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Home My WebLink About1994-05-10 Appointment ~'. '^'~ . ':' "",, j,-;,." ; \......;:'.' . .,;> , . '~;'." . '. . ., ",...... .- "t. '-;"\Jf'; -."J" " ,,',"'" , .~..;, . , ..! '..., ~ P' ,. . . . . _ _:.._..:~~~.~~_ ,~~ ~ ":J._ ,.' .J.:;......_. '",._."- __..::...... ,~.'.... _- ~..._'"'"'~.,,_'<"_.H '"" '" ~..~,:..,.."" ..~.., _._. .,,___ \~ . .- .( (--. , :, ~ f,~ ! i , I . I t' i I , I I, I ~, IJ' J !}~/; ~,i~ 'Ii I. ., ! I 'r.. ...'......-. ",r 0 ..'," ',/, --_.~--.._--"_.._..,~-,"~~~...-,,,....- '-"" " ~:~ CITY OF IOWA CITY NOTICE THE CITY COUNCIL OF IOWA CITY IS CON- SIDERING APPOINTMENTS TO THE FOL- LOWING COMMISSION: CHARTER REVIEW COMMISSION Nine vacancies - One-year Terms May 10, 1994 - May 10, 1995 The duties of the Charter Review Commission will be to review the existing City Charter and within twelve months recommend any charter amendments that it deems fit. Such amend- ments shall be submitted by the City Council to the voters in the form prescribed by the Com- mission, and an amendment becomes effective when approved by a majority of those voting. Iowa City appointed members of boards and commissions must be qualified voters of the City of Iowa City. These appointments will be made at the May 10, 1994, meeting of the City Council at 7:30 p,m. in the Council Chambers. Persons interested in being considered for these posi- tions should contact the City Clerk, Civic Center, 410 E. Washington Street. Application forms are available from the Clerk's office upon re- quest. \\3Ci , ' :.)....;.^.."'..."'.".,."'~,.........,..,."'..,....,...".I','"'''' ,',,''"':'' , !. '~,:,',' '::';;':."'''',':.'''' '\ ,',' , -':"- ,'.:f".'.' ':'., ".' " .....0 ,.,. '.1'", 15 ,.,.:.','. "\"""~1~;' ,'~~,.'>' "" " ~ ,<:. '-, , ' " .' , ' -- "~ 1" .II -'t~.P'IM' _LTf'- . , I I ,I () ,10 '., ;. W", 't: 1m~'.' ,. ,,- '. ~ I I, : I i ~, 1(' i I \ l I \ ,i ;\~~ " .f'!~l"".'.'..'.';.,' ',. 11' ~ l' . ~f. ' ,l",' ,,', . ",I -"'- .:Co "", .. .,P'\ " . .~ , ':t;\I' , '. , H.-.. ',' , "'''' .." P' . .' . . .' , . :, _._ _~~~ __. .__ ,,_ ." 'c.'., ,_",.. ~"'~'_'4';"','~'_ .__ ,'n ,.__~..;__..~,.~~ ,~_,_,~__,~""",_",~...,_,_,.~" . .. ~__.~'... .....~, _ '."._'.-. c'- ;","'.. ,"_ May 10, 1994 CHARTER REVIEW COMMISSION - Nine vacancies - One-year Terms May 10, 1994 - May 10, 1995 Jeff McCullough Ann M. Bovbjerg 1801 Morningside Drive 1710 Ridge Road Rosalie Starr Michael V. Messier 830 E. Davenport Street 119 llontrose Craig N. Willis Paul A. Er,li 333 Magowan 3 Melrose Place Darrell G. Courtney John l'elton 1 Princeton Court 704 Arbor Drive Dale Welt Anne Rawlan:i I 602 5th Ave 839 Roosev~'t Joe B. Pugh, Jr. Glenn E. Roberts 5 Penn CirclE' 8 Green Mountain Drive Apt 15 C.L. "Tim" Brandt A. John McDonald 427 S. Governor 23 Rita Lyn Keith Ruff Kathy Penningroth 215 Woolf Avenue 601 S. Gilbert Street #611 Clayton Ringgenberg Larry D. Quigley 625 4th Avenue 822 Juniper Drive John R. Balmer Mary Geasland 53 Regal Lane 10 Princeton Court Gary L. Fink Ann Marie Rhodes 4 Princeton Court 500 St. Thomas Court Carolyn A. Gross Timothy J. Krumm -, 820 Kirkwood Avenue 1"30 Oaklawn Avenue Linda M. Murray Lois K. Cox 2128 S. Riverside Drive #39 112 S. Dodge Patt Cain Gertrude Macqueen 318 N. Gilbert 454 Lexington Avenue - ""\\ -, "'C' 1_ ..', O'>"';A:'0' ,"'. J13~ '?';".: I'D>, ~. .. ---... . ,'. "., :mzt:l' I, \' " ,;> , , '~t: \'" , ., . <. \ " ... . < ' :! . " ,_....','--\. , CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future, Applicants must reside in Iowa City. AI (er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting, Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St.) Iowa City, Iowa. '1 THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. (!1-h41t.TP-1l.. 'KeV/EW aM""s$IGI\ITERM HOME ADDRESS 3/8 1\1. (/ILIJJ:.l!..r ADVISOA BOARD/COMMISSION NAME NAME Arr fAIN Is your home address lIisted above) within the corporate limits of Iowa City? ~Yes No OCCUPATION 1>,UlE-LOpnIlEA1r dPF/U:..1L EMPLOYER VI... t:."uNiUlT70N PHONE NUMBER: HOME 3!J.-4/ -,,~ 89 BUSINESS 3.35"'-330~- EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ::z: .4-"",,, II pf~/.. '/.14.4, /t8./~e;tJT oP :r~.4 C'rtl, /.VIIs Y'~e-~#R'" tJP nt'.E. " C ,t,n;.c. Lt,mm,rn!&!. h74VI! tfSi/.VIM Qi'V 071#"~.. .::~n"mllS ,/,o""s p~';S. I) .. '<(IIIG4,1:4blVr) Alii/) .BI!~/V 19 CITY Effl./JLb)l$E - ALL 0,1: UN://~U 'b",;12.18u;A I 7D A 1~/V"u.JLIl49G ",: If.,.".., ot..;/l., 1'1l4$G/IIT ~ :,oA6T 9"V."/I1,n~AJ7 '!'JJEPATCS.. . :t' IfYn I',so AGTJVI: IIV VAIl/ous UT/~IO javu- ft&nVlnlSS ~.s'" 'VlJJ.bNTt:t:H.. . (~ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? :r /<!mtb~ 77h9T rT U r ' 1 . .'.;;\ ( \ \\ " \~ ,.~ ~r~ i.. I , I /lE'1 VI J!. SA .(JY' /JVIL i:xu:,:nlVe cl-hflIZ.n:t.R-.. I , WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPL YINGI? :r ,c~E.L. :z= GAlLI ~.:"trn'U.8 v-rE 14M HIS",AlcAt... 'pBIlS-".t=.c77 vl& 70 . 71I-E ~/$('t..;S$/ON.s. .:c "1M .41.$" A4,(J A'Zo," /I I DauAb JJAt.llf/loUIU4 Or t.omlhu/ln7.Y /NI//JLVJi;,!IJ.II=/OT. Specific attention should be directed to possible conflict of interest as defined in Chapters 362,6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interestt:lxists, "cpntact the City Attorney's Office. Will you have a conflict of interest? _YES vNO :.::::: ... ,', ! h: I! . If you are not selected, do you want to be notified? _YES vNO . , , I ,I '.\ ...., , ' 11 I J. ~~l.... .1 ..f! -' - , you currently serve on another Iowa City Board or Commission? _YES ~NO::, ,'., '. '..... "'-" , It has been Council policy not to permit an individual to serve on two Boards or Comm'i~~ion;:~t the same time, ....... ..) )'~'~." 'I,'';' Qf~ 1'\jii!'; L_~ January 1994 c~lklbd-comm.'PP 113'1 rr.'~" ----- :"l. 0 _.,~_.u" 0.') " "'. ,'" "., 'c_ '. '. \ I." )5 Id'; Lr:zi'r~ , . '\" . ',"i ,;> , "'f' . \~ ::, ". .. ',' ,'," , -, ".. . ,...,::---:. "," ,- CITY OF IOWA CITY -\' ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to' . community and its future. Applicants must reside in Iowa City. /-., ,er a vacancy has been announced, the Council reviews all applications during the work session, The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME [., fv C~artc( ''Kev.''h.J {".'l1m,s~"'1 TERM I Y'" NAME-11(1n e.. 'k?al^ i!IIYld / HOME ADDRESS 839 KCJ05t?VrZ. If Is your home address (listed above) within the corporate limits of Iowa City? Y Yes No OCCUPATION Rlb/,e K.e.Ia+ic1'<; + t.i/t!II/S I'1lJrttlQ;;l1bJ EMPLOYER e.,)(jllll.v{1,-,W G"'''I''()I1;~."l,ai1~ . (/ PHONE NUMBER: HOME 35t/~/3 f38 BUSINESS 331-0,T'/ ") EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: . See:' Ct +-{a.c.h-ei . , ' '. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADViSORY BOARD? 5ee a.+ttlcAe(( " d WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR .; APPLYING)? $'e~ o..-H-tttL(l( i i I I r' : I I 1 if i I , \ ~ .J Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential con,t of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES NO . if you are not selected, do you want to be notified? ..,bES NO - DC' "ou currently serve on another Iowa City Board or Commission? _YES ..iNO It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. i~~; \ii ?~ ~, i January 1994 clllk\bd-co,m""pp 0....-=......' " 0 'r' __ _ _ . ,....w~, H~.'~' lr '__ ,. -r~.-, oj'" . '. '.".-':. ',:, ',.:-; I , J'i '1"" ,t' 5 1:0, 113'1 I, c. A O'i, l ~.l ij " , , ;~3~'::~~.\1 :t"I', " , .. ~ '. :,' , City of Iowa City Advisory Board/Commission Application Form Attachment ADVISORY BOARD/COMMISSION NAME: Charter Review Commission TERM: 5/10/94 - 5/10/95 NAME: Anne Rawland HOME ADDRESS: 839 Roosevelt St, Iowa City, IA 52240 (District B) Is your home address (listed above) within the corporate limits ofIowa City? YES OCCUPATION: Public Relations and Events Management EMPLOYER: Rawland-Warner Communications PHONE NUMBER: HOME: 354-1388 BUSINESS: 337-0547 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Homeowner, 839 Roosevelt St, Iowa City, 1985 - Present President, Rawland-Warner Communications, 1993 - Present Chair, Committee On Community Needs, City of Iowa City, 1988 -1990 Member, Committee On Community Needs, City ofIowa City, 1985 -1990 Member, Ad-Hoc City Sales Tax Committee, City ofIowa City, 1987. Member, Ad-Hoc Transportation Committee, City ofIowa City/JCCOG 1985. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD: ,~ " ! ,;~ I '" As I understand it, the Charter Review Commission will review the existing City Charter and-make recommendations for amending as the commission sees fit. I have reviewed the City Charter and note the document is the basis upon which the City carries out its functions. \ , ',1 .. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPL YING): I enjoyed my past City ofIowa City service and would liI{e to be of assistance again. Because I have a new business, I am interested in a position which would allow me to serve without over-committing myself with regards to time and energy. ....., r........ , ,- :~ , . As with my previous service, I offer the perspective of a home owner and a resident of Iowll City. I have lived in the city since 1982 upon graduation from Grinnell College. I bring some understanding of the University of Iowa as I have worked at the VI Hospitals and the VI Libraries. However, I have not IIttended classes the VI. Finally, as a home-based business owner, I not only bring a business viewpoint to the table, but also the perspective ora unique type of businesses due to its operation from the second story of my home and its designation as II certified Targeted Small Business. ,(, \'-,'"'' "~ "iIl you have a conflict of interest? NO ,:L n;~; 'i~j" , ", , , c,. If you are not selected, do you want to be notified? YES Do you currently serve on another Iowa City Board or Commission? NO ':" -=h-~~'~~ ~M '''.,._-~.- l___.___ , ) ,o~ " P' . - r 'It) ~i ,~ fl fl ~ " " ;~:l \", ,;> , "I . \,~ I,', ,~' \ '" P' . . .:.' ' CITY OF IOWA CITY r ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future. Applicants must reside in Iowa City. A. ier a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting, Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME (7//hJr'ft>r ,~. JI/et{i (~1l11!1 TERM NAME ,/c.}s 1<'. OC,X HOME ADDRESS /1.::< '5. a:~(5e. Is your home address (listed above) within the ~~r,p~ra,~e.lif!1~t,S ,~f I?,wa City? ,~ _ No OCCUPATION ,-.hc~ T)'{: {550rL';~:~:;:('>')();~"fMPLOYER (j'III/, D.( ~,L(}(c'() PHONE NUMBER: HOME (? /1).3'3.5'- tf-i'n BUSINESS (1 19):1,~;~;- 9c (,,;) E~ERIENCE AND/OR ACTIVITIES W~IC,H YOU FEEL QUALIFY YOU :OR THIS .POSITI?N: )CI7CJ ~t'(,n7 ..J..--O~I),J e!l r(~5Ickl1t~' /1r7ert!5ffd 7)),-fl('1 '/'11 /i! Clt/lc' J"/,c.J,l'. j?)'i)Jhf'~ c'-f --rbalJ C,'vt/ ,iAe-{f's (J.'I,'OI1 siCJf IJe'Jtj'Srr'VC'J iI t. fen'1 CI1 Rd. -f (ns7e(s I. 1//1)/(. J\i rc~r' (i'l f -:. {:j , , . el11 /.. I' ~s s1~{-{;;. Ho J^/ Sen';((~ CorD, 0 I6o..J~ ( / Vf'. I , WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? {."\ C/l,~d-e(' r , \ " \ i~ I , i I'; I i . ~' : I ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? den! e".>7Jcd;vc... /1/5-0 I 'J rei /11 ai'lL .-rdhcc:. Ilm~/~J .JS ,) ;1"",.6t,. D .j, Ar~' C 1 . j If!.5 ,: c'J" '. j e St(V J ce.' /11 COIII1 .cf/()J t-/ h 1J1\ e!1 I /11. t ''-- e ()(fl'l7te &...! I~I/l 1"(.) c) y'1}C>lYiI'C~ p rlr!C;S;OI1 "YlcJtlll~, . '~l1tj Co 111' IJ?tfd +OD-~rlic,ft.:rfory cU.me)' ,jIB c'';. Specific attention snould oe directed to' possible 'cOnflict of Interest as deftf1ed In Chapters' 362:6i 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict 0 interest exists,~ contact the City Attorney's Office. Will you have a conflict of interest? _YES 0 ,.'-..' ~ If you are not selected, do you want to be notified? _NO ',' . ,', -:J " i :" (,) '1; , 1 Do "au currently serve on another Iowa City Board or Commission? _YES ~':~ , , , It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. 'Ii :~;~"\I.:~ ,~,;,,:, .~ " *" :':r' , , " January 1994 cleflilbd-comm..pp .(-" o' ,. _M.~, v -.. 0,,) , '3'1 I '} r:.. ~ ~) ,~ Oi - , .,' .rz~~' ;' i ,;> , , '~t:,~ I.. ,~. "",' ~ "''1; P' . . , .....~(~,. ---,'......."... ,',._-,.,."..",,' "",'," -,'.. r I " CITY OF IOWA CITY , , ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. .. 3r a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE , PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY' CONSIDERED FOR ANY VACANCY DURING THAT TIME. , 111. ,h ,-;) ,1 ~ , ADVISORY ,~OA.RD/COMMISSION NAME(!f1,.ttl';{i'1 TCe/!1.U2.t.o (!.8J"J&mal,:~ , TERM-I}f-'L1 ' NAME ,\:4/.1fUUL.lf1). ~11 JUhicLtej. HOME ADDRESS ,52 f,}f:.~:'''~{ff!.t!(J.id.? iJ" :;f ?/1' 519% Is your home address (listed above) within the corporate limits of Iowa City? L Yes No , aCCUPA TlaN J.t(\ )Lt;o,~ EMPlavERJG"'i'<C~t~ 'r-kL<!<G PHONE NUMBER: HOME __,--, -5'10 (0 BUSINESS 35(o-{ s:)) 3 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: \ . I .' 1-[" ~';'u, ~~ ,~:Vl (l0tLi.u ,J. ;/\ lz\.-t'..(I....Q fo-(.J-.t~f) to' ~r,-,-'D /,U.A,A.i{.~~'. 'v ,'!. , "', ~ Q ',. 1 ' ,(. '. ' 'U ,c.~ tU-'J t. .Ut'! \. ~ ,: I -D \I..,rl L/LCL-( iArt-d'J l1..J en AJ1A,LU(;(,J' ~ttuLj/l .,}lK ~ a vlV./!1v(/JI.1 q .f;{L{ , , I. " Cl 1\1.1r1tu-i J..1 t>Yl (~In)1A'l1,11 VLv~ vt tu.-t.Q/) r tl~~ ~ Wb:(Ll~1 1'1\ v i WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Jfu 1 l1J_(t(,~'4i(.~J ~CL>v& .~ I ,L ~ 1 yy\"-o..~ /u_e.&n~vru ,dil.A:uix.') --to O~J &71 /IJL u.(,~-tlu \ ~~tlr) G,~dg-(. i<f WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR I' APPl VINOI1 J '~'< At:." . i.. ,kwa c, ~ t :s 'r."''''' ~ (Mn. ,;,g"x.:i:MV .Li\ ~m/~ ~>>~i) ~d,l~ 1M .nUA'\ ~ ~ .i-"'~ l1Lfu1,_,~~~d viA\- tJ,u CJL.f,L<U-Of'J.l tW (lu ,,,,..-fJ__.t!2} IlLtrL0J'L-~ I.d/) rc1.u..u. " Specific attention should be directed to possible conflict of interest as defined in Chapters 362;Q., 403A.22 of the Code of Iowa, Should you be uncertain whether or not potential conflict of interesLexists,,"contact the City Attorney's Office. Will you have a conflict of interest? _YES LNO . ' =-: , ~. i I~ , I I I I ". . , If you are not selected, do you want to be notified? .x..YES _NO "'w ! ,;,) ., ; I :-,.l. ',~ Do you currently serve on another Iowa City Board or Commission? ~ ~t~ ".;'J ,~ ;.." .. It has been Council policy not to permit an individual to serve on two Boards or Commissions~, the same time. XYES . NO -. . January 1994 cIotklbd.comm"pp 113LJ '(-'.0 ~' --- '-~-'-1P __llW~T -- '.... '. . ",,' '\ o ',' " "",:.), ,".'" ~ -'" , ,',', "")5'1.10:: " 2ZLm' .. , "' . . :~:'\!'1 ',' ~ " , P' . . - ADVISORY BOARD/COMMISSION APPLICATION FORM r CITY OF IOWA CITY .' Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future. Applicants must reside in Iowa City. !-\"er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION Will BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICAllY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Charter Review Commission TERM One Year NAME Timothy J. Krumm HOME ADDRESS 1430 Oaklawn Ave., Iowa Citv 521.45 Is your home address (listed above) within the corporate limits of Iowa City? -A.. Yes No OCCUPATION Attorney PHONE NUMBER: HOME 319/338-3815 EMPLOYER Meardon. Sueppel. Downer & Hayes P.L.C. BUSINESS <1 q /<<R-Q??? , EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Enqaqed in the general practice of law in Iowa City since 19861 member of the Board, Iowa City Area Chamber of Commerce (1992-1994); Board member Zion Lutheran Church 1 Past (J, " Di'~ctor and Treasurer of The Emerqency Housinq proiect, Inc. i WHA T IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I am familiar with the duties l ~ of the Charter Review Commission and with the City Charter. Though my legal \. practice, I have become familiar with the City Code. (1 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR i I I APPl YINGI? Leqal traininq and experience; experience on various orqanization !i boards, working cooperatively with others; effort; desire for effective government in Iowa City. Specific attention should be directed to possible conflict of interest as defined in Chapters 362,6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists"contact the City Attorney's Office. Will you have a conflict of interest? _YES ..!,.NO ',,~: -,~ ': I . If . I' , I : i :"\J '1 If you are not selected, do you want to be notified? _YES ..!..NO ~"" 1 .~,) Do \IOU currently serve on another Iowa City Board or Commission? _YES JLNO -, . , .' ",' It has been Council policy not to permit an individual to serve on two Boards or Commissions a'fthe same time. "',I' '" '~, " , ~;t! .,: " , ,) ") January 1994 clerlilbd-comrn.app ~r~-;r-~- ,~I~- rL'~ -- r=' - ,o.~~ , 13~ I 'J ~ . , , 10 " :X~~:j " " i .' " ':1:\, , " " , '.. " . . :.' " "'",' -' r CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future. Applicants must reside in Iowa City. A,(er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME NAME /1;1/1 JJ,.)t'lf' Ikdo (liJddl't' ft,,}II-/:) (h1,l1m/~s dIll TERM HOME ADDRESS .5t/.iSl, 7l;mHs (-I Is your home address (listed abovel within the corporate limits of Iowa City? L Yes _ No OCCUPATION K(I; lJ'f5ld II! / Illlor/J(jf EMPLOYER li'IIl' Ii JZ( (,I I )' i PHONE NUMBER: HOME 1')4 SI iN BUSINESS , EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: //i/.,,.,, " "."'I( . "~ ...., /"'Ii, ,fir/i.,ll/!l?';!If; ril"/ ai'flY j , V ;{..Yl' <!,-)h t,/J /J/;'i/'r-'f5 , / (.'/1"),;1;15 1/ .;/(.,;: , I /1" (/, )('i'f ' I / /iJk,It,)?,' A U ( \ I !J WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? A{II7('e tIM' i!),.-)Ik~ ,;;/)1; Ie;' Jr, ,""fJi'lt'i, ~ (/ t~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR , I 1 : ~ , : I , 1 ~~ 1 APPL YING)? .I (/;11 t'f'<~/ ,'/llft'rsff".! //J !11c1/11it-7/;'1; 1'.1 .;il - /l!; () ..t.{i{t'(/ (<7 11/1// II; jlt'i/il//lmml. ,.z: (7e?t1 1/1/,/ I),., {{ Ift/.f1I:~1 .zit1.1 t?iu 1t'<!c/t"!J/1 1','1/1'1 1//1/11('1";/*1 ,"!/ ,i[,I,ili {jf 7J (j (/ Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists,. C,ontact the City Attorney's Office. Will you have a conflict of interest? _YES -X-NO ... " I ',1 AJI'; ~/-'/II;/-l/ 2/ /, 1 ' - ' 0,1"'V],/(7hl' t:' l.j CI11 I t' C';('!tn/lv (/f",l'/nr If you are not selected, do you want to be notified? 1. YES _NO " :.) DC' "ou currently serve on another Iowa City Board or Commission? _YES LNO It has been Council policy not to permit an individual to serve on two Boards or Commissi,6ns at)the same time. " '~" ,',:'," <, ~:,' ",1 ,~~ " l, ) January 1994 : cltrklbd-comm.IIlP '[-- 0 _Wl_ ...,.,." ,.... ~ -~ '0,.),'.."," "" , , \'. 113~. T'" )S A, ~ ~fl, - " ;' i :Ern -' , , ' ~ r :, \ !.', " , ", "'. . . :: ' ',,_. r CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLlCA liON FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to' 0 community and its future, Applicants must reside in Iowa City. 1-., ,er a vacancy has been announced, the Council reviews all applications during the work session, The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME, ADVISORY BOARD/COMMISSION NAME C:. v\'''\de,- R.e..u:' eLJ COWl m , TERM 5-/0"/'( fo ,;'0/0.'6' NAME (Y'\ M I G e CI.~ I " ~ HOME ADDRESS 5.3 rc <Z-l(,,-f Let Y\ <2_ Is your home address !listed above) within the corporate limits of Iowa City? V'Yes No OCCUPATION j\ol/A" "te"c\i\c Q_ <; "'- DH \} " S iJ of EMPLOYER V A fY\d I,~,j ('e,lo\.h r If" ^^-o..lY\ ~ - PHONE NUMBER: HOME '35 (- 1.}..lfO' BUSINESS Hc"lt~ (Ill'!/(.., 31~.o~~1 } "1 ($ 0.11,. EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: J.. + e.,.. '" <; , WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Red,' I!i-J f I't'~ {'I,l- l 0.. e J IMds e - t,,-bL'<s1 i},t;.i!. CIIc.i\" B' .1'-IlvS <::~"il" G. e.d:o" CHI. c;~l\;or Ce"hv' e.o.>\1I1.5S;o;... ~:>. r SO".. i (' I OC- 1',,) :"J or l\. t,' Cd"- ~\ LuCl.", ef\ S D;sff'\'c.}- (() VU' r c:.h"l y' .. ;" t-itc,,' r . !!;.! C~\o\"'C.I' ..... t \ -\. Ct I, e., a. ~I\e' e. C<'<<fI,i ,1 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR I APPLYING)? B'I' "'1;0.,) bt\ 'ftJ,'O~.s il'\vcJ/of;~i-J- - ,,,:elrel\ ('0 I', 'M.'ll>':/-- , scl\C.J ....1:>01' 'VI,'or lSSIAe. I I i I Q..- (\..." illl' I' (;;\"c.,', C Ic/"" '0"- 'O.\IV~ ~bII.r.; 6 S J -rl"'Y -J.o to I V ,SS'I{f. w~i-" 0.. lJil:\-l.;;", o...tc.o"'~, ;'::,. SpecIfic attention should be directed to possible conflict of interest as detlned in Chapte(s.362,6; 403,A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interesfexIsts;):ontaot the City Attorney's Office. Will you have a conflict of interest? _YES ~O ' :" ~.'J , ~ . I '., I If you are not selected, do you want to be notified? JL:YES .' :") _NO {" . .:~ :.: r1 _YES 'VNO "..1 i , , 'j ;,\ '1 Do 'Iou currently serve on another Iowa City Board or Commission? ;.:~ :'-" -J" ,:,:ifi' I[ It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. , January 1994 cIelklbd-comm"pp fr,~''Ir-'_'''_'''~I40;' :L.O . I .- H~ ' -, )'" o '". ,',__ , 13'1' \' . :/ 5 '~ tf. ,'" '.. ,.,~..\" j~" ~:,':I,' . '.:,',:, ;' . "':",<:~:~~..~'t',~, ".,.",; ',..' . , ,,~. ;' '." '-. ~ " , "',' " , '-::'::~~~':L~'_'~"-"_""'~~"..~~n~~~,<>.,,':_~:'._~:. " " ." , . .' . ,;:;;,~___~__.-_~.,;~'~",~,.~~:~,~~~.,~,... "...."..'.,..,..,~..~~~'h.,.-....".'~,h"'._'~ .,...."...;..:~..".. _...',,:.,.....~.."'...<JC;..~, '~ " " ~"'lJ(}luej witt... rec.o~~4./;~ po\;c:jc~) co",h"o..c:.r- .ekF(j('c~Wle.::t C\ ~ V\ e~ ot,'.J."OI\ S J r ~ fl N.. e...:t-.' J 100. r 1 '" I'''' "J """",' 7- Q.It''P/~ J'('f,s Cl,r- L.oc~ 'iHstr..'d' ~~ 1\J,,-b'o...J (€t.Jtd.IJI"5 .,''''()olll~ (AJ;rUt I I 7 '/-h~ i"'rfV'YI....r bl..S'I'''e~~ ~",Hn'.s of +I..q", /...0.;:"../ D/sfr,'r:.f "0' I / AJ "'- t " () ^ ",f I Co...J.. V A C. t:> k tt c ,'j I 'T(,)h"so,^,- co...Jj ':De\'>\.()ci'cl..:h'c Ce"'+.......l c.........\'h:tte~ tt..1o 5c"",I\ Botl 5c o...J-s I "....J.. e...."'-f F ,'ye., CD ,'.".15. ~r".....t wo..l S c.~Qd P To !.3 o...V'4 '... ,.. ~ ,," , t ~"'r ( Cel L\, 'I I \. S.. II.I.C""t;o>\ te.t..c:.k~ r C.I\. >\C. 1\-e.?o...JI-er) r.e. ';I'UL\ ..." l\Jo...+;ol\...{ )e.l'\\or :rsS't.\.~s Le~el"sh,'p Co"Fe,.e"c~ A WG.sk:'J1-o'" g A . SCC:I'o..\ WO'f' k C i+; H~ - :r ~w.., c.; ~ - \ ~ % to preseJ'- i-: .~ I " -) ,", D, c. '. l ":i" , ( ,..o-~.....,.. (~ I'''~\i,' I '.~ , , ,y r: I :- I ;,1 i I :1' , ' , ! II 1'1 I' b I . I , I L ~L; ~--" y; 1'3~. .' :.', 0 . "i4~\:J:':"~"':':'":'\"~""''':i''''-';--' 'rj!5;~'C' "6:1 ":':....:.":..."'.."';:":~:..'''''~L,':::-i:,,,,.':i:, 'i:,'\',' ":,~""k.,.;, ("...:',/-:' C,''--~'- '0 ",:' , ' --~-- '--?":"'.~ '.'. 'u_ · . ,', '.,.,', ,.." . '- " '>, ,~!'~: ',. .' ,; ., ;' j ,;> , , , "I' ,0\\1,;, ~ '., "'. . . :~ ': ".,,:, - CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to ~ community and its future. Applicants must reside in Iowa City. Arter a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME c.. kdrht R l? ,-I~I?.W Gj\~\~ I ~~I"~" TERM I if" NAME L ~"~ Ii 0 C'), 1;1\\' ol HOME ADDRESS t.~o- q" ~ 0 .rMo Q ~ nJ'lr Is your home address (listed above) wi hin the corporate limits of Iowa City? ..Jt.. Yes No OCCUPATION EMPLOYER PHONE NUMBER: HOME (31 q) '';35V - ?<.fS;;; BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: .L~a,"", k\\ dV\ Qct,~Q.. VI"-""'" L., c:S\' tk c...G~,^,^^':.:I~ ~"r, c;~ ~ I D ~,...' ':tl l: ~o.'" ~,,~ G1c\-."!'\<I~L.,.llJ.Q(l IV\.. c:.('l1v\.IA.,~.."S C-.-/>- or-,},()'d:>c,ir;:') - .. '<J.,'Y Ij _,r r- d',n"'5^ ~ 1t-^" c...~-h:>''''~f ,* ::t'~A"" (;~ . .J:' InlN "t,e.<f..,.{C",'iJu(l.r.1- l~ n \.I.'o.~+ L~hf€. Ct',^"L'AI"I~'~" r WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 1:. Q (.{.l ttu.l(..'" 'W +LL~ l:~ (h, np(r~.{t1'..(b ~I' ,^A\l 'h-I~,..", ~"\{,'" C'.'c~ :;'bc::~_ ct,. (C;.6-rn"~1. (' '{'~\Q. , ' ;(, WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYINGl? ]. au..... (') c\l1p(B ",c,*"r.. pI"> ~(.._\~., f;....L""'1" G,v.A..t i ../'t'1I'k. ~\al"'\ 0' 1.\ rt ~ l~tQ O:Jo..., ('{.ArC) ~'cti ~l' to'l-kr+ ,:s kl5+ t,~*,,- (:"~M IJ:~' lJA ~ ~ 0..<.'. r" ~U-J ~ 'h I:~ ~~ Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists,lc.ontact the City Attorney's Office, Will you have a conflict of interest? _YES X NO '::.~-: . ',. :;" , : I ..,'"' . " i I ~ .,,- I '" . .'1 If you are not selected, do you want to be notified? K.YES _NO ,: _YES ANo'-") -.-..~, ,:~: : '. ~.,,', It has been Council policy not to permit an individual to serve on two Boards or Commissions atJhe same time. :':) . D,. I,OU currently serve on another Iowa City Board or Commission? ::',j '~i ~ ~,~) l\ \ January 1994 clorklbd,comm"pp .....M . ,,', , . 0 '.' ".,....:) " 3'1 , ,'.......,.' ,','" '''' 'I ' '\ "'\''- ':;!', '.) t.. >ii, ~J leI (--;;- "I ._... , Ji.J.1i~:.''' ,~-.., , ,,\ (~'\ ,\,' \ " ~ ~,~,;- , ( \ 'I \ , , I" I I I I , , I ; .: I I; III~~. ! ; I ll) [I' lr'I~':: p~,1 r:~J ,1",' , 9~. ;, "'[' '" """'.!, ;,;. .-''''- ;', ,;> , . ~t \ ,'i , " 1 ~~., ".. . .:,' , "_,_'" I Q CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to' . community and its future, Applicants must reside in Iowa City. ',', ;""er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid ,volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. WashingtOn St., Iowa City, Iowa. " ',C ,:..' THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED ANDO't;fsTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND Al1\OMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ' ADVISORY BOARD/COMMISSION NAME-Lhr.r-tc:::. R.,"':"~"..J (,I',YIN\;",,"';C\\l TERM Or'l~_ '1t"t1' NAME Y\e:+hu Pc"'l.'\i,'\C f'crlr"" HOME ADDRESS :';ll:',- w,.<,ds:A'J::'_l\Ue_ \ J Is your home address (listed above) within the corporate limits of Iowa City? L Yes No OCCUPATION "")+i..I.r\e.n-t I_k:k,\-e,-;c.n\ G,\-,,(\\-\-rl,,"t EMPLOYERJ4t.,$\ PA, .,-tei'" "..\ \~\::'>;,l'ft..::") PHONE NUMBER: HOME ~':'-l.j -13;)1 ' BUSINESS 7)':'-0.; -lc'j-(:(~, EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: (,(")\'(\\\.\,\\~. ',:V:i- U~_(\\....., I L\f'l111COf'\,-\U A. "L:x((\ \ , lq~'S !Y\A ~N\H'(IW' \\";-'-,-tC'i'\,L\ cS. L ,_ Iq ~(v - l qC\\iJ,efj(",(1\-('~\ (l(\~ \"e..c,d\i l"IlI ~i" I L\ c,\. L \ ' " - ~ .' e.. ) l ''',' , $ ',,. )' ..;, . ( WHAT Ikq~~\jRCS~RES~~~~Otv't~GE<OFTHI~A~~~~~OA'RDtr,ct DC~\\<<.\ d'; \')\f~.dc\5 K~"::>;~E\\~ c~ J:.Oll'C'l ( :~ll E.c\\\U:\-i (" (\. I (Ho \ \:) Pr Me') ''>-\l~eJ "11 -I-""C"'~ "\\\L~(.e" ~\ie Go~'(\m\-:'n~C'('I ':':1 \\ ('" (\,-rl- '\0(' (o,r;:>>, \ 1("(1(' , \ -te) ("~,'; EO\-\) -+\\[0, C :.\.." (' \-\(\.-\-~,f" 1\\\(1 -\of') r-ec,;l';XHYlCi".(,\\.\ r:ii'\\?;Mrn~(\-\-; .~ \ I'\e.<:::.le' . WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPL YINGI? P I \S(\ ,!) C'. '''eC~ (1 \-\c.c.\\erl '. Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa, Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES -LNO If you are not selected, do you want to be notified? ..L YES _NO DC' "ou currently serve on another Iowa City Board or Commission? _YES LNO It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. citrk\bd-comm"pp January 1994 'I3Q " .. I I . o o I'"~ I.it:. ; mO"';' .'"..) ij -. "., .,> . -".':::.'\::."..,,1\,,: ~\ ., '. ,,;~:,;;" .. , ' ., ~'. ;, , :..;:'-.:~t~,';l::: .'.. i.. ",,"--. , ' .', I ,. ',;> ,'. '~. I' . - -""'" , "';':~..: ~, ' , , , . ' ",~.;, ~,'.!", ~;:,~~_j~.' _.'...;..:;~...,,:,{L{,.~~,.:~,~'~~,,',:;~,:J,.;, ...-.:."",,,,_~~~;~..: ..,.::,~:_': ,'. ,_ :i~~~-.:....,..;._:_,..~;.:..."~"'~:~'."-.,.,;._;...:.:........,,.. A-__".~._A.-...~':,LJ."j",.,':~,..""'" "'''''t:.>-,.-~,_.:,''-;;~l",,_';;,,~.....~, .:<, . '. P' ",\, " '"'i ! i , I 1 ,I I May 2, 1994 Members of the Iowa City City Council: As a long-time resident ofIowa City/Coralville, I have been concerned with the well-being of the community and actively worked to contribute to that well-being, primarily in education and government. My years of volunteer work at all levels of public education and service on district committees culminated in a term on the Iowa City Community School District Board ofDirectors and an opportunity to deal first hand with issues of governance, such as employer/employee relations and the needs and concerns of different, and sometimes competing, constituencies. Through membership in the League of Women Voters, I have been acquainted with studies on social policy, natural resources, and education and have worked to make government and elected officials accessible to the public. '; . " . Furthermore, I have acquired through graduate work in American History * An ability to analyze written documents, * A penchant for thinking about cause and effect, , * A knowledge of 19th and 20th century American political structures and of changing ideas about the role of government, * A belief that the structure of institutions influences their functioning and their ability to fulfill stated purposes. o ,,;,', I ! r '" , Because of my commitments to the community and to representative government and because of my beliefs about the responsibilities and possibilities of governmental structures, I am applying for the Charter Review Commission. ~ I . 1 I ! " ;), '- h' '''::'('-1 ("-, ~ "L \IC(~.'..;..JL I:', Kathy Penningroth < I l~ ~l . '1 " , ~, 'I ';;\ ~~ j'.r.1 , "',.," "\ -"" :..,..',',...'. ",:""',, ~ IIJ~,. J'......~.""'''.,.-'''.~'.n''.--.-"..''--......'''.... 'I'''''''''' '..'''I'''..'';;' "',:_,.\,,_ . ".' , ." \;:',., :,<~ <' . :"."_,,,,~,J.'.'~""'""'W > :-:;;,' ,I:" '[J' ",.\,':., "'''O:~>'iyi'>,' " ".'. l ~~:, ; "ii,.. ,:[ -0 - ~ 'w _.. . "'j '," ,'..' 7JIT,j,".l - ;' j ,;> o ':t:. ,\1,\ .~' ~ '" P' '. :,' , -"....;., r CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future. Applicants must reside in Iowa City. AI,er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMEN:r AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME C J-If?lc.T& r?. f f. V //5.11./ TERM I ~ NAME L- /.. il1//''1\ II &.fJ-/~/or HOME ADDRESS ?()..1 ,s;. 0l"', ~'r..0~ Is your home address Uisted above) within the corporate limits of Iowa City? X Yes _ No OCCUPATION 1Ire':;',"f- f} / tC G~ J~) () EMPLOYER . 0!-- L I:: PHONE NUMBER: HOME J, ') ff Lf /3J BUSINESS 33 t3 03 '7 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: !1-{A71VE .-L~J ((lMIYlt{A!1 Tj AIJ F /1/1 B F(( (/! ,c (/ 0/ (l' (/IIJr', 1 ( , / W~,J f'1IM{l';/( 4tltPICL? r " WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?'~ /l1},4/( E ('-'~ R b ,{' /'IlIVI F- iJ /1- (.1 u.!5 (.1 {/"j..', !c:e; p;i (, . {!f!q I--C.... /.4 (",,;r If 5 \\ i6..VJf:-Vv~~ 5/1ciZ,1 '7J;;J x~d If 5 r5 (:if( /),iV (,,(1'Jj(jC,C) \ I '/ I ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD lOR STATE REASON FOR , ("\ I " I' APPLYINGI?JW()W.Lr-.JX:P tfi~ ).(!("ItL 6r.:L,,'&ZJV.Mf;UV' 4-y:,/) ",,71!- 1/$;9,f.5 I y . i~ !!f' C oX PtJ(.( E I/){, f vI!71i- h.1 N ('.77/ (7 ;tJ.s ~,c -~l 15 , ..' ~. I. Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not pqt;ntial conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? AYES _NO .', :.~, , l" ~ If you are not selected, do you want to be notified? ~YES _NO . ..', -~; ." :'.,)':' DC' "ou currently serve on another Iowa City Board or Commission? _YES ~O '.:J ,'- ;., , I , ' , I ~ ";, -' It has been Council policy not to permit an individual to serve on two~ "M., .., ommissidns:at the same time, t t t ~ ""~~'-.J~nuary 1994 ~~, "~'" ", I, ~ f 'i, 1"....,,1' :I!r~ cllrk\bd-comm"pp ,!C~'o r'i~~--'~ ,.. -:~~ -'. ,O.,)",'~ d,. 113'1 ',' . I'" 'i r;;. ~ ,) 10 ~' . ,~i:':'l: '. i \' i .' '~t: '\'1 , " , , :~ . ,~, ~ '~'.. ".. . . _, _ .._,~,l,: ,:_, .'"C',"'.'.','.."..," . ..--.".'_.',' ,-,< CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future, Applicants must reside in Iowa City. Arter a vacancy has been announced, the Council reviews all applications during the work session, The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. W~~hingtoJ1 St., Iowa City, Iowa. :~ ..' : J " THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY:AND .A:tJTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. .', ' ADVISORY BOARD/COMMISSION NAME CMh[eJL 7<.e.(//~tU T~~~ i YfAlJ.- NAME JlJe ~. /1'1;"'.' Jh-,.. HOME ADDRESS S !1-N.v r!.1/LC.~} Is your home address (listed above) within the corporate limits of Iowa City? ..IS.- Yes No OCCUPATION)A:/~ {Jfle.SID'pr EMPLOYER Ac.t PHONE NUMBER: HOME-3cS/~ 7,:),'31 BUSINESS 337-lltf')... EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 7J/A~foA- ~ fiIJAA/~e ' trly 'I ktIJ4 drlr 73MR.,J) /J1eMbeL ~ CMMklL ()f fJoMII1e/J.t!A \ftve 1M A1Al/tj 6dlUMIMJ/ry OMAIJ/7AI?"bS WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ell;, GttAfU"C'~ ~/k:.) (' -:&/5 fkA~.:lJ ~'AJte.1i... ~e~ 10 ~eA-AU,. j'fj fU/i..JJ"~ IS-Io \ 1ILAJ/I1f.O c.aue.ur ~tJ7Jr1i~1J /Wi) ,fftllz /)ff/J1UMeAJl)~Uf ~ t/~ (1t/d~'- i~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR 1 APPLYING)? 9 -/r.:J AfAt 4t, -- - Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office, Will you have a conflict of interest? _YES ANO i I , I , I ~ If you are not selected, do you want to be notified? ~ YES _NO Dr 'ou currently serve on another Iowa City Board or Commission? _YES .LNO ',' It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time, ~ .,-~'" January 1994 I 13LJ ,.. ',,, , , " T" i5 '("....~\'" . . 0 i -------_.._"-----~-- , ~--~-, =- ",0.",-.).".. , ,',' r o . id, " ,~~' i', ,;> , , ~t; , 'II,. " . ',' " , -, f" . . " " ":,\': CITY OF IOWA CITY r ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to' . community and its future. Applicants must reside in Iowa City. /-I., ,er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City C::lerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME C "'1Ir.zV lJ:/.,P'v' ~;,;-!:~:"';:'."., , , ,TERM c" " .:J~~s: '),Q,.- oJ, I ~ . , . . f' , f ..... , , ....j- . "'~,' , NAME '" :;/,~ r<:::;:;: -'1\' ,4' . HOME ADDRESS /7 -yC,'v' l ;,','~',: Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes No , ,__ " .,' . ','. f I' 'f. OCCUPATION /,';.\-,,".,...: /~..,'c'I'U /:J:',';.v:' ....,'.;" '."",,-,,./ EMPLOYER ,:.:.;' PHONE NUMBER: HOME :-;.::',' - :?,?"'/ BUSINESS ~""";/,. .." ";'~ '.' .J Lo "........J ". EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: , , C,..,' .....: ..~",,:/ I .J.....l. /~v.' .....' ....v, '..., " ' .J-'. . . . ~ "l-i"<' ;"';-.~ jl.1,L,t..'I <tc.: '.......?)L,;.' ,"'/.<:j ~,~'''' " .,: o/!,. ".... '. "...'.. ...~ t , ,'..' oO'{/,,, ,(. ~,.~.,. '.', v, ~ ll,;~' ,.. ..1.11-.. ,.'.. ..4.._, ,l._~ 01 ;J J.". '. . ..,. ....'...' '.....' ,,.,y'''' :""i~/ . .", I! / ," "..- ,....'... ,. ...'...,.,.;~_ .4.... .;:) \ 1~1.)...;t1/J'''''''"'-,..J. '-t.......,.~4>'.. , ' .~'... ..,..~'....:r .."~,l,..!..... ,,',J,. ..~~.I>.- Q ..,;'" ~ ' ! './,,7!.~ :ft' 0 "~/:/ A -,. '-. ." , , "~'" ." , :'.,:", ~., ;...' "P- ._.r.'!'." ......'..t.-~ J!-'*1i1'"(), ~"f..f.,'" __.")....,1.,. "....'".' , . . ~ . . J L,;::;>'1. .,; i.....-'.,.....;.~"U..~:~ ',;'; ~ >3..... .r:<:/~"/ ~'_" ,~ i.~"?" -"'Ltw"~1 ......:~; , . ..,,,,', ''':',' / L.~'1f" ,/;'f '-1,' .....,1. ~;"~ ...,"t., WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? / . , ,,' J./ " I '-I" ..~ -- .1. " ...., (./, '.t'._, -'i..' ,~' ~f~, ", ...I.."',,(,'"'.....~ " I \ " . , /. fL." ' .~;....~rt;/,. ...~tt.., 1'~../'?'1' ~tk f~tt'..( IV, .~L.t LA..!....,,,,'$" YJ ""/.//./:/~t.,J "~"~ "'.~/..,""~t'.:.-; /",~ ..'~~...~ :..../t;.v~. .' ' " ," ~ I " ~ I " , ,':' .-:,,"/....,'.:-.'. ~~:..' ~.v ...~:/~ \:~,~ f"'''l/I.....'~f''~~Cr-1'''r- .h~'/ ,~,,~t;,t',t......t~ ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYINGl? ,f:,: _"r,v,'.',t.-tV .lj.-'.J ""~"'I;""': ,':~,^ .(,;',~o.<.'" , , , Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES I/'NO :," \..., :" ! I, i 1< i I ~ \ ,," \j ,'.... "'j " ,', " J ,. :~ "',) Do vou currently serve on another Iowa City Board or Commission? LYES ,:.~ NO ,;) ::,~; : :.; It has been Council policy not to permit an individual to serve on two Boards or Com~is'sion~~t the'same time" , . " , If you are not selected, do you want to be notified? _YES ..LNO \ v 'If: L" ., j-!' ~ :~ ..' .,..J January 1994 I cJetklbd.conw""pp .IIYf 'C . ::, _.,'~ ,.,.... ,.:....-- . w .~- , 0 ',),,',......, , ."" ",', ...' .,', , '1"" is ~."d'. - . " " " ~ ;' i .' , . , ':~ \~ t ';'.ttl.,U:;;;i ~ ", P' . . ;,' CITY OF IOWA CITY J ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to( 'community and its future. Applicants must reside in Iowa City. ' ' After a vacancy has been announced, the Council reviews' all applications 'during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers.' ' ' PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. ' THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE, PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY.. ' CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME C h li\ \' tel' 'Re\}'J~'v{ G him 1%I'<lfl TERM I.. YeA r ' NAME F41.\) A. t.~ I ,}\ : HOME ADDRESS 3 M el~os~ PI rr!rz.. ~' Is your home address (listed abo~e) within the corporate limits of Iowa City? ~ Yes ~ No OCCUPATION C {JoYnt I,j'ier A htt)V}J... /fr,OjrC\t1\f17~EMPLOYER \'to!; DhJ (';]~V s''ft:e~ PHONE NUMBER: HOME 3;S()r-~.;L.. tf8 BUSINESS 3Jq "- C',!2:' EXPERIENCE AND/OR AGTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:::t.-, aiM. ct +o.rlY1.f.f ~~ be/f'" a+.-/J ,l(j Cl. q > +o'U,S;' ' C (}1J1~\,.5S', ~, , fJott..sr , ~ e:l ~ r ~ ~ 3( -R C,. (J !.~,M~ ' (j'f( I Co f/1VJy,,~~v N ~.s'~ .S' ~ ~ '$, c:r <<t, \A. ~ ~~vA \J -rr/' (} . t;~~ \JJC}\~~ h{~'" 1:0 WWK. ~'ctP"~ ~ f ~ ~ Cho:- l WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? X \~ I\. ~U.J't''4A- I'~'~ v ~d, tl~ .s C OY1l ~;.s .s\~ l-\ wJi I"Yt e, p-y~ D t Co....' \0 \ :~' hr (e-V ~ e---ttv -f:J~. C'- t\ . Ck~r~ Y' (}~)... Q os ~ -€Atl me r:.~ ~AT cortr~kUT~ot~ DO YO~ FEELY6U Ci~'M~~E TO THIS ADVISORY 'BOARD (OR STATE REASON FOR '/ ' APPLYING)? 1 -I-- 12-~ e.- /^f21t e-€- \AI <f rk(h clo~e r \,1rr7h' ~" c--i I ;; (/ 0 o}/'€. o,~ ~ , (J J) (J.sp C, o~, -6 O~.5 I D ~l ~ "~ ;; I, ' \ I I iNh, Gt S' /CI 1/ ) () "Y\ 5 ,Y -e., q / ().(), '() H ' oi1 0.., , ! , , ~' 'I. Specific attention should be directed to possible conflict of interest as defined in Chaptett 362.i2403A.2 of the Code of Iowa. Should you be uncertain whether or not potential co~lict of interestcllXist,s~ontact the City Attorney's Office. Will you have a conflict of interest? _YES ;6-NO ~~, , ;g' ." .' n",< N - , If you are not selected, do you want to be notified? X YES ':"-NO =in Q) r- ' , :<r "tI m ~/TI:X Dr "ou currently serve on another Iowa City Board or Commission? _YES An - C \' :x".. , ~, 0 . It has been Council policy not to permit an individual to serve on two Boards or Commission9-lt the same time. : , ~,..,i \..,.",J ;{ , l' ~{,~'" ~it?,.,r~'~. "'I' ~ i"t"l, ,,'1, l._~ . January 1994 cJltk\bckomm,1IlIl \ .. ,(-' 0 '"'''''1/''"''' 1 Li::~ .11. ': -r =m ,',0,), 113ii I' 'l c;. , 4. ,..) 10, ',''; ?i7~ ;' . .' , "t ' \\'~.. " . ,', , ~ " ... . . , ',' :~ ,~ '--, CITY OF IOWA CITY r ... ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to ("'r community and its future, Applicants must reside in Iowa City. I ,c!r a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. . THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~1-\P,l<.i"6:R. REVIEW TERM l"f~. NAME_rrh~I4Il.e:L- \fA f1lE:~ 1E"12.. HOME ADDRESSJ\C) r1DV\TY<05E. Is your home address (listed abovel within the corporate limits of Iowa City? ../ Yes No OCCUPATION :rt-1~Ug"'Nt"F P.:aDK.E.12. EMPLOYER :'ELF - Empw'YED PHONE NUMBER: HOME 3S \- 2'7...'70 BUSINESS .35 \-0'72. , EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: t:.D'/R.Re5tDENT; ~mE<2. ffiB\l1P,E:<2.0i= ~~H?ODj: AO:Tu~cme/llT !lrIL.ITll',ALL...'r' ~c:..'TNE:. IN NUCYIE:12.o~SC' Ii'"{ '+ , I CtuNn' C'.t\m.pA\bt.l~ 1I>IIlePf;'N ~N1Bu"'INE"""n1AN Pt<DPgl2:1'Y f't.t.JNe..Q.. I I ~ I ," J. ~.;l [' " , \ \ ;<f1 WHAT CONTRIBUTIONS DO WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ..:iJ,a-t:tL:~,-C'~ ~ 'LPA..:.u.y~&~C....~7to ~~'.b' ('liMct~~1,~nM-~ ~ APPLYING)? E TO THIS ADVISORY BOARD (OR STATE REASON FOR I i" , I I I , , , I ~f)~. ' Specl.tlc atten . uld be directed to possible con' of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa, Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office, Will you have a conflict of interest? _YES LfJO _'.~ I. -; , ~, ! I'. , , i i If you are not selected, do you want to be notified? /YES _NO _YES ...... , " 0:.~ Do vou currently serve on another Iowa City Board or Commission? ;,J 'Ie t':(,~~ \1'~ cJotklbd-comm"pp ......~ \ t-~M 0 """'_.~ Z'NO') _,' . I . It has been Council policy not to permit an individual to serve on two Boards or Com~l!i~iori~~ at the same time. January 1994 .~ .'~.~.''''11 _ - 0, ,;.)'. 113~ " "'I. /5 ~d, ","! ' ., :. , !j-8,,,i..:j' " " , ,~ . ..~\\! , , . ,;> , .. ~ '. ... . :,1, ......,-- , CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the CounCil' on matters 'of interest to ("Ir community and its future. Applicants must reside in Iowa City. , " i , U a vacancy has been announced, the Council reviews all applications during the worK session, The appointment is made at the next formal Council meeting, Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E, Wash,ingtori'.St., Iowa City, Iowa. . THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME, ADVISORY BOARD/COMMISSION NAMEm~T EI. iC ~VI "'Ii! ~_"" "'Ill" id.!l TERM / ~' o-r NAME ,4).)MJ M,~oV8JGe~ HOME ADDRESS LW !2...illG/~ /26. XL Is your home address (listed above) within the corporate limits of Iowa City? ~Yes No OCCUPATION #()M~vro.A.~er, Ltl.b~C~I~t;lAt EMPLOYER U1I: PHONE NUMBER: HOME j 3. r' J ~ '7 if BUSINESS J j ~- - / IJ S"() (8/0 D PhtlP) EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ r.j(;rtd- fl< /)~Y\ ,.,...:fe;,/ c en.::liM. Fad t-e~tr. IIi/. /ltt~e"'J!d"Jti41t. r DbJer~r'" at! $JY"'-( of w tJI-'b !e!ri IYIJ 1 f!..,i.A;:t... (l--tV/(4J /IM'r.N'Ok !()I~ar.r 1lt101.ty/J/(l}M) ti. eJ.l,r..:t... (JJI..) PuS/hI<. a"lore / ' I I tou..e' -t./te., U..., 16 IJul terl/lc>e II.,. 'I /d 't'ArJ to d h- YL L'tA.tct flUl trI. -e../..e.' J.. /ut-At4X-hll?'// WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? TL~~ rue! ~ /1111'.... +k ( rr..t....be.'f r-ud +Iv c.kl.,;/'t,..... N.C4.UfL rrv,'(u) 107tHJ AJb dllJ 't-L:t::dUJI- /.J.-uY'>-t. ~(t L~ is l~ t..^' . ,'C: WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? td'l\!c.\'"'il~tiL<" l..t.\'G eJ-( wd-QIS': tt-/"./rif i c It 4/( 'I ~. 4 6 J.~ i.. /o(I/~' I I (),I~t. t-Lc;.c.. Wooll t1l-i +''''~t.-t''d\ol iL..-f wur-k. ~ Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa, Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES _NO V\ot- St.< ~. ('"" ""(ow:/l If you are not selected, do you want to be notified? ..{ YES _NO Do you currently serve on another Iowa City Board or Commission? ~ YES _NO ?.J-L. ~ .Ij( It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. T t:t ~ t-(.(. tfu.;t '"tL. b ('/) 4 d,,.. 1'~ ,() 61.,...1,., if" Ii Ifr-. Ullklbd.comm..pp J V January 1994 I'.. c:f, A. {{ 4. t'rt, 'f-L. 1,0( 1tt.,.... lJ'f( WL a,I-t, ctj '\" .' !~ {"~I l IIJ~ .\ ,"','...,. "\ )t.. ~ ,.J ,'G_ , -, - -, jq " .0 - 0: .. I" 0, !;jt:;~A' " I .> , 't . , ',\!, ~ , ~ ,.. . . :.' . ADVISORY BOARD/COMMISSION APPLICATION FORM r I CITY OF IOWA CITY Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to <'r community and its future. Applicants must reside in Iowa City. ,., ,er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunte'ers. PLEASE USE A stACK INK PEN. Return the application to City Clerk, 410 E. Washington St" Iowa City, Iowa. . THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME~'R~R f(rmll:(.) Co~w.. TERM l~'R. NAME CA'RDl-~;.) A. GROSS HOME ADDRESS 8020 X,'RI<.t.o:)oo:D Aoe: Is your home address (listed above) within the corporate limits of Iowa City? ~Yes No ~ OCCUPATION Exec.u-rlt)G EMPLOYER IG<!.H,o/Gt7Z.4'P1-I/C.,s, !'oc. , PHONE NUMBER: HOME 3'5/- :5 3 )3 BUSINESS 3'$1{ - S e; s-o EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~)(rbER bPQorVtGR<!G' 1?~A<!C.R/;'12/i'k/lO.JJ C D,Ao{.H I rre.~ QHA-1-\l?>/O'A or: c.o)-{.L16i~CG 150A-"RD 0): VI"Re.CToKS _to II> Ie.. 1SoA"R'J) o'F J::>,R.€C!iC>1o'? c:, , K{gi) C1<O,c"c:. 'BOA'Rb 0 r: l) I 'RG.c. TO"itS ,) '," ., -' . . . . ...1 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? To ~6vel ~ A,,(7) 1(ec..ol-(;-(e;,vD CIfAAGre,s l-u 71-16 ~/T.!::1 C-?/A'R76R '. , -\ I " \\ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? A 6/)Jc.e,'Re. !jJTcRe:cST /,4) -rIlS L.)et..L.-~el)J (;., or:: 771/$ CI r.:l: All /..UJPS}i'67A,VVj,(J r; o~ rH~ 1.'bRK IAi r..s or.: (lo,UoS'T'/7t..t-r1 M"'J , C!..!lA1?TCRS; era j {.J1J7?t:.R.srA~D/.AJ~ of: Jk'>l~ A C.ITY F'l1,{)(I,TII1,V.s A6A 'a/..(LS J ,(J E,ss. Specific attention should be directed to possible conflict of interest as defined in Chapters 362,6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not potential confli<;t of interest exists, contact the City Attorney's Office, Will you have a conflict of interest? _YES ~NO If you are not selected, do you want to be notified? ~ES _NO I i I" ' : i~. 1 ! I'. : i 'I I : i, I ;..'->' ">i ,,' !Iii', Do I/OU currently serve on another Iowa City Board or Commission? _YES ~O It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. ';"i'I" ",I'-t;'" ~, ') '}/',", .'7~',4' , 1"1" ,....,1,- ,.c,' , I " L...... January 1994 cletk\bcJ.camm,apD r-' 0 ~n_ Il....._.u u ,- - - ,0) 1J3~ i "~ l.... ~[]' , ' " ,?iiffiZ..T!J i; ;- , ,;> , "t '\\1,: , , '...,-, P' . . ;!, ,- CITY OF IOWA CITY , t ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to r community and its future. Applicants must reside in Iowa City. , Arter a vacancy has been announced, tbe, Council reviews all applications during the work session. The appointment is made at the next formal COl:i'ncif meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the appl!cation to City Clerk, 410 E. Washington St., Iowa City, Iowa.,""" . ,.I THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME CHARTER REVIEW COMMISSION TERM 1 Year NAME JOHN R. BALMER HOME ADDRESS 10 Princeton Court Is your home address (listed abovel within the corporate .limits of Iowa City? ~ Yes No OCCUPATION CEO & Owner EMPLOYER PLUMBERS SUPPLY PHONE NUMBER: HOME 319-338-9893 BUSINESS 319-338-3601 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: City Council Member 1976-1984, Mid 1988-1990, Mayor 198-1981. Chair Charter Review Commission 1984. Co- Chair School Bond Referendum Committee & Physical Plant Equipment Levy Re-authorization, P~st President of Iowa City Area Chamber of Commerce r ;" WHAT IS YOUR PRESENT KNOWLEDGE OFTHIS ADVISORY BOARD? I am famil iar with the duties 1_\ and responsibilites, having had an opportunity to serve as a member previously. , \ 1j"1 ,.,:.'~ I', " , .:. :'....:......:: .,;..,..., .,.,~,.......,. ",.. L~ 't: .,...;,:"";:.;,..: ...,,~ ...: ..,,:.;, .... ..,,,..,..!.... . .." . WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR 1 1 I feel with my long term community service and interest in local issues that I ~ APPL YINGI? ' , can make a positive contribution to the deliverations of this commission., " I , , : I . I , : : I ! F; J. 'j 't r1~~ ~ Specific attention should be directed to possible conflict of interest as defined in Chapters 362,6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES ,XLNO . If you are not selected, do you want to be notified? .E.YES _NO _YES ~NO . Dr 'IOU currently serve on another Iowa City Board or Commission? It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. January 1994 clorklbd.comm,app Co .,....w ~-_._- . =: A___. ~v o -) \-" " ,)" , ,'"., JJJ~ r"" 'j t. " :Q, .,.) I to, " I" I:',' it~ ,;> , , "t' , ' \\ I,~ " . ',' ~ ", "'. . . " AOVISORY BOARD/COMMISSION APPLlCA liON FORM , . . -- -"... ....., "..",",,-,,,.,,~ ,.' _. CITY OF IOWA CITY Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to r . community and its future. Applicants must reside in Iowa City. J.., .er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME, ADVISORY BOARD/COMMISSION NAME C J'I.lr,/-e r e .Jie~v t r. 0/1/1,' ~/on TERM If 70:/ - NAME I(~ " III full HOME ADDRESS {r 0 I 5', (;; Ihf?~i>l 0' II Is your home address !listed abovel within the corporate limits of Iowa City? Y Yes No OCCUPATloN~~e (,Iff} S ti~N?{rJ,;j./oy EMPLOYER IJ1tI;'j7iIJe,/f !./~i5)Ih(. PHONE NUMBER: HOME S ')-1/ -.3 '11-< BUSINESS J 3' ~' , ') )' '70 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: k' Ie>, II> ~ ,,'- , WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? f!)()/'vlec/~o (it 'fJ...;<:" -t-;,'Vo.{ , I I7liltt'l Qt'.~7eY'c?l /J~)I-L..;r:) (j v l .,-\ (~'\ \ ' ",I '\ I'~ , ' 1 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR-1 APPLYING)? J.l clef;' Il7frt?o;! /11/~',. t'vr;/ /r/, 1'1/<;1'"" ((1"1 '''1/01'1/ ~: I" I I I I .., Specific attention should be directed to possible conflict of interest as defined in Chapt~rs362:;6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest.:E!xists"contact the City Attorney's Office, Will you have a conflict of interest? _YES .LNO ,~,.~: '" I I , I ,b 'I' , , , I , , i l", Do I,OU currently serve on another Iowa City Board or Commission? ~ It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. }~'~; ,! ,'~ Gi'I' ~,:.' clofklbd-comm..pp '" ~--~ , ;C-o ""~----~-=,.~.~ If you are not selected, do you want to be notified? -,k..YES _NO ..' -., , .. ---,." .. -4-YES ~NO .. , ..,I . January 1994 -' -_...~ ...0.,'.,.].,",,"" ..,.~,.::'" "'-,"",:,..-::.'.:1:' 1/3'1, "r-' ';"')", "/5 ' .. ~, 1b', . ' ,~lli:,iid ',\ .. j :. ' ,r~\ ':, -' , , --, P' . ,.':""," ADVISORY BOARD/COMMISSION APPLICATION FORM r CITY OF IOWA CITY Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to' . community and its future. Applicants must reside in Iowa City. ~..er a vacancy has been announced, the Council reviews all applications during,the-\wbfk'session. The , , ' appointment is made at the next formal Council meeting, Appointees serve as unpaid voliinteers. . PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E, Washingtoh$t., Iowa City, Iowa. ' " " THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME CHltl2.re'~ ~UVlfL<i C."MMI SS/~.v TERM NAME et..AtfroiV '[<.11('(;6['N"8C1<C!r HOME ADDRESS g:l~ ::SL(,NLPFI!. DI<IV!L Is your home address (listed above) within the corporate limits of Iowa City? .b.. Yes No OCCUPATION..Kfl1,q~ - tt.A1It/t~~1 rl( (){: XiJvJA- EMPLOYER PHONE NUMBER: HOME 3/ r 3SI- 5/ ~ 3 BUSINESS - S.4il1"" ~ .( ['..,., EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: D//?fC1'OR. 6);:' z: A/>r/7I(.TE' bF ~l(,BLIC. ,4.FP~jR:S) TN-I!' t<. 01= ,J;eI'r.,),4.. J:NVOL(/E'/YlIi'V'Y 111/ SrAlJ'F ;9.lJb c:.(J~ GtJ()/12,(/J,(,E;;VJ po/<. '35 'Tf"AR..s X Ale ,"- D/~ CO - D 1i>ii<:I'"~) Lii$G"" oF :C..".. hi. "'" < I ".." ~ U'" J r fVlt:>>t.8p!. f7f2. J::QWA- C 1'/1t 6)KI~/.v~'- r::.JJ/I.I2.'N::12. C.::>tI1.~ISSI()1CI "..q.,ANJ ~~ /.. A-5 i ClH+P-'rC'L~{i111 f2V e ()tl1 ,"IS! tel ttI, WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 58!' JJ.8o ()e , \ ,\ \ ~ ,'or I" I i I j j WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD lOR STATE REASON FOR APPLYING)? Cf(OA'8\!t';;D&-I2.<; rA-~{JIA/G, t);:' /f.aMF ~l{t..t!) ST/J.1'1r i.A-WS ~~ ftf!.~~r/NC; ClT'(, ~()R1!-,vMQJIf) Ilf/r~! ,-;l.C::/CS 0':: c,it( c:../I-.Iw2..trttIE's I .., 4'l PrJ?IM r+t2.f ::;::'S)t/(CS ~ 8F c.D~)(D~e-o IV A c.Jl.M2-nR., : ~, : I'. Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office, Will you have a conflict of interest? _YES .2S.NO If you are not selected, do you want to be notified? JS. YES _NO ~ , , 'Se~/)1i'1) ~ _YES X-NO L-18/UrPf. ..,Q,..,,- - ."""""'/). 4,110 'i~I:-c.IAJ, TA( ~ It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time~ cl"klbd.comm..pp January ,1994, .i Do 'Iou currently serve on another Iowa City Board or Commission? , (, i:r'~" \3 ~I, "1, f.t'7: .' "I ,r~ 0 ,-' ~"8'I!MflM. ., -v ',,'O'~,,)';.' , 113~ ", ','" r J) ~d'; .' ~~ill, .I'i , .' , ':fIY,:: , ,~' ~ ""', P' . ;: . ',;.'.':c,'....'....I,;,';'"'_ c','..-_ ,..--.....~. '..."....., _... 1 CITY OF IOWA CITY _ ADVISORY BOARD/COMMISSION APPLICATION FORM I I ] , , I I Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future. Applicants must reside in Iowa City. J... ,er a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers, PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Charter Review TERM One year NAME A. John Me Dona 1 d HOME ADDRESS 23 Rita L yn Is your home address (listed above) within the corporate limits of Iowa City? L Yes No . OCCUPATION EMPLOYER sfllf PHONE NUMBER: HOME 351-3029 BUSINESS McDonald Optical (337-4995) EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 10 years involvement witb Jaycflflsi ? yp~r~ Tnw~ rity P'~nning ~Qd ZOQiQg Com~issigR; 12 years Iowa City Council, with 6 years as Mavor and Chgir of the Iowa City ConfflrflnCfl Rd.: ~ recentlY 'ppofnted to !"",nr'\ F,.mlng R'." I WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 1 onq term Iillllli.Wge of Commission: served as Mavor during last rflvipw Drnrp~~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR-1 . " APPLYING)? Specific attention should be directed to possible conflict of interest as defined in Chapters 362.,6, 403A.22 of the Code of Iowa, Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES LNO ... '.., t 'r i I'. : ~'I If you are not selected, do you want to be notified? -1L YES NO -, :l, ~~<;~, i( , ,,:I' .1 " "~' ',i;';'*",',' ~, "\'01 ( ~ r ",;, ;, ,"i1 !.I:'" ~-' ~ ',' DC' "ou currently serve on another Iowa City Board or Commission? _YES ,:) LNO , ' It has been Council policy not to permit an individual to serve on two Boards or Com~i~~'ions: ~t the same time, ," " ... 1,;) JanuBry 1994 cletklbdocomm"pp .~ I1J~ "l~ 0 1. , - ~..~,~ ]'" .n,', ' J.:~'r."', Ro' '.., f\.~) U .'" '.. " ~:",~gill, :i. \' i ,;> , '1): ,\\ I '.\ '~ ',' ',' , ~ '. P' . . . :! ' " . '.,' ,'.._." _'~', . '.. ,,' ....'",'..' _'..' ,',,: ,','~. ,..,;~' _',' .:,c.;,:.', .:,,-, '. "" :-' r CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future. Applicants must reside in Iowa City. 1-11 ier a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa; . THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAI TIME. IJ ADVISORY BO~DICOMMISS'ON NAME jj}~-,-,- (';p. ~;b' ~J". TERM ({ tv NAME 1v~J>> U~ HOME ADDRESS tc).. ~d. a.tJ-U ~df~5';')'f-S- I, VO"' horn' .dd,," I~d~" ~jthio th, ,,~o,," Iim", of 'ow. Cnv' L yO' No OCCUPATION /~ EMPLOYER PHONE NUMBER: HOME '3.3 1- Lit, I Ci BUSINESS , , WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~.J a,{,M;.o ) , , :1 \ \ , ~ 'WHA T CONTRIBUTION;~ Y~ FEEL YOU CAN_MAKE TO 'r APPLYINGl? C/'{l?)7J- r ~- JfM~ I I , I i : I~ , I Il 1 '~,i~ !i!~ IS ADVISORY BOARD IqR STATE REASON FOR.t at ::1 ~ Specific attention should be directed to possible conflict of interest as defined in Chapters 362,6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES v-iJo .;: :,: ::,1 6 _NO :~:'.. If you are not selected, do you want to be notified? Do "ou currently serve on another Iowa City Board or Commission? _YES I/. ") LNO ~. , '.- .'. It has been Council policy not to permit an individual to serve on two Boards or Commis~jons:~t the same time. ,'.) January 1994 clerk\bd-comm,lpp G~~' ) , ..", ou__ -_._~ =._",..',,0,:,.),,' ';..::<,..,.; , IIJ~ r' )t.. , .. -~ Id , " . ., .!.IT'J'Jm t; \"'i ,;> . ':t: .\1" . , ,~. , ". to' . :~ ' ;'0...".__ :,_'..'~'". ,:..co, ..-=',;.,i ., :...,..- ..~~.. .".' , ~,-"."._.., , . , CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLlCA liON FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to ("'r community and its future. Applicants must reside in Iowa City. /0, ,dr a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, , Iowa, THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME tJt'{AA~J 12'0/I-"--1"r TERM I ! . NAME ,.;/ L~'I " f /Ji71 f;- HOME ADDRESS 1: jJ' ~/YfPPl'h'-~ ,;' '). /,-<~.J I,) Is your home address (listed abovel within the corporate limits of Iowa t!ty? '.,' Yes _ No .' OCCUPATION ~ tt::~ ;,)2 EMPLOYER PHONE NUMBER: HOME .~ ~ S< :l { 2 b BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: j ~ L (2) ~.R.-<'-'1A/ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? J ~~ I-'I-yt.; " " Ii .f~ -tr,,)A 1~ /0 f~ ~, (-" . /1 0 , () \ \ ,.A1 r.t?, " WHAT CONTRIBUTIONS DO YOU FEEL YOU r.AN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYINGl? ,~o."-- ,i--tt-a- to t~ fl. -.Uf ie. ;/t,-.e III .~_t7~_<: .CA-V L.j.8 ,J ''J' t',. . 1 . wdi ~ tJu:iP1Jt.udl.... ~ t:7\.V If. ' . Specific attention should be directed to possible conflict of interest as defined in C pters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office. Will you have a conflict of interest? _YES z:.NO . i , , I I I k, I r, !, (,. ;""" J :~~,: \".,< i~;" I} ,., If you are not selected, do you want to be notified? .,2{... YES _NO " DCl vou currently serve on another Iowa City Board or Commission ? _YES <'~~' ~O :,: ~ It has been Council policy not to permit an individual to serve on two Boards or Commissions:ilt the same time, ,lerklbd.,omn1.lpp \ '~. r :; January 1994 . -...:'''' ,." :',) "3'1 {C"~" ..., li9l"l1l~...1!l..1_1 = ---- _'<0,'),.'::' -- -. " d., r" is ' 10': .,~ ., " 1'1 ,i&~I.] ,;> , '.~ . "'.,!.': ..~' ~ ", ,I" . . ADVISORY BOARD/COMMISSION APPLlCA lION FORM r , CITY OF IOWA CITY Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to . community and its future, Applicants must reside in Iowa City. , Arter a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa, ' THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME f/-Ifh1T.e/> f!.f.i.),'..l vr./ TERM NAME JJMA 1;[ 6-, {Ot1Iqp,//-!/V HOME ADDRESS / 14 //Ut"-I :~/!/ cor ..z c. Is your home address (listed above) within the corporate limits of Iowa City? ":::::Yes No OCCUPATION C; We: if ;fA c9 /{ .v) EMPLOYER ...tlfl /l/ &)~i"it-'-t. '7~ PHONE NUMBER: HOME J 5/-1; '> 1 '/ BUSINESS '? c;',!- S-o () EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: .k/A CI.I1UIt.i,.5!- IP /( J1/il-tv' '-/ ~,~ <Ii ~ ('iirhvr- f/,,( c-:.c(./i"LJ,v'"'/ Ch",d-v1 c;- fi;I'Jt.11 0; 1M v-u, /l/ /~..'::T 9 ,- , WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? r .\ 1-'\ \ \ ~ ,~ rT~ ~ t) i , i WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR · . I ~~ ! I. APPLYING)? ..i:/Jf!a:f t.Jr1 HlP..I:t.!.e"j f rJ/1/ jfU,;!-/-i/]/7 ,}( CtJ.dd'J,'''/ N ~~/~ '1 I 1/ 4 - -It' t~~t tt/'m./r 5 'i ~<}nI ,It vd7:h/( S W, 'f-tJ C..tI/'1/v-..:t '7',,;'tt'/n ~ 41 S r) / , Y ~ I '/ It! ~ , J41.:.,;-f tI '"/1 1'''5' i. }rN )'a.f, CI "'- Spec fic attention shoulil be difected to possible conflict of interest as defined in Chapters 362,6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the City Attorney's Office, Will you have a conflict of interest? _YES t-No ". .'~) ..... VVES _NO : ~:. ;,,; If you are not selected, do you want to be notified? : I , 1 \ ( .) ~ , '-'I' '1:,\;" , \'1 l~\ ....~, 1, . i\ ~4*-. ,-~ Dr -'ou currently serve on another Iowa City Board or Commission? _YES l.""NO .. - . .. .:' ,; :J G""""'- : 0 " , . ____.u_, __w ,.. ' ...:.- _'",o,J ,:;', ,," .. " '. ~~' ',\ ' i' ,. ,;> , , "\', ,.,t'.\t.'. ,I" ',' , '. P' . . ---.(..~"' .",_ ,...c'."c",;...' .,--'.'..'".",.",:."", ,'....,,-','~',.: -:,',,j" ,.." ""'--""'~.,", r I 1 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM individuals serving on BoardsiCommissions play an important role in advising the Council on matters of interest to ,,, Ir community and its future. Applicants must reside in Iowa City. . :er a va~ancy has be~9 ;ann~~cep, ~!1e ;Counci.1 reviews .all applications during the work session. The appOintment IS made at the next formal Council meeting. ApPointees serve as unpaid vqlunteers. PLEASE USE A BLACK INK PENL' Return the application to City Clerk, 410 E. Washington St" Iowa City, '... .,' Iowa. " :', ,: " : - ..:', THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~""IA12TcR r<SVI~( GIV/.VI NAME CN\If-, (\1 V.lIL..U':" HOME ADDRESS '3"7,:>) TERM Ai) 1-11."(., xJ\ A (-:CW4 t\ I is your hq,me address (listed abovel within the corporate limits of Iowa City? ~ Yes No ?/51 - 241 ( EMPLOYER BUSINESS " ,'''--- ~L.."" OCCUPATION A:!1i-I<No.l PHONE NUMBER: HOME ~'?7-'i{;ZI EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: '. A<- (I v ""I rl c:, I. Rrt.c:. \ -n,,{/(~ (HAil:!. \ " 2 C"11 It \,;' (oJ M 1\-' 1 'Sc:;; le/,- t:>...Ft-(;/J,()I':{':X.-'<: j-(C~ <;jl/v' G lv,:^, A'" :' / ' ,.... \ , <../-1,,110/ r I i \ -z..' i2I\i~r.!.(-,IZL'N"" ~ C (\iVl/lI1f<;'S1 '^' I Ni..i~ ?I) , .')) ~"r-:IC/2.. L-I~:/v TI,;;-f- ")I/I"-O-:-'(;;IC. ,'/;A/'J 1'-- ,^- 6 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? t-C'/z"U:: (::./"1 /....I/-i'~tC. " i (~'~ \ r:T r:::!\1Cw I (Co i;:"D Pl'-'lIa L i<C1...[ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR I . APPL YINGl? It 'Ir''I11211!,....c:l(- IN 'y ~ICli "', ( rT-1 ,j'l<c.;(,;:.<:>~* -:. , . . " 11v'!l1tK~;-C /I" ('C CD C(I.; /l./'!,,,; 1\.1./e/I../7 I I , , : , Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not potential conflic,t of interest exists, contact the City Attorney's Office, Will you have a conflict of interest? _YES .J:::.NO " i I , . I !~~ ! I ;"J,.. " ,,~ If you are not selected, do you want to be notified? -LYES _NO Do you currently serve on another Iowa City Board or Commission? _YES -UNO . It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. fi,~ ~l~' clerklbd.comm"pp r~""'~.lI ...--., AL ':'L~___~__ '~: - January 1994 ".,",0" ,J,.," 113'1 'r' " '; r;. ~ ..) ~d'i --- ., '" ~~i ,'" ' I; " . ., ,;> , . ~t, \'i " '~ , , '..... P' . . -~....::, '. " CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Ir'<iividuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to .. community and its future. Applicants must reside in Iowa City. After a vacancy has been annclunced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 41 0 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Charter Review Committee TERM one year NAME Rosalie Starr HOME ADDRESS 830 E. Davenport Street Is your home address (listed above) within the corporate limits of Iowa City? ..JL Yes No OCCUPATION Legal Assistant EMPLOYER Havek, Hayek & Brown PHONE NUMBER: HOME 354-5920 BUSINESS 337-9606 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Served three terms on the Iowa City Human Ri9hts Commission. ~ , I .~., I \ \ \ 1/'\1 ,,:Or'" , I I I' i I WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Once every ten years a commission is appointed by the Council to review the Citv's Charter to see if any changes should be recommended. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR I .. APPLYING)? I have lived in Iowa City for twenty-five vears I have a 900d understanding of how the present form of qovernment works in Iowa citv, through my community involvement. : I Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the Code of Iowa. Should you be uncertain whether or not potential confli~t of interest exists, c.ont~ct the City Attorney's Office. Will you have a conflict of interest? _YES ..&NO ' ; ':.;, . ,... -.., . ..'" ,'.I .): , , (,' , I'. LYES _NO '-'-~ - ._, .1 : I ;~j If you are not selected, do you want to be notified? ",'" D 'ou currently serve on another Iowa City Board or Commission ? _YES .bNO .'," ;') ,...., ., i ~". " ~ '~l'r-" , I'" I~' 0) It has been Council policy not to permit an individual to serve on two Boards or Comniissions at the same time. :..; crork\bd.comm.app January 1994 I/JLl ':f['" 0 -- .. .. -11'- - '.,)) 0 I ;5 r ! ~ n' uO., 2.WJ ._..,,":, ! I I ' , i I ' I ! b I I I" ~ : : i J \ I , L/ ,'\',,-, "V' [' , :\'~'I'" ,..,~ ,\~'i '~~, ,~~ '~,il: i;:'l~'l:l, "., -..... .' . , " , " , ,;> o 'It' . '\\\" , ',' , '~., . ".. . . , ' ' -.__......_.'"..~,,' ,'.,.'..' -,','" CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest t Jr community and its future. Applicants must reside in Iowa City, After a vacancy has been announced, the Council reviews all applications during the work session, The appointment is made at the next formal Council meeting, Appointees serve as unpaid volunteers, PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ChUV!02V R'W~LU C.1~1I''''j~'l: ., TERM 1 r:(J NAME,}<1N t/1CCI;.IIC((~_ HOMEADDRESS /.')0/ /J1~"'''';'~I~id". D,'i~'e -- Is your home address (listed abovel within the corporate limits of Iowa City? L Yes No '1 ( " 1. - fJ',/,'/ ro{ OCCUPATION lid;";";" ',.",je;/' EMPLOYER (,(", ,,', .,/ 1<.,"",,-; l).~, 1",,,,( '~~"II" PHONE NUMBER: HOME 1 J "(- ~ (, S S BUSINESS '3 'S Cj -Ie ,)- 3 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: tL, ') ,'\, t,".c I, 'i.ichl..,L J ~..u.\~,-"Ji'" CI, fl..,/.. 'lrt,t(:,", ""b"e) ;?!r.("~ .i"'; ofl ".,;I.f 1, ,..,A"".:;'!... 1M"" u u ....Cl ~Ii .jd I'~ ~\~:; . ~t '.. ~I... ,lr J I. k~.. . ~u..~ '3C'r'tN-t1 (' ~~ t.C" ,(/:L.';..'j'de (, I ;mc'l" +". ?.(<;"....d~' hr,.'. '" !e,<,J i7'; ~,'i'i'<l' ./-L~({,d,...j'"" ",,'1/... I' . J , ,,',, ~,,/ II " [.'/"".1, ~", 11 J f! " fttl" Ii,' ;, (vi I, I,~"" ,) G \(1.V 101 1-- . S.;,; ,../ 'II's C1S'i G."ly;~,( 1<. L, tH ~''''''''''J (3"'~L,'"d, , {;',., " I ""'(0r ,'!J 1.,,".1,,'/ --1-1",'7 e"rllll'" 5' S,'f'l-,- d::lI"!!. l.l~1" i- .I '~'tt'.JiU'<(' r;:c~., 1 ad 1.4.. h 1:[; ~ j " -, i . I 'N.j,.e-v' h'M"" 'c. ;le /"\tL;.. O{.'.:V' . (/ J' -, \.1. r-T 1- ..L de " ,::.. ..do.A i) kv C~ll,,1 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? In) ~c ~~ ;",fc~W\ft,/,'t~1 ;v'\. +i~ ct,lvc.v-l,'~Q'neIJt b{c,w,'.-<- ..d j I' " , t' CQ~ 1'1 11",1' Icy".... Ch - 5(/ ,^d C. 1,'- ,-€ ~. I U WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR /11 1...<. (0,( +h\l'....,' '^ C( '^ cf C:II(/V~ j '(" ;'/"'h {""" ,.'.. ,'^ a-I APPLYING)? 'HL"'..t ~11!t, v ~ ., ,- " (('ill ,Ie ii' &ie. Ie (,,/ ,'. lv" lot... d~qllt1 0 iJ$ , "I~ 4-?lt "" >c" QC./ .!' ././,',., '\1'.1(( ,.: cu,& ,,-,,' /I d it: {;( tl.'; iL t~ it"S". ",m.d Co, 1,'1 S'((<'~~s~f'lll~ <:..",..../:I<.leJ7, Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6;;403A,22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest::~xists,::'contact the City Attorney's Office. Will you have a conflict of interest? _YES ~ ::.' ~:j, i I " ~I '. If you are not selected, do you want to be notified? ~ ... ., " _NO ,'" --:J ~., - - D' "ou currently serve on another Iowa City Board or Commission? _YES ,..' . " , It has been Council policy not to permit an individual to serve on two Boards or Commissions.ftt the same time. el"klbd.comm"pp Januarv 1994 ~..., 'j':':"'.'" ,,0, "." ,\,,: , 113'i 25:,,10, ,(= 0 F -:~ , .' " '; : ~ '.' , .. I ," ,~~'- '~ ,.. '. ' . '?ut:l't;:d ~ j' l " , ':t:" .. '~ , , '.... ~. . . :~ ' ,..,.... ..- ...". , CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM I Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session, The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE M NTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME.O ADVIS BOARD/COMMISSION N /; t: ' ' 7;0 NA HOME ADDRESS Is your home ad ss (listed abovel within the corporate limits of Iowa City? L Yes No OCCUPATION EMPLOYER - -- I" , r r'\ \ , " \ ?fi I , , , , l; '7J 1', Specific attention hould be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential c~~ct of interest exists, contact the City Attorney's Office, Will you have a conflict of interest? _YES NO ..... , ~. ". ! (. If you are not selected, do you want to be notified? kYES _NO ':., .~. ,. _YES go,:',: ! Do you currently serve on another Iowa City Board or Commission? , , , 1 "... ..., It has been Council policy not to permit an individual to serve' on two Boards or Comm.i~sion;;~ at the same time. ',..,i 'J~' ,'Ie' ,.':t ;"q"", ftrf' I.. .. , ~" " cletklbd-comm"pp _'I ;, January 1994 "C-o . '~, , ' ., . .~. .. ......y , - "- ~. '0",),', ., ~ ': '," IIYj '. .., j""" , is ~'o"'" iii .