1 .dy,rtlstRQ period
.nd . 6O'd'1 tratnlno ptrlOd (or n", -.rl, TIlt tralntno ptrlOd 111M new ~orI to
blCOIlI (...fIlar wltll tho rtlponslbllltlu Ind dutlu o( the .ovllorl bo.rcl/eomlulon
be(ore beeOll/19 . full yotl/19 "r.
Attlr . m.nel hll bI.n .nnouneN .nd tII. 30.d'1 advtrtlllno ptrlOd hll uplreo, tho
Council rulM .11 .ppllcatlons durlRQ the Info....1 wort ",slon, Tho I~olntmtnt \I
aMounctd at tII. n..t(o,..1 Council ..otl/l9. Appoint'" urYO II un~ld volunteers.
I' , Council pr.(," that all applications Dllt bI lubllUN to the City Cltrk no laUr
than 01\, llttt prior to tII. IIInounctO appolntalnt datu. PlEASE USE A BLACK INK PEII.
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\/HAT CO ITRIBUTlOIIS 00 YOU EEL YOU CAli ~E TO TIllS ADVISORY BOARD (OR STATE REA SO/I FOR
APPlYII~Gll...A< II Itet! {,fIJe tlC.t./~( eJtl:: ::: (UI~i~~~",~
~ l.~.... 1\ <~i'rftw lOhtl\~~u~,~.;tjl'Sot L;J--
.:t1t..a.',. IA III t I't.r.
SpecifIc att.ntlon Ihould be dlrocted to poulble conflict o( Interest .s'deflned In
ChepUrs 362.6, 403A.22 o( the Codo o( lowo. Should you be uncortaln wIlothor or not 0
potential con(lIct o( Interest u~s I. cont.ct tho Ltclol DeportlllOnt. Will you hove 0
conflIct o( InUrut? YES 110
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If you ore not ulected, dO you wont to be notified? LYES -'ID
Do 10U currentlyurye on onother Iowa Cltl Bo.rd or Conmlnton? _YES '1-110
It hOl been Council poltcl not to permit on Inolytduo' to s.rye on lwo Bo.rdl' or Commtl'
lions ot the SUI' tiN.
June 1988
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STATtMtHT OU!TEAEU
I
A .yu. anlll.r to any 0' tho 'o\1owlng quutlOnl 11111 not n.Ctlurlly
..clud. yOU 'rom conlld.ratlon 'or appolnt,.nt to the 10111 City Broloblnd
T.1tcomunlutlonl COIllIlulon. HM..r. tht In'orNtlon 11\11 milt our
Lt9al D,plrtntnt In d.t.,.lnlng ~htthtr or not th.re lIy ,lllt a conflict
0' Inttrtlt IIhlch would pr.clud. your furth.r consldtratlon.
Art you or II any _or of your ImtdllU ,..lIy or Inyon.
d.p.nd.nt upon yOUI
t. An ~Ioy.t 0' or I stockholdtr In tlthtr H.rltlgt conaunlcl.
tlons. Inc,. or I lubsldllry or Illlted plrtntrshlp(S)
(IncludIng Clblt.lllon AssocllttS VIII. the gtn.rll partntr 0'
whIch Is or II controlled by Iny of tht lbo.t?
YtI_ HO::b.. '
b. An ~Ioy" of or I Itockholder In Iny radIo or ttltvlllon
stltlon or ntlIS publlCltlon optrltlng In lowl CIty or I.rvlng
tho 1M City ar.. or of Iny plrent cODllany or subsidiary
th.reof. or In Iny other Nnner Ifflllated IIlth lAY 0' tht
lbO.t?
YtI..- HoL
c, An ~Ioye.. stockholder. plrtntr. or proprlttor ot Iny
corporation or bullnm ~hlch hIS or \I mtly to havt I
significant contrlct or busln.ss conn.ctlon IIlth tlth.r
HerlUot COl!IIIUnlcltlons. Inc.. or I subsidiary or "llted
partn.rlhlp(l) (Including Clblt.lllon Alsocllttl VIII. tht
o.noral plrtner of \dIlch \I or \I controlltd by any 0' tho
abm? V
Yu _ 110 I'
If you ha.t anlllor .y.s. to any of tho above qu.stlonl. plell. Includ. I
c0'9,.te .lpllnatlon ullno additional PIP.r If nocollary.
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DIAtll/C KAUFHAH
738 DOArborn
Iowa City, Iowa 52240
(Jl91 337-3621
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Your GraphicI Aro Showinq- Art Conlultant, Dallal, fX. Sold art
to corpora to and privato cllontl, Sopto.bar 1986 _ Hay 1988,
Full-tiao aothor/part-tlao workor- 001100, TX. Producod an
OIPlOroo oriontation vldootopo for tho City of Piano, TX, odltod
tochn col drawlnql, both aanually and on cooputor, and odltod
Inltructlonal .anulcrlptl for Drookhavon Jr, Colloqo. 1982-1986,
KCR,\-TV- Aaloolato producor, Dalloa, TX, Producod wookly public
affalrl proqra. ("Volcoa") for local PDS afflllato, Dovoloped
concepta, rOloarchod and analyzod Ilauoa, wrote au..arlol to
preparo talont, loloctod, Intorvlewod and Icroonod quoltl' odltod
3/4" vldootapo, aupervllad Intorna and voluntoora, Fobruary 1980-
July 1982.
Horthlldo Roaourco Cantor- Rosoarch Alalltant, Fort Worth, TX,
Gathorad d~t~ for three :tudlo& of Unalployaant. Intorvlewod
cUontl, compiled data, wroto and proaontod roportl, /lovo.bor
1978-January 1980.
Tarrant County Tonantl' Union- Com.unlty Orqanlzor, fort Worth,
TX. ROloarchod and wroto a tonantl' rlqhto handbook, nowllottorD
and qrant propalalo (two of which woro fundod), lobblod tho Itato
loqlolaturo and olty counoll, organlzod lootlnga and tonantl'
qroupa. Hay 1976-00tobor 1978.
Dopartlllant of lIulllan ROlourcoo- Soc1o1 Korkor, fort Korth, TX,
Counoolod and alslatod wolfaro ollonto onrollod In a jOb training
progral' wroto caso roporta. January 1975-Aprll 1976.
EDUCATIOU
D.A, Art Cducatlon, Unlvorslty of /lorthorn Iowa, Codar falls,
Iowa. Oraduatod Spring, 1974.
Unlvorslty of Toxaa at Arllnqton, Graduato School of Urban
StudloD, Arllnqton, Toxaa. 1979-1980.
Unlvorslty of Iown, Gradunto School of Enqlloh, HA/W, Expoaltory
Wrltlnq Proqralll, Iowa City, Iown. Spring 1990-Prolont.
Roforoncos provldod upon roquout.
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_ CITY OF IOWA CITY'
BROADWID TELECOtOlUNICATlOIIS COltllSSIOl1 APPLlCATlOII FOm
IndivIdual, urvlll9 on Boards/COIl\1llnlons play an I""orunt role In advlslll9 the
Council on NHers of Int.rest to our cOtll'llnlty and Its futur.. Applicants Mt resld'
In Iowa CIty.
Th. CIty Council announced Advisory eoard/COGllllsslon vacancies 90 days prior to tn.
date tho appoln~nt will b. .ad.. This p.rlOd provld's for a 30-day adv.rtlstll9 p.rlOd
and 0 6O'da1 tralnlnQ period for n.w ~ars. Th. tralntno period allows n.w ~.rs to
baCOllt faan lar with the rupons Ibll It Its and dutIes of lho advisory board/comtn Ion
befor. btcoatno . full votlnQ ~.r.
Aft.r . vac.ncy has been announced and the 3D-day advertlslnQ period has .aplr'd, tha
Council r.vlM .\1 applicatIons durlll9 lh. Inforlllal work union. Tha appolnllllant Is
.nnounced at the neat forNI Council ~.tlnQ. Appolnt..s s.rv. as unpaid volunteers,
Council pr.ters that a\l applicatIons NIt be sublllHed to the City Clerk no laur
than ono week prior to the announced appotntllltnt dates. PLEASE USE A BLACK INK PEII.
TillS APPLJCATlON IS A PUBLIC DOCIJIEIIT AIIO AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR
THE PUBlIC, THIS APPLICATIOIl II\LL BE COIISIDERED FOR 3 HQIITHS DIlLY ,\110 AUTO~T1CALL1
COtlSIDERED FOR AllY VACAt(Y DURING THAT TIllE. ' VI-I/\" l..
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ADVISORY 8OARD/COItlISSIOII WJlE nlollJ bi".) r; It t c II/lilll/,"j/.IJ~ J "f o:.(\...-
IlAKE..HoWMUOY"lI.h ' HOllE ADDRESS~07 c.(C~ ~\J,''''' ,1.,
Is your hOClt tddrtU (1Ist.d abov.) within the corporat. IIl11lts of IOI/a City? '/c.o
OCCUPATlON~ 0 tf~ r".. ~,.. EHPLOYER J c. \ f .
PHOtlE llUH8ER: HOllE '3.r I :\ D ~ BUS\lIESS~1 ').1-7 If
EXPERIENCE A.IfD/OP. AtTlYITIES lAUCH YOU FEEL QUALIFY YOU FOR THIS POSlTIOtl:
I\JL" k.:.. /,,' Ii.. ' (, ,....~: if (..... J
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\/HAT IS YOUR PRESEtlT K1IOIIl.EDGE OF THIS ADVISORY BOARD?
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il.: C. '" ,'H C t.....
IIlIAT CONTRJBUTlOIIS DO YOU FEEL YOU CAll MAKE TO THIS ADVISORY BOARD (OR STATi' REASON FOR
APPLYItlG)? 'j; t '+,'w,(;;:', Ik ( f.J I'(dll"~ tr"-r
, ~,v" t. I. ,
'0\ "'.., 1..~.""..'1f . ."''' '..,~h
Sp.clflc attentIon should be dlrectad to possIble conflIct of Internt as defined tn
Chapters 362.6, 403A.22 of the Coda of Iowa. Should you be uncertain wIIether or not 4
potent hI conflict of Internt tx~S I, contact the Leoa' Dopartmont. 1/1\1 you have a
conflict of Interest? YES 0
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If you are not salected, do you want to be notlfled?..:6-.YES -'10
00 you currently serva on another Iowa Ctty Board or cOlll1ltnton? _YES .:b.-tlO
It has been Council polley not to permIt an Individual to serve on two Boards or COlll1lls-
slons at tha sama ttme.
June 19BB
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STATEMENT OF INTEREST
A 'YII' .nlll.r to .ny o( the (olfowfng qUlltfons will not nomurfly
tiC Iud. you (rOll coftllder.t Ion (or .ppolntr4nt to the low. City Broldb.nd
ttl'COl1'lUnlcatlo", COIl'lIllnlon. Howtwer, the In'orNtlon will mist our
LtG.1 Dtp.rtltnt In d.t.,.lnlng wh.th.r or not th.r. DIY .xlsl . con'llct
0' Int.r.st which would pr.clud. your (urth.r consld.r.tlon.
Art you or Is .ny lIltrilor 0' your Imtdht. '1Il11y or .nyon.
d~.nd.nt upon you I
.. An eDPloy.. 0' or . stockhold.r In .Ither H.rlt.g. Communlcl.
tlons, Inc., or. subsldl.ry or 11_lted plrtn.rshlp(s)
(Including Clbl.vlslon Assocl.t.s VII), the g.ntr.l p.rtner 0'
which Is or Is controlled by .ny 0' the lbov,?
YII NO..J::..
b. All eeployu o( or . stockholder In .ny radio or t.l.vlslon
st.tlon or ntWS publlc.tlon oper.tlng In lowl City or serving
the low. City .m or o( .ny paront COlllll.ny or subsldhry
therlO(, or In .ny oth.r Dlnn.r ."0 hted with .ny o( the
.bove ?
y.s No ~
c. An "Ploye., Itockholder, p.rtner, or proprl.tor o( eny
corporat Ion or bullnm lIII Ich hIS or Is lIk.ly to have a
slgnUlcant contr.ct or bUllnm connection with .lther
Herlt.g. COtIlIlUnlcatlons, Inc., or. subsIdiary or limited
p.rtn.rlhlp(s) (Including Cablovlllon Assoclltes VII), the
g.noral plrtner o( lIIIlch Is or Is controlled by Iny o( the
.bove?
Yel No o.t..
J, you hlv, Inlwer 'Y'I' to .ny o( tho above queltlonl, plelle Include I
COlllllI.to .xpl.n.tlon ullng .ddltlonal piper I' necelSlry.
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, CIIY Of IOWA CIIY _
1;"I'!I~ UUCOtflIf,IlCA1:Q'IS COl~'ISSIO'1 APPliCATION fO~
Indlvldu.1s IINlno 011 10.rdl/COlQlnIOnl pl.y .n I",ort.nt rol, In .dYlslno th,
Council on ~tt'r. of Int.r'lt to OUf c~nlty .1Id It I futur.. Appllc.ntl IUlt r'lld,
In low. CIty.
Th' City Council IIInOUllCtd Ad,IIory 8oard/COlQlnlon mancl" 90 d'yl prIor to th,
d.t, th, ,ppolntJItnt wIll bt 8Id'. TIIII p,rlOd prOYldu for. 30'd.y .dmtlslno p,rlod
.nd · 6O'd'l traIning Ptrlod for nN lIftO.rl. Th' tralnlno period .11011I n,w"trI to
btcOllt f..mar wIth tilt ruponllbllltlll .nd MIll of th, 'dYlsory board/cMlnlOll
befor, btcOllng , full .otlng _er.
After. m.ncy hU bten .nnounCed .1Id th, JO'd.yldmtlslng perIod 11I1 uplred, the
Council rulM .11 .ppllcatlonl durlno th, IMora.lwork IInlon. Th, ,ppolntlltnt II
.nnounced .t th, nt.t for..1 CouncIl lI,tl/lO. Appolnt"I I.f., .1 unpaId YOlunt"rl.
Council pr,f", that .11 .ppllcatlonl ~It bt lutlllltttd to tilt CIty Cl,rk no later
th.n OIl' wltk prIor to th, .nnounCed .ppolnlJlGnt datil, PlEASE USE A lUCK INK PEN,
IHIS APPLICAfIO~ IS A PUBLJC OOCIlIErIT .\1m AS SUCH C.\If BE REPROOUCED MiU DJSTAlBUTED fOR
tilE NOLIC. IHIS APPI.lCAflO', WILL BE COIISIOEREO FOR 3 ~UHS OI/LY ~'IO AUIOIl.\T1CALLY
COIISJOEREO fOR AllY VACAI(Y DUR/llG IHAT 11I(.
ADVISORY BOARD/COntlSSJOII rWI(.mL~, ~iJ.If,fISSIDIJ IERH~
HAlIE~ 'PIbQIf HOlE ADORtSS~~~.v , r.c. I'II{ 'Sz.ztIr
.
JI your h~ t4dr'II (111tld 'boY.) withIn tho corpor.t. Ilaltl of low. Cltyl ~
OCCUPATION ~ EKPl.OYER~
PlIOI/E IIUH8ERI HOHE~. IUSIIIESS--2:lriJ.~a~~q . ~-
mERIElItE AlID/OR ACTIVITIES IMJCH YOU fEEL QUALJfY YOU fOR TIllS PO SIr I 011:
~~€ A11kU~E~
\/HAT JS YOUR PRtSEIIT KHOIILEDGE Of TIllS ADVISORY BOARDl
\/HAT CDHTAlBUTlDIIS DO YOU fEEL YOU CAll mE TO THJS ADVISORY BOARD (DR STATE REASOII fOR
APPl.Y11IGll ~Etr
SpecifIc att.nt lOll Ihould be dlrtet.d to posslbl. conflict of InttrOlt n d.flned In
Ch.pt", 362,6, 403A.22 of the COdo of low.. Should you bo un"'t.ln .tI.thtr or not.
potent 1.1 conf IIct of lnt'rtlt u h~I I contact the Ltg.1 D.p.rtmont. 1/ III you hlYt .
conflict of Inttrtlt 1 _YES ..:t:.J/D "
"
If you .re not It lected , do you w.nt to be noltfl.dl 4YES _I/O
Do you currently I.ry. on .nolh.r low. CIty Bo.rd or Commllllonl _YES ~ NO:
Jt h.1 b..n CouncIl polIcy not to permIt .n IndlYldu.1 to I.ry. on two Bo.rds or Commls.
lIons .t Ih. I'mo tlmo.
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I. Espcrlencc and/or actIvitics which quality you (or thls pcnJtion.
I Jwncd aboIJl and partlclpaltd In Idccommunla1lons Iuues on a (cdcnllMI u a
LqWatlvo AsslSWIt (or U.S. Conll'WllWl Dennis I!cbrt o( Ohio rrom 1917throu&ll 1989.
Conll'WllWll!cbrt Introduced scvcral bills durlnl my lCtIure 10 Ilvo munldpalllJcs I\ICIl u
Iowa City tho ability 10 nqodalC ralr rranchlse IIrccmenll with ablo companies. I became
ramlllar with .eCfcct1vo compctltion. Wues, tho I<</ulkalIlandMdIWues recently nqodalCd
betwCCft cltlcs and tho NCTA, and US 11011IO and ScnaIC Iqlsl&llon conctmlnltho ablo
IndUSlty, On tho 1oca11M1,I undcnIand lhatllcrilllo CabIcvWon II owned by Tel, tho
Iat&CIt multlplo sySlCm opmIOr In tho UnllCd StaleS and lhatllll'Mll\ICS excud $3 million.
I am aIJo awuo thai ablo rileS hcfc In Iowa Clly llave 1ncrQIcd, litho DlIlO tlme that
compWnIl about poor service llave risen. In s/lort, my expcrlcnco with thlslullo on tho
rcdcrallMl and my Interest In tho IuIIo u a c1tllCll on tho IocaIIcvcI quality me ror a It.\t
on tho Broadband Telecommunications Commlulon.
II, Present KnowledlO or tho B~ TcIccommunlcallons Commlulon.
IlllldcnWld teml of oClko It 3 )'M ~ thai tho commlsslon mcctI monthly 10 dlJCllll able
lssuclsuch u subscriber complalnll and comp1lly rcqUCSII. I also undcntand ~tlho
commlulon will be Involved In rcnclodatlnltho rranchlse IIrccmcnt with Tel.
.
III. Contributlons I can make 10 tho board.
I would brlnllO tho Broadband Telecommunlcallons Commlsslon a knowlcd&o or tho Wues
on tho federalleveJ which would add a unique pcnpcct1ve 10 tho Commlulon, an InlmSlln
helplnllO represent c1tllCll conccms on ablo IIIIICI, and a wllIlnlncu 10 dcvoIo tho tlme
and encray ncccswy to help renc&otIalC tho rranchlse IIrccmcnt with Tel.
IlIavo applied 10 IctVO on both tho B~ Telecommunlcatlons Commlulon and tho
Commlttco on Community Needs. I undcntand tho Council docs noc pcnnlt Individuals 10
servo on more than one board or commission, so I would lib 10 SIaIC that I am moll
InlCl'CSltd In servln& on tho Telecommunications Commlulon. I rtallzc, however, lhatlhcre
arc many quallned peoplo who llavo expreucd an Interest In tho Telecommunlcatlons
Commission. IC you should choose someono else, I would IpprcclalC Itlr you would then
consider my appllcadon ror tho Commlttco on Community Needs.
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STATEHENT OF INTEREST
A 'y,,' answer to eny of the following qUilt Ions wilt not mlSlarlly
exclude you from consideration for appointment to the Iowa City Broadband
Te1tccmnunlcatlons COIl'Inlsslon. However, the Intorll4tlon will mist our
Legal Department In detefllnlng whether or nol thefe mlY exist a conflict
of Interest which would preclude your further consideration,
Are you or Is any lIltilIber of your lmedlate featly or anyone
dependent upon you:
a. An employee of or a stockholder In either Heritage Communlce.
tlons, Inc.. or a subsldltry or Itllted pertnershlp(s)
(Including Cabltvlslon Assocletes VII), the ~en'ral parln,r of
which Is or Is controlled by e~y o( the above?
Yes 110 x..
-
b. An ,mployee o( or a stockholder In 4ny radio or tele'llslon
station or news publication operating In Iowa City or serving
the Iowa City area or o( any parent company or subsldltry
thereof, or In any olher I114nner a"lltatfd with any of the
above?
Yes
flo )(
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c. An employee, stockholder, partner, or proprietor of any
corporation or business which has or Is Itkely to have a
significant contract or business connection with either
Heritage COlIl1lunlcatlons, Inc., or a subsidiary or limited
partnershlp(s) (Including Cablevlslon Associates VJI), the
genoral partner of which Is or Is controlled by any o( the
above?
YII flo 1'<..
If you have answer 'yes' to any of the above questions, please Include a
complete explanation using additional paper If necessary.
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. CITY OF 10~ CITY.
B~OADBA11O TELECOttlUlIICATlOIIS COIIIISSIOII APPLICATlOI/ FORlt
Indhldu.h IINlno on 8o.rdl/CO!l!llulonl pl.y .n l'1lort.nt role In .dvhtno tho
Council on ~tt.rl of tnt.r'lt to our c~ntty .no It I futur., Appllc.ntl mult r.lld.
In 101/1 City,
Th. City Council IIlnounCed Advllory Do.rd/COIl1lIlnlon vacanclu 90 o.yl prior to tho
cUU tilt .ppolnt.lltnt 11111 De IlId.. TllII perIod provldu for. 30'd'y .dv.rthlno p.rlOd
.nd . 6O'd'1 tr.lnlng period (or nOlI atIC.rl. Th. tr.lnlng period .llowl n'lI ~.rl to
D.cODt (uflllr 1I1t11 the r.lponllbllltl.1 .nd dutlu o( tho .dvllory bo.rd/comlulOll
bO(or, becoalng . (ull voting etftb.r.
Aft.r , m.ncy hll bun .nnounced 4IId the 3D'd.y Adverthlng period h41 ..plttd, tho
Council rtvlM .11 .ppllettlonl durlno the In(orll.1 1I0rk Imton. Tho .ppolntll.nt II
.nnounctd .t tII. nt.t(or..1 Council ...ttng, Appolnt..1 I.rv. .1 unpaid volunt..rl.
Council prt(m thlt III .ppllettlonl IlIUIt be lublltttd to the City Clerk no I.ter
th.n on. ~k prior to tIIo InnounCed .ppolntDtnt d.t.I, PLEASE USE A BLACK IHK PEH.
TIllS APPLJUTlOH IS A PUBLIC DOClJlEHT AlIO AS SUCH CAll BE REP~OOUCED AICI DISTRIBUTED FOR
TIlE PUBLIC. TIIJS APPLJCATIOII \lILL BE COIISIDERED FOR 3 HOtlTHS DIlLY AlIO AUTO~T1CALLY
COHSJDERED fOR AllY YACArcy OURU<<i THAT T1~.
ADVISORY 8OARD/COItIlSSlOlllWlE 5r. lJkwl .r; ,.~ ( ';'~"l'IlI,(.,6l'/1JERH N,\fd 11-,0/,,) YJ-
1W1E..1"~1I ,rt~l~1If HOt( ADORESS ,., U E (c\4rr. J~.
" YOl.lr hoClt Iddrm (lilted .Doullllthln tho corpottt. Illllts of Jow. City? (,hI
OCCUPATION ,~\lr'Mr r A,:>",,\,'.'I" EHPlOYER_l"tlN,t!MI'/J.Il,d
,
PHOIIE IA/HaERI HOHE-1J' 1 , 6 1/.)- BUSJl/ESS :i,j"j. C "J / )"
EXPERIEIlCE AlIlIIOR ACTIVITIES InllCH YOU FEEL QUALIFY YOU fOR THJS POSITIOtl:
., \,1:., fe. ,UJIl{ al .Tow., , . ({.I""'4t~. I' 110.1
'ho" r . ; tI h. "'Crt 01' (~,.", ,,','t' ud /
Cc,mlll. {t! . A'A' t he rJl' A''''r ' /),/ tl
\IIlAT IS YOUR PRESEIIT K1101A.EOGE OF nlls ADVISORY BOARD? .\~f'/.'" en RT C .f:I'
~!.,.,t. {:l4.f Yt'III' J ' Ch"t .fc,. t I,.~' 'J~d""
IIIIAT COllTRIBUTIOf'S 00 YOU FEEL YOU CAli !'.AXE TO THIS ADVISORY BOARO (OR STATE REASON FOR
APPLYIfIGI? :r hJ~~ IWf/ Vel(l .1" ~1It' 111 h~ /'e l'd",A", ,'1
f1NlHl 31ltl ~dllf U tlll.( th~ ICO.
. ....
Sp,clflc auontlon IhOl.lld Do dlroctod to ponlblo con(lIct o( Intorolt IS d'flned In
Ch.pt.rs 362.6, 403A.22 o( tho Codo o( low.. Should you Do uncert.ln whothor or not 0
potent III con(lIct 0' IntOfllt uhU, cont.ct tho Leo.l OopartlllOnt. Will you hm .
con(lIct o( Interflt7 _YES ..&.JIO
I( you .rt not stlocted, do you \lant 10 bo notified? " YES NO
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00 you curront Iy IOrvo 011 .nother Iowa City Board or Conmtulon? YES \. NO
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It hal boon CouncIl polley not to pormlt on Individual to lervo on two Bo.rds'or Commls-
Slonl .t tho lllIlO tllllO. '
Juno 1988
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STATEMENT OF INTEREST
A "YII" .nswer to .ny of the followlno qUilt Ions will not ntCtsurlly
,.clude you fron consldtr.tlon for .ppoln~nt to the Iowa City BroaobanO
TelecOlnUnlc.tlons COIlllllsslon. HMver, the IntorNtlon will mist our
Leo.1 Oep.r~nt In deterllnlno ~hether or not there DIY e.lst a conflict
of Interest which would precluoe your further conslder.tlon.
Art you or Is .ny _er of your Ilfllltdhte fllll1y or Inyone
dependent upon you:
., An eiployee of or a stockholder In either Herltaoe Communica-
tions, Inc" or. subsldl.ry or 1IIIted partnershlpls)
(Includlno C.blevlslon Assocl.tes VJII, the oeneral plrtner of
~hlch Is or Is controlled by .ny of the above?
YII No IX
b, An tlIlP'oy" of or a stockholder In any radio or television
st.tlon or ntlls publication operatlno In Iowa City or servlno
the Iowa CIty ma or of .ny p.rent COlllllany or subsidiary
thtrtof, or In 'ny other Dinner afflltated \11th Iny of the
.bove?
Yel N~ ~~
C, An tlIlPloyee, stockholdor, p.rtner, or proprietor of any
corporation or business lfhlch hIS or Is likely to have a
slonlflcant contract or business connection with either
Herltaoe COlIlIIUnlcatlons, Jnc" or I subsidiary or Itlllted
partnershlpls) llncludlno Clblevlslon Assoclltes VII), tho
Olnor.' partnor of lfhlch Is or Is controlled by Iny of the
.bove?
YII No ,X
If you have Inswer "yes" to Iny of the above questions, please Include a
cOllllllete e.planltlon uslno oddltlonal piper If necessary,
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till CflY cOUtle" Of IOWA CITY .. C~MlO All
APtOffllollHf 10 nil ,ouOWllO CQlM.IIIIlOI/:
,m1l1MC1 elllJJ,lIIIIOII
OllnectM'/ 1i11"' I,""
A'" I. IIU . A". I. 1111
I
Dol1iHI AHftW'" III"IIIC.1II4 ,,-MIItl,.-.-
IIH4 " lilt CllY 01 "'" CllYl IIoWt 1\IIIIIIt' iMoMflt
tnlflo (II ....... II ,tMtioIIlII ,.,. Of .tIl,..,...1iOII1II4
oeclll"" lilt ",.o'"'''1't lilt leeto 0' lilt ...., AlIIf
~~~.. .... "tioIIlI pmidt4Ir1C....'II.oCl
0' lilt Code " lcrilL
"'" Cil't .,.oiIIIM ~, 0' NII4' 11I4 .ormlittloM
/11III'" ....... e*1Ift 01 lilt Cll't 01 lcril' CIl't, loI4mWIol
lilt CiYtIltnlc. Comm!tlioll"""I lit ,toWIII" 01 lilt Cil't 01
low' Cll't "".... lhoiI....-L
lhlt .,.oiII-' w.I" rNdt " lilt ....'" J. 'IU. _to
IIIg 01 lilt CII't COIII\C' 'I 7IJO,.II\. III lilt CO\IIICll ~I,
',,101II 11I1,,"114 III HiIIt ,tI\IWtIMIII "'" ,otillOll tlW4
'OfIleel lilt Cll't CII/\" lilt CMe CIII'". .10 I, WeeIliIIo\4ll
'VIIL AP9kotiolllOllM '" IV""'" '101II lilt C\II\" oWeo
""" ,eqlltlL
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KALES I
rDlALESI
Kmh 3, 1992
CIVIL SERVICE COMMISSION. Onl vlclncy . Slx-Y.lr Tlra
April I, 1992 . April I, 1998
Klchlll W. Konnody (Hlo .orvod I full tora.)
608 St. Tho..o Ct.
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KALES I I
FDlAL!S1 I
SERVIC! ~ISSION . On. vacancy. SIK-y.ar T.ra
April I, 1992. April I, 1998
Hlcha.1 W, K.nn.dy
608 St. Tho . Ct.
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, CITY OF IOWA CITY.
ADVISORY aoAAD/COHHJSSIO~ APPLICATION FORM
IlIdhldvlh IINIIlO OIl Imdl/Comluloftl pl.y .n Il'Clortlnt role In .dvhlllO the
Council OIl alttlrl 0' Interut to 0Ilr Comlnlty.nd Itl future, Appllc.ntl Mt rnlde
In lOll' Cfty.
Tne City COIlncll .nnOllnCIil Advllory 84ard/Comlnlon vlClncln 90 dlyl prIor to tne
d.te the .ppolntltnt viII be aide, Thll periOd provldll for. JO'dlY .dvlrtlllnq p.rlOd
.nd . 6O'd'y tr.lnlnQ periOd for ntv nemoerl. Thl tr.lnlnQ perIOd .110Wl nlv Demeerl to
becOllt f..lllar vltll the rtIponllbllltln .1Id dutln of the .dvllory bo.rd/COlllllulon
bffOte beCOllI/IQ I full votlnQ IIlIfCtr.
After. v.c.nCll11l beell IIInOllnCIil IIId the JOodll .dverthlno perIOd hU e.plred, the
Council revlM .11 .ppllcatlonl durlnq the Inforall vork unIon, The IppolntlAent "
.lIlIounclil .t the nt.t fo,..l CouncIl ..etlnQ. Appolllteel Ilrve .1 unp.ld volunt.erl.
Council pre'''' th.t .11 .ppllcatlonl AIllt be lubllltttd to the City Clerk no hter
t11111 OIIe VHk prIor to tile IIInOllnctd .ppolntlAtnt datU, ,PlEASE USE A BLACK INK PENI
TIllS APPlICATlOII IS A PJILIC DOC\J1ENT AItl AS SUCH CAN BE RtPRODUCED AIIlI DISTRIBUTED FOR
TIlE PUBLIC. TIIJS APPLICATION \lILL BE CDNSJOEREO FOR J HONTIIS ONLY AND AUTOt'.\T1CALLY
CONSIDERED FOR AXY YACAICY DURJHG TIlAT TIlE.
ADVISORY IOARO/COIflISSIDN 1WlE~ ftl"l\ (",,"W,," TERM dH-
IWiE ~ HOlE ADORESSJ:ai.1tT11..."" U ];,'fI (1.J.,-'i. 1'I1"f
I
II your hoet Iddrm lllltlil lbove) vlthln tile corporlte 1I.lt, of lowI City? ~-t-I
OCCUPATION 1.t.'N:J,,-r EMPLOYER r..../f
PIfONE MlII8E~1 HOlE 'J1'l-HII BUSINESS JS 1- WI
mUIUC€ /.:Cleft ACflYlTlU lMlCH YCU fEEL QUALIfY YCU FOR TIllS I"JSmolf:
11.', ..\l,\'~\V r 'J~: '..,.M ..., flu.. c.~" f,'.''l. ('.",Illlr,,;\ j....II""
J1,J'" t.:. (II AI CA.'~tt"lm.
I
\/HAT IS YOUR PRlSEHT KHOI4.EOGE OF TIllS ADVISORY BOARD? f"'~\J"J'( J tf., k tJ\ f. d tJr4-
...:r 11...'-. L.1.f'\ fY\ +hJ L","'llltn-, \)" 11""'-"
\/HAT CONTRIBUTJONS 00 YOU ,FEEL YOU CAN HAKE TO TIllS ADVISORY BOARD lOR STATE REASON FOR
APPLJ:~~I}et t:~'~ t.~~ ~','t!,'l';:':;'~1 ~:tJ~j:/J'7H~:"C-
, nf\n\ reI,,.., IW m/~ f"J .
SpecHtc IttentlOll should be dlrect.d to poulble con'lIct 0' Internt u defined In
Chlptm m.6, 40JA.22 0' Ihe COde 0' 10111. Should you be uncertlln whether or not I
potent III COI nlct 0' Internt ex lit, , contact the L1911 Oeplrtment. \ltll you hive a
conflict 0' Intemt? YES "'-.NO
- -
Jf you 1ft not IIlected, do you wlnt to be notlfl.d? '" YES NO
- -
00 yOll current Iy 11m 0/1 Inother JOWl City Board or COtlllIt II Ion? YES 'NO
- -
It hll bl.n Council poltcy not 10 permit In tndlvldual to ,.rve on two BOlrdl or Comml,-
,Ionl It the UIIlI tlllll. ,
June' 1988
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ntf OTY COUIlCl Of IOWA ON II CO/'SIOWIQ AIo
POWlwml TO ntf 'OllO\WjQ COI.WIISlOH:
tfl!'~ "''''''VAMf' ~OUUll!fOfl
~ vlUIlCy , T1w""f'" Tfllll
~CII 21. 1112 'I.IMCII 21. 1111
~ vlaftCy , T1w"'lt" Tfflll
I.IMCII 21, 1m. I.IMCII 21. 1111
~'\ttll."". 01 ,-.Ilt". 0.'1/1(11
DIIlit. 0/ 1/1I ""011C PlUttV.,iOII COIM'tiIIiOll irdi.<dt:
CGrlMlilo .hlkl /01 ~ ~!U~ I/l:l il:'oTIIt..., VI
",110Ii0 Dillricll; I~ I/ld Kl.W'9 *" II ~liOIII
101 Ctf1I,,g1l 01 ~~OO/"'.".u: ~"""G ~III lIfOOflry
0Wlltf.1/ld Ciry tef/IClt. II9I1!Jrt ItllIllIy 01 dMltttOlll
condolionl; 'IlIl/IIt""G 1/1I.11011. 0/ NlIoric 1lI.lttVllion in
1/1I Qry ~ /N~ ItcOlMltnllllionl 011 1lI.lttVllion 1.1.""..
IOIhtn '~OlI/iIlt. ~ tnCoo".~ 1/1I lIfOltclion I/ld tflo
Nnctflltfll 0/ IlN:IIlIU \Villi NI~ IIcNltclUr" 01
Mill" VM.t.1/ld ~ tnCoo"lOirt PflIOIIII/ld OIOl/'iUlionI
10 btcotnt InvoIvtd In 1lI'IttV.lion Klivilit.,
TN. CommIulon m"III/11UCond Tuud'1 ol.1CII IllOIIlh
., 7:30 p,rn. low. Qry IPOOinltd 1lltfIIbtt. 0' ~dlllld
COIM'tiuion. ""'" bt .'tOIt tltclOlI Oll/'ot 011 01 low.
Qry,
TIlt,. 'Poolnlllltflll \VtI bt INdt "I/'ot ""'ell 3, 1m,
'""lilt 01 ,,,. C"1 COIIlC~ " 7:30 p,m, In I". CO\oIIlCl/
CNtnbttI, 1'tl1OII11n'ff.lItd In bto/'<G COIIlidtftd 1011/1I11
pOlI'ionIl/lWd CO/IlICII/II 011 C1tl~ ."". CIVIC Ctnlff,
.'0 r. W'IIW1oIOll I"",, ~~lion IOIml.,. 'vl<llblt
from 1/1I C1t'~'. 011'(1 *" ItqUtll.
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IIISTO.le P.UE.YATlOII ~ISSIO!l On. vmncy . Thro.-y.., tona
IImh 29. 1992 . HArch 29, 19U
Dav. rluonl
103 S. 7th Av.nu.
~.vln II. lIanlck (II.. IIrv.d I rut I t.na.)
1830 Frl.nd.hlp St.
Poul E. And.rlon
1125 E. Burllnlton
On. vlclncy - Thr"-Y'lr t.na . Ilarch 29. 1992 . Ilarch 29. 1995
(aoprolontltlvo of Bu.-It Str.ot DI.trlct)
JlY SODOI (II.. "l'Yod In unexplrod tona.)
331 S. SUnlit St.
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l~~ COKM1SSIO~ Onl Vlclnc, .
I\Jrcb 29. 1992 .
Ona vlclnc, . Throo.yolr ta. cb 29. 1992 . lIarcb 29. 1995
(RipfiiintaClve of SW!!lc .~r..c D1I lct)
Dava Panonl
103 S. 7tb AVlnUI
\
Klvln II. Uanlck
1830 'rlondablp St.
'aul !. Andorlon
1125 !. lurllnlton
Jay So..l
331 S. SUallt St,
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_ CITY OF 10~A CITY'
ADVISORY BOARO/COttllSSION APPLICATlOII FORM
Indlvldua" Imino on eoardl/Comlulonl play an Important role In adv\llnQ the
COuncil 0/1 IlItterl of InterOlt to our cOMlunlty and It I future. Appllcantl mUlt
rllldl In Iowa City.
Thl City Council announced Adv\lory eoard/COllIllulon vacancl" 90 days prior to
thl dati thl appointment will b. made. This perIod provldel for a 30'day advert II'
1119 ptrlod and a 60'day tra In 1119 per lod for new mfftlberl. The tra In InO periOd allM
nlw _ers to b.COllI f~lIIar with the rOlponl Ibll It III and dut III of the adv \lory
board/c~llllon blfor. blcomlno a full votlll9 ~er.
Aftlr a vacancy has bun announced and the 3D'day advert 111119 plrlod has uplrtll,
thl Council mllWl III appllcatlonl durlno the Infonnal work Stlllon. The appoint-
IlOnt \I announctd at thl nut fomll Counctllllutlll9, ApPolntl" serVI as unpaid
yolunteers ,
counc II prlfers that all ,ppllcat 10nl /II1llt bt lubmltted to thl City Clerk no
laW than 0/11 Wllk prior to thl announctd appolnlllllnt datil. PLEASE USE A BLACK
\IlK PEN,
nlls APPl.ICATlOII IS A PUBLIC DOCltlElIT AfID AS SUCH CAli BE REPRODUCED AIID DISTRIButED
FOR TIlE PUBLIC. TIllS APPLICATION IIlll BE CONSIDERED FOR 3 HDIITHS DIlLY.
ADVISORY 8OARO/COItIISSIDII NAME H1ator1o preaorvo.t!on TERII '-YOIIr
M Do.v. Po.raona HOHE ,\ODRESS 10) South 7th Avonue
Is your haml addrm (lilted above) withIn thl corporatl limits of Iowa City? '(ea
OCCUPATIOll Controllor EMPlOYER Frohwo1n ott1co Supply
PIlOIIE IM!BER: HOME ))8-4913 BUSIIlESS 3J8- 770)
EXPERIEllCE AlID/DR ACTIVITIES \/HICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
~ Lit.long Iow~ City r!!14@nt
+ Longotand1ng 1ntoroot 1n contury-old tuildin4s and architecture
+ I own All AVAilAble booka on Iowa City And U ot I History
+ Busybody
IIIlAT IS YOUR PRESEIlT KIlDIllEDGE OF THIS ADVISORY BOARD?
Conduota studieD tor the idont1tico.tion And preservation ot h1stor1c
bu1ldln<<s And diatriota, roviowa and providos input on applications.
\/HAT CDIITRIBUTIOIIS 00 YOU FEEL YOU CAll ~KE TO THIS ADVISORY BOARD (OR STATE REASQlI
FOR APPlYIIIG)? I ~ d liko to holp onsuro tho.t Iowo. City oxploroo evory
opportunity to pro servo and rootore hiatorio otructuros and distriots,
SplclflC attlntlon should be dlrlcted to POlllbll conflict of Interelt as defined In
Chaptlrs 362.6, 4D3A.22 of the Code of Iowa. Should you be uncertain Whether or not
I potential conflict of Interest exhtl, ~ontact the Leoal Department. 11\11 you
have a conflict of Interest? YES -,. 110
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If you are not selected I do you want to be notified? X YES 110
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Thll application will be kept on file for 3 monthl and
autOllat Icall y coni Idered for any vae ane y 1urlnO that t tlllO. January 1986
#37
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, CJry OF JOWA CITY,
ADVlSDAY 8DAAD/C~ISSIDN APPLJCATIOII FORM
Indlvldu.1s liNIng 011 80.rdI/CCl:ftISSI01l1 pl.y '11 'll'Clort.llt rol. III 'dvht"9 the
Council 01\ catt.rl of IlIt.r.,t to Our C~lIlty .nd It I fUlur.. Appllcantl must r.sfd.
In JClt. CIty.
Tn, CIty Council IftIlOUIICtd Adv Isory 804rd/Comlnlon vlClnc Its 90 dlYI prIor to tnt
dati the aP9olnC%fnt 11111 be I14dt. This PtrlOd provldts for. JO-day .dvtrthl"9 PtrlOd
.nd · 6O-day tr"lllnO ptrlOd for n~ ~trl, the tr.lnlnO p.rlOd .1 laws n'lI m'~.rl to
bfCOl:t flAln Itr IIlth th. rUPollllblllt Its 'nd dut Its of the 'dvlsory board/comfsllon
b.for. btCOftlno . full vOtlno etIt.r.
After · vlClnCl hll be.1I 'IInOUnCed 'lId tIl. JO-d.y .dvertlslng p.rlOd hu .~plr'd. tn.
Council rltl.1II .11 'P9llmlolll durl"9 the Inf0rm41 1I0rk Stsslon. Th. 'ppolllt.~'lIt Is
'IInoUlIc.d .t tilt n'lt foreal Council ~.tlno, Appolnt.., I.rv. ., unpaid volunt..rl,
Council pr.f.rs th.t .11 'P9IIC1tlolll IlUlt be subllltted to the City Clerk 110 hter
th.n 011. Wt.t prior to the .nnounCed appolnlmtllt dattl. PLEASE USE A BLACK INK PEN.
THIS APPL JUTIOH IS A flUBLIC DOCl.OlEIfT AND AS SUCH C.IN BE A!PRDOUCEO AllO DISTRIBUTED FDA
THE PU8L1C. THIS APPLICATION \l/LL BE CONSJDEAED FOA J HOIITHS DIlLY AIID AUTO/';\T1CALLY
CONSIDERED FOR A.'IY VACA/CY OURJ/jQ THAT TIllE,
AOY/SORY 84ARDICOHf/SS/ON IWlE Hhtorlc Prutrv.tlon COIIIluton TERM
IWlE K,vln H. H.ntCk HOlE ADDA!SSJJ]O Frl,nd.hlD St. .lowl Clty,IA 52245
JI your hoet addr'll IIIIted 'bov.) IIlthln tIl. corpor.t. I,,'tl of low. City? V'S
OCCUPATION Rllltor EMPLOYER L'~tc-Kro.g.r'R'lltors
PHONE HUH8ERI HOlE 337-78]4 8USJNESS 351-8811
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITJDN: 1.) I IUD.rvls.d
the historic rlltor.tlolI of 8rMr 5 ulr n Advtr hln Thr
busln.,s. I .. IWlr. of clt -wid, rtll .st.t. d,v.loDl.nts .nd 3. I first r.sld.d III
JOWl Clt In 1965 .nd .. f..llllr'wlth the Chili " cr.lt.d b the Urblll A.n,wll Pro rim.
r d n h, 011I1 lOll f r on, I'll Ind uld Ilk 0 n Inu. off.rlnv Illy ..rvlc..
WHAT IS YOUR PRESENT KNOWLEDGE OF THJS ADVISORY SOARD? Hy Dr'S.llt knowl'dg, of th,
HIstoric Pr.s.rvltlon COIIIlsslon Is thlt It ..Intllns Ind DrOlOt.s the historIc ISD.cts
of low. CIt .
IIHAT CONTRIBUTIONS 00 YOU .FEEL YOU CAlI /W(E TO THIS ADVISORY SOAAD lOR 'STATE REASON FOR
APPLYING)? I f..1 thlt .s I r.lltor, I cln Drovld. '" Idd.d dllll.nslon to th, Commlssloll
wh.n ,vllultln the .,rlt of ro ,cts und.r r.vl.w. Hlvln ..rv.d Oil th, Commission I 111I
IWlr. of Indlvldull ro ,cts the Comml..lon hi' r,vl.w.d Ind COlli I.t.d.
SpecifiC .tt.ntlon Ihould b. dIrected to posslbl. Conflict of fnttfut .1 d.ftn.d In
Chapters m.a. 40JA.22 of the COd. of JOWl. ShouJd you b. uncert'ln whether or not.
pottntl.I Conflict of lnterllt 'llstl. contact the Leoll Department. \ll\lyou have.
conflIct of Int.r"t? YES X NO
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If you .r. not I.Iect.d. do you lIant to be notlfted? X YES NO
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Do you currentlyurv. on .nother low. City S04rd or ComlSSlon? YES X NO
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Jt h.1 been CouncIl poltcy not to permIt an tndlvldual 10 I.rve on two 80ardl or Comml,-
Ilonl .t th. lame time.
Jun. 1988
q37
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, crrf OF JOWl CITf '
IDYISOar aC1=~, ::MMISSJO~ IPPlICITIO~ ,~~
Ind h (du.1s I.,.lno 01\ 10.rdllComl" 10111 p hI III II'00runt ro 10 In .~, I 11"9 tho
Council 01\ ....Um 0' tnterllt to OIlr cOtJlllnttl .nd Its 'uturo. lPOIIClntl ftlIt rllt~o
In low. CItI.
ThO Cltl COIlncll IIlnOllnCtd Id,IWI ~rd/Cornl,,(OII m.nct" 90 d./I prIor to thO
d.to thl .ppolnt..nt 11111 Of ..dO. TIIII plrlOd pro,ldll for I JO'd., .d,ortlll/l9 p.rlod
.nd . 6O.d" tr.lntn9 period for ntv ftt'Oorl. TII. tr.tntn9 perIod .110.1 nOli atlCorl to
bocOllt f..nllr IIlth thl ruponllbllltlll .nd dutlll of tilt .d,IIorl bOlr~/cornl"tOll
O4forl OfC04ln9 . 'ull votln9 llOIClr,
After. vlClnc,lIu Ofln .nnOllnctd IIId tIIo IN., adftrtlllnQ perIod 11I1 oaplrod, 1II0
CouncIl revlM .11 .ppllcatlonl d1lrlll9 thO In'Oflllllort Ulllon. ThO .ppolnllfnt II
.nnouncod .t tIIo nelt 'oreal CouncIl ..otln9. AppOlnt.ol lor,1 .1 unpaid voluntoorl.
Council prefe" th.t .11 .ppllcatlOlll ~It Of lu",ltttd to thl Cltl Cllrt no lIur
tn.n onl _'0' prior to tIIO .nnOllnctd .ppolnt..nt d.tOl. P\EASE USE A 8llCC I~( PEN.
THIS APPlJCmOIl IS A PUlllC DOCl.'4UT I'CI IS SUCH CAlI Il atmouCED 1',0 DISUI8UTEO ,~q
THE pu8lJC. ilUS lPPllc.uIO~ Will 8( CO~ISIOERED FOR J IlOIITIIS O"l.Y 1~IO luT~""T\t1LLf
COtlSIOEREO FOR ,\,'ft '/ACAPCY oualtlG THAT TlIll.
IIIlAT IS YOUR P~SENT KHOIMOGE OF THIS ADVISO Y WRD7 ~ ^" C\ua.fUoIlC ~
~~ M'"tUl~ ):.wJ ~ ~DI.~..k... IJ:~
\/HAT CONTRIBUTIONS DO YOU,FEE\. YOU CAll HAKE TO TIllS ADVISORY IDARO (OR STATt REASOH FOR
APPLYING)7 ~ 't..u..Wr J,. ~~ ~ :PoHo c.'t"~1r rUI..,.! ~pf,~~
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SPIcUIC .ttlntlon Ihould Of dlrectld to pOlllbll conflIct 0' Intlrutn dlflntd In
Ch.ptm J6Z.6, 40JA.22 0' tho COdo 0' Jow.. Should IOU Of uncert.ln lohlther or not I
potlntlll conflict 0' tnterllt ulltl. conUct thl LtQ.I Oop.rtlltnt. WIn IO'J "'vO .
conflict 0' Interllt7 _YES LND .J
I' IOU .rl not loloctOd, do IOU lI.nt to Of notl'lld7 ~YES _____NO
Do IOU curr.ntll lorv. on .noth.r low. Cltl Bo.rd or C~IIllon7 _____yES ~ NO
Jt h.1 been CouncIl pollcl not to p.rmlt .n Indlvldu.l to lorvo on two 80.rdl or Commll'
Ilonl .t the I.me ttme.
June 1988
~37
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. CITY OF 10vA CITY .
mlSORY BOARO/COI94ISSION APPLICATlOII FOR.'!
Individuals servlll9 on Boards/COI11llsslons play an IlIQortlnt rolt In adtlSl~ tht
Council 0/1 NUe" 0' Interest to our cOll1lllnlty and Its 'uturt. Appltcants A1st resldt
In Iowa city.
Tht City Council announced Adwlsory Board/CO<lr.lhslOn tmncffl 90 d'lI prior to Ule
datt the appointment will be ID.lde, This period prottdes 'or a 30'day adtertlslllll period
and a 60.da1 training period 'or new members. The training period allaos new C4~ers to
becone tallllltar with the responsibilities and duties 0' the adtlsory board/comlsslOll
be'ore becoming a 'ull wotlng IIltmber.
After a wacancy has bun announced and tht 30'day adwertlslng ptrlod has elplr~, tht
Council rewl.ws all applications durlno the In'orlllal work session. The aP\lolnt:tnt Is
announced at the nelt 'orlll Council lIltetlng, Appolnte.s serwt as unpaid wolunte.rs.
Council prefers that all applications aalst bt subllltt~ to the City Clerk no law
than O/Ie week prior to the announced appointment dat.s. PLEASE USE A BL~CK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUMENT ArID AS SUCH CAlI BE REPRODUCED ArlO DISTRIBUTED FOR
THE PUBLIC, THIS APPLICATION \lILL BE COIISIOERED FOR 3 HQIITHS OIlLY AIID AUTOAATlCALLY
CONSIDERED FOR ANY VACANCY DURING THAT TIME,
ADVISORY BOARO/COHHSSIOtlllAME Hlltorlc Prlllrvltlon lUll
IIAME JIY S,IlI.1 HOME ADDRESS m S. Sumlt St.. 10lI1 Clty,lA 52240
Is your hOIlll address (listed abowe) within tile corporate IIllts 0' Iowa City? YII
OCCUPATION Adlllnhtrltor EllPLOYER Unlvtrllty 0' 10111
PHONE NUHBER: HOME 33806321 BUSINESS 335-4034
ExPERIENCE Ah~/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
I hay. b..n In Ictlv. ..mb.r of the Summit St. Assoc.; I hlv. partlclplt,d In nilqt.borhC4d
d.v.lo m.nt .fforts In lowI Clt . t I h.v. . r.lsonlbl. IIY p.rson's knowl.dg. of Irchlt.ctur.,
pllnnln I,sth.ctlcs, lowI City history, .nd Summit St. history.
\lllAT IS YOUR, PRESENT KIlOIA.EDGE OF THIS ADVISORY BOARD? I hlv, I.t the BOlrd, Robert
Hlklo, Ind Dlvld J.ps.n d.scrlb.d Its functions to'IlI' r.c.ntly Ind In the PISt, I hlv,
r'ld the Commission's d.scrlptlv, brochur.,
\/HAT CONTRIBUTIONS 00 YOU ,FEEl. YOU CAll I'.UE TO THIS ADVISORY BOARD (OR 'STATE REASllH FOR
APPLYING)? I.) J Ilv. on Summit Str..t; hlv, plrtlclplt.d In SumIIlt Str..t pr.s.rvltlon
~tl.s Ind" Cln r,pr.s.nt the Summit Str..t Historic District; 2.) I wlnt to pr.s.rv.
or r.stor. 10wI City's historic h.rltlg..
SpecifiC attention should b. directed to possible conflict of Interest IS defined In
Chapters 362.6, 403A.2Z of the Code of Iowa. Should you be uncertain whether or not a
potential con,ltct 0' Interest exists, contact the Leqal Department. 1/111 you hm a
conflict 0' Interest? YES X NO '
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If you are not selected, do you want to be notified? X YES 110
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00 you currently serve on another Iowa City Board or Commission? YES X NO
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It has been Council policy not to permit an Indlwldual to serve on two Boards or CommlS.
Slons at the same time, ;
June 19B8
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TllE CITY COUNCl OF ~A CITY IS CONSIDERING
APPOINTMENTS TO TllE FOI.LO~O BOARD:
I
/.lAVOR1 VOUTH EUPLOVI.IENT DOARD
Two VICInd.. . Tht..,.III.Iln.
~115, 1892. ~"5, '"5
. It lilt cMy 01 lilt MtyOI'. Youth ElIIpIoymtnl IloW 10
pIovldt Iobt It MM p!till. non-pldl Ind pIIbIo OIgW"
llont 101 d4ldvlnltgtd )'OUtII h Johnsen CourIy,
low, Cfy IppOilltd /llfl!lbt/l 01 boInl. IIId CO/Mllulont
IIIUII be tlgblt .ltdotl 0I1ht Ciy 01 low, ClIy,
TIItt. ~1lIInlI d be 1IIId. It lilt J.IWI 3, '"2.
~ III lilt ~ ~Jt'dl1I7~ p.m.1n Iht ~ Cfiim.
btII. PflfOIIt InltrHltd III being COIItldtrtd 101 lilt.. polillnl
IhMl conttcl lilt Cfy Clt~ 'I Ill. CMo C'nltr, .10 E.
W~ Slt.tL ~tlIon tonnl II' .11lltblt lrom Ill.
Cltr\.. oIllc.1IpOII Ifqutll
III IAlI UINI_OIO_ 111111. IOU CIlI, IOU 1"""1/...111' III...... I.. .11" """~38
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KArch ), 1992
KAYO.'S YOU11I EKPLOYMENT BOARD . Two Vlclnclll . Thrll-Yllr tlr..
April IS, 1992 . April IS, 1995
DIVI Jlcoby (II.. .Inl.t In unlxplft.t tll1l.)
5)0 lit AVlnul
Loftn Fork. (II.. IIno.t In uno.rlft.t tll1l.)
7 Arbllry Dr Ivl
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KIrch ). 1992
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DIP\.OYltCfT IOAIU) - tvo WIeand.. . Thti,ar um
AprIl I', 1992. ~ril I', 199'
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, CITY OF IOWA CJTY ,
ADVISORY !OARD/CCHHISSION APPliCATION FO~
Indhldulh WV'II9 011 Bo.rdS/CCIlIIllllslons pl" .n t'OorUnt role In 'dtISt~ the
Council 011 ~tters of tnterest to our c~nftl and Its futur.. Appllc.nts ~st reSide
In lOll. CIt"
Tn. Cltl Council .nnounced Adtfsorl BWd/CQlnISSlon vmnctn 90 d'IS prIor to tilt
me tn. 'pjlolnt.llfnt will Ct !4de. Thts oerlOd prOttdn for. lD'd'l 'dterttSI~ periOd
.nd . 6O'd'l tralnln9 periOd for new ~ers. TII, tr,'nln9 periOd .II~", /\fw lfI'Ct" to
cec~ hmllt., ~ftn th, responslCllltles .nd duties of tnt .dtllorl ce'rd/COll!llsstOll
eef or, Ctcomtn9 . fu II votlnQ C'lfllCer.
After. vmncl has eftn .nnOllftctd tIld tll. lO'd" 4dYfrttstnQ WIOd has ..ptrtcl, tll.
Council rtvl.", .11 'PPllcatlons durt/lQ tn. Intorll4l wort smlOll. Tne IDOolnt~.nt IS
.nnounctd .t tll. nut forll41 Council ..etln9. Appolntm Itrv, IS unp.ld fOlunt..,s.
Council prefers that .11 'DOllcatlons '-1st Ce sublltttcl to tilt Cltl CI.rt 110 later
th.n 011. w..t prior to tIl. .nnounced .ppolnUltnt mn. Pl.USE USE A lUCK IHe PEN.
TIllS APPlJCATlON IS A PUBliC DOClRlENT MID AS SUCH CAlI 8( RlPRODUCED AIel DISTallunD FOR
THE PUBlIC. THIS APPllCATION \llll 8( CONSIDERED FOR J HONTIIS 0111.1 AllO AuTD""TICAlU
CONSJDERED FOR ANY VACA/(Y DURING TIIAT TIME,
ADVISORY BOARD/COltllSSION rwlE m(lIp'v~Ji. ~J"". TtRH "fi~/~) . 11/1,/,,>,
rwlE..Qow (J11~ HOIiIDORlSS~ 4JtlLL Ie. 52245
Is your hOmt 'd/rm (I (st.d .Cove, within tll. corpor.te 1I,lts of low. Cltll 'f'A-
OCCUPATION SIJP~RVlt;IJR EHPI.OYER JrPA/p:T
PHONE NUMBER: HOlE 339-/~l/(' IUSJNESS 35Q-2272.
EXPERIENCE AnDIOR ACTIVITIES WHICH YOU FEEL QUALJFY YOU FOR THJS POSJTJON:
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\/HAT JS YOUR PRESENT KHOI/LEDGE OF TIllS ADVISORY BOARDl
\/HAT COIITRIBUTIONS DO YOU ,FEEL YOU CAlI ~E TO TIllS ADVISORY IOARD (OR STATE REASCH FOR
:;t d:f:rar ~:;.tt;~~~ ~er; U46tVJ1t.l,
Specific .ttentlO/l should be directed to pOSSible conflict of Intmst as deflntcl In
CII.pt,,, 362.6. 40JA,2Z of the COde of Jow.. Should you be uncert.ln whether or not.
potentl.l conflict of Internt u~~. Conlact the Leq.1 Oepartment, \1111 Y04J hlft .
conflict of Inter,stl YES ~NO
Jf you art not sel.ct'd~OU' w.nt to be not'lfled? AYES _NO
Do you curr,nt Iy serv, 0/1 .notller, Jow. C.lty Board or COIImfss Ion ~ES ,0 n
It lias be,n Council policy not to permIt .n Indlvldu.1 to sery nltwo BOJr~s.2r c~is-
s Ions at tht same time. NJ3 Z 91991 L:"
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aDVISORY BOARD/COHHISSION APPLICATION FORH
!ndhldu.1s serving on Boardl/Ccmlulons play an llI1lortant role In .dllllng the
Council on IIIo\tters of Inttrtlt to our cOrmlnHy and It I futur.. Appllcantl!\llt rtlld'
In Iowa City.
The City Council .nnounced Adtllory Board/Comluton tIC.nclts 90 d'/I prior to lne
d.t. the appointment will be IIIoIde, Thll period prOtldel for. 30'd'Y .dtertlllng perIod
.nd . 5O'd.y tratnlno ptrlOd for ntlllllt<<CtrI. The tr.tnlno period .1IM IItIl otICtrI to
becOlll f.mtllar with Ihe ruponllbtlltlel .nd dutltl of the .dttlory board/comllllon
before blcomlno a full votlno member.
After. tac.nCI h41 bI.n .nnounced .nd the JO'd'l advtrtlllno period nu uplrtll, the
Council ruleWl all .ppllutlonl during the Inforll\ll work union. Th. .ppolntment "
announced at the n..t formal Council mtetlno, Appolnteel lerv. .1 unpaid tolunt.erl,
Council prefers that .11 .ppllutlonl ",lit bI lubnlltted to the City Clerk no later
than one week prior to the announced .ppolntment d.tel. PlEASE USE A BL~CK INK PEN.
THIS APPLICATION IS A PUBLIC DOCUHENT AIIO AS SUCH CAN BE REPRODUCED AIel DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION \lILL BE COI/SIDERED FOR 3 HQIITHS orlLY AlID AUTOl'.\T1t.\LLY
CONSIDERED FOR ANY VACANCY DURING THAT TJHE.
ADVISORY BOARD/COlfllSSIOII IW4E ".vor'. Youlh E.pIOVMnl Prw'" TEAH 111\192 . I/I~/"'
llAHE !,oren rorb.. HOlE ADDRESS 7 Arbun Orin, lov. Cll,
II your homt .ddr.II (lilted .bote, within the corporate Ilmltl of Jowa City? v,.
OCCUPATION '~II..pl"" ".~h tllftr~tM'nr EIIPLOYER IInlv.r.llv or 1~./h"lIn~
PHONE IlUKaERi "OMf JJ~-51.5 BUSINESS 11\.~\4~
EXPERJENCE AlIO/OR ACTIVITIES \MICH YOU fEEL QUALIFY YOU FOR THIS POSlTJON: I hUt In
Inl.r..1 In Ih. oul or door., con..rv'llon, .nd Ih. .nvlron..nl. I r.c.ntl, Ilnl,hld ·
Ihlrd I.,. .. pr..ld.nl or Ih. lov. Wlldllr. r.d.r.tlon .nd lor th. n..t two v..r. viII h.
the .t.l. r.pr...nt.tlv. to th. ".tlon.1 Wlldllf. r.d.r.tlon. I .1.0 ..rv.d .. pr..ld.nt
or th. John.on Co. Ik.. for thr.. v..r.. I h.v. ..rv.d on the Cov.rnor'. Invlro~.nt.1
I..u., 01 the 90', Co..lttl. .nd nov.rnor'. Envlron..nl.1 Educ.tlon Conaltt... In .ddltlon,
\/HAT JS YOUR PRESENT KIl0ll\.EDGE OF THJS ADVISORY BOARD? 11m vork.d wllh Ih. .oouv.1t
School Outdoor cllllroo. .nd hlv, worked with Hlvor'. Youth pro.,.. dlnctor.
\/HAT CONTRIBUTIONS 00 YOU .FEEL YOU CAN HAXE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? pllnnln., ludlrlhlp .nd h.v. contutt II county, .ut., or nlllon.1 Itv.1
wh.n h.lp or .dvlc. I. n..dld.
Sp.clflc attention Ihould be directed to pOSSible conflict of Interut 41 defined In
Chlpterl 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not t
potential conflict of Intemt ..hll, contact the Leoal Department. \1111 you have.
conflict of Interelt? _____yES ..JL.NO
If you are not lelected, do you wlnt to be notified? . YES 110
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'0 you currently lerve on Inother lowI City Board or Commllllon? YES. NO
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It hll been Council policy not to permit an Indltldual to lerve on Iwo Boardl or Commll'
Ilonl It Ihe ume time.
Juni ma J/jB
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I hlVI fulfllled In un.xplr.d tlrl on thl Kayor'. Youth Board .lncI January 1991.
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CITY OF 10 WA CITY
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TIll CITY COUNCl 01 IOWA CIlY IS CONSlDEIIINO N4
APPOIHTI.IEHT TO TIll FOUO'MHQ COUUISSION:
Pl.WlIHa N4Q lOMHO COW1SS2i
ON ~ FM'ftIlI'"ft
"", I. 1m "", I. 1"7
TIll Met 0111I ~ Md lOtlrig CommitUln lMInbtIt
IIWlt IlIIli'4 01 ~ III be IIIIIlt .~ IIIdtI, NpI,
plw 01 dIW 01 lilt ... 01 11ft pot1IIlft 0111I ~
Md "" lIIId 0I0CI.Idt IlIIlcII III III opinion 0111I CoIMIlaIIan
btIIt rAIan III I CllllI9ftIMM p/M; aIIo 1rQ,d. _.
~ Iii liIi Cir ClMd ham IN IIIlmt IIIIIridIntIU,
'~1lIIIiII, cI\MgtI Md modICIlioN IIIl11lrilg Old.
IIIIICt.
TNt ColMIuIan ,"leU lilt IrIl Md lJ\IIII TllwldlJl oItlCll
II'iOIIII\ II 7~,,1II. Iowl Ctt ~ lMInbtIt 01 bottdt
IIld CIIll!VIIUOIw IIIUII be ~ tltctoIt 0111I Ctt oIlowt
Ctt.
TNt ~ollU'4 wi be lIIIdt"lII UIleU, I "2.mtl4illg
0111I Ctt CoI.rd "7~,,1II. III III CoI.rd CIIImbtIa. PII'
10M ~...td III btiIg CONldtItd IOIINt poIiioft IhlIlij
CIOIUCt III Ctt CltI\..lIlt ~ Ctnlll. .10 e. Wu/Ilngloft
IlIttI. ~lliOIIlctllllllt 1Vt.lAblt 110m III CltIll'1 eKet
~ ItqVtIl.
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"' 'HI -UNI_OI" 111111. IOU rill
10_. ."....".. 1111, III."... ,.. 'II" "'.1111 _
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'LJ.~IMC AND ZONING COKHISSIOH . One v.c.nc, . 'Iv.-,..r l.rI
K4, I, 1992 . Ka, I, 1997
It,r.n J. (C.u.,) Cook (hll IIN.d .n ulltxplud l.rI.)
I O.k '.rk Courl
aobtrt L. Salth
140' Laur.l Str..t
Kovln llouhh.n
1020 Tover Court
Clyd. I, CullllUDO
2818 "ulclllno Avo.
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i P~ INO AND ZONING COKHISSION . Ono v.c.ncy . Plvo.y. r t.ra
\ lIty I, 1992 . lIty I 1997
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Kyun J. (~'Ioy) Cook
I Olk 'uk Court
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Robart L. S.lt
I'OS Laurol Str .t
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KlYln "oult".n
1020 Tovlr Court
Clydl I. Culll.ulO
2811 MUle.lInl Avo,
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- CITY OF IOWA CITY,
ADVISORY BOARD/COHHISSION APPLICATION FORM
Individuals UNlno 011 Boards/COIllftlsslons phy an Ill'Ilort.nt rol. In .dvl,11I9 th,
'ouncO 011 IIItttrs of Interut to our cOll1llJntty .nd Its futur.. AP9llc.ntJ nllt ruldt
In Iowa City.
Tht City Council .nnounctd Advisory Board/Comlulon vmnclu 90 d'ys prior to tht
datt the ,ppOlnt=tnt wtll be IIIdt. This ptrlOd provldU for. 30-d.y .dytrtlslll9 ptrlOd
and. 5O-d.y tr.lnlno p.rlOd for ntll mtmD.r,. Tht tralnlno period .Ilows ntw IImb.r, to
btcOllt f.allhr with tht ruponSlbllltlu .nd dutl., of tht .dvIJory bO'l'd/comlulon
b.fore btcomlno a full yotlno ~mbtr.
After. ymnCl hIS bltn .nnounCed and tht 30-d.y' .dytrt Is Ino period hIS tlplred, tilt
Council rultllS .11 application, durlll9 tht I nforllll I work uulon. The .ppolntatnt Is
.nnounctd .t the nt.t forllll Council ~etlno. Appolnttts stryt a, unpaid yoluntttrs,
Council prefm that all appllcttlons ~,t be sublltted to the City Clerk no later
th.n OIIt wttk prior to tht announced .ppolnt~nt datu. ~ PlEASE USE A BlACK IHK PEN"
THIS APPLICATION IS A PUBLIC DOCUl1ENT ArlO AS SUCH CAN BE REPRODUCED AIG DISTRIBUTED FOR
THE PUBLJC. THJS APPLICATION \lILL BE CONSIDERED FOR 3 HONTHS ONLY AIlD AUTO,,",TlCALLY
CONSJDERED FOR ANY VACANCY DURING THAT TIME.
ADVISORY BOARD/COIflISSION /WIEluw""'I. .. ~".., nRH 'I' .',
/WIE.K.y'''' · (o,!.. 'I) c." k HOlE ADDR(SS '", '
Is your home Iddrm (listed above) within tile corporate lIalts of Iowa City? 'Ii':.
OCCUPATION...4ll..i..tuJ;L EHPLDYER,UtUhl ~1(L'IIU
.
PHONE NUH8E~1 "OIE....1>>'", 0 BUS/Hm.J ~I d/lll If
EXPER/EHCE A1IO/OR ACTIVITIES IMICH YOU FEEL QUALIFY YOU FOR IlIlS POSITIONI
NAill $~'JI~" 'II r"~ 'A.",IC", "I/~~I..f.
' ~ .
. .,. I II I. II (. "..' ... ~, .. I' ~ "
~ft ;~:1 ~L;:u~~. ~:"~~:: .... ~ I~~:UIN~
( ~~ I.. ".1... ,J.... ( 01,,1. ".~
\/HAT JS YOUR PR(SENT KHOIII.EDGE OF THJS ADVISORY BOARD? J ~ J! AJo V ~
\/HAT CDNTRlBUTJOHS DO YOU .FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STAn REASON FOR
APPLYJNG)l..J '-""lIP.. -I. JI"r.. ..fJ ,'d...., J".f./.~..t..7 ~.". l"
, --.
~"":"'''M,.'''..JI" r....':7'.'~~ ;t,,~ A........L
f ...
SptclflC .tttntlOll should be dlrtettd to pOSSible conflict of Inttrut IS deffned In
Ch'Pters 362.6, 4DJA.22 of tht Code of lOll.. Should you bt uncertain whethtr or not.
potentl.1 conflict of Interut tX!Js, contact tht Leoal Department. \Ill I you have.
conflict of Inttrut? YES NO .
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Jf you art not seltcttd, do you w.nt to be notified? ~ YES NO
- -
Do you currently serve on another lOll. City Board or Conmlsslonl LYES _ NO
Jt h.s betn Council policy not to permit .n Indlvldu.l to Strve on two Bo.rdi or Conmls-
slons It the SIma till. '
Junl 1988
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- CITY OF IOWA CITY -
ADYISORY BOARD/CQHHISSION APPLICATION FORK
JndltlMIt .mlno 011 loards/COlIIIlulons play .n tll'Clort.nt role In 'dv"tnq the
Council 011 iIIoItter. of Internt to our co~ntty .nd tu future. Appllunt' Mt relld'
In 1M City.
Tne City C01lncll .nnounctd Adtl,ory Botrd/Comluton vte.nctel 90 d'y' prIor to the
me the .ppotntltnt IItll be ud., Thh p.rlOd provtdel for. 30-d.y .dvertlllnq period
.nd . 6Q-d.y tr.tnln; perIod for nlll fttmb.r" The tr'lntn; perIod .110Wl nell memoer, to
bee. f..n hr IIlth the rnpon,lbt lit lu .nd Mlu of the .dvllory bo.rd/comh' Ion
befor. becO<<lln; . full votln; lIltftler.
After. m.ncl hu be.n .nnounctd .nd the lO-d" .dvtrt II Ing period hu uplred I tile
Council rltl.", .11 .ppllcatlon, durtnq the tnform.l 1I0rk uulon. Th. .ppotntment II
.nnounc.d .t tII. n.at forllltl Council lIettng. Appotntee, ,erve ., unp.td volunteer,.
Council pr'''N th.t .11 .ppllutlon, .."t be ,ubllltttd to the City Clerk no Itter
th.n on. lI.ek prtor to the .nnounctd .ppoln~nt d.te,. PLEASE USE A 8L~CK INK PEN.
TIllS APPLICATJOH IS A PUBLIC DOCLl4ENT AIIO AS SUCH CAll BE REPRODUCED AIIO DISTRIBUTED FOR
TIlE PUBLIC. TIllS APPLICATION WILL BE CONSJDERED FOR l HONTIlS ONLY A1ID AUTO""TlCALLY
CONSIDERED FOR A.'fY VAtAICY DURI~ TIIJT> T1HE.
ADVISORY IQARD/COIflISSION tW4E I ~ "IV", ,.. , ,'?, ,..,. l.TERK
R .
tWtE ,.,1t~r , .-fl"ft"'~ HOtEADORESS/vl'-j' ".',/I""!-' ~,....'4....
J' your hoollt tddrm (Ihted .bm) IIlthln the corportte IImttt of 1011. City? Jlt'!' c
OCCUPATION J!tJ.J "'I.t.'! f' It...,. /1/..,....../' '. EHPLOYER ,c~~ ';A/...,':_ tf-~.~.,f:~-1~~
PIlO,~! ~.!!R: HOlE ./I,,, !f- / t.J y ~ BUSINESS
ElPERJENCE ~lO/OR ACTIVITIES Il1IICH YOU FEEL QUALJFY YOU FOR THIS POSITION: ;" ~(;',$ \ '
...4....-,'4./....,,,..,'..1,.,,.,,,,'.. "1111I ,tl"'~~ ~u,..Jf',,.I ,........ -',-. ~~!"'"
ML.1JI' ,t'fA::'"
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~ , I'J . "._ ,tt
,'I4.J '. '..' f.. I"~
,t., A",~' t',.1 t. . ., I '
--111 '.~-.-,. \ "..~'''' ~
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...", h'" ~....
!t ;,_ ~ "of ,,'''f ."J' "....l...1 1"." i" '. >~ r ~;?.. ..
"" ..J.P,. T., J tI'~. /',..' .". '" ,ff ,.... J ''''", ....~...,
f I "f... ". f"
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'. .,,~~ \/HAT IS YOUR P SENT KHOIMDG OF TIllS ADVISORY BOARD? ..M".,. T
I 'oO POI'" I'
1.,._;1 -:/I~ ~~/ltI';-.;.. (!J"'J~'~ ~f,,:,\ II" . /
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\/HAT CONTRIBUTIONS DO YOU ,FEEl. YOU CAll HAXE TO TIllS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? fit #/fUI'th _ ,~ J~~I" t..... ,J.!,I ""............'",' I.v"..t ..!.
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..(,:.1..,...,/,1,.. . ,. ," ~""'f.~ ,.. "".'t',,,,... l/,,. ~ ~'I'
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" ",,_ "'L' .. .,....1...... _ I"~'." ,f. .;'",.'" ~ ..... J ~".,)...'..... .~,J..", .1,..' I''-d
Speclftc .tt.ntIOll ,hould be dtrect.d to poulble conflict of tnter.st II d.flned frir.~i
Chlptm 362.6, 403A.22 of the Code of 1011.. Should you be uncertttn lOIlether or not ·
potenthl conflict of Int.rut UI:~ contlCt the Leo.l Dep.rtment. 1.111 you h.ve ·
conflict of InWut? YES NO
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It you art not Itlected, do you lI.nt' to be notified? ~YES _NO
00 tOU currently um 011 .nother 1011I City Board or COlllIltnlon? _YES fr NO
Jt h., been Council poltcy not to permit .n Indtvtduel to ,erve on two Bo.rd. or Commt"
,ton, at the ,.me time.
June 19BB
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1:j::::, I:::: :~~:ss:~~ ~PPlICArIO" ro~~
Il14lftMII urtlll9 on 10lrGl/Cornlntolll 1l1al all lfOortlllt rol. III 'dthtllQ the
CoullclI 01\ Alttm 0' lllttrut to our c~lIltl 'lId IU 'utur.. Allllltuntl.ftl1t ruld.
III JOlo. eltl_
rn. Cltl Coullcll ,MOUIICtd Adrhorl IWG/COII'llnloll tlCancttl 90 d"S Ilrtor to III.
datt tll. allllolntltllt 1111I be ~d', rll" ll.rlOd IlrOrldtl 'or a lO'dal adt.rUltllQ ll.rlOd
.nd . 50-day tralntllg WIOd 'or ntlt IlfI'Cl.rl, TII. tratlltng WIOd .IIM n," lltfO'" to
b.C0:4 ,...l1lar IIIt11 the ftlllOnstbtlltttl and Mttt 0' tll. adthorl OOarG/comtnton
bt'or. beccalng a 'ull ,0tt"9 etCCfr,
Arter a tacanCt lias bun .nnounCf\1 .lId tII. lO.d" Idttrt h lno W tOd "" tllltrf\1, III.
Council rttlM all '1lIlllcatlons dl/rlllQ tll. Inforlll IIort UlltOIl. TII. 'llIlollltmtnt h
anllounctd at tII. lI.at 'or~l Coullcll ...ttIlO. AllIlolllt..l s.r,. .s unllatd toll/llt..rs.
Coullcll Ilr,'m tllat .11 'llIlItC.tlons ~st bt sublllttf\1 to tll. City ChIt no ht.r
tn.n on. Mitt Ilrlor to tII. aMounCed '1l1l0Int.lltllt dlttt. PlEASE USE A BLACK INK PE".
nllS UPllCArIO~ IS A PUBLIC oocl.'lm A~IO AS SUCH CAN BE amOOllCEO ArlO DISTRIBurED rOR
r~E MlIC. nus lPPllCArIOtl \llll Il CO'ISlomD roR 1 HOIHKS OtllY 1'10 AurOl'.1TlClll'
COtlSIDE~EO rOR A~Y 11CA~Y DURING THAT rlHE.
mlSORY BOARDI OItIlSS:OIlIWlE~, PM 'Z.,,'~C''''''d!rM TEAll 11f1.. in
tlAllE " II J ~I€ ADDRESS~IlL~ '-awu ~f'+
Is lour /lOIlt llIerus (lilted aOOt') II It II In tII. corlloratt It"tts 0' 1000a Cltl1 ~.,
OCCUPATION S~"~t' EKPlOYER, 44' (
PHONE !MIm: HOlE JS'~ IUSJNESS), C f
UPERJENCE AI4l/0A ACTlYlTJU IMICH YOU FEEL QUALIFY YOU FOR THIS POSITION: .r A........
\/lIAr IS YOUR PRlSENr KHO\.uOG~ OF THIS ADVISORY BOARD? ~o..,,,,,...,....,, ~...I 8(~
~~I~ _~!: "a.:JN~f}AltlH~"~ r.tJMjttt ~, ~k PII,Il,,"'J-
:- ~~;~~~ YOU ,FEEL YOU CAlf AAKE ro THIS ADVISORY 10ARD (OR STArE REASON FOR
APPLYING/l :t ~ LI<Co .J.u"..... 4'- o\'U"h... J." !tN.. ~l.. ~;//~""ltl ~
~~~~~~:"/~)t,
SIl.cHtc att.llttOll should be dlracttd to IlOSSlbl. cOllfllct 0' tlltmlt u d.fllled tll
Chlllt." l62.6, 40lA.22 0' the COd. 0' 1000a. Should IOU b. uncertatll .h.th.r or not a
Ilottntlal conflict of tllt.rut .ahts, COlltaCt the Lf9al Dep4rtment. \1111 IOU hava a
collt Ilc t of tlltarn tl YES"" NO
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If IOU ar. IIOt s.l.ct.d, dO IOU want 10 be lIottfl.dl vi YES NO
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Do IOU currtlltl, s.rv. 011 alloth.r 1000a Ctty Board or Commlsslolll _YES ~ NO
It has beell CouncIl 1l0ltC1 IIOt to permtt all tlldlvldual to Strv. Oil two Boards or Commts.
s lOllS at tha same t tme. ' .
JUII,' 1988
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" CITY OF IOwA CJTY "
ADVISORY BOARD/COHHISSIOH APPliCATION FORH
Jndhldu.h IIrvlnq on Bo.rdl/COllIIllllons pilI In lroortant role In Idvlslnq the
Council on Ntttrl 0' tnterut to our CQmlnltl Ind It I future. Appllc.nts A11t mid'
In JOWl Cltl.
Tfte Cltl Council IIInounced Advhorl Board/Comtllton vmnclU 90 d'11 prior to tIl.
dlte the Ippotntmant will be IIde, Thll pertOd provldel for I JO'dll Idvertlllno p.rlOd
Ind I 6O-d', tralnlno ptrlOd for nlll IltfCtrI. TII. tralntno ptrlOd 111M IItW lIttC.rl to
becone f..llllr with the ruponltbllltttl Ind duttu of the IdvllOf7 bOlrd/comtllton
b.fore becomlno I full vottno IlltICltr.
Atur I fIC.nC1 hu be.n Innounced IIId tile JO'dl1. Idurt II Ino ptrtOd IllS ..plrtG. tIl.
Council revl.", III Ippllctttons GIIrtnq th. Info,..1 work IIlIlon, Th. IppolntJ\tnt h
.nnounc.d It tII. n..t 'oreal Council Dlettno. Appolnt..s I.rve IS unpltd volunt..rs.
Council prefers that III IppllCltlons .,It be lublltttG to, the City. Clerk no liter
than one wltk prtor to tile IIInounctG IppolntJItnt datu. JLIW,USI A' 8I.AC~ lieU!",
TIllS APPLICATION IS A PUBLIC DOCI.OlENT AIel AS SUCH CAlI BE REPROllUCED AIel DISTRIBUTED FOR
TIlE PUBLIC. TIllS A9PLICATIOH I/lLL BE COHSlDERlD FOR J HONTIIS QHLY AIID AUTOllATlCALLY
COHSIDERED FOR ANY YACAICY llURJHG THAT TIlE.
ADVISORY 8OARO/COIflJSSIOH IWIE .J
lW1E,fl",~ ,) (.:,,/Jl,,/"'f' IE ADORESS
,
Is lour hOClt Iddrm (lIst.d ~boul within tile corporate 1I.lts of 10111 Cltll .....,
8"';)1.'.., ~I..r ""t,tI.,r ,,,.. I' '.
OCCUPATION n".. ", ,\. "".... .~ EHPLOYER If"~".."... '" "j '. ,\...4
PHONE HUH8ER: HOlE 1'i/- ).)~t eoSJNESS 'I,. "(l(. ~
,
EXPERJENCE AND/DR ACTIVITIES IMICH YOU FiEL QUALIFY YOU FOR TIllS POSITION: (', '.' ,-r.
... ". , . ,I'
, oJ......., ~ .J,. ,/.....J.... I,..", ,"__. . , ._r "". It /'r:- ....<.7: \ 'I::
or- I. . ,',... ,.., ,
.;,.......... ,TEA)t
('i"..t
tJ. r Te'
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EDGE OF TIllS ADVISORY BOARDl /1" Ci 'T:.", '.. ... ~, i,. -TO;'
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t. (..". ,.' t' t...t..
"
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\IIlAT CDHTRIBUTlDNS YOU ,FEEL YllU CAll MAKE TO TIllS AOYJSORY BOARD (OR STATE REASON FOR
APPLYIHGIl . .,...~ 1: .c,.., I). .t..,~,. :rr. -r _,. .,
,,,,,, t....l........i" ,~..tf l.,'.... .1.1'.1. 1""'1"'~~ ,~,,~ ).-1 '.'\m......1' Ii .l'...... t.:tr
I I I ',r
SpecUlc Ittentlon should be directed to pOlllble conflict of tnttrut II defined In
Chapt.rs m.6. 40JA.ZZ of the Code of 10111. Should 10\1 be uncertatn ""ethtr 'or not I
potent leI confltct of lnttrtlt lahts. contlct the L1911 Department. IItll IOU hm I
conflict of tnterestl ......YES ~HO '
If IOU are not select'd, do IOU want to be notlftedl ..2(..YES ......HD
00 IOU Currtntl,l1fYt on anothtr 1000a Cltl Board or COoTIlIllllonl YES;( HD
...... -
Jt has b..n Council poltcy not to permtt In Individual to I.rve on two Boards or Commls"
slons at th. same ttme.
June 1988
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THE CITY COUNCIl 01 IOWA CITY IS CONSIO[fllIlG AP-
POlNTMU/TS TO TIlE FOlLOWIIIG COMMlmr:
t:OMMlnr. ON C:OMMUNfTV JlrrOS
Tlvll vlClllCit. . TIv"'Y.lllllm.
"",ch I. 1112, MArch I, '111
II II 1M dvly 01 rnembtll ollht Commin.. on CotntnInly
N.t4. 10 COO/diNl' ~Ilon cNMtl. btll'l..n
D~I I/'Id cillltnl 01 Iowl Oty I/'Id lht Cilt CNd I/'Id
11111 and lI1tn 10 rtlpolll~ ,..pond 10 P/OGII/II p/Q90III.
t1.oluIloN d.slgntd 10 1Ilt.IIM COIMlUlVlY" not4l,
TIll CCN mttlllht 10II1h WtdntldlY olllch IIlOIIlh II
6;30 p.m. lVwi Cit; ippoimid ~i vI WiiVi iii6
commi.1lonI mull bt IIig,blt .IKlorl of lilt Olr ollowl
City,
TIltI. .ppoinlllltnll W1I be INd. II lilt Milch 3. , 112,
INtllng 01 1M Oly CNd II 7:30 p,m, In lht CNd
CNmbtr., "'lOI\Ilnllltlltd kl being contid.rt4 'orllltll
positIoN \IloIAd conlKllM City CJtrk II lilt CIVic Ctnltf.
410 e. WtlllInglon SlIftt, ApplIullon lorml tI. IVI.,blt
'rOlft 1M Cltrk'. olliel upon ,,qUl.I,
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KJlu I 2
Hmh 3. 1992
OOKHITTEE ON OOKHUNITY NEEDS Thr.o vlclnclo. - Throo-yolr tOntl
KJrch I, 1992 - Huch I, 1995
.oborte .. Pltrlck (II.. ..rvod 6 full toru.)
m Olkhnd
Suun Foonoy
719 .onllde Stroot
JI. St, John (II.. ..rvod 1 unexplrod tona,)
735 Kuvlck Dr.
. .uety KJrtin
802 E. Wo.hlnlton
Bruno Pllott
629 E. JoUoflon
Chrh KOlp
1122 btron St.
John Crlbtroo
461 INY I 136
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EI OM OOKKL~lry NEEDS Thr.. Y.c~ncl.. . Thr..-y..r tlrRI
lUrch I. ~'2 . lUrch I, 1995
SUlln r..n.y
719 lonlldt SU"
JI. St. John
US ICttvlck Dr,
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IUtt, IUreln
102 I. V'thlnlton
Bruno Pllott
629 I. J.ff.r.on
Chrh !Clip
1122 htron St.
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, CITY OF IOWA CITf '
ADVISORY 80ARO/COMHISSI0~ APPliCATION FOAH
Jndhldulh UNlno on 80.rds/COI\lIlnlons ph, .n l'IlorUnt rol, tn j~tlstno th,
Council on ....Um of InClrtst to OIIr COtAlnltl .nd tts future. Apjlllmts "'It rnl~,
In low. CIt,.
Tn, Cltl Council ",nounctll Adtlsorl 8o"d/COIftlnlon 1mnclfl 90 ~'IS prior to tII,
dm th, 'pjlotntltnt will be C1jd" This p,rlOd prOtldts for . JO~ll Idflrtlslno perIOd
.n~ . 6O'd" tralntn; ptrtOd for new Iltll'ttrt. I'll, tralntllQ WtOd .110111 n.w =t~'rs to
Qtcont ,..11 IIr wltll th, rtspons IQlllt Its .nd dutln 0' th' 'dtt lOry Qo''I!/cOfntn ton
Q.for. becOlln; . 'ull fotln; ~tr,
After. fmnCt hu be.n .MOIInCtll ",d tII, 30'd., td1trtlslno periOd hu tlplrtll, tII.
Council rul.1f1 '" 'pjlllc.tfons dur1no th, Info,.,1 wort union. Th' 'pjlolnt.ttnt Is
.nnounc'd .t tII, n'.t fOratl COIInc11 ,..ttn;. Appolnt.,s s.rf' .s un~ld folunt..rs.
Council preftrs th.t .11 'ptIl1cttlons IIllt be lublllttld to th, Cltl Cltrt no IUtr
tIIln on, w"k prior to tII, ",nounctll .ppolnt.lltnt dUts. PlUSE USE A BlACK IHK PEH.
THIS APPI.ICAflOH IS A PJ8LJC OOCIllENf AICl AS SUCll eM BE AlPAOOUCED AIel DISTRIBUTED FOR
THE PUBLIC. THIS APPLICATION WILL U CONSIDEUD FOR 3 IfOHTHS OleLY A1fD AUTO""f1CALLY
CONSIDERED FOR ANY VACAICY OURII<<l THAT filE.
ADVISORy BOAAO/COIflISSIOH HoW t:.,_.:r., 1'1. e.,,..... 7w,l.. rtlOl
1WiF..1,.t,.,.t.. A', 'P",1;;'1c HOlE ADOAlSS .!lS"a".~/.l-'t..
ISlli'Jr h* tddrm (listed IQof'lwlthfn till corp,ru, II_Its of lowl Cltll {It"...
OCCUPATION !.vw-Ic.':'" ~ l.it"l.o""i.'''1'KPt.OYER )J,n". tl.lI,...J.: 1_~.
PHONE IAIH8ERI HOlE 3:J ~ - d J (}9 BUSINESS /.'1, 9 - t filII-
EXPERIENCE AND/OR ACTIVITIES WHJCH YOU fEEL QUALIFY YOU FOR THIS POSITION:
J. ~ d~ ,.... zr... ~.:IL~ "'- ~...,...._~~~ :h:1...J....
f,..J.o A,~I a' ~- 01- "J IL4'J .4u"LI'\c.. (./- B-'H..l- '
rl.t. L~ AIJvc..~ ~ 7.l:~ llA.:~.1 ~
\/HAT JS YOUR PAlSENT KHOI.uOGE OF THIS ADVISORY BOARDl
~ "Zr" t7<t'..:t"~ L ~ e 11.
,
WHAT CONTRI8UTJONS 00 YOU .FEEl. YOU CAN HAlE TO THIS ADVISORY BOARD (OR STArt REASON FOR
APPLYJNGll :~+ k ~UJ.~1~~J,,1fa. ~
7:t:.. /h.- 'ZZ"t. ;;. .Io1u.. I ...J. {.(. .
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Specific Ittentlon' shOllld be directed to Olllbl, conflict of Intmst .i :d.ff~ed In
Ch.pters m.at 4D3A.22 of th' COd, of Jow.. Should 1011 be uncerhln ""'thlr or not.
potenthl conflict of Inttrllt '.2Nilsts conttCt th, LIQII Olp.rtll,nt. \1111 'YOU have .
contI tct of tntmstl YES NO r
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If IOU Ir. not s,l.ctld. do you w.nt to be nottflldl ~S ......NO
00 you currlntly Slry, on .noth.r Jow. City Bo.rd or C~tsstonl YES ~O
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It hiS b..n Counctl pOlicy not to perlllt .n Indt11duII to s.ry, on two BOlrds or Commls.
slons It thl same time.
Jun. 1988
41/0
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AlTACHMEHT TO APPUCAnOH
FOR COMMmn 011 COMMUIIITY IIEEDS
IN ORDER TO ENSURE THAT THE COMMITTEE ON COMMUNITY NEEDS IS REPRESENT A.
TIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES. PLEASE INDICATE IF
YOU ARE A MEMlIER OF ANY OF THE FOLLOWING CATEGORIES:
r/ EIdorly (82 ot older)
_ Handcappod Of Dlsablod
_ RacIal or Ethnlo Mnorlty
_ Lower Incomo (100 chart below)
_ Nono 011110 abovo
Your roaponso Is ~ IIld you may wIIh Inllud 10 olaboralo on or IndIcalo arou In wIIIch
you can mako alpOdal contrlbullon lo 1110 Commlltoo In Dnolhor IOcaOft 01 Ihlllorm.
MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOWER INCOME HOUSEHOLDS,
-'- .AJ-r '&l~
$22,800 lot a 1.porlOft housohold ..-
$25,850 lot a 2'porlOft household
$29,100 lot. 3,poraon household
$32,300 lot . .'poraon household
$34,900 lOt a 5,porlOft housohold
$37,500 lot a 8,porlOft housohold
$40,100 lot a 7.porlOft houlohold
$42,650 lor an8t-porson household
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- CITV OF IOWA CITY,
ADVISORY BOARO/CaHHlSSION APPLICATION FORK
Jndhldu.1s IIrvlll9 on BOlrds/COilllIllStons pl.y 4n Iqlort.nt rol. In .dvfSIIl9 the
Council on ....ttfrs 0' Int.rut to our c~nlty .nd Its 'utur.. Applfcants ~It 'tlld'
In lOll. City.
Th. City Council .nnounC'd AdvIsory Bo.rd/Cocnlsslon vac.nctu 90 d'ys prtor to tn.
d.t. the .ppolntment will bt ....d.. This p.rlOd provld.s 'or. JO'd'y 'dv.rttstnq p.rlOd
.nd · 6Q'd'y tr,'n'nO p.rlOd 'or new mtmO.rs. Th. tr,'nlnO p.rlOd .llawt n.w memo.rs to
b.cOlllt f.anllr wIth the ruponslbllltlu '1Id dutlu of the .dvlsory bo.rd/comlUfon
b,'or. btc04ilfno . fu II vot fno IIltmoer.
After · YlClncy h41 bt.n .nnounCfd .nd tIl. JO-d'l .dvtrtlslno PtrfOCl h41 uplrtG. tIl.
Council rnl'l/1 .11 'PPlfmlons durlnq the In'ora.1 wort IIlIlon, Th. .ppolnta.nt Is
.nnounC'd .t tIl. n'lt forll4l Council ne.tlng. Appolnt..s s.rv. .s unp.ld yolunt..rs.
Council pre'.rs th.t .11 .pplfc.tlons ~st bt subnltttcl to the City Cltrk no hler
thin on. lIt1t prior to tIl. .nnounctG .ppolntlltnt dlt.s. PLEASE USE A BLACK INK PEN,
THIS APPLICATION IS A PUBLIC DOCllHEIfT AllO AS SUCH CAlI, BE REPRODUCED AI<<l DISTRIBUTED FOR
THE PUBLIC, THIS APPLICATION UILL BE CONSJDERED FOR J HaHTHS ONLV AHO AUTO~TlCALLV
CONSIDERED FOR ANY VACANCY DURING THAT TIME.
'lV/SOR! ""O/'''ISSI'' "'" CQmm'/({ Il(] ('~.,~~ Akld~n.. .! ~{.ar~
IWiE l.. HOlE MORESS~_7[i ~({ /d ,C:; oJ~tru t
Is your hoIlt tddrm (Iht, 'bOY~1 wlthl,n the corpor.t. Ifalts of JOlI. Clty7 'if S
OCCUPATION 0(,. EIlPLOYER
PHONE HUHBER: HOllE .'337...:l');7~_ BUSIHESS _
nPUlEHCE AHIl/OR ACTIVITIES IMJCH YOU FEEL QUALIFY YOU FOR THIS POSITION: .Iue
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Sp,cI"c .tt.ntlon should be dlr.ct'd to posslbl. conflIct 0' Inttrut 41 d'''ntcl In
Ch.pttrs J62.5, 40JA.Z2 0' th. COd. 0' lOll.. Should you be unctrtAln wh.th.r or not.
pot.ntl.1 conflict 0' Inttrut 'lhtl. cont.ct the LIQI' O.p.rtment. UIII you hive I
conflict 0' tnterut7 YES l.-- NO
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If you Ire not III.ct.d. do you wlnt to b. notlfled7 L--"" YES NO
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00 you currently Itrve on .nother J,OlI' CIty BOlrd or Comnlsslon7 _YES :: NO
Jt hiS b.en Council polIcy not 10 permIt .n IndlYldu.1 to s.rve on two Bo.rds or Commls-
s tons .t the lime tIme. ' .
Jun; 19S8
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AtTACHMENT TO APPUCAnON
FOR COMMmEE ON COMMUNITY NEEDS
IN ORDER TO ENSURE THAT THE COMMmEE ON COMMUNITY NEEDS IS REPRESENTA.
TIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF
YOU ARE A MEMBER OF ANY OF THE FOLLOWING CATEGORIES:
_ Eldorly (62 or oIdor)
_ HJncICIf)pOd or Dlsalllod
_ RIelIl or EI/Inlo Mnorlly
V" Lowor Incomo (100 chDIt bolow)
_ Nono 01 \hO Allovo
YC4Jr roljlOlllO It ~ Dnd you may wish Inllolld 10 olAborlllo on or Indlcalo lItODlIn which
you Ql\ mako llpOCIlI conlribullon \0 \hO Convnlttoo In anolhor IOCllon ollhls lorm.
MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOWER INCOME HOUSEHOLDS,
$22,600 lor I 1.porlon housohold
$25,650 lor I 2,poraon housohold
$29,100 lor. 3'porlon housohold
$32,300 lor . 4'poraon houlohold
$34,900 lor . 5,porlon housohold
$37,500 lor I 6,porlon houlohold
$40,100 lor . 7.porlon housohold
~2,65O lor an 6+-pollon housohold
IllC/IIjlpccn
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ADVISORY BOARO/COHHJSSION APPliCATION FORH
Indhldu.1J UNIII9 011 'O.rdI/COI'lllllllonl pl.y .n tC'Oortut rol. In .dvfltll9 the
Council on ....tt.rl of lnterm to our c~ntty .nd ttl futur., Appllctntl ~It rtlfd'
In 1C\l' City.
The City Council fIInounCId Advllory BOlfd/COI'lllhlfon vmncl.1 90 d'yl prior to the
dUe the .ppolntatnt will be IIld.. Thh p.rlOd prodd.. for, JO.d'y 'dvertlllll9 periOd
'nd , 6O'd'y trtfnlno periOd for ntlf lItd'Cl.rl. 1'11. tr'fnlno periOd .11011I n.w lIlffll.rl to
b.cOlle f..nltr with the rllponlfbllltltl .1Id dutl.1 of the .dvllory bo.rd/collllltlllon
before becOCllno , full vot InO iIltllCl.r,
Mt.r · YlC'nCl /lfl be.n 'nnounCId fIId tII. JD-d'l ldv.rt h tno periOd hu uplrld, tII.
Council revl.", ," 'PPllmlonl llurlnq the InfOrlltl work Ulllon. Th. 'ppolntmtnt h
'nnounC'd ,t tII. n'At for.,1 Council ...tlno. Appolnt..1 I.rv. .1 unPAid voluntt.rl,
Councll pr.f.,. th't ," ,ppllmlonl ~It be lubeltlld to the City Clerk no I'ttr
th.n on. IIHk prior to tII. fIInounCId ,ppofntatnt dUtI. :llWI USE A 8UC~ IfIX PEN.'
THIS APPUCAflDH IS A PUBLIC DOCII4EIfT AND AS SUCH CAlI BE Il!PROOUCED AIel DISTRIBUTED FOR
THE PIIBLlC. THIS APPLlCAflON I/lLL 8( CONSJDERED FOR J HOIfTHS ONLY AlID AUTO""flCALLY
COHSIDERED FOR ANY VACA/(Y OURING THAT fill. I.
' r. .ttf, I . ,t',}'.. .
ADVISORY BOARD/COIfiISSIOH IWll ,(I",,,,. 'It'/' ( 1.",....../.. TERH .)./ I I. .J'I.'~
/WIE :f,i., S" 7Gh" HOlE ADDIl!SS -'3'; "'-;."'1'1' I'. .;.-1/
Is your /lo.tlt lddrtll (Ihtld 'bov,) within tII. corporu. 1I.ltl of JC\l' Clty7
OCCUPAflOH EHPLOYER 1"".",. " f'i.' <"';'-1/ rJ,
PIIOHE /MIU~I HOlE .3 ~ 7=~v '77 BUSlIfESS
EXPERJEHCE AIel/OR ACTIVITIES 16I1CH YOU fEEL QUALIFY YOU FOR THIS POSlTIOHI
. '." ~I.,
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\/HAT JS YOUR PIl!SEHT KHO""EDGE OF THIS ADVISORY BOARD7
., ;" ~ t' ."",." ''/ft' I
.:;: 1''''''''",.1 I" .' A,. ,,.
I
\/IIAT CDHTRI8UflOIfS DO YOU .FEEL YOU CAN I'.UE TO THJS ADVISORY BOARD (OR STATE REASON FOR
, ",
APPLYlHG)7 ~ . ",'" .... ~, '/'" '1.
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'. " ,',II, if I., , 'I I.. I. )'{. .1
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SP.Clflc lthntlon Ihould be dlrtcttd to pOlllbl. conflict of Inttrllt u d.flnld In
Ch,pt.rl 362.6, 40lA.22 of the COd. of low.. Should you be unCtrt.ln wh.th.r or not.
POhnthl conflict 0' Inttrut lAhti, cont.ct the Leo.I O'wt.lfnt. 1/11I you h.ve .
contllct 0' tnl.rull YES v HO
- -
If you .re not ..I.cttd, do you lI.nt to be notlfl.d7 ,/ YES NO
- -
00 you curr.ntly ..rv. on .noth.r low. City Bo.rd or COo'I11IIIIIon7 YES ,'/ NO
- - .(,
It h.1 b.tn Council policy not to p.rmlt .n Indtvtdu.1 to lerve on two Bo.rdl or Commll.
lIon, .t the III!1O tIme.
June 1988
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ADVISORY IQAAD/CGHHISSIOH APPliCATION FORK
IndhlMh IINIIl9 on 10lrdl/COllIlllllons pill In lroorUnt roll In '0,111119 thl
Council on Ilttlrl of Intlrllt to our c~nltl 1A0 It I futurl. A~llc'ntl eult rlllOI
'n lowI CIt,.
Tnl Cltl Council IAnounCtd AOtllorl lo.,o/ClmlnlOft tlmclu 90 0'11 prior to till
O'tl thl '~olnlltnt will be "01. Thll plrlOd protlOl1 for, 30'0'1 'OtlrtlllnQ plrlOd
,no, 6O'd', trtlnln9 ptrlOd for ntv .."rl, Thl trtlnlll9 ptrlOd ,11M I\tlf IItICtrI to
b'cOlll f&llll., wltll thl ruponllbllltlll ,lid dullll of tnl 10,110"7 botrd/comllllOft
blfarl becoatn9 I 'ull .0tlll9 iNtCer.
After, .."nCl "'I bttn IMounCtd lAd till ]o'dll jdflrtlllno ptrlOd nu ,.plrtd, tIl,
Council rlflllll .11 .~IIC1t'onl d1IrlnQ thl 'n'aratl wort IIIIIon, Thl '~olnlltnt II ·
,nnounctd ,t till neat 'ar..1 Council ..etlll9. ~olntlel Ilr'l 'I unPlld voluntlerl,
Council prt'm th't 'II Ippll"tlOftI ~It be lubllltttd to the Cltl ClIrt /10 IItlr
thin onl \llek prior to till IAnounctd Ippolnlltnt 0Il1l. f'!,We yst A IUCIC Ill( 'tHI
THJS APPlICATlDH IS A PUILIC DOClIIlHT AJCl AS SUCH CAH IE AlPAOOUCED AliO DISTAIIUTED FOR
THE PUILIC, THIS APPLICATION WILL IE CONSIDERED FOR 3 HOHTHS ONU AIID AUTO""TlCALU
COHSIDERED FOR AHY VACAICY DURING THAT TIle. h' ,')
ADVISORY 8QARD/COHtlSSJON M (o.......fjt't> CIA l4.".....-"rTt"RH~
IWiEJ..~f i AI'i t,^ I<<lIC ADOAlSS--10.L. e 111.t~t "-
!llour hoet Iddrm (1lIttd lboft'\llthln thl corporue 1I11t1 0' lowI Cltll YtlC
OCCUPATJONJIIC'I1".hl U,,", ElIP\.OYER ,ll'T
PHONE HUll8ERI HOIC ) ,)7- hI{ S BUSJNESS 'Jl .s -.) ,). , ()
,
fJPERIPlU A!!!!!OA ACTIVITIES ""ICH YOU FEIb QI!~IFY YOlJ FO!! nm roSU10ll:
WHAT IS YOUR PAlSENT KNOWLEDGE OF THIS ADVISORY IDARDl
WHAT CONTRIBUTIONS DO YOU .FEEL YOU CAN ll.Ue TO THIS ADVISORY IDARD (OR STATE REASON FOR
APPLY! NG)l
SPICttlC Itttntlon Ihould be dlrlctld to pOlllble conflict of Intlrut II dltlntd In
Ch,ptm 362.6, 403A.ZZ of thl COdI of low,. Should lOU be unctrhln IIIllther or not,
potlntl,l conflict of I. terllt ..1It1, cont,ct thl Lf911 Dlp,rtlltnt. Will lou hlY. ,
conflict of Intlrlltl ~YES ~HO
Jf you .,. not III.ctld, do you \I,nt to be notlftldl >< YES NO
- ~
Do you currently IIrft on ,nother Jow. Cltylotro or COol'IIIllIlonl YES X' NO
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It h'l blln Council poltcy not to plrmlt ,n Indl,tdu,l to Ilr'l 01\ two 80.r.ol or Commll'
Ilonl .t the Wit tllllt.
Junl 1988
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^nllc:Jtlon for:
Commit Ice on CommunIty ~ced,
~I:\mo:
f'I.~,.. ..,"',.11I
......-'1 ..
Ad~rm:
~"".": '1/111." .",.._""
~ ,<... .' f 'J I J'
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~~,I,'YH:
B"'l~'" P'c'"
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l'r.:~~:1ttcr;
'J~~~c ~":ne:
~,.~~.:~.:
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':".",.,...... ,..... "''"'...".... ."...,~.. .,.._ ~'" 1'1'.11'" ..,.., ''11" ..,. III" , ..
..1." . 1..1:,1 ..I .. JIr., . .... ,,,,. t" :.. . ....;: I..... . ... .
, ~I'/e wor~eo lor n:~.pr:'lt crs!nIZlt~or.S. Oet~ ~ ,,..,'1 c~,'rts~ :.'i.",
~uve wVlc:n :~! ,:m gC\'lrrlr.; o:a-~s c' :.. !:WI ~I'r' :.::lrt'H '1.':~
,~~ ,~. ",v' n.mo...". P.r''! ...,'"' .,'....',.. ....,../.... ..... . "'..
t .",.l-~ ....J..'".. \ ,'1 'If ,.....' 't"I.'''' .,.1'/ .', '1"
::~~:~3~t~., T"" !~::.".,.,:, IS ."!"'~~ t: CC'I" "~':~~~ ~ .. II ,. "', ~'\
! ,;"'.~!f' :"~'!1' !.~ :!....._~..:~,
.
'.'I.t. ,',.., "'II' "'I"" ...., ..,.""'1..' Q ..1.... "..~..,. .,.,.",.., '.',- ""'~' ,.~
. .' ] '.' tl liCe... . 1>'/ ' ." '. I i' I
""I~'t'" ""Slr.. "'1"" ... ,. ..... a"' m'....., ""Me .1'."
.".' 'i.. " ,,;lj J'I . <;.'1 Ii,'" tI.. "I. ,. II ....
~;'::3~:1'"; aHo"e"le ":'~SIl'7 IS 'Sl,r~11' to S~5tat~'''j ~"I ~''.'!'1f~j' 'J.~t:.
_"''''A. '0'1""1'" ~",'''' ..fl'...1. I"" t "I"'''. t......) ..!"I......,.'" ,','.'.
'.1'\.1 I f to .. 'I .. . ..1. "Il t. . "I' {, w..,.... ,I'.. .,.. . I" ," I' ' I
..,.., '" 'u.'n~'r.' ~."S'M ""rt"n"t.s ,~ ,.\.., "I'"
t .'. ii,'" 'i . 'I ... " ,,~,.. .. I ,. f' I "il" .;
~. ''1~~: IS '1m ~rm't tn,w1lejt:1 tnlS ~e'/IW'l ~ea''''
CC'IIVII~a:es Iowa Clt!"S gln.r11 :'r,\mt.:~lt'! net:', me:! II';' :. mI' . :'.'.
..~ .....f'... In...... ....,. ~.... o.t'., Ir..'-..... " ........ '.'
"I. Ij.~ ; it'&: ..w"'. .ill.1I II ..v..... I. 1<'" . 'II ;1,,1 ""I '. ..... ....'.
"',', ..~m""I',! ""IIUM,"' 'I"n II'''' """"t. .,..--." .,.. .., .. .." " ".
" .... ',II 1tf 'II .Ii '..Wil. t.. a .'.... 1''',1'. .."1, t .., I' ......
"'t'..,~ I'~ ,....~ ..~.," j"-""I","'O.".I"~...,,.. ~f..V ~"'''''l ...,tI" '"
.... ..t . 'I' '.... ..... . '1 III," "/ . . 'tIw"" t" "" . It . of ... . . .
Jl~~:lt~~,
.,.,." ..~:.,.".."..,,, "'U ..., 'I'" ." -.~. t' 10'S ,.."...." ",'r.'1
, . ~"'. I.....'... "1'" .. oJ" .glF "1." 'if' 'f~I'" 111'1'"
:~! ,rj'"1:3t":--]' ~~:t"t~:ft ""'"~'''~,~ 1~:i." ..v'tI "'I~ -, "\:'"':"~ r'f'~
:r:::Uls ~r.e ~irlWl'a~c', '1'se ~~'!e . S:'O.; :a:y.r'~.: ,. j~""::\'
,..,lit,.,.. ,I." ~.1II1ft ...t....r. ,,,Iff, 'V~I." lI'e"'''~. "'''''1' ... "',',J.
. l' .t,~" 4. 1i"'ljJ'.~' ..... . '" .... .. ..... .. "."lij
~ ~'=!. =~~!.,~~., ,.~...,~.~, 1';C"" C~""""".'''''~' '~~' ~,=:..,..~ t,'-',\:
, ,~;:~ .'.'e'~"'; Ul~"" :,~:I, \\,I'~~' '~"'~ :,~~;..~ ;.~: ~~":~ ."~ ,;~~:
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ArrACHMENT TO APPUCAnON
FOR COMMmEE ON COMMUNITY NEEDS
IN ORDER TO ENSURE THAT THE COMMmEE ON COMMUNITY NEEDS IS REPRESENT A,
TIVE OF THE COMMUNITY AND THE GROUPlS) WHICH IT SERVES. PLEASE INDICATE IF
YOU ARE A MEMBER OF ANY OF THE FOllOWING CATEGORIES:
_ Elclorty (62 or oldor)
_ HlIldcappod or Dlsablod
_ RacIal or Elhnlo t.Vnorlly
.
..:.:.. Lower Income (100 chait bolow)
_ Nono 01 tho abovo
Your roaponao II ~ and you may wIah Inllood 10 olaborDlo on or Indlcalo areas In which
you con moko . apodal conltlbuUon to tho Convnllloo In anothor 10ellon 01 Ihls lorm.
.
MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR lOWER INCOME HOUSEHOLDS,
$22,600 lor al.porlon houlohold
$25,e50 lor a 2.porlon housohold
$29,100 lor a3'porlon housohold
$32,300 lor a4'porlon housohold
$34,900 lor . 5-porlon housohold
$37,500 lor . e'porlOn housohold
$40,100 lor a7.porlon housohold
$42,650 lor an et-pollon housohold
IIlC/IIpp ccn
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. CJTY OF IOWA CITY ,
ADYISORY 80ARD/CnHMJSSION APPLICATION FORH
Jlldh Idu.ls IfNIII9 011 80lrds/COllIIIsslons p I.y .n Il'Clortant ro I. In 'dv Is Inq the
Council 011 lIItters 0' InUrllt to our c~nlty .nd Its 'utur.. Appllc.nts Mt rllld'
In JOII. City.
Tn. City Council IJInounCed Advisory 804rd/Cornlsslon v4C4ncl.s 90 d'ys prior to the
dati the appolntllnt will be DId" thIs p.rlOd provld.s 'or a JO.dIY Idv.rtlSlnq p.rlOd
and a 6O.da, tralnlno perIod 'or ntv ntmO.rs, Th. trllnlno perIod allows n.w DtmO.rs to
D.c~ ,..llIar wIth the rllponslbllltlll .1Id Mlu 0' the Idvlsory board/coll'l1llsslon
be,or. blcOlllno a 'ull votlno ~r,
MUr a VlCanCy has bI.n announCed and th' JD.daYldv.rtlslno period has uplred, the
Council r.vlM .11 aP/lllcttlons durlnq the In'orllll work IUslon. Th. aP/lolntm.nt Is
.nnounc'd .t the n..t 'or..1 Council ...tlno, Appolnt..s Strv. .s unp.ld voluntt.rs.
Council pr.ters that .11 applicatIons IaIst be subllltted to the City Cltrk no laUr
than 011. IIHk prIor to tII. announced .ppolntllnt datu. ,PlEASE USE A BUCI( IHI( PEH'..
,
THIS APPI.ICArlOH IS A PJ8LJC DOCUHEIIT AICl AS SUCH CAlf BE REPRODUCED A1~ DISTRIBUTED FOR
THE PU8I.IC. THIS APPLJCAflOH \lILL BE COHSIDERED FOR J HOHTHS OHLY AlID AUTOl'.\f1CALLY
CDHSIOERED FOR ANY YACAICY DURING THAT TIlE.
ADVISORY 8OARD/COHflSSIOH HAHE tMt.tf!TU CIO(.LiIIIlI4WJ(1y ~t>L TERH~
HAHE HOlE ADDRESS 'V1 e'. 7r{FF6~
Is your hoClf Iddrm (I htld abovel wIthIn tII. corporat. IIl1llts 0' low. City? Y6S'
I OCCUPATION f\!tt,Mt1 OPfaJl,. EHPLOYER -rilll' SWJteY FcwJtJAild)J
I PHOHf tmt~l HQI\I! ~~~ 11(;& BUSINESS z'9-'~'
! EIPERJENCE AND/OR ACTIVITIES WHJCH YOU FEEL OUALJFY YOU FOR THJS POSJTION:
I S~e ATrAtIItT> SHeer
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\/HAT IS YOUR PRESENT KHOIA.EDGE OF THJS ADVISORY BOARD?
\/HAT CONTRIBUTIOHS DO YOU.FEEL YOU CAN HAleE TO ntls ADVISORY 80ARD (OR STATE REASON FOR
APPLY/HGll ~ee. A~1
Sp,cltlc .tt.ntIOll should be directed to posslbl. conflict 0' Int.rllt as d.tlned In
Chapt.rs J6Z,6. 40JA.22 0' the Cod. 0' JOWl. Should you b. unc.rtaln IIh.th.r or not I
pot.nthl con'lIct 0' Int.rest u~s, contact the LtGll D,plftm.nt. \ltII you hlv, I
conflict 0' Inttrtst7 " YES HO .
-
J, you ar. not s.!.ct'd, do you wlnt to be notl'l.d? ~ YES HO
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Do you currtntly serv. 011 .noth.r Jow. City 80ard or Conmllllon? YES ')<. HO:
- -.
It his b..n CounCIl policy not to p.rllllt .n IndIvIdual to s.rv. on tllO 80lrds or Commls.
slons at tII. "lilt tllllt. ,
Jun. 1988
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I. Il.Ipcricnco and/or ICtivlllcs whlcll qlWl(y )'011 fOf Ihb position.
My lfI'Ort U I ProeM Otllcct at Ihc SWIIcy FoundWon U IfI'CIJ u my put Clpcricnco U I
LqlJ1a1lve AssbwIlln Ihc U.S. House of RtpmaIlIdm have ,1\'CIl RIO Ihc ability to let u
an InletmCdluy, wcs.s JlfO&IIllIJ, and rqmctIl COIUIIlIICIldcs. WbcIIIer I am pLwlln,1
conrcrcncc on cnvlronmenlllluucs Of &mn,In, IICtlIInu on buman rI,hlS Iuucs, my job II
Ihc Stanley foundation dcnwlds IhI1IIet U III.Won bctv.UlI various ,roupI. r'Of five
)UtI, bctwccn 1984 and 1989, I lfI'Orkcd U ll.qWatJve AubwlI, m/uatln, IqIsbllon and
mcctIn,lobby\slJ and COIUIIlIlClIlS to ClpWn my RtpmaIwlve'. views. I v.'OUld we Ihc
akIIla I have boned durin, my Q/'CU to m1\lllO Communlly Dcvdopmcnl Block Granl
(CDDO) proposW and rcprachl dtluns' vIcwa to Ihc City Council.
II. Presenl Knowlcd&o of Ihc CommllltC on Communlly Needs.
Tho CommllltC /IlCClJ to m1\lllO dty JlfO&IIllIJ and IdvlJo Ihc dlY COIIIldI on Ihc we of
CDBO.. CommlllCC mcmbcn aIao fldliwc ncI&hborhood mcccJn<o dctcrmlllO communlly
nccda, dcvcJops IlhrcG )Ul Communlly DcvcIopmenl Plan and dcsI&1\J ICtivltlcs rOf
Community Dcvdopmcnl Week.
III. Contrlbutlons I CIII make to Ihc board.
A. I member or IIlo CommllltC on Communlly Needl, I IfIwld brln, Clpcricnco lfI'Orkln,
willi I variety of ,roup', an abUlly to artkuIato Ihc Iuucs, and I dcsIro to take ruUIdYIIIll'o
of CDBO raourca. SInco movIn,to Iowa City I )Ul and I half "0, I have bcncfIllcd
rrom putldpllln, In Ihc Pf'OIIIllIJ Iowa City bu to Orret. I would now like to help
dclcrmlno and prIorIdrc Ihc nccda of OUt community. I am w1l11n, to spend dmc and Cl1CtJy
to help dtluns dcvcIop Pf'OIIIllIJ to bcIlct Iowa ClIY.
I have applied to IaVO on both Ihc Drwdband TcI<<ommunlcadOl\J Commission and lhc
CommllltC on Communlly Needs. I undcnland Ihc Council docs noI pcnnlt IndlvldUII. 10
IaVO on moro lIwI 011O board Of commlulon, 10 I IfIwld like to 11I10 thai I am moil
InlClCStcd In IctVIn, on Ihc TdccommunlcadOl\J Commlulon. I rcallrc, howcYcr, thIllhcro
aro many qUIIlned people who have Clprwcd an InlctCSlln Ihc TcI<<ommunlcatlOl\J
Commlulon. If )'OIIlhould choose IOI1lCOIIO clIO, I would apprcdalO II if )'OU would then
COI\Jldct my .pplicadon for Ihc CommltltC on Community Needs.
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, CJTY OF IOWA CJTY .
ADVISORY BOARD/COHHISSION APPLICATION FO~
Jndlvldu'ls urvlnq Q/l 10"dl/COllIlufonl pl'T tit lroorunC rol. III 'dvlllnq ell.
Council on ftleterl of Interest to our ConlUnltT tIId Its futur.. Appllc.nts lUst relld.
In low. CltT'
TII. CltT Council tIInounct4 Ad.horT ~"d/Comlnlon mmles 90 d'l' prior co 1II.
me tile .ppolntNnt will be ftlde. This periOd provides for " JO'd'l.dwtrthlrq periOd
.nd . dO'd" tr.lnlnQ periOd for nN IltIfCtrI, TIl. tr.llllnQ periOd ,11M I\flI DtIOtrl CO
becOlllt f..llI.r willi the mponslbllltles 'nd duties of tll. .d.IIOry bo.rd/comllllOll
before btcoalnQ . full votlnQ ~er.
AfUr , v.c.nc1 IIu bun ,nnoun"d tIId 1II. Jo-d"ldwtrclllno perlOdllU tlplrt4, 1II.
Council rlfl.lIt .11 .ppllc.tlonl durlrq the I nfo,.. 1 wor~ 11111011. Th. .ppolntMnc Is
.nnounced .t tile neat foreal CouncIl ,.etlnQ. Appolnteel I.rve ., unpaid volunteers.
Council prefers th.t .11 .ppllcatlOlls ..nt be subrlltted to tilt CltT Cltr~ no later
th.n OIIe w.et prIor to tile .nnounced .ppolnCmtnt d.tel, PlEASE USE A BLACK INK PEN.
TIllS APPLICATION IS A PUBLIC DOCIllEHT AICl AS SUCH eM IE RtPRQOUCED Ala DISTRIIUTED FOR
TIlE PUBLIC. TIllS APPLICATION \llll IE CONSJDERED FOR J HOHTIIS ONlY AHD AUTOI'ATlCAlLY
CONSJDERED FOR AMY VACAI<<:Y OURI" TIIAT TIME.
ADVlSORY.BOARD/COIflISSION /W4E/{ ", /11,71;;' m j.)""",t~ j;~~i Tt~ ';//11 "''''1.',
/1/ J; . , . _ '1 '
rWlE (;Ii tl'~!" 1',111' (1 HOlE ADDRESS 1/: ~.,' ~.' ,.':r '
Is Tour hOClf Iddms1lhttd .boVllwltMn tIl. corpor.t. II.IU of low. CltTl ;, '.' ,
OCCUPATION f.".,:""It,l-h!1'! J.,,,t.IJJ./.J1I'R A./1/al EHPt.OYER :')1 '~'II:"JIY 'fl-'"/'"{'
PllUNE IiIlItaER: HOlE I~;;~. .y.od;;. J iIlSJIlESS Ii., :;.,; ~/{-r/
EJ~ERJENCE AlID/OR ACTIYITJES \/HICK YOU FEEL QUALIFY YOU FOR TIIJS POSITION:
~ ' wi ..J'
" , ~I 'k" ,;, It.. I ,(I
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SpecHlc .ttentlOll I ould be dlmted to" ponlbl. conflict of tntemt es d.flned In
Chlpters J5Z.5, 40JA.ZZ of the COd. of lowl. Should TOU b. uncert.ln "".ther or not I
potential confltct of tntemt utsts', cont.ct the lIQIl Dep.rtlltnt. IItll Tou hm .
confltct of Interestl ......YES ~NO
If lOU Ire not I.lected, do 10U wlnt to b. notlfl.dl ~'ES ......NO
Do 10U currentl, s.rv. 011 anoth.r Jowa CltT Board or Commllllonl _____'ES Jl.. NO
It hal b.en Counctl poltcT not to permtt an Indlvtdual 10 serve 0/1 two BoardS or CommiS-
Sions at the same tIme.
Juno 1988
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AnACHMENT TO APPUCAT10N
FOR COMMmEIl ON COMMUNITY HEE09
IN ORDER TO ENSURE THAT TliE COMMITTEE ON COMMUNITY NEEDS IS REPRESENT A.
TIVE OF TliE COMMUtilTV AND TliE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF
YOU ARE A MEMBER OF ANY OF TliE FOLLOWING CATEGORIES:
_ EJdorly (62 or oldor)
_ Hancicappod or Dlsablod
_ RacIal or Ethnlo t.tnorlty
_ LowOr Income (100 chart below)
L None 011hO above
Your reaponaell ~ end you may wish InltOad to elaborale on or IndIcalelllu In whlch
you can make . apaclal conl/1bUtlOn to tho CommlltOO In anolhOr IIclton ol\hlllorm.
MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOWER INCOME HOUSEHOLDS.
, .
$22,600 for . l1lOraon housohold
$25,650 for . 21lOraon household
$29,100 for. 3IPOraon household
$32,300 for . 4.poraon household
$34,900 for . 5.porlon household
$37,G00 for . 61lOrlon household
$40,100 for. 7.porlon household
$42,650 fo, 1/1 a+-poraon household
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, ClrY OF 10VA CITY.
AOVISORY 80ARO/COHHISSION APPLICATION FOAM
Indhtdu.h urvt"9 0/1 80ards/CCII!I1llulons ph, .n tll1lorUnt rol. tn 'dvlslng the
Council 0/1 NUtrI of Intmlt 10 our COllmlnlty .nd Its Mur.. Appltcants Mt reside
tn JOlI. City,
rhe City Council .nnounced Advisory 80ard/CO<111lluton vmnctes 90 d.ys prior 10 the
d.te tho ,ppOlnL=ont will bt Nde. rhts plrlOd provides for. 30.day advertls1no p.rlOd
.nd . 6O.d" tr4lnlno ptrlOd for new IIlIlIters. rhe tratntno periOd .IlM new mell'Oerl to
btCQIllt f..III" with the responsibilities and duties of the .dvtlory board/comtlslon
btfor. btcomlno I full votlno IIlIter.
After I VlClncy hu bun .nnounced and the 30'd.y adv.rtlllno ptrlod hu expired, the
Council revllll1 III 'pjlltcatlons durlno the Inforlll.1 work uuton. The .ppolntment II
announctd It the n.at forNI Council lIlIetlno. Appotntees slrv. .s unp.ld volunte.rs.
Council prefers th.t .11 appltcatlons /'lUst b. sub1lltted to the City C1tr~ no hl.r
~~.n 411. ....k prior to tho announced .ppotnt.:Mlnt d.llS. PLEASE USE A 8L~CI( WI( PEII.
.m \PPLIWIO'1 IS \ ~BLlC OO(~:lE'1f ~UO ~S SUCH ':~'I 3E ~EPqOoUCEO ~liO mmBUfEO F~R
~IE 'vaLIC. :1m mLlc.\iiOU :/ILL B€ COllSIJE~EJ ;.JR J :~o:mIS 'lrILf IUD luTl~"m,lL~ y
::~,s:mEO FOR tlY I~C.\:ICY OUqWG ~HAr TillE.
1~'IlSm 30ARO/COlfllSSIOU I~E 1"':..,....... ,'11" ~~ TE~'l_:? reIV'
'~IE.7i'" I'OJf~, HOltE ,loORESS 1/11 HWY 1jJ/ #;,
Is lo~r homo .aor.ss (listed abov') ~tthln lh. corporat. ll~tts of Iowa Cltl?
'lCCUPUJOII c. ^ ~JJ' t'~ EHPLolYER.:l':... tY.'h'l A? t:i..
ijfu'lE ol\lflBEil; ;;uUE ;), r' (9$() aUS:'IESS '37t!E 9116
WERltlCE AliD/OR AC71'/lfIES ~lUCH NU FEEL ~UALIFY 'fOU FOR :1m >JSITIOII: ~
~.. .I,'u '~~L "''''~9;-''~o/ ""<hI"&' ~ ~
.:r-C'AA./ J,...,.~ ..., -t:t.. ,,< -I':tr. v,'''' ~. '.!1I/.'c... .
~f1"c.. ~~ ~ ~u...., IVkL.uA'U~~I!4. I'"..,.,~,.. of. ~c.
C.J."'...A...;I,.-i,. ~A ~"ltl~r-f,"" 1.t:I-4\)"- 114"'!- ~
/~.d,,, , 1".Iz~~If-p.I/LC-.JJIU.('''' .IJJuk* -t:",
'.'llAT IS 'fO~R PRESE~1f <1I0\IUOGE OF rHlS ~6'1lS0RY 30ARD?.:r: -"X"" ,...L..
A ,L
('~..,(.....I."'l ~.;r ~ "" ~,.'..... .J..,~/'.g.t. .1 ~ '14.
'iHU ,:mmUrJOIlS JO IOU FEEL 'IOU ':.Il1 ~KE fO THIS lD'/ISO~Y 30.\RO (OR HUE ~mo~1 F'JR
\P.PLfI~'G)7 &...,I,~,. ,of tt"jJ~~ &""'''''1 t:1(n.",,'~c. t!(lIP......":.
~eI1"~".t~ 1II_.dLiJ..~.J,.,J' .1~ ,1~. ,."",,.;1,' ~ ... ~o.-Al4
6Judt/Zt-l~6~~lli'a.I.o.l t" ,....(oOM..,.~p.~.f
SpecifIc attentton should be dtrected to poutble conflict 0' Interest u deftned In ::-
Chtpltrs 362.6, 403A.22 of the COde 0' Iowa. Should you be 'Jncert.ln "hether or not I ~
,otentlal con'ltct 0' Interest ..I~'y, contact the Laual Department. \/111 you have 4 ·
confltct of Interest? _YES A_!IO
I' IOU are not selecled, do you ~ant to be nOllfled? ~YES _____110
00 IOU currently servo on anolher 100~a CHy BWd or COll'lntnlonl _____YES Ji 110
It has been Counctl policy not to ~or"'~ an Individual to \orve on two Boards or Commls.
s tons at tho UIlIll t tmo. .
Ju;u} 1988
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