HomeMy WebLinkAbout1994-11-22 Appointment
. .,,,-,',
l~t:'"
i. '
,,"',.,'.-...-.,...,.
D-
~
(
r,
,
!
,
~
..
~
~
C- -~~
\. ---~--
t:"i'
'~'.. '
,
..
"
:.,~t~'\.I;
. ,',',\,,',..
"
.
,
, ." "
"'''. ,
_ ,. '.'_..,." ,'.~....'......,_.'._,~...:.-".'.,.>.:.".,'..,....,':...'........~ ,..."."u;"...~".._."'........~~,~~,,~"-~,,.".,,_,,~ ..' ~ ','....'",...", """"',~_.",.,.,,.. '~'...'- ~__.._... _,_,__._ ..,_
'~:&...
CITY OF IOWA CITY
NOTICE
THE CITY COUNCIL OF IOWA CITY IS CON-
SIDERING AN APPOINTMENT TO THE FOL-
LOWING COMMISSION:
PARKS AND RECREATION COMMISSION
One vacancy - Four-year Term
January 1, 1995 - January 1, 1999
The duties of members of the Parks and Rec-
reation Commission are to recommend and
review policies, rules, regulations, ordinances
and budgets relating to parks, playgrounds,
recreational 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 develop-
ment of parks, recreation centers, playgrounds
and cultural facilities to serve the City, including
the creation and appointment of advisory groups
to make studies.
Iowa City appointed members of boards and
commissions must be eligible electors of the
City of Iowa City, The City of Iowa City encour-
ages diversity in the appointment of citizens to
boards and commissions. The Parks and Rec-
reation Commission meets the second Wednes-
day of each month at 5:30 p,m,
This appointment will be made at the Novem-
ber 22, 1994, meeting of the City Council at
7:30 p,m, in the Council Chambers, Persons in-
terested in being considered for this position
should contact the City Clerk at the Civic Cen-
ter, 410 E, Washington Street. Application
forms are available from the Clerk's office upon
request.
~
.<:L40-
"~~:~.)Y' '
,-~---:
-
~i/,
..'
,<
I '
'"r,
t .J
I
i
0,
"
"
,
I,
io/
.' ~.'.-{;:,;,\ ,I;,
BIIlI' ' .' '
.~".~)':
"
.'~"
,
'" ..'.-.
,t'I'; ,
'...,'1
, <.
" '.;
,
"
..
"
..' '
"
!,;
, ._,.;.. .:...:~.~~:L'~~~""':I:;"J.I;:.,.;.:,;r:~'..:.~'~:~'..",~".:::,i~;;JLi-i'i,J.:'.~.'.C~':!J-IU::'>:"'~~h-';:"~" ::j,;'::::,,,~,,, ;""~",,,,:,,:,,"...,,......-,.-.....;..~.:.":..:',~ ,
I
i
Males: 6
Females: 3
November 22, 1994
PARKS AND RECREATION COMMISSION
One vacancy - Four-year Term
January 1, 1995 - January 1, 1999
Darrel G. Courtney
1 Princeton Court
Timothy John Ruxton
626 Bowery Street
Patrick Denahey
611 South Clinton Street
" "
~~ Carol Casey , '
623 Oakland Avenue
Cathy Covington
2755 Hickory Trail
Judith Klink
1101 Harlocke Street
,
II
I,
Ii k\
1'-:'0
I
~\~1j,;
7n
, I:
~'I"',';'
~:
\,' '1:',:~,
-""
,
",:'0,',
:l"
',',' -,:,',
""', "".
""',,' ,!./:::'."
""--"''''''''-'1''
;l":~C'
~il,
(:' lr'--
" '0' ," ,",
;''. -------
" "
. -~ -:-'1 - ".~
' \
\
....~
J
,;to., ~,
>,\',,"',
..
Specific attention should be directed to possible conflict of interest as defined in Chapters, 362.6P-l-03A.22 of the:
Code of Iowa. Should you be uncertain whether or not potential conflict of interest e2iists, ~ntact the City I
Attorney's Office. Will you have a conflict of interest? _YES l:::.-NO ~~~.. ~ '~'~ :'~
.k., ",To'" l"~
..... ' ,',,",,1If' ~~
::..: -.l _ "1
-:~. -0 ;,,",,:. Iii
,"" ..Ij (~
Do J currently serve on another Iowa City Board or Commission? _YES v~: ~ '""'; f~
It has been Council policy not to permit an individual to serve on two Boards or commissi~s at~e same time: ~
fi'
January 1994 ~~
I if I'
,~~\ ~I : ~i- ,
/ j t lj,
.!~J
", '
~' i
: ~r: \',
, "
, "
".,.,
.>
,
','
'.'.,'
\
-.
.
"
'~ .
,..,...._,,,.....,,.,,."''',..'''''''':.C,''.-,.;.,,~:','.:,.',,...,'d__" .u.','"",.,'_'..'.'.';....
..,..",--',.,_...._,...." ..-
CITY OF IOWA CITY
ADVISORY BOARD/COMMISSION APPLICATION FORM
Ir.J1viduals serving on Boards/Commissions play an important role in advising the Council on matters of interest
to l. ' 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 Purks a 1"1 ((e UUt, hUi1
N~ME Jlltt!,'tl, k 1/... k HOME ADDRESS /10/
TERMSm...r );,"'. htf S-'
fhiY /0 c/~ S1v(c!,j
Is your home address (listed above) within the corporate limits of Iowa City? --':::- Yes No
OCCUPATION 1'/idcv EMPLOYERLw" Ct.'ny ,~j;!tt. Sc./.IXJIJ
PHONE NUMBER: HOME 3/1-3(;'1-13;'1.. BUSINESS 3/1~ 33q-t@ i 7
....~..
( .'
r'-'\j"
\,
~.,
,...,;<',:
, ,
II
I I~ II
. I'
. '
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION combined w"h WHAT
CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD:
I have been supportive of the activities of the Friends for the Iowa River Scenic Trail, and feel an
interlinking system of walking and bicycle trails would be of great benefit to the city; it would promote
altt .1tive forms of transportation to work and schools (my concern with the West High - where I teach -
commuting situation led to my involvement in FIRST); and would provide healthy recreational opportunities
for all citizens. I am also an enthusiastic user of the City Parks, for tennis, walking, etc. and support their
continued development and use, I also support the concept of providing open spaces in commercial
development for ecological reasons and to promote a higher quality of life in areas of concentrated
development (I had the opportunity to live in Finland for 6 weeks and saw some excellent examples of such
development) as well as residential areas. I would hope my experience in the public schools would be of
service to the Commission, and that I could help promote greater cooperation and communication between
the city and the school district. My attached Resume provides more details on my background and
interests.
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have talked to Mr, Trueblood and read the
recent mission statement, and I understand that the board advises the City Council on matters pertaining to
the Parks and Recreation; it is not a policy making group, but an advisory one, and functions as a sounding
board and a possible source of ideas and suggestions.
, I
, i
I I
~ !
, '
,
I ".
, I'"
i," ,
'I' I
;i~i
.'~
~;"
.' ~\\
"N:'
1r;:~1I"
1. ,,'1,
,
-'"
LYES
_NO'
If you are not selected, do you want to be notified?
cielklbd-cOIM"'PP _
((" -" ;....'~.
, : 0
. ,.,,: _.'___ __n___.--.:....
,t~. :n_~' - ~
O'-)~'d
r , .
..'
I
.
j!?mi
. ; i
. ~t: \'
,"',\
,
,
,'~'
,
.
:~ '
, .."', ,.... .'~,' '<,.,..
Resume Judith P. Klink
1101 Harlocke Street, Iowa City, IA 52246
Phone: (work) 319-339-6817; (home) 319-351-4342
Interests: Member, FIRST (Friends for the Iowa River Scenic Trail),
Reading, Gardening; Tennis, Recreational Walking, Ecology, Prairie
preservation; Past Member, Iowa City Chamber Singers
Teaching Experience: British Literature, English 10, West High School,
Iowa City, lA, 1978-present except for 1981-83
University of 101VS, Teaching Assistantships, 1983, 1965
Gsrrlson Forest School, Garrison, MD, English 11, 1961-1964
Edmundson High School, Baltimore, MD, English 10,11, 1960-1961
West High School/School District Activities:
Adviser (1984 - 1994) and Founder (1984) of Favonius. Literary Magazine
Sponsor for National Honor Society, 1985
Member (E)Quality Circle, 1983 -1988;
Member, Interview Committee for Superintendent, 1990
Member, Strategic Action Team, 1990.1991
Who's Who In American Teachers, 1990
o
::~c.
.........'
,- -",
'-. .
.. '
-
-"
Education, Academic honors:
Unlv. of 101VS, 10IVs City, IA.
33 hours -Miscellaneous subjects in literature and eduation
Johns Hopkins University, Baltimore, MD.
MAT. (Master of Arts in Teaching), 1961 ,Woodrow Wilson Fellowship,
University of Michigan, Ann Arbor, Michigan, BA , 1959, with High
Distinction and High Honors in English Literature, Phi Beta Kappa
Heidelberg University Interpreter's Institute, 1964.1965
:...,-.
"
-.,..
~~~'.
."....
,--
)#,
c
Publications:
Poems published in Lyrical Iowa, 1991,1990,1988,1981,1980
Poem in And No One Would Ea~toes: An Iowa CitWnthology, 1993
Guest Opinion Iowa City Press Citizen, February 1990
Helped revise' , West High School, 1986
"Students Sharpen Writing Skills," ~,Winter,1985
Program N~for SI. Matthew Passion performance, June 1983
Professional Memberships:
National Council of Teachers of English (NCTE)
Iowa Council of Teachers of English (ICTE)
Languages, Travel: German and French; Extensive travel in western and
eastern Europe; lived abroad for a year each on three occasions
Family: Husband William, Professor of Physics, University of Iowa
Children: Stephen, 27, musician living in Cologne, Germany
Joanna, 25, Graduate Student, Humanities Center, Johns Hopkins University
;:.
\.
.,~
"~"
"
r
;i
l~
i'"
~""'''''''''''''~~Il.I'''''
.( 0
, - - - - ~:~~-
~~:-
, 0",)
lD
r
...,..
a t:.""1
~ , ,
pnU
-I T~
..,....,
-0 ,
I, "
,,~ ~l'"
r::' - .
~J
o.!J
~8\~
..'
,
-
o
i!
~,
~
I:j'
V
\'
~~
pJ
"1'
lit.;
1':'1
"1
11:1
~l:
\
/t"
. "
iLl
.
.'i:~"ili-l:
;')
,
,
"t'
., !
' '\"
..
~
..'
,
.
;; ,
'~,..',.." .'n_'.. ';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 community and its future. Applicants must reside in Iowa City.
Atter 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 NAM~t5 ~Yer~ ~ TERM
NAME . HOME ADDRESS fff,'15 ~ r:J lr. !
Is your home ad ess (listed a ove) within the corporate limits of Iowa City? X Yes _ No I
OCCUPATION~R-+aCW EMPLOYE~~~~~ I
PHONE NUMBER: HOME :~S4-;JDq3 BUSINESS
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I hOJrl' Q."
VD tca-m .
,;- WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?
(':~1, ~,(~S ~ruD ()Jlo~'Sl<; ~ 1 ~iJy('.Pi1141~ r/Yl-fJJa1ti.tli) reJ~
\ ~4-rft~.
(.~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOF .
: f ;I: 'S<.c. Y'MJ ,?a.ri"Ie.up~ 'it.e16x't5e'. ~ ~m~ Ctr.) ~~ I
I APPL YINGI?' , ~::uu.:a.. '
i i c;V.I.tl (),M. o..Q~~ -e\.\ \V"DVl.WD Cbl\~ .::1=' -b b:e. CI.. '~-;eYI. UCltc.e. ib 0....
I'" \I\~:""" or... ~ JbX"~ B itiJ.D~ C'n:'\..o D ~. ro) it<, a.. Srl"'oJ) :s+',A I'D~~r,!
~o..,VV\ \~ v,.... \.\.'\1\ 'se.ruikf euu- . -io ~~ ~ Q;o'I'i-lC.!S , ' .~
I ..' () ~
: ~ ~!li<<- (\.', . i
; , Specific attention should be directed to possib e conflict of interest as defined in Chapters 362.6, 403A.22 of the r:~
. ~ Code of Iowa. Should you be uncertain whether or not potential co~ct of interessexist~contact the Cit\ ~,Il,
I" Attorney's Office. Will you have a conflict of interest? _YES NO Sf}::::' 25 ~
, i~' If you are not selected, do you want to be notified? -X- YES _NO ~:~':: ,::~ ~
"j Dr 'ou curronlly serveononother low' City Board or Commission? YES ,~:Nii ,;: ~
It has been Council policy not to permit an individual to serve on two Boards or Comh1issi~9s afthe same time li~
~ r%
January 199, r~
~ a \ " ft.
,,\0 ~ ~t.
'."S · I [],
o
,
1'-1'"
1:,
;;t\(,1
J.~,,~
,-
c.,klbd,comm,lpp
C. ::'-~"~ --
:, 0
- -~_.,----------,---,-----~
---' -
-
~
o
,],
.u.::~~'
;
c~
,.,\ '
c"',
\ \
\ (
\'f,'
"i
.~
(,:~,..,.. \
!' ~ , \
\
I
f i
I '
! I
'II I
. I
I '
, I
i I
: r:', !
I J
~},,,~;
, ,
,(
),
\l~il."
r .1 'I'
::' t'~, "
""ill.'
''*,
L..-"..
.
~ ; ;
-'
,
.'
,
',~L 1
,~ "
,
,
~
, 'H"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.
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. t1
I
ADVISORY BOARD/COMMISSION NAME_PPrf<K,6 ct -g.cL.- tb"k110 1'\ TERM
NAME CA-R.OL (AS~ HOME ADDRESS (0'23 OAKLA'V\D AIJE-
Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes No
OCCUPATION AM'. PnST, ,WAST[ MGT: LoORDIY\'TREMPLOYER -UJ:'
PHONE NUMBER: HOME ,3'5 i -q I q q BUSINESS 335 ~ (04t5'
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
, 'e~
~'5 \2Z")ltCf\1 01=- IDWA- c., PO 011.lDet\i'". T:>~\\
3J...S ' I?rl.B M&r2... LOc.AL- ~il~ "oTbR-E-
lIl) R'=> .M.MJA&f:fV\.m'\ \' f-.iX, e12.-\~'I(E' CMV\P.JU.':1 '\- 1.1. l==AW\l/.- ~)
l~) Lf':J 'PL{.\V\V\\~\G-- El}( ~~~GE ~t, WkSrr.AA&r.'" 'l >re-/Y\~ 12l::V1El:~ .
~ ~\8\c.ei) eM ~ 'tlAlUlP-..., AAo(.l1i\TAll\re~ ('(IA-~Tf:R c;,Wlffivv\ ~
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Af\i ,12. 5
P.:JIC GLl6r
1:)
"SUtL
WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE RE SON FOR
APPLYING)? G,oo'D L\Si't1'l82-. GlLllC~ SniD~
I I
~Lf'LLC1'\T '?Y':JTE'M'S F-=AJA-LuMl 1'\ "?~ Ll ~ >
vALlAl f\GI ll1f W?TNV\ eK MisT. /,:)ryLE- ~
Specific attention should be directed to possible conflict of interest as defined in Chap~r.s, 3@j6,.!1;~3A.22 of the
Code of Iowa. Should you be uncertain whether or not potential conflict of interest:exis'fs, c,o..h'lact the City
Attorney's Office. Will you have a conflict of interest? _YES ~NO ~:'. :::i."'"
..., ~
If you are not selected, do you want to be notified? jl YES _NO ~\ 5: ,; : ~ ~
~' 'ou currently serve on another Iowa City Boar~fr Commission? _YES -iN~ -", ~j
t.;-,J {,-p,C:r: ~~',) ,N\8V\~~ ~ llDA-Y\~V\ CD, crrrzen) . ~,
has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time, ~l
cle,klbd,com'MPP January 199/ rr~,
~ -a '':l.. ~
I' , n
/) gO,
.
. i(-~ O~"~-- -
--
0- )"
-
.mfc"'l
" I
,
.
"r
''',11:.
, ,
~
"
~.
.
:.'
-
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.
Atter 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 ~t\(S ~\J() ~ECJf.I\T\()},) G\Il\l~\\~~S\N\) TERM ~\\~, \ ,\~S -~, \ )~ I
NAMETh1t\C-,( \JE.~~ HOME ADDRESS b\ I S::m-H LUtVW\l Sf-EeT '
Is your home address (listed above) within the corporate limits of Iowa City? :i- Yes No
OCCUPATION SI\}'\)E.~ 1\1 Tt'lE ~\~\\lE.f.S\TY ~ \~ EMPLOYER \\)IJ\~r
PHONE NUMBER: HOME 3S"6-ClllP\ BUSINESS
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSIT~N: \~I\,t.l.H V\Ol';l.:'
hu "" IN'\ C... \')~ 'Cl" ~'f(\J('{I~J.,~Y'\ ~ " b.\.~ \ \vw~ \~ \AA\.:~ ~=:~~ ~~~ ~~\."
~ ..., ..-:;;;,
~OvJL (IV) \ UJA 1~..ri\l.1~",,^ .. en:'
0'
"
: '~:...,' -0 ';",
, -.-.....
"
~~=~
,-,
5)~" ;
...J
i'
J
\
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? A\,\ \1;.:;\ \ h\{i\,; cJYI\\~1' t!\,:,.
J'IJ\Jm\ b'iSVvj ~~ \;;;\v:t' \ ~\4';"-\ 1-.~.tJ 6Y\ -1t.l Nfu:n J\ ~\ \>~~\t:r.v.. '~",{\CJ.,\,
1 )
r::1 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYING)? \ \.,lLJ tLJ i l'hf\ t6Y\\A.'ib.J~ tt..\ t,b~k.. ~ UiYVVOM..l h",,-c-, C~ oOv.Ju.- I
IJ I ... , )T-
~v~ 1l Y'N.J/'\J..A (l:I1>> \V;j \)c'V~ '~,-<,-T I fwv4 \)J,J Il.'\ ~ oMt I rVlY\ cw'ol,u',\r.
, ~v I ,~r) )
8\,^-:> )~~ IU' ,_':';" Iv '4 ' 'D t " ~ (>,,' ,~'1l I
&" \~ C;w. ?o'^'~ ',\I{,c,.." ~V,,\,M\l'<>~ !:.I){JUN' 'I t,du p,j).., \N~Jl, '),,!K.:> tl-.ACWi~ ~ \>o.-Jt,
Specific attention should be directed tll possible !:onflictof interest as defined in Chapters 362.6, 403).\.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 X NO
G~'=- ~-~--~=
!l
~
~1
I,
Df 'ou currently serve on another Iowa City Board or Commission? _YES XNO ~
,~,k\bd-'omln.opp January 199' f;1
i~
~ 'iJ I J... i
I
I r.
,.: ,)
If you are not selected, do you want to be notified?
XYES
_NO
I
i ~,
I'
, i
\
~,.t
'~
'I, ~
~l,
},' '
',i~'
t'\
~~. ~~
-
o
):}
',,; ,
~o
:WPl
, ,
.>
"
" '
, .rW..
~
..'
.
,
:: .
..,.'-"_,...,,'c','.,-.
""
CITY OF IOWA CITY
"
. ',',:' .
,') " ADVISORY BOARD/COMMISSION APPLICATION FORM ",::;{,:;:Y;<
. ' '" '."
. . " ','J'" ;"'1 ,'I';''; ,: '~I'::ii;..,.
.' , ,,'~~V.n""I~p.'"
In~ividuals serving on Boards/Commissions play an Important role In advising the Council on,miitter~ ot:irit~1~st
to(\:ommunity and its future. Applicants must reside in Iowa City. ,.X;',;',: ,:,':;I;~i\\~~(
ATter a vacancy has been announced, the Council reviews all applications during the wor'k s'es;~l~'~~-@,T~e
appointment is made at the,next formal Council meeting. Appointees serve as unpaid, volunteers'. ':,:;fl~ii~\;!Jl~;~r
PLEASE USE A BLACK I,NK PEN. Return the application to City C!erk, 410 E. WaShingt9ri"St';';:I.~~a~Cjt~,
Iowa ' ' " , " "!~'I','i,.P..rt'~1'\Wt
. , ' ", ' " '..: }~~::t' ;;'I;~~~'ffi"',
, " '~,:" I ~~~!.::;".,~,I:?d~n~'~~,,\,~
THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRO DUG ED ,AND DISTRIB&f~O'-Fd~lTWE ' '
PUBLIC. THIS APPLICATION WILL' BE CONSIDERED FOR THREE MONTHS ONLv'AND,'AUTOMATICALLY
" ' ...,' j..', ' ~
CONSIDERED FOR ANY VACANCY DURING THAT TIME. '",', ,:':i':',\,/:,':-, '
ADVISORY BOARD/COMMISSION NAME PARJ:.S Af4tJ 2C,.c.!A~"" TERM'i~~)~A~S' I
NAME ~rHy' ~"'" ,?lJ.'trcrJ HOME ADDRESS G ') ~ lSO"'IIly'S+"::!" ,:,:" "i'"
Is your home address (listed above) within the corporate limits of Iowa City? ./Yes" ,~~'~::'.::':!:':t'.'\'
, '" ,'".1.,,'.-',
OCCUPATION STUOtrolr I LI1,.J CIrRt., EMPLOYER PliliM. r",k{(, ttl..J~;;)~~~, $'
, W A("~11( ,(....103 ,O,"If:I'tC,5 .
PHONE NUMBER: HOME '3,.5'6'- 8S:n BUSINESS ~sL/ -/101( ','::-:,
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
J? YfAR 1?tsllJtrlf of z:;,...,... (?,'iy'
,PAST' J,Jvo/lJ'....r,v i ,.,,\'fH rl+- c,\W (2tc(l.(.4.,...'o.J CcN'TfIt ~O~(I."''''5
. I,.
""
v
: :' ~
-(''- y ...~i
...st. of
(J",IZf:.S ,f)"A.....""j ,;f-rI() /-J"/" I,'ft.
, I
A~(A-S
, . I ,1~', " ,
"." ,
, ',',' . .,;,.
""""
, . ,..~, ~.
... '"
. ": r', " , :,.'..~.. :\;i' ;:
" ."
". ,.",'
\
\
-.\" ' "," ~f,
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? flAIls (o",,,,~s:,"'rJ'i; ,,);"tM.~~"r
I ~. , ' "
~ Rr. t.of'll'1r.f'JO,\/'I1- II to-J A~O ,J2t"~f"":"'{,. () 10 ('ol.'cltj: re.",I!~, I<tlll/A.l'>'crts i l>t~,\,.i~/.illS,;:~"o
~~,,~n'S ro t:f'Jr~lC.!. ruE: c.hl?:lIVS of 1:0..1" e8f T/-Ir. l'IoSI'" 1:FF,'c.,y.,,:Jr ...st of ?~":A,lD '
, ~(L~",
WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOF
APPLYING)? As " Yo""1- ",r...,I!(I(' "F T1lL C.......,,,,,,'~~ J: (,...,J oPF'lfl. r'f.:> .,-HoV\d.lltS ~D ~~;.A-~ I
1" rill. C''''.......lSS,loN ......s ,-"I/.+J A!)o}"~ tlto-J OI\lJ(tt.S" 70 71<L 6-,c0....F3. r ....~I{ [~
f,
- z:o r,
ro Bt. ,l,tl ,1,JvoloJ(o e ,\l'~~f..J },J :cQ........ (',\~y ,JQ "'A to A oS .'1-,'''<' tR.lzt"'~o"';o ""0( i
, )>_ -= 'C~ty. ~
Specific attention should be directed to possible conflict of interest as defined in Chapte~::$2.6, 4~.22 of th, ;
Code of Iowa.. Shou~d you be uncertain whe~her or not potential conflict of interes~lsts~ coAtact the Cit' f",
Attorney's Office. Will you have a cpnfllct of Interest? YES VNO:<~"~' m ' l:
./,' - o~ "Co, C'" ~~
vYES NO ~.... ','::',' " Iii
- - )>z:o ~i.
Duucun'ntlY ..rveonanathe' low, City Board or Commlss~nl . _YES .::::NO.' ,~i' ;';'.:\ ~
It has been Council policy not to permit an individual to serve on two, Boards or commiSSIOri~,:t,..t,,~,~\:,S,;;~m,~l:::,m,\, e ~Jt:,
'. "r"":':r;/!'JI~Ii1"9'9 ':'
cIIIkllld-convn.epp H':" :: i~anull!Y,' :1 ;
:'," "" :',t\j\ '1:'.~\k~II" -:1-
"..,' "~::(ii:";,',:?S'r 'ilt
, fII\"';,C):,~:, ':';'I~ r-~\';/:
, "',0\: .~, r'" ~~;
I
'.
,-
"
(
,\
('"-<"
f,~
: i
I"
I
, i
, I
. :
ir
j I"
'I
: \
~~
"~
If you are not selected, do you want to be notified?
i:~~'
'I: '
';1
l"
" '
i~;, \,:,'
I', ~""
L_,
c~~'~.
: 0
., --------,--
_Jl.
-, =,:'1
--
o .)."',
'l:..
,- ..I
1[1
"
;'Lfm
1-' j
.>
.
. ~?: 'I
' ,\ \
"
\
, ....'l'
..'
.
,
. ~~ .
,..-., '.....,u,'"..",,', .',.. ""::"'''''''H'
-
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.
Alter 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 fJlftlf S Y gR-C ~~/k-rJ TERM /-/~7('~ /~/~~~ I
NAME,fJjMfJ,P-t- (;., LtJU,A 1iv(~ HOME ADDRESS / 1~/Nu>lJ/IJ c::/ .~ CfI7f
Is your home address (listed above) within the corporate limits of Iowa City? V Yes _ No
OCCUPATION 5~c)) IJ~,M EMPLOYER 1#,//1/ /d'7 H!lY-JY4
PHONE NUMBER: HOME 1{/"'If}?3,/ BUSINESS ,.(''I'''~
EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:
I)
WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?
.r
.L
r ..... \
\ \
\
\
41
il
I"
I
I
WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR
APPLYINGl? t/J/t,.L A',.j tI l&tl~ ~i rJ1I~ /(1!Ih/t-R1.e f ~ &~
cr ~/ I#!f~ r,.-k lit! I~~ %. drJ~ l,r~
, V 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 co~t of interest exists, contact the City :
Attorney's Office. Will you have a conflict of interest? _YES _NO lO !.
- .:- 1
If you are not selected, do you want to be notified? V YES _NO 0~:, ~ '?U
Dr 'IOU currently serve on another Iowa City Board or Commission? YES t2'"NO.J. ::~ '
". !
It has been Council policy not to p.rmlt an iodi,dual to serve on two Boards or comi~o~at i~ same tim., ~,
c1e,klbd.comm,lpp ...... Ui January 199~ I;~
~~,~I~ '
r & ft '
,-':; , U 0,
=-- ==
'~ 0-)"
, I
I
, I
':
i~:
I I'..
II
: I
, ',/
\~~
,
.' ,~""~'~~___'-"'''.iUn~:~: