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HomeMy WebLinkAbout2006-12-12 Appointment l3:J NOTICE THE CITY COUNCil OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOllOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy. Unexpired + 5-yr Term Ending December 31,2011 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, December 6, 2006. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Johnson County/Iowa City Airport Zoning Board of Adjustment should be directed to Randy Hartwig, Airport Commission Chair at 337-2101. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in-law, sister- in-law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 0 Council Announcement Date: June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006 Application Deadline: Wednesday, 5:00p.m., December 6, 2006 Council Appointment Date: December 12, 2006 AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy - Unexpired + 5-yr Term Ending December 31, 2011 Carl Williams resigned No applications as of Wednesday, 5:00p.m., December 6,2006 00 Denotes applicant completed the Confidential page of the application. [![] NOTICE THE CITY COUNCil OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOllOWING BOARD: AIRPORT ZONING COMMISSION One vacancy - Six-yr Term January 1, 2006 - December 31, 2011 Duties of the Airport Zoning Commission are: 1. To recommend amendments to the current Iowa City Airport Zoning regulations, including the repeal thereof. 2. To recommend the adoption of new Airport Zoning regulations. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets as required. Applications must be received by 5:00 p.m., Wednesday, December 6, 2006. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Airport Zoning Commission should be directed to Randy Hartwig, Airport Commission Chair at 337-2101. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in-law, sister- in-law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: 0 Council Announcement Date: September 20, 2005; November 1, 2005; December 13, 2005; January 23, 2006; February 28, 2006; March 21, 2006; April 18, 2006; June 13, 2006; August 1, 2006; September 5,2006; September 19, 2006; November 14, 2006 Application Deadline: Wednesday, 5:00p.m., December 6, 2006 Council Appointment Date: December 12, 2006 AIRPORT ZONING COMMISSION One Vacancy - Six-year Term January 1, 2006 - December 31, 2011 Term expires for Mark Anderson No applications as of Wednesday, 5:00p.m., December 6,2006 [RJ Denotes applicant completed the Confidential page of the application. 12-12.06 14c I NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF ADJUSTMENT One vacancy - Five-Year Term January 1, 2007 - January 1, 2012 Duties: In appropriate cases and subject to appropriate conditions and safeguards, the Board may make special exceptions to the terms of the Zoning Chapter in harmony with the general purpose and intent of the ordinance and in accordance with general or specific rules contained therein. The Board may grant variances to the Zoning Chapter only in the case of "unnecessary hardship." The hardship must be substantial, serious, real, and of compelling force, as distinguished from reasons of convenience, maximization of profit or caprice. The Board may also hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by a City official in the enforcement of the Zoning Chapter. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, December 6, 2006. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Board of Adjustment Commission should be directed to Bob Miklo, Senior Planner at 356-5240. --"---~~'--'--'--'---~----"" -- --_._-----'"_._...__..~--~---_.~~.~....._.._-"----------~- ZOO~i"i ~ tIJ II II ~ II II >"<:1" Z>cT@ o 0"' CIl ell 7' ri g g ~:::l"""-- (1) til ~ ~. ::> ~ (JQ (") '" '" (1) 0.. ~ 'Z ~ t'"l ~ Z '" ~. ., S '" Q. ... .. ., I:" ~ I:" = '" (1) ., - = '" '" > - = - t"" ., = - ~ ~ '" '" Q. ~ J]: .. ., = J]: ::> I:" = '" I:" Q. is: ... '" ., 0 0 0 0 0 ~..., - - - - - ~ ~ ~ ~ ~ 0 0 0 0 0 "1:l (1) - - - - - ;i'El ~ ~ ~ ~ ~ - - 0 0 0 - 0 ~ 00 -..l '" 0 ~ ~ ~ ~ ~ - ~ - - 0 ~ ~ ~ ~ ~ N ~ 0 00 0 0 ~ ~ ~ ~ w tIJ ~ 0 00 0 ~ ~ ~ ~ ~ .j>. ~ - W 0 ~ ~ ~ ~ ~ V> ~ - 0 0 0 ~ ~ ~ ~ 0, tIJ ~ - .j>. 0 0 ~ ~ ~ ~ -.J tIJ ~ - N 0 0 ~ ~ ~ ~ 00 ~ ~ tI1 0 ~ 0 ~ ~ ~ ~ ~ ~ ~ - W 0 - ~ ~ ~ ~ 0 ~ ~ tI1 0 .j>. 0 - ~ ~ ~ ~ - tIJ ~ - 0, 0 - ~ ~ ~ ~ - ~ ~ tI1 -..l )>llJ ...0 "'Ill ~ .., :Jo. 0.0 NIll..... O:J)> 000. 0) ~...... ;:tiC ~ l/l 0'" o 3 .., ~ o.:J ... Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in-law, father- in-law, brother, sister, brother- in-law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 2 Females: 2 Council Announcement Date: September 19,2006; November 14, 2006 Application Deadline: Wednesday, 5:00 p.m., December 6,2006 Council Appointment Date: December 12, 2006 BOARD OF ADJUSTMENT One vacancy - Five Year Term January 1, 2007 - January 1, 2012 Term expires for Karen Leigh Edgar Thomton III 00 631 Scott Park Dr Elizabeth Kennedy 00 249 Haywood Dr Frank Sutton Gersh 00 1041 Woodlawn Ave Caroline Sheerin 00 807 Deerborn St James Walden 00 312 Kimball Rd 00 Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM I ~ I ~~~_at... ;(~w!:'"t. "'=-... _IIII'~ ..... .. ~ CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). Retum 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, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Board of Adustment Youth Advisory Commission, Age on the date of filing:D Age 15 to 17 (or) TERM: 5 Years Signature of parent/guardian if Age 15 to 17: D~e 18~21 :~~) ~ ..->- - J ",,_ ~.- " :_,Jr-" 0 II ."AME Edgar T. Thornton III :"<~. rr > .~-..,:u ~ .........,~ - -,r' ~ 5224~ [l] Yes D~o '--'1 , I, ,.--, '-...J HOME ADDRESS 631 Scott Park Drive, Iowa City, Iowa Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? Three Years OCCUPATION Director, Environmental Health & Safety ProQ EMPLOYER Kirkwood Community College PHONE NUMBER: HOME 319-338-5579 BUSINESS 319-398-1029 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: My professional background includes nearly 20 years of government service in both federal and state level government where my career has focused on public administration, environmental policy, and government regulatory issues. Most recently (6-2002 to 9-2006) I served as the Deputy Team Leader of a 12 person urban planning office for the U.S. Agency for International Development (USAID) working with cities in the developing world with infrastructure, local govt operations and planning issues. In the past, I served as Deputy Cabinet Secretary of the New Mexico Environment Department, as well as working as senior manager at the U.S. Departments of Energy and Interior and the U.S. Enivormental Protection Agency. I each of these positions, I worked closely with local governments in the United States on various types of planning activities. Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 1 of7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? This advisory board is empowered to hear appeals regarding Zoning issues. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? As I stated earlier, my past and current professional experience in government operations, permitting and regulatory matters, urban planning and environmental issues will enable me to bring a high degree of understanding about the topics discussed by the board as well as a keen knowledge of how to work with the general public. '" 0 c:., ~~) <- c~ ? 9 ::"': )> c:~ -~,~.. 11 C) -< (.) ( 0 .:-<: r- II ;:; ,.... _,'0". ~ r, -..;~, ',--' ~ /~ :;;: - )> .. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your dutieS to an emplOyer: . particular, if you are applying to be a member of a board or commission which makeS recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 ofthe Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). if you are uncertain whether a potential conflict of interest exists or haVe questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? [Z] Yes D No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYes [Z] No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. , 'i General Application June 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I! I ;;::;~~....~... :f~w!:~ -..;::.... ...." ........ .. J CiTY OF IOWA CiTY Name of City Board/Commission Board of Adustment ^ ./ Date / / I~ i 'I),C. , Name Edgar T. Thornton III Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS A;s,II.J:-:- r) r':? C? .-' :2:0 ?" . -;;;: 11 "...... -z. . =:C-' 0 ,- "h ?" : '-' r~ Ox " .'-...../ - ~ .. - ....., NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature ~~ /: 71-. - ~. Signature of parent/guardian if Age 15 to 17: Address 631 Scott Park Drive, Iowa City, Iowa ~ -" Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 3 of 7 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM I! 1 -...,= -~... ~~W~~ ~.. "r'~ .....~ CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). 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, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. . ADVISORY BOARD/COMMISSION NAME TERM: j YYS Youth Advisory Commission, Age on the date offiling:D Age 15 to 17 (or) 0 Age 1!!,to 21 - = Signature of parenVguardian if Age 15 to 17: ~ ~~ ~ I \JAME-Elr;?-o,beh,-- }(p tJCJeDY '-~;L :_~ HOME ADDRESS ().. r ~~~ 7~ L-.9'S" Is your home address (listed above) .thin the corporate limits of Iowa City? ~ y;;[;No How long have you been a resident of Iowa City? '3)' y< 'OM ~""" t,'l~ '1 .I,J ~:s -\v-b.Q., OCCUPATION ~;\ LlJL'(' Uv \litl ~L1 EMPLOYER _ 70, _.:.... ~ ~ vn I1A'\ rho PHONE NUMBER: HOME 31'1Sq4-oG.Oc:, BUSINESS -;:a../>'I"-..f._ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ro~re-n~ ~. tWo,W ~ ~ r>"' OJ;~ S"lM-P 1J~_ c~ ~ pli C(&J . ~s "'- QreJ::Mrt/tAl hsJic ~ J .::r~~ ~~ ~~ lruvr' ~. C.,-eecf'~ S1)~i'I''J r(lJbf~. l{j~ net elM' '''-jrvJ:seJfn fJ~,r" ~I~j,,,-~~~ . . " . / .' 4J -Jrrr I--.~~e vV\-loo/Q tti~'(ssl/essv" I ~f( _rtl"f"slhve..~",... Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 1 of7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? * \JOt!. 1 t!.JrJ5~ re.vi~/ <2.-01'\;\) v~~rl itl+i~ [n'flv. ~~()yro~ WteAP ,H ir~ L' aJ2 i s (J:~X S-~ ~ -- v D VM.\ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? :1. CttM. <<7~ ~. persf~d-i lff- cr& (A- y~ pelsoYZ Who I,vtb tft '!?e(oW fu Nlr' ~ (,VlC()YV\Q vb ~ tv\.QA. OJ14 bOOc'{tJ ~. Vl>> vtfrt~.~~ ~ ~ i2~ tViULJ... I'm ~ 1D'1 J ~ _ b~ 1'- 41(,-g~~ seU fn Vr ~o.- ~ ~e) i~ r/~ 111 fzfCL 0'0 0+ ~ttmv 1\ td-U ~ bo^-(~ NI-{/cD 0'iktN < rV\. Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 ofthe Code oflowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. _;?; t:;;;;:1 ..-- .,..-" ~:~ c. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes [i1J.to;;; ',j DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSI6iij? [}res ~No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) o f""~~ CJ I +' -fl. ~ Tj Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 2 of? BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING. I! 1 -...,.:. -~... :t~W~'" -.;::,... ...1IlI1' ....~ CITY OF IOWA CITY Name of City .. ct~ A~' ~ Board/Commission Soo. v '. d NameYli7Ab~ tL.K~NtJW'1 Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). Date P./ 'f / {J h ( ( List all businesses in which you or your spouseldomestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS None . . 0 ....;.) =;, ~o 2 .... co -n .....-, , :-:C.' .c- -, ~, :<:! in .....-, '-J :::::~ ,-j 2,/"- N j> U1 '" NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature ~~______ Signature ofparentlguardi if Age 15 to 17: Address a y Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 3 of7 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM 1 ~ 1 !~~~'t ~.. -::'~ ....,........ CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). 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, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME 6'0AIZ--j) D.f }\.\)jJ )\Jv1 f~ TERM: Jjl j07 -, II (/L Youth Advisory Commission, Age on the date offiling:D Age 15to 17 (or) rn~ 18~ 21 ~-._ ~ j c:J "'-.~- rl"1 --- m' roil Signature of parent/guardian if Age 15 to 17: I U1 (:) . ::> .. f\..J) IowA: (. \Ti ifp ~~2. '-t) Is your home address (listed above) within the corporate limits of Iowa City? I2i Yes D. No How long have you been a resident of Iowa City? ?) ~ 12-5- OCCUPATION \\ '{ L Ii JL.Ofrt '>/ EMPLOYER 6f.f>'H I HII-rLiJ~r1 ~. ,,-;r- . 3~ "7 .: '. nl.! L-l.,fg PHONE NUMBER: HOME '.' 1- 7Li S ~ BUSINESS 3;; 0-11 Ie, 0 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: \ i-'-i'>JS S:~i.v~O DN \)-t E... H ()\Of2..lL {1~~f!;.iZ...vk1\ ~,"'-./ (:;:>JV' }Vi.\~)\ON l;i\2.. "\\1R-.t.. lCAF'>). 1\1f. (.0N\ivl t>.! I 0;'-" ) \...tlcf- '\Y\~ f,.1")f\t-D f \i\--\)~.J~T(V\~T) )::0 y-. ,q.}{o It-a 00rJ'= ' , H f\lLO;, H \ P 0 N m C- q~T of' H'oiVI ED w,">l ~ ~ iP IN<C ,::>.E.i\tcx.fr..LIN ~ /'o-ND 1\J\-kVf:... ~<...D.!\J1Mf:;f..rvft \lQf'!j l'o 'DE:.c ~ eLS>~J;> . 5; T] ~AME iff..-A-NY.:: <;VITD"" h€-?-S/-( HOME ADDRESS 10 Y I . WJ-''>l)LA-w rJ ;---1 '~..J Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 1 of7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? c.9 I"~ H/\"\jS- ~ ~-f\I--:> '\}<2 ,tv1f'rf'&f-.,f\-L '0N\')-IC c \ )'Y ~JE~IT~ f\-N)) TrI ~ NOll (S \ N m c f.~tQ. ff) r: kU'Jo vV .$() Mf.,01'J e 0N \)-'\e.:. g,0t'\i?D (l- .Hf\\i~ ''"\A1-iCr':;)IOThtU' (It.f.~::'c\J ' WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? \,_ \ff Lj \\-/A \ 1\> A )5L)::,'N<2S.j 0f\JrJ2 KA/VD-'f?(\I1P.---{<... M' YlOR. \,c ? ~~ ~\f f\"n;:"r.J (5=> fV\ M 1.1> I r:::,r-! {'-'H;...../V1 i:~~1 I (tn.J \\. p, L A ~ f:W e: N(':SC 0'::, {) \ (\I 0 \ If 'O-J A-l-<; ltl .I\1'-v) J-I\ 9~) l-<" IIti S)'1't"NJ)A iL-\)> SVLJ.-\ J4C> 2-DrJIN"=::, F,t-b0lA=Jc'0N5. (M\~\I..)?--\.C <;\~Of\~0:>), T- c AN L~ \).-I.S '2 'Jv--.l \ rJ b ~Lm( C':oC"1J i}\.,.l\(,kl ~. )' \--tMf!O- vV-OI\ ~A (/1:;,-....l d- \l "" F- TD {vI/'rkF: A L 0 rJ( (2-L e ...F\1 D.('.1 ) f'\r-J0 '1: l;v':I\nJl1 0 DO.s. eM t-\1i IIV'~ ?_ \V ~ C (\'{ -\0 vv-Ad2= \TA:- uS S-TI ~ VL A-<. -F- . POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attomey's office. You should also know that Section 362.5 ofthe Code oflowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. . 0 ~ ..- j; "-0 CD rJ fl l..T) ~- ) =~:'l c--:' ,- ,---- ~";t~ r-q n I 0' -'n 2::: :"-l-j l~'-l IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? [J Yes ": "'i--lo ;;, DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~Yes BfNo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I! ! -....= -1Qo... ~~~!:~ ~... .......'" ~t.L CITY OF IOWA CITY Name of City '. Board/Commission IS '-, .1\Y-''0 rv::;?-A1N k "-, Name ~' '> J' !:l..-7-, \ ,,--fl.~" ,...,.- ~ I' V-I"'> \ ,-,r..-f'-J I 6 S+-i, Ii. Date~~ Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions" a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isatlached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS t,lZPI-l 1\.1.1\(4.1>" r-J ;r- }VS:J(...\ A~> 102.1 l20C He~Tf.? tW. 10"'-'1\ c\'S'i iA C 7.2-. L(\ . . . ~ -, ~- 5':'" :J> _~ r-ri -11 C") 0" '. -'" --- :! ';:...:. Tl ..:-'....., .- r\:i~ , -,"- >.J . ~';'/" ., <: .>' N NOTE: A new form st be completed if the above information changes or an ownership interestis acquired in an ad tional business. / ~ Applicant Signature -V- ~ t <;- (jt:/v- 6k Signature of parenVguardian if Age 15 to 17: Address (01.{ \ \r-bOi)L ~r-1 iN,) \o"..;A c I"\( ) (A '::,' 2.-2l{';' - Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application, . General Application June 2006 Page 3 of7 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION \PPLlCATION FORM I ~ I -....= -~... f~W~~ -..;:.... ......" ........_ "l CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). 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, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~a.r~ D~ ,A-ol jU.S+mt.lI\.... TERM: '2.OOl:f Youth Advisory Commission, Age on the date of filing: D Age 15 to 17 (or) Signature of parenUguardian if Age 15 to 17: ~ge 18~ 21 ~~'Q ~ ::. r-. il '-. ~' ---;1.. ...... _r r- ,"- I: ,... - e^ ^ ' 'r" -0 :'11 NAME \"",O.('Du nt ~V\.c ,;.. 0 =J :Y. ('J 5/'-. - '<0,. ,10ME ADDRESS ~, 'DE:A-~~ ~", IO~ 0" Y I I A- itP ~ Is your home address (listed above) within the corporate limits of Iowa City? ~es aNO How long have you been a resident of Iowa City? 51 I'ltC 'JU.\'6 '0_ OCCUPATION \Y\~~f O~ ~p..l "'/(:+\~ EMPLOYER tJ '" ~ PHONE NUMBER: HOME.C!A) 'SS-Lt-,\c.t'1 ../ BUSINESS (31~' ~"S- ql~L EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: "'t. W()"~d. ~ r ..II.... ~""r~ c:a.S Q.A """(S~Q.I"L'" ~f'po~ CO~~\~, ~~ C4",-\ cF c...\Mc..-{)o, T~ -\-i.o~ JDb, ~~~ oc. ~ c.o.Sc.c; "J: ~c:>('~e..d (J'tII. tt\V()lv~.:;.l ~Ol'\.i('l~ C'SCk.c.'( 't C;pe."'-"" Mo...,^,,~, ~I'\." h.o~'S wo(~i "q wi~ A.lk,..~ D..~ ci~ Y"~I GloU\.+S r'~ ~"" ot"-f-or+- +0 .....~d(".c. 'U)1"\1"'", t~c:c.u.c.S, ~ C)..-. (l..V\o\\\,....... wi-\-h VUi~t\'~~ ~DN\ """','t~)' ""..,~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 1 of7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? -r o.M o..u.JCV~ #\a..o\- -+'M. Boe..V'O( i~ UH,\"\"YI~ ,,~ CDrt'\yY\"",^~ ~ volv..~+--t..~ I ~OI... +-~ -t-k~ &c:l......,( l's rtS~Ol'\4\y.( ~r (SC;W ^~ vw; Q.."',(..~. . WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? \+A..VI~ ~t>'~+ ~~~ ~()l.A./S WC)t"; ~~ wi0\-4-. lDMVlfI.""-\"\,.l\~ 'diD"",,?';, c.c",^M"",~i ~ '~"lrS, ~ell.f..l(Jp' -v' ~ ~~ C\ ~ V"e.~~o.l~~+<;, :r o..~ V(..l'~ ~ 'Ol.r WI't"lt\ ""Z.DM ~ (C; ~~e.C;. l oj c:..o OA../ pre..&A ~ +tv- ..t..w'oH """ ~ CJl-.I'\.t'l €Lt ~II\.Goi<<.l . \l'\ 1I.e";'~ ~ ~'a p.t.O('<.J.. ~~ ~ ~~t-e.. ~ ~\ ~ ~ ~~'Dc.\..~ ~ou..lol \:..Q ~ a.S~'" "' ~ Bozvrot. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,induding financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe ity Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" indudes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. 0 ~ j:; '- , ,--.., -< '-. .-> =~(~, ..~/ I -- '"n' = rr~! c-:o I '" 11 ,.-.- , -0 Tl IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~Yes :No 7:" '.J 00 YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? o:>r'es ~ (It has been Council policy not to permit an indMdual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 2 of? BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I ~ I ~~=-=IIt... ~~q!ll'"!. ...:::... "III'~ .......- ~ CITY OF IOWA CITY Name of City r.t - - - I' A" Board/Commission U()lJ.""d. l)t <<ju.S+ \'rttJ1.+ Name ~~ol;"t ~~4!.r;" Date~ Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please Indicate if there are none. BUSINESS NAME BUSINESS ADDRESS t\lO~ '::-0 '-d c-, :s. ,--,. "" C;:" "--1 -- --.! - '-) . -'-! --<::~ .~ ;-,-, 0"; '+, ::.i: r~\ r :::.':!. ~ - .. - - .s:- NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature ~v1..{. Signature of parent/guardian if Age 15 to 17: Address~6A,e &tfU\1 Sr. low,4 (lTI' lo"-'A ~.z.2."'O " J~ , Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 3 of 7 - -~-~._~-,--_._..~"----~----,------_._---'--------------'-~'- r'!' ~!i: ',,! 'J\.t.t., (-\i-i'\/ ~'1\^11 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. I! I -....= -4 !~ai;!:*t ~.. .......,:.!P.i, ~ 'ilIII1::m..~ ...... .. CITY OF IOWA CITY CITY OF IOWA CITY FII F-j ADVISORY BOARD/COMMISSION . I.. L APPLICATION FORM ZOGfl DEe -6 PH 4: 56 THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME BOCdd et AJj~,;t.....",,,,,-t- TERM: Youth Advisory Commission, Age on the date offiling:O Age 15 to 17 (or) 0 Age 18 to 21 Signature of parenUguardian if Age 15 to 17: u-Jq.-v"l a. s We.. \ J~V1 NAME .,. -:AI 2. K ,~ l., ~~ H R d I <l (, +-.., ZIP HOME ADDRESS C/ ..J. Is your home address (listed above) within the corporate limits of Iowa City? [1] Yes How long have you been a resident of Iowa City? I 7 7 € e; or s OCCUPATION T a a. c L, ",01" EMPLOYER PHONE NUMBER: HOME "3 1'1 3;-1.\ '-I" '-f I BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: S-2Zt..f~ ONO I"" c::+ S,\".9.91", '1 l'VI4'" '1 c~ +" . '1 €.".,r S a"'.J [.., '" s "",1...0 lit A 5 ,."" ;...-+".,....s-+ l,v<Z.J '''' Lp"",,,, \Y1 fhe; 1r'"vJ-h. C. +-1 +"".- 0+ P"'''-v \ C.t IN'> C\ (".o...-"\'1.ttowV\4t,-v Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? k",OoN 0..11 b.<< $; < a ( 11 e)l r--\ A:.....zlr w""4.+ tt..c lo.""...-J "\","",5, Tl-1.e 1..P6...J'S t? """,,/2.. 14'1. 4. ~u'f/"rev\.+ t...N'I-cE'...V'1- k>>~".-... f-iAll'1~ +:.~ 1'1 vJ E... S WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? . A~' {j t e 4 , h .It<t (..\ -\ : ~ '" '" " '" ,,1 h.r...... ~ <' oN v> JZ or.. ( I 1,1<1.I? "'......- C~+1 . t .. j~ r& C 1 , z. ~V\ $ .. 1>"OvJ ,..... u. Cc P'4Vl + . '" vo./'"1 tl.....+ -t4ks th..e +.~'" I +).,"'+ 1 Ce...... ....eels ..f ...11 "" 0 ~, C..:;;;;:' <::;: "'" <.0 0 )-~ =:: Pl il C' ") I --1 C 0' ../ r . m . '. n , -0 ::::J ~ :-, r. '-.,J 'J 7-~ -< .;::- )> Ul u, POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an emp.loyer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 ofthe Code oflowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356.5030. I Io,ave ..,'" f'",tc!'''+''''[ cc",+I~..-h ...f- ~..+e<esT tl.4T 1<:",..,-" 0+. . IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes D No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYes es:J No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I ~ 1 -,..= -~ !~~!:'t -..;;;.... ......,~ ..... ____ l CITY OF IOWA CITY Name of City Board/Commission Be<<.d g+ Ad).....-I'" ...~..-r Date I 7- / 0 '5'"/ c (.,. Name J (, "'" c S W <. \ J........... Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS \1 ,:1", e... ,...., Q = en ~'::.-:. f;i --~ (.-" ~....I . I ...- ~ -::!\>~ v :T1 fY\ 3! ti --:=:: --r-: --"" .....::;./'-. ~ ..". )> ~ NOTE: A new form must be completed if the above information changes or an ownership interestis .".Im' ,. '" .dd"o~1 g Applicant Signature ~~ Signature of parent/guardian if A e 15 to 17: Address '3 \ 2- K\o'1'1 to """ \{ 12 J: {p,,-,"-, '" c~ s- "2. ,. '-\ S- Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 30f7 c::J NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy - Five-Year Term January 1, 2007 - December 31, 2011 It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the Uniform Building Code, Uniform Plumbing Code, National Electric Code, Uniform Mechanical Code, Uniform Fire Code, the Dangerous Building Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:30 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, December 6, 2006. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions regarding the Board of Appeals should be directed to Tim Hennes, Sr Building Inspector at 356-5122. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in-law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 6 Females: 0 Council Announcement Date: September 19. 2006; November 14. 2006 Application Deadline: Wednesday. 5:00 p.m., December 6, 2006 Council Appointment Date: December 12. 2006 BOARD OF APPEALS One vacancy - Five Year Term January 1, 2007 - December 31, 2011 Term expires for Stephen Buckman No applications as of Wednesday. 5:00p.m., December 6,2006 o Denotes applicant completed the Confidential page of the application. CJ;J NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HUMAN RIGHTS COMMISSION Two Vacancies - Three-Year Terms January 1, 2007 - January 1, 2010 The duties of the members of the Human Rights Commission are to receive and to determine the merits of human rights complaints alleging unfair or discriminatory practices in the area of employment, credit, public accommodation, education, and housing. The Commission shall provide conciliation and the enforcement necessary to further the anti-discriminatory goals of the Human Rights Ordinance and to protect citizens from unfounded charges of discriminatory practices. The Iowa City Human Rights Commission has an obligation to investigate and study the existence, character, cause, and extent of discrimination in Iowa City in order to eliminate discrimination by education, conciliation, and/or enforcement. It is also the duty of the Human Rights Commission to draft revisions to the Human Rights Ordinance if necessary to eliminate prejudice, intolerance, bigotry, and discrimination. Iowa City-appointed members of boards and commissions must be eligibie electors of the City of Iowa City. The Human Rights Commission meets once a month at 7:00 p.m. Applications must be received by 5:00 p.m., Wednesday, December 6, 2006. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hali, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Human Rights Commission should be directed to Stefanie Bowers, Human Rights Coordinator at 356-5022. Board or Commission: Hnman Rights ATTENDANCE RECORD YEAR 2006 {Meetin ' Date TERM . NAME EXP. 1/24 2128 3/28 4125 5123 6/27 7/25 8/22 9/26 10/24 11/28 12119 Lisa Beckmann 1/1/07 X X X X NMN X X X X NM OlE Q Paul Retish 1/1/07 OlE X X OlE NMN X X X X NM X Q GeoffWilming 1/1/07 X X X X NMN OlE OlE X OlE NM X Q Sara Baird 1/1/08 X X X X NMN X X X X NM X Q Bev Witwer 1/1/08 X X X X NMN X X X X NM X Q Scott King 1/1108 X X X X NMN OlE X X X NM X Q Martha 1/1/09 X X X X NMN OlE OlE OlE X NM X Lubaroff Q Sehee Foss 1/1/09 X X X OlE NMN OlE OlE X OlE NM X Q Kate Karacay 1/1/09 X X X OlE NMN X X X OlE NM X Q KEY: x = Present o = Absent OlE = AbsentlExcnsed NM = No meeting --- = Not a Member NMNQ - No meeting, no quorum 3 Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in-law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 1 Females: 6 Council Announcement Date: September 19,2006; November 14,2006 Application Deadline: Wednesday, 5:00 p.m., December 6,2006 Council Appointment Date: December 12, 2006 HUMAN RIGHTS COMMISSION Two Vacancies - Three Year Terms January 1, 2007 - January 1, 2010 Term expires for Paul Retish, Geoff Wilming Sherry Hunter ~ 1060 Scott Park Dr #207 Eric Berger ~ 25 N Westminster ~ Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSIO~i \PPLlCATION FORM r '- 20(].)I:),: i 3 Pi~ I: [) 4 Individuals serving on Boards/Commissions play an importarl:ih,le in,'!lfu'~lfl9 the Council on matters of interest to our community and its future. Applicants must reside iniQ9~\qty.r( i~YN,A. 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDFl. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. I! 1 ~&~-;~ ~~. ....111. CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE lAST PAGE MARKED 'CONFIDENTIAl,' THIS APPLICATION Will BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICAllY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME iltI/YWAY_J.'JJ4~ &".;4/1#}, NAME ~J.i."'~,L: -:::~r fA.. 1) HOME ADDRESS /~ ..!$-.... L<5 I'~ A""'" dlJdy TERM g~. Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? / ~nnti; ~Yes ZIP ..G~_.y $' DNo -'=- OCCUPATION lONE NUMBER: HOME 464/- 4'/?~ Y&~d2.. EMPLOYER BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: -.". - "- .... - 8. /J. tf~dlU?~-d./ ~J:...&b ~-t.- - N .~h.d/ ~A.) )<iR~~ ~0J2R1f' t?A-4.f1?~ L{Y<--t) ~Mn-<? ~~ ~~ , dd-<~~-()'4Z;/ ~/ yf)--L~--") ~y,a.c-i<L~~.d----, ,--ta7 J:~-' t:" J.L~~ J .~--e'L<!:~ O-~<cdJ ~-<'L.#f-<,~/ AJZ~~~ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? W ~7; ~t:-Oc-</J 1;/ p<<Z;-GJ4/ ~ .--I2-eLL-te'./ tV ...,LAbdb--d..-/ ~~~ y~ ~~~~ ~h ~~ ~ ~'&"r?: ' Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application June 2006 Page 1 of8 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ..2'0 ~~~<'_/ -4LeA--e../ ...../-4?~~L-c->L-e~ !f ~/ LpA(")q(tfX4/.? ~i~7~.k--e~ a-*dJ dn-<<~xr: ~~~~'-7~ ' o A--h~"u / ~,!ljAff I --Lm --/4/4 J (lL<'k-<?~ &A"d~<-L .1/~/ t"~7:f c/!-4cd! J. ~~J .(?df.-tJ-1-1.7: YAe'~ ~--<'-/~./ Yfl:~..L~:J ..--A~--f'(?J. J (ljL~./ ~o ~/ ~~~~1J .,L-x) --1.A...c) ~-1t'*!.n.L--<.eA<1" ~_U.-dA~->Y--e:/ ~ _7/>JY ~./-7U4/M.~1-. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. I'1ther types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 7). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City Attorney's office at 356-5030. b :;;;r" );:-:.~~ '" c;;;~ c:;:. ...:'.., .~'-... , ,~ -, c:". ""C JJ ,-:~ i(~: W i--- fl r .:p :~! IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? DYES MNO 5;2512 ---.J -- DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~S [gJ NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application June 2006 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING I ~ ..6..... ~ CITY Of IOWA CITY Name of City ^ // /7 ' Board/Commission . <a" ~Ad ,,(::~_.L.-cvk'.b Name ~/;At: L M-/--K~AJ Section 362.5 of the C de of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 7). ~, Date /~ - t)-t"J<b List all businesses in which you or your spouse/domestic partner have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS ~ .... \ / \ / ./ , / \ / ...- / \ / I "'- / I I ",-, / / '( / / / NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business, 0-- ~ "'~ ~ t:~'" <::C) ,",,'_ )::-..~-" Co'; .< -Tl ~ Signature Address ~~~ ~.~~I w 'Tj I, , ....";.;,:: " _i~ Misrepresentations on this application will constitute just cause for removal of a~ppoint!te. If you fail to answer all the questions, Council may not consider your application);: ;;, ~ , . '.I Human Rights Commission Application June 2006 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 8, 2006 Household 30% Median Income 50% Median 60% Median 80% Median Income Median Size (Poverty Levell Income Income (low income) Income 1 $15,250 $25,400 $30,480 $40,650 $50,800 2 17,450 29,000 34,800 46,500 58,000 3 19,600 32,650 39,180 52,300 65,300 4 21,800 36,300 43,560 58,100 72,600 5 23,550 39,200 47,040 62,750 78,400 6 25,300 42,100 50,520 67,400 84,200 7 27,050 45,000 54,000 72,050 90,000 8 28,800 47,900 57,480 76,700 95,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city.' lOrd. 94-3647, 11.8.94) ~"~ o ~; OPTIONAL: ;Eo ::' '>--", f.""":. PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDt6WHEN' CHOOSING AN APPLICANT. =i c; Z; ":~1 ~ ~ Age (1 J1./t.t~.nJ 1;:ae!fgiOr'i7" )> C) .. -Tl I-""j . , ~-l ~\.._~/ F I Gender AD I Disability I 1 >-'I\\~, V 1 ~ncome (see table) I M~1Jl I Sexual Orientation o Other (Please explain below) /,-1') ~';/;; 7 , I Race, color or ethmc group I National origin ~~."") Jman Rights Commission Application June 2006 page 4 of 8 Sherry L. Hunter 1-641-919-7542 huntercom8088@yahoo.com Obiective Being a part of the challenges and growth of Iowa City by serving on the Human Rights Commission Oualifications Published Author - newspaper articles, short stories, press releases, poems and my first novel was published April 2006 . Communications - written and verbal Accomplished public speaker - Competent Speaker Certification Toastmasters International . Sales - Exceeded company goals both in newspaper and telecom positions . Marketing! Advertising - Prospecting, cold calling, built lucrative client base -annual sales of $900,000.00, advertising design and layouts . Public speaking and presentations - Wrote and conducted professional seminars . Public relations - Wrote press releases . Goal oriented - Exceeded monthly sales goals . Self-motivated - In outside sales I used my down time to call on prospective clients and cold calls . Organizational skills - Years of experience as office manager, administrator and ran my own telecom business as an Independent Agent . Excellent people skills - Outgoing, motivator and team player . Computer Literate - Word, Windows 95, 98, XP, Excel, Adobe, Outlook Express, Fax and several in-house software programs with database Exoerience :z005 - :z006 - Vision Technology - Retention Sales/Quality Assurance - Responsible for speaking with customers, explaining benefits of products and sales. QA-responsible for listening to recordings, post fmdings to spreadsheet and mail merge. :z003 -:zOOS Receiving a residual income from Primus Telecommunications allowing me to finish my novel. PublisbAmerica, LLLP has acquired the rights to publish. 1997-:Z003 Primns Telecommunications Fairfield, IA Independent Agent Responsible for telecom sales, marketing, advertising, building client base both residential and business- domestic and international, customer service and administrative duties. Built a client base from zero to $900,000.00 in annual billing. 1995-1997 Mt Pleasant News Mt Pleasant, IA Account Manager Responsible for newspaper advertising sales, building and maintaining customer base, layout and design of ads, meeting critical deadlines, customer service and administrative duties. Increased sales by 15% 1993-1995 Douglas County Sentinel DouglasviUe, GA Account Manager Responsible for newspaper advertising sales, building and maintaining customer base, layout and ~ign of 0;.-; ads, meeting critical deadlines, customer service and administrative duties. Exceeded monthly bu~t~oals ~ and increase sales by 10%. )';: ~ ~ ---., c.' -. ~ JJ Education w "- 1989-1991 Iowa Wesleyan College B. A. Communications Dean's List and Blue Key National Honor Society -~. L O;;:~:'..; ~/' )> -0 :::!:: ;-.,--- , i I {-"-'{ ',J o +:- CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM I ~ I . ~~~_4... :t~~i!:"'l. -..;;:.... .....~ ~.. "" CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). 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, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME --I:1lA.fV\t1[ f\ \' 1'j~t.J . TERM )'c{Il.) ~JX/f NAME Eri(~ Ee~~~f' HOME ADDRESS , s N-! W' e--..st fh ~ n si f/ r , -rotv~'~ Is your home address (listed above) within the corporate limits of Iowa City? Yes How long have you been a resident of Iowa City? _I ~ ~ e.C1 f'.J OCCUPATION~l'O -.? f'4 111 r, fA!'. EMPLOYER PHONE NUMBER: HOME ]. I ~ .1...SLl "SS T l BUSINESS ZIP .s 2-2- LjI DNo ~~) ~ <- . Ci lIl-,~t0 .? -1 '" C::) <~ =, ':-) -:: EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ....~ p A-n ll\te-rc..st l(\ hGt~C{8) (,iS~ J. lS.s~eJ'~5( :;;: .J f'\ e. r: be." A-l>l~e-s t i j... ni.e..tnc:d- lOna. \, .}> ~ ACL\Ve it) t~e. C-L10\pql/)i1 fo~ D.ctV'fvtf'. . o r.~0 V\ \' t t ~ q 1'11111 to f' Dart' qr I Vl ::Lower C I t1, iX&" q ?f'CS c ryL c;--t l'Ur) 0 n DCtd''f1.(' cd fl11 c..hC/[fc~, 1"0 of ('(t- (' .5 CJ p-"~ " I en 11 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? :I bc\('cV~ -t~ t €JcJ O~ HC4Y1 C{CI) r\'5~ t ~ lS )Gttf Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application February 2005 Page 1 of 8 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR. APPL YINGl? : ~ '-, --L ViCtue C{ l{~t--tCP1e- l/l14't';f- 10 ~ LA M ctVl rl~ ~t) +- :;r. wC0 [J Ld'c e~ i::.o &~cvr~ t:. hd: IVI t"" f:: ~'e- \ WO'l e;" CO fl') fl1 Gen; i: " . l q 11 eC f&~' '1 \ 1 i Vy.{ e-( eJ i-ei\ 1\ --t he- p ('0 1'1 I) f { '01 tif fCv(" r \ \. 1-,''< d;J f'd'<ad. 'ff <;, , POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 7). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of 10'!Y', please contact the City Attorney's office at 356-5030. ...:r T- O-. ;> ....../> _-'-'-t_ cr:'.::;;..::: )1: 2,~ -':.~_C) r--" 1.-.1 [Li _J LL "" I L,) Ld o c<.r U> :> = IF YOU ARA-JOT SmCTED, DO YOU WANT TO BE NOTIFIED? \:SJ'ffs DNO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYES ~O (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application February 2005 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING It. - I ~~~''t -.;:.... _..,~ ..... ...... On OF IOWA On Name of City ~ ' ~t. P If JoG Board/Commission , 4 fVl.0~ ~ Z \ Date '- , ~ f Name F ~ ---IS_ r _ Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 7). List all businesses in which you or your spouse/domestic partner have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. ;1j()hr i - BUSINESS NAME BUSINESS ADDRESS ~~ ~~ = <::1"" :> .: Pi -1 -, c-:; l -' I -: -., :"1 en f" ~-<~ ;." r I I 1")'1 " . g~ -'-- .-''" .r:- )> CJl Signature ve information changes or an ownership interest NOTE: Address 4-- Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application February 2005 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective February 11. 2005 Household 30% Median Income 50% Median 60% Median 80% Median Income Median Size {Poverty Levell Income Income (low income) Income 1 $15,250 $25.400 $30.500 $40,600 $50.800 2 17,400 29.000 34,800 46,400 58,000 3 19,600 32,650 39.200 52,200 65,300 4 ...:t" 21,800 36,300 43,600 58,000 72,600 5 u ~3,500 39,200 47,000 . 62,650 78,400 r6 .- r" C25,250 42,1 00 50,500 67,300 84,200 ill 0- 'i.!" 27,000 45,000 54,000 71,900 90,000 -8 cO ,_) :28,750 47,900 57,500 76,550 95.800 LL "." ~~.~ (-' Lw o -.0 = c.::::/ "" j--....- " ,.0:' v<-~ r; ~ ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. ~Age /'f1C1k~ L1J 111) t - I Religion I Disability I i1 I Gender ~o~tf.:~b~ ~O I Sexual Orientation ./~/!J.,((t-L I Race, color or ethnic group ~6- 1.UV crl'CZihNational origin D Other (Please explain below) Human Rights Commission Application Febtuary 2005 page 4 of 8 CITLJ NOTICE THE CITY COUNCil OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOllOWING COMMISSION: PARKS AND RECREATION COMMISSION Two Vacancies - Four-Year Terms January 1, 2007 - January 1, 2011 The duties of the members of the Parks and Recreation Commission are to recommend and review policies, rules, regulations, ordinances, and budgets reiating to parks, playgrounds, recreation centers, and cultural functions of the City and make such reports to the City Council as the Commission deems in the public interest; to exercise broad responsibility for the development of parks, recreation centers, playgrounds, and cultural facilities to serve the City--inciuding the creation and appointment of advisory groups to make studies. Iowa City-appointed members of boards and commissions must be eligible eiectors of the City of Iowa City. The Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, December 6, 2006. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Parks and Recreation Commission should be directed to Terry Trueblood, Parks & Recreation Director at 356-511 O. Parks and Recreation Commission November 9, 2005 Page 7 of 7 P ARKS AND RECREA nON COMMISSION ATTENDANCE RECORD YEAR 2005 TERM NAME EXPIRES 1111 2/8 3/8 4/12 5/10 6/7 7/19 8/9 9/13 10111 1118 12/13 Craig Gustaveson 111107 X X X X X DIE DIE X X NM X Judith Klink 1/1/07 DIE X X DIE X X X X X NM X Margaret Loomer 111108 X X X X X X X DIE X NM X Ryan O'Leary 1/1/1 0 X X X X X X X X X NM X Matt Pacha 1/1/09 X X X DIE DIE X X DIE X NM X Jerry Raaz 1/1/08 X X X X X X X X X NM X Phil Reisetter 111109 DIE X DIE X X X DIE X X NM X John 1/1/07 Watson X DIE X X X X X X X NM X John Westefeld 1/1110 X X X X X X DIE DIE DIE NM DIE KEY: X= 0= DIE = NM= LQ= Present Absent Absent/Excused No meeting No meeting due to lack of quorum Not a Member Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 6 Females: 1 Council Announcement Date: September 19, 2006; November 14, 2006 Application Deadline: Wednesday, 5:00 p.m., December 6,2006 Council Appointment Date: December 12, 2006 PARKS AND RECREATION COMMISSION Two Vacancies - Four Year Terms January 1, 2007 - January 1, 2011 Term expires for Craig Gustaveson, Judith Klink Craig Gustaveson 2603 E Court St 1RI (Currently serving 2nd term) David Bourgeois 1RI 1477 Buckingham PI Clay Claussen 1RI 2145 Palmer Circle 1RI Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY tDVISORY BOARD/COMMISSION APPLICATION FORM I ~ j ~~:'....ItI... ~~W!:~ ~"~I~ ....,... .. CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). 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, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME~e-t:- J ~( (Q WI /'11 J 551Ft TERM: H-07- It II-II Youth Advisory Commission, Age on the date offiling:D Age 15 to 17 (or) D Age 18 to 21 Signature of parent/guardian if Age 15 to 17: NAMEf~~ hu"iTItJE50rl HOME ADDRESS ~bo 3 E (oc<aT ZIP 5dd~/ Is your home address (listed above) within the corporate limits of Iowa City? [lj Yes D No How long have you been a resident of Iowa City? '6:S 'f-S . . OCCUPATION ~, - AI.I">"f'",- ~.,_~ CJl!"fhe;,; EMPLOYER &T'rJ Bklzl:- tZ/l1'4 PHONE NUMBER: HOME 3',)-'is'3g:.y BUSINESS 337-</97/ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: d.. 4c, vnS I\IL'?- <1 ~(. ?>J o-\- c:I>'ez..€C\cI7S - ~.A-be Ku-\-I... 'l>ttllSlolev1~ -e 1...[ ~ - PI A 7+ ~;]~ r: 11 u, , ,"1.' ..." =n: w U1 0"-1-' , ,I -, <,J' ~;? ;;~ .' j> Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? -t-\A~ ":X (' Il <- Co ~ Ct'i:> -\ d-. -r' Q.. 5c'{u<cJ Z- -C'u.-L\ -\.e."",S WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? .~ COr>.-\,,,'-U'd l0-\-.cr~S-+ 1 ~ -'(Qfl>(';:> 1> d-ej('lcJ?,/~ n..ec.D a...1K-(\v.RS ~iL \2.-e.c I?- <C~-\ 10\'\ C; POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. )In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. . Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362. 5 of the Code oflowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Se.c~on 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. Q 2:~ -~:; ( ~ ) - 11 ( Ul c Tl n-i -u ,') ~~,~ ;. J IF YOU ARE NOT SELECTED, DO YOU WANT TO 8E NOTIFIED? [K] Yes []I No ':'? - DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSIO?r? ~es B No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 2 of? BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I! I -....= -liQ'... ~~~W~~ -..::.... ....., ...... .. CITY OF IOWA CITY Name of City 2 \/ ~ Board/Commission f::W::'L ct e'C NameC\<A\S c:::.~-\ei.v-eSc;l\ (0IYVY\65/M Date ;I~ I \~ 0 G" Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate ifthere are none. BUSINESS NAME BUSINESS ADDRESS 1\.1rfY\ If '" S2 ~;.) ~ :"'--'_.j -r....~ c:' ~ / - '. '. .,' I - - v, ,"',--1 .",- - - ! . .:::? , , ;:=:.:.; ::); . , .:::-; / ' ("'l . .;;> ;'~ NOTE: A new form must be completed if the above information changes or an ownership interestis . acquired in an~d' nal bUSi~S. 11 Applicant Signatu ~ ~ Signature of paren rdianiiAge 15 to 17: Address d-~O~ E C+ S1-. ~c. C:::;cl.~..\l ) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. . General Application June 2006 Page 3 of7 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM I! 1 ~~~~'t -.;:::.... ~..~~ ...... .. CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). 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, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS Y AND AUTO~.T1CALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. )! ~ /' ADVISORY BOARD/COMMISSION NAME (jz .c ~ 'Pt?tf. CA TERM: t..j '/ /C Youth Advisory Commission, Age on the date offiling:D Age 15 to 17 (or) D Age 18 to 21 Signature of parent/guardian if Age 15 to 17: 'l^ME ~vld h: ~t3dur'1et HOME ADDRESS /411 (5C1.C f::Pv11 fJ! ZIP 02. 2'-/0 DYes D No Is your home address (listed above) within the corporate limits of Iowa City? How long have y~eeJ1 a Fesi~t of Iowa City? 10Ct e$""- OCCUPATION <f:.~ tfe & EMPLOYER PHONE NUMBER: HOME"35'7' (it?17 BUSINESS ~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: '- t 5 ""V~. e", 1f?, CU\?"o v 0-. \ '1r<S ~:5 ~At-U'1 .C 'ftttiCi7zd.i?u '0--1\ 4 ~Q.-tiZoI1 t1,cC, 'r::<2r fpa-1a;71.. ~/YIP S;:":';C)1..p , ]VI A r - / <:: e/'.&1 pi' /I '7 ~ cf. c.~ ~~ .sf. '-=' ~ €/Ie"'! 0 (... ~;~ Op ../ ;;-;; Tl I CJ'\ j t Misrepresentations on this application will constitute just cause for removal of an a~~~te~ yo~-tail to answer all the questions, Council may not consider your application. )> 0) -.J General Application June 2006 Page 1 of7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? \IlIV l? t::' 0-- fo (/ '-I t1 {{<, WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO T IS ADVISORY BOARD (OR STATE REASON FOR APPLYING)?, / ~,e . C1P[ r<;; cf t1 n r I~ -11 :.---.l I POTENTIAL CONFLICTS OF INTEREST " '.. 0' -;'1 Please identify any potential conflicts between membership on the advisory board' '@nd ~r ~ryonal interests,including financial interests and your duties to an employer, 0 =,,: N .,.:;." .- '- w )1 particular, if you are applying to be a member of a board or commission which makes recommeneations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City, "Affiliation' includes being a board member or employee of the agency,Other types of affiliations must be examined on a case by case basis by the City Attorney's office, Q ,.~ C' ::,:;~. ,-, n ~~ You should also know that Section 362,5 oftheCode of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract A copy of Section 362,5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. I IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? gJ Yes D No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYes rn No (It has been Council poliCY not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I! 1 ~~--IlQ... f~~!:"!. -;;;:.... ......, ..... -....- CITY OF IOWA CITY Date Is;~j<o Name of City Board/Commission ~ (? t:i \oJ t<ea:'fCl~(M) ~ ' Name Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions. a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS /7\ \ I L k t+ / "/ f v , . . .--=.; =-.:. =, ~- <r-, 0 :~-:=-- \, .} ,,', , r.) II , . ~ NOTE: A acquired .._1 ,~-, 0' Of the above information changes or an owner~p inje.rest~-! I' 0 ;1; :..: :._j < /... 1'0 ~ ~ ....J Applicant Signatur Signature of parent/guardian if Age 15 to 17: Address Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 3 of7 From: ClayClaussen@aol.com [mailto:ClayClaussen@aol.com] Sent: Wednesday, December 06, 2006 2:58 PM To: *City Council Subject: Application for Parks and Recreation Committee from Clay Claussen This correspondence will become a public record. Dear Iowa City council member. I would appreciate your consideration and support in my application for appointment to one of the current openings for the Parks and Recreation Committee. As the former Director of the Rockwell Employees Recreation Center, I helped create and operate one of the largest and most well-recognized on-site wellness/health promotion/filness/recreation/rehab programs in the entire country. I am now a Realtor and am committed to helping our community remain one of the most desirable places to live. I have been a long-time resident of Iowa City, left to pursue job opportunities, and have returned permanently with my wife, Vicki, to help our four children raise our grandchildren. Please feel free to contact me to discuss my qualifications and any issues of concern. At your service, Clay Clay Claussen, REALTOR, CBR REIMAX Real Estate Centre 1121 Shirken Drive PO Box 189 Iowa City, IA 52244 Cell: 319.331.9911 Office FAX: 319.337.4431 Homel Home FAX: 319.351.HAWK(4295) Licensed to sell real estate in the State of Iowa ~ I , i ,- / /J~ 12/6/2006 ':0._- Real Estate Centre Clay Claussen, CBR REALTOR 1121 Shirkcn Drive PO Box 189 lovl<t City. lol'l;::! 52244 Direct (319) 331.9911 Fax: (319) 33/-4<131 clilyclausscn:(i'iJolcom IOlfla-cily-i<l-tlOmcs.e-agenl biz 0, 1";[ J[; CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM I! 1 =~=_.... ~~qi!l"" -..:::.... --., ......- ~ CITY OF IOWA CITY 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. This form may be filled out manually (please use a black ink pen), typewritten, or electronically (PDF). 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. WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~vk~ J- l2..e.c..y.u:-+':O,,", TERM: 1/1/01- .) I }J l Youth Advisory Commission. Age on the date offiling:D Age 15 to 17 (or) D Age 18 to 21 Signature of parent/guardian if Age 15 to 17: NAME c.. \\ C \o.......s ,S,<-'-' HOME ADDRESS 2..ILfS- P...{~ Qy",(~ ,/0";4. G....-*(-IlJ' ZIP S2-2-I.{O Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes D No How long have you been a resident of Iowa City? ov<...".. 2S- ,U'v ~ OCCUPATION (2.eA-I+ov EMP(OYER lZt=/mM 7<.u1 .f.r-Mc.~ PHONE NUMBER: HOME 'L~ / '1 -.3 s-l-lf 2.11 S- BUSINESS ..31'1 -.1 J' - 'i '11/ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: o l1~v 2,.D 1 (.Air J ;... * +- ./-k$-n IIV~ I J....-e..,I.:?i.fyy...".... o-./.. oj ",..; V'.(...c.v~...J-;a.... "t...~J wevlt "J w;-R.IQA.~ o-~ .J"'~Q:-"~c....Q ~~L o~......:z.....-/.;"....s. S2 g-< :'__0 c::o r>~ rq . n Il ::.-) - I '=--= -':::JC'''} en . Misrepresentations on this application will constitute just cause for removal of an app~~. If~U fi!rit" to answer all the questions, Council may not consider your application. 3>':' General Application June 2006 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? /-l- o'J e........ JV'.IUV7 b.~ -l-L~ ()vov-<,.L,.,. ;"'c)""* ........P..-.J~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I t............ bvJ J.............,I~, c-y-+,...J.-\,........ t.-O,,-~k e..~ '- J"--::\ J--e..J-<."-<. -h .t--- e.. (jOJ.~.~ i.....--PfA-LV\'-(... ,'...... (J'vov/.Q..<j ~<""'h'k.. {PM/?' ~ k~v~o", {JV"~:r"~ oJ- ~*~~/.,- "-- ~:s-""'J. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attomey's office. You should also know that Section 362.5 ofthe Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Se~on 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. 5;;2 ~ <"~r ~ p , (-") -n ,-' I """ O~ - " ,Tl - , [",', -n ~._- - ;--.-1 , ~ -, .e- IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~o DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? D Yes I0' No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING I! I =~=_.... ~~~iI!I~ .....::.... ..., ..... - -- CITY OF IOWA CITY Name of City I? -:1 J . Board/Commission (J c.. v /?J J.- /Ce.c-v L...:?'"t.:l "'- Date /2. - ~ - D!.c Name C.\ C-\ 0.. <..A J k "'- Section 362.5 of the C de of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME , BUSINESS ADDRESS eCG (JIvo L.--. ('RL~(j.,~ ...l. 170~-l7o~ H Jr-. /C><..JII- / .'-h., l.J v 'I T / r; c:..' c.:~-;l ;2:CJ q .' .' n II r. - ~-- , 0> I ri-- -u , C'-1 ,-,::::-.: ',-/ ~/-... r ;;; NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature ~ Clef. -;>-.. Signature of parenVguardian if Age 1 b to 17: Address 2,.''/'1 (1<-1"-'.. ~~, /o<-..J< ~, /4 .j2-l'fb Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2006 Page 3 of7 Clayton "Clay" Claussen 2145 Palmer Circle Iowa City, IA 52240 Cell: 319.331.9911 Home: 319.351.HAWK Objective To be appointed to the Iowa City Parks & Recreation Commission. With over twenty years of experience in recreation I can bring a seasoned vision to Iowa City's recreational endeavors. Currently, as a realtor with RElMAX Real Estate Centre, I understand the real property value of recreational facilities and services to our community as well as the social and educational opportunities they can provide our citizens. Professional Recreation Experience Management Consultant, Iowa & Texas, 1986-2003: Provided a variety of planning, operations and management services to high visibility corporations. .. Amana: Major appliance manufacturing plant in Iowa with 2,000 employees. . Assisted in a feasibility study for an on-site employee fitness facility. . Provided budget projections, facility design and operations input. .. Benefits Design Incorporated: Austin, Texas benefits company providing outsourced HR services to companies in 37 states and 14 foreign countries. . Helped determine the feasibility of establishing a fitness center for clients in a new office building. . Provided a matrix of projected profits or losses for various sized facilities. . Utilized my budget projections in their final site selection and did establish an on-site wellness operation. .. Core Fitness: New 20,000 sq. ft. fitness center to open in Iowa City in 2003. . Created the business plan presentation for financing. Solicited cost estimates for all equipment, furnishings and systems. . Established an operating budget for the first year with projections for years two and three. . Assisted the architectural firm in developing a functional layout design. Configured the exercise areas including studio types and sizes, equipment selection and placement. Configured the locker rooms for maximum utilization and proposed custom features: women's private dressing area, massage area with access from men's and wCl5en's til locker rooms and heat and humidity control zones. =-?: n ~ . Marketed to adjacent businesses to establish credibility via m~> -~ ~~] corporate wellness background. (~i ~-~. 6-, . Created and trademarked the name. Established a website fQi! t marketing and establishing a potential member data base. 0 ~~ ;:g .....--- /" .r:" -0>- j> -n .n r~-[ \.J 1 . Dell Jewish Community Center: An exclusive twenty acre education and recreation center overlooking Austin, Texas. . Audited their problematic fitness center and made operational suggestions. . Recommended a restructured staffing model and personal trainer compensation plan (which were both adopted). . Per my direction, created staff training and operations manuals, a new member utilization tracking system, a cleaning and maintenance schedule and a new member orientation program. . ErtI Toy Company: A manufacturing plant with over 500 blue collar employees in Dyersville, Iowa that operates a recreation center as a joint venture with a local civic group. . Conducted a systematic analysis of the operation. . Presented findings to the Community Development Council. . The Council hired a new manager, implemented staffing changes and increased marketing efforts. . John Deere: The renowned farm implement manufacturing plant in Waterloo, Iowa. . Hosted a committee studying the feasibility of an on-site employee fitness facility. . Provided operations insight that included budget formulation, staffing, program scope, site requirements, equipment needs and a myriad of specific recommendations. . Provided follow-up support. Eventually a plan was implemented with their local YMCA providing equipment and staffing. . Quaker Oats: A large food processing plant with over 2,000 primarily blue collar employees in Cedar Rapids, Iowa. . Supported an employee committee studying the feasibility of establishing an on-site employee frtness center. . Performed a site assessment and recommended a new building outside the manufacturing complex for dependent, non-secure access. . Provided budget projections. . A facility is still under consideration. . Trilogy Software: A progressive software design company with nearly 1,000 professional employees in Austin, Texas. . Prepared key portions of an employee interest survey which _ ':" overwhelmingly supported creating an on-site fitnesslleisure ~ter. ~ . Project on hold pending the company restructuring for a publ~ri~ , ~, , ,,~-", 01 I.. ) ,Il :--<r-:'" ":~Crt u~ .-.....-', ,;:;: );> v :Jl: :T) .z:- ,"~--J \...J' 2 Director, Rockwell Employees Recreation Center, Cedar Rapids, Iowa, 1986-1999: Directed the successful start-up and ongoing operation of a 60,000 sq. ft. corporate recreation center, one of the largest in the United States. Subsidized initially, the Center now operates in the black due to innovative strategies and creative management. . Established a joint venture physical therapy clinic. . Reduced lost work time 25% by providing services on-site. . Produced a profit center to offset high-cost, low-income services. . Created an Extended Family Plan Membership. . Expanded eligibility beyond traditional employee ranks to a cross-section of the community. . Opened a new, lucrative revenue source. . Presented a high-profile community resource for health promotion, charity events, summer camps, sports leagues and tournaments. . Honored by the Iowa Governor's Council on Physical Fitness and Sports as the best corporate program in the state. Manager, Iowa City Racquet & Health Club, Iowa City, Iowa, 1981-1985: Turned a failing 40,000 sq. ft racquet club (now North Dodge Athletic Club) into a profitable multi-purpose fitness operation. . Expanded programming to include weight training, aerobics and health promotion services. . Changed memberships from annual to monthly. Reduced seasonal revenue fluctuations and increased membership retention. . Provided time share services to the University of Iowa Recreation Program and Department of Athletics. Education Health Promotion Director Program, The Cooper Institute, Dallas, TX 1999. Premier Fast Trac I Entrepreneurial Training Program, Cedar Rapids, IA 1999. Bachelor of Arts, Political Science, University of Iowa, Iowa City, IA. Affiliations/Activities Association for Worksite Health Promotion, former Professional Member International Health & Racquet Sports Association, former Associate Member Austin Well City Initiative, Founding Member Health Promotion Director Credentialing Group, Advisory Member University of Iowa Alumni Association, Life Member I-Club, Member Iowa City Girls Softball, former Board Member Regina Education Center, former School Board Member i.5 :;f i--I :.">=.', ~~ <:::;l 0-'" ::-',:1 '-, ---; ,--, ~_.,~J ;=--.:'. CJ rr; C":) r 0'1 ~ .-n ;~".--- 3 n-' 6;U "S:: ./'~ :<:.. )> ("I"j r--, '-........J ~. ~ NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION One Vacancy - Three-Year Term January 1,2007 - December 31,2009 The duties of members of the Senior Center Commission are to: 1. Serve in an advisory role to the City Council with regard to needs of the Senior Center. 2. Make recommendations with regard to policies and programs at the Senior Center. 3. Join staff and other interested persons in seeking adequate financial resources for operation of the Senior Center. 4. Encourage full participation by senior citizens in the programs of the Senior Center. 5. Ensure that the Senior Center is effectively integrated into the community and cooperates with organizations with common goals in meeting the needs of senior citizens. 6. Serves in an advocacy role with regard to the needs of senior citizens in Iowa City. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Senior Center Commission meets the third Tuesday of each month at 3:00 p.m. Applications must be received by 5:00 p.m., Wednesday, December 6, 2006. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Cierk at City Hall, 410 E. Washington Street. Application forms are avaiiable from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Senior Center Commission should be directed to Linda Kopping, Senior Center Coordinator at 356-5225. ---------.--..----.....-- Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in-law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 3 Council Announcement Date: September 19, 2006; November 14, 2006 Application Deadline: Wednesday, 5:00 p.m., December 6,2006 Council Appointment Date: December 12, 2006 SENIOR CENTER COMMISSION One vacancy - Three Year Terms January 1, 2007 - December 31, 2009 Term expires for Josephine Hensch No applications as of Wednesday, 5:00p.m., December 6,2006 00 Denotes applicant completed the Confidential page of the application.