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HomeMy WebLinkAbout2007-11-05 Appointment ~ 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, October 31, 2007. 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 Michael Tharp, Airport Operations Specialist at 356-5045. 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; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007 Application Deadline: Wednesday, 5:00p.m., October 31,2007 Council Appointment Date: November 5, 2007 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., October 31,2007 [R] Denotes applicant completed the Confidential page of the application. l'14; J 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, October 31,2007. 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 Michael Tharp, Airport Operations Specialist at 356-5045. 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; December 12, 2006; January 9,2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007 Application Deadline: Wednesday, 5:00p.m., October 31,2007 Council Appointment Date: November 5, 2007 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., October 31,2007 [R] Denotes applicant completed the Confidential page of the application. ~ NOTICE THE CITY COUNCil OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOllOWING BOARD: BOARD OF APPEALS Two Vacancies - Five-Year Terms January 1, 2008 - December 31, 2012 One (1) Home Builders Association Representative One (1) Licensed Plumber 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, October 31, 2007. 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. NAME Gary Haman Steve Buckman Doug DuCharme Tim Fehr John Roffman Chad Campion AI Gerard KEY X = present o = absent OlE = absent/excused NM = No meeting _ = not a member TERM EXPIRES 12/31/2007 12/31/2011 12/31/2009 12/31/2008 12/31/2007 12/31/2008 12/31/2010 May-07 Jun-07 Jul-07 NM x x x x 0 x x OlE x x x x X x Board of Ipp~@I~ Attendance Record 2006 Jan-07 x Mar-07 x x OlE OlE x x x x x x x o x Feb-07 x x x x x o x Board of Appeals Attendance Record 2006 Aug-07 Sep-07 Oet-07 Nav-07 Dee-07 x x o x x x x Apr-07 NM 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 18, 2007 Application Deadline: Wednesday, 5:00 p.m., October 31,2007 Council Appointment Date: November 5,2007 BOARD OF APPEALS Two vacancies - Five Year Terms January 1, 2008 - December 31,2012 (1) Homebuilders Association Representative (1) Licensed Plumber Term expires for John Roffman, Gary Haman (1) Homebuilders Association Representative John Roffman 1314 Burry Dr [8] (Currently serving 4th 5-yr term) (1) Licensed Plumber No Applications as of Wednesday, 5:00p.m., October 31,2007 [8] Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board/Commission/Committee Appli,cation Form 1 ~ 1 ':::~-=-aoii~~ !~w!:~ ~ -=.~ .;.... - "T ~ n. 'I ~&.L CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees 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/Committee Name "'B6A~?:t::> of APPE-lJL b Term 5 y rS. 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: lAME JDf4 r0 ~ F FM tPc..,J ('3 \4- BURRI( .~ ZIP o~~ Lf ('.p !Xl Yes D No HOME ADDRESS "Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? 3 ~ Y r '5, OCCUPATION C()~If"PQ.1"i)t:. EMPLOYER CSc/"F" PHONE NUMBER: HOME 35 1- 31 t..J I BUSINESS 35/- 3[ '-l , EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~f;.RuE.D TM-c ~,+S 7 floMEBtltl b.E~ ~o YE~ IJ-S .eEPRe55AJ7/}'T~F. ~~ 1 C) -, ~Ci :-<r'" fTl 0:::0 , ~ ~/, )> c::; ~" (, 11 0 -0 "Tl 3:: r---' U f'.) (...) 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 December 2006 " Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? f/,IJ-tIE 0t5RtJE b l./ Fu~L T/S/U)Jb elf) We BAiteD WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? 35 ~MRS. t=:.xPEie.IEPCE /IV &Slll/tZ~; EXPEme,VCf" dA/ rife &/J-,e b;' LJtul/.J /2e:.A.JTAt- P"r:;o;OE/27Y r'-'> 0 c:= = ~o --.J 0 b- e) ...... --~ il ~ ---4 C)' -"I --.~ 0 --; t. ) ... r--- '"--~-l ~'" ! ! I IT1 -0 r-l --'J =e:. ,,-j o~ ~/" N )> ......... 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 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? fZl Yes D No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMIS'SION? D Yes ~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 December 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING" 1 ~ 1 _11""'-= -~... ~~W~~ ~~...aJ~ ~.......... I CITY OF IOWA CITY Name of City Board/Commission/Committee fu~ CJF /Jpf)8l}t ~ Name JeUtJ ~F~M-j),J Date 10-1-07 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. ~~~<lG, ~~ \ 11 --r; .c-~ l'0 )> NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature Signature of parent/gu Address 3 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 December 2006 Page 3 of 7 c;:J NOTICE THE CITY COUNCil OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOllOWING COMMISSION: SENIOR CENTER COMMISSION Two Vacancies - Three-Year Terms January 1,2008 - December 31,2010 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, October 31, 2007. 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 Senior Center Commission should be directed to Linda Kopping, Senior Center Coordinator at 356-5225. 151 Draft September 2007 Senior Center Commission Attendance Record Year 2007 Name Term 1/16 2/20 3/19 4/17 6/19 7/17 8/21 9/21 Expires Bob Engel 12/3 1/08 X X OlE X X X X X David Gould 12/3 1/08 X X X OlE OlE X X OlE Chuck Felling 12/31/09 NIA NIA X X X X X OlE Jay Honohan 12/31/07 X X X X OlE X X X Betty Kelly 12/31/07 X X X X X X X X Sarah Maier 12/31/06 X X X X X X X X Nancy Wombacher 12/3 1/06 OlE OlE OlE X X X X X Key: X= 0= O/E= NM= Present Absent AbsentlExcused No meeting 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: 3 Females: 2 Council Announcement Date: September 18, 2007 Application Deadline: Wednesday, 5:00 p.m., October 31,2007 Council Appointment Date: November 5,2007 SENIOR CENTER COMMISSION Two vacancies - Three Year Terms January 1, 2008 - December 31,2010 Term expires for Betty Kelly, Jay Honohan Jay Honohan 1RI 151 0 Somerset Ln (Currently serving 3rd three-yr term) 1RI Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board/Commission/Committee Appli,cation Form 1 ~ 1 -~= -~... !~w~'"!. ~ ~1ID.~. ~<~ CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees 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. ~, I / J, I. c L <r ~ 0 wa. \ of'1 0 N5#r\ G"""" .,., Advisory Board/Commission/Committee Name 5.f #oJ ,~ ~ ~ Term Youth Advisory Commission, Age on the date offiling:D Age 15 to 17 (or) D A.gEi~18 t021 ; i Signature of parent/guardian if Age 15 to 17: J A'I \4. \-\ 0 No ha ~ HOME ADDRESS '5"10 S"c)t-\~"$tt I.", ,$ow.... C...~ IA ZIP .5"1.,z'l0 "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? ,.. , ..., C ~ l 'i tD () OCCUPATION I~ t; 0 YON ey EMPLOYER Sf \ ~ ~ f'"\ l~ to J PHONE NUMBER: HOME~) ~ ,too iQctq (} BUSINESS ~ let) 3 .rl.. f1 (J C) " . EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ,....... "-'-_/ lAME ~--_. ... -~ i ~-..._-j p -f';> '..-' i €'ih~ "leQ,(~ s~.(vi,,~ (M 1\.e C6"'MI5S"~ "4 c.h.4.',1't.. 4c.1-"u.. r&.-lf,c"rA-v+ ~ c:.14sSEH) a...J P(01("~~ s ~:t fJu C~ .\c.i. S'tot\t'e.J ~ C\.+., A \oJ<7~~'" .:r.W4\ G\-" lct"3-1Q7'" S' e e. Q. rh~. e ~eJ s k c, e of- 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 December 2006 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? :c h4"~ S t'V'U ~J (M rA.4 (d Ii M .5S;"'" {(J\f ~\ =, ~.}- ~NlS. .:r 'l~ \AJ<< 1\ ~''\ u. 4CAJ -k,,) (.N' ~ (U '0 H M I j s; 1\3 W,.. Jc.1\""~S. :r VI '" tJ-t. ~~ c. ~ ~\ w1.... ~ ~\. k. r WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? M~ A. ~ rev i-e ., c.e. O't\ 1\.1.. c. M fo'\ i s r 'M M ,., t.e.s M'f 4 b (e ~ p ("0 vi tJ..f (l j MOO K 't-f 4 tv 5 fit' ~ t'" M 4 Jk S (.\A..~ +t~ Wt\ QI.{ W A.1 ~+ Yk.4 s.e fJ\"w ~~. A s 4 ~ ~ (.T\.\x. pCM +\(., ~ P ~ r :t. (tJ,ct/!.\.\J4 I ;:'l?~~~ GM -~ "e.,~ \~ h fA-'; S fro.... 4 ~ p~tl C; flW\ ij , S-e.t ~ I-\---c..,,~~ e J s k.u.-t- ._I) ,~-- / ):; 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 Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 35,6-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? DYes D No DO YOU CURRENTLY SERVE ON ANOT,!ER IOWA CITY BOARD' OR COMMISSION? D Yes ~ 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 December 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING 1 ~ J. _r-= -~ ~~ai~'t ~ ~IlIU~ ~,~ CITY OF IOWA CITY Name of City 1:. D fAJ"- '\~ I J." w ) t't\ CCI\Na.-h Board/Commission/Committee S ~ Nt ' rI C~ .J4v Name JAy H, \1 0 IV 0 ~'" .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. 0",- BUSINESS NAME '"t\"Z..2 J S-M.-t.-r Ou... BUSINESS ADDRESS "Z., 'Z.~ J S l- AHH~ ONO,,""A/ szz~o ,.. J ~h Pol' i.A..." ,- NOTE: A new form must be completed if the above information changes or an ow~Ship iFif~restis acquired in an additional siness. ' ..) Applicant Signature Signature of parentlguar n if ge 15 to 17: Address , S I () S () M ~ 'IS. + J,. /ttJ rt K o/oJ cJh4~ :CeJ W~ (,-k, J:'A S2l '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. General Application December 2006 Page 3 of 7 EXPLANATION OF EXPERIENCE AND CONTRIBUTIONS REGARDING MY REQUEST FOR REAPPOINTMENT TO THE IOWA CITY/JOHNSON COUNTY SENIOR CENTER COMMISSION I believe that my background and qualifications in addition to my prior service on the commission make me qualified to serve on the commission. Since my appointment to the Commission, I have served as the chair for eight years and have been re-elected by the other commission members seven times after my first year as the chair. I feel that this demonstrates that commission members have confidence in my service on the commission. During my service on the Commission, I have been an active participant at the Center. Currently being enrolled in intermediate Spanish class and an oil painting class. In 2006, as a member of the Senior Center Drill team participated in performances at homecoming, a women's basketball game, and the Englert theater. I regularly attend concerts, dances, and other programs at the Center. I have been for nine years the coordinator of the volunteer attorney counseling service for seniors conducted each Wednesday at the Center. I was active in promoting the donation of funds which eventually raised $125,000 towards the building of the skywalk which connects the Center with the adjacent parking ramp. As chair, I was one of the individuals responsible for informing the participants of the proposed participant fee program and for obtaining approval of the program which I believe has proved successful. The formation of Iowa City Senior Center Fund, Inc. the entity which invests donations in the Community Foundation of Johnson County was my idea. This program has been in my opinion a real success. Through the foundation, funds have been directed to the Center to provide updates in a variety of equipment, including fitness, Senior Center Television, computers, and furniture. I believe that I can offer experience and leadership that will assist the Senior Center to continue to be one of ~he premier senior centers in the state and to add new and exciting venues for the Seniors of Iowa City and Johnson County. > [J[J NOTICE THE CITY COUNCil OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOllOWING COMMISSION: YOUTH ADVISORY COMMISSION Two Vacancies - Two-Year Terms January 1,2008 - December 31,2009 One (1) person - Age 15 to 17 on the date of filing One (1) person - Age 18 to 21 on the date of filing The mission of the youth Advisory Commission is to promote understanding and awareness of Iowa City among Iowa City youth, allow a select group of youth to help make decisions concerning them and their peers, enable youth members to utilize and expand on their leadership abilities, to serve as a mechanism for communication between youth and adults in Iowa City and create a bridge whereon youth and adults can develop partnerships. All members of the Commission shall be residents of Iowa City and must be the required age on the date of filing. Said age requirements may be waived by the Council due to a lack of applicants. Meeting time and location to be determined by the Commission. Applications must be received by 5:00 p.m., Wednesday, October 31, 2007. 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.icqov.orq. Questions about the Iowa City Youth Advisory Commission should be directed to Marian Karr, City Clerk at 356-5041. x = Present o = Absent OlE = Absent/Excused NM = No meeting = Not a Member KEY: NAME TERM 1/17 2/21 3/21 4/25 5/30 7/18 7/25 8/22 9/24 10/22 EXP. Audrey 12/31/07 X X X X X X X 0 X X Keranen Sarah 12/31/07 X X OlE X X X X --- --- --- Ziegenhorn Un Weeks 12/31/08 X X X OlE X OlE X X X X David Segar 12/31/08 X X OlE X X X X X X OlE Maison 12/31/07 X OlE X OlE OlE X 0 X 0 X Bleam Jacqueline 12/31/07 X X OlE OlE X OlE OlE --- --- n_ Stubbers Michael 12/31/08 X X X X OlE X X X X X Nelson Hannah 12/31/09 --- --- _n --- n_ --- --- --- X X Green (Meeting Date) YOUTH ADVISORY COMMISSION ATTENDANCE RECORD YEAR 2007 DRAFT 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: 1 Council Announcement Date: September 18, 2007 Application Deadline: Wednesday, 5:00 p.m., October 31,2007 Council Appointment Date: November 5, 2007 (Recommendations to be made by Council liaison) *** Said age requirements may be waived by the Council due to a lack of applicants. YOUTH ADVISORY COMMISSION Two Vacancies - Two Year Terms January 1,2008 - December 31,2009 One (1) person - Age 15 to 17 on the date offiling (10:-31-07) One (1) person - Age 18 to 21 on the date offiling (10-31-07) Term expires for Audrey Keranen, Maison Bleam AQe 15 to 17 Michelle Han [R] 1909 Earl Rd AQe 18 to 21 No Applications as of Wednesday, 5:00p.m., October 31,2007 [R] Denotes applicant completed the Confidential page of the application. City of Iowa City Advisory Board/Commission/Committee ;." ~plication Form j ~ i :t~~~'t ~~~~I~ ~:~ CITY OF IOWA CITY Individuals serving on Boards/Commissions/Committees 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 S1., 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/Committee Name Youth Advisory Commission Term 2008-2009 Youth Advisory Commission, Age on the date offiling:[Zj Age 15 to 17 (or) D Age 1~!0 21 - c::::.:> o = Signature of parent/guardian if Age 15 to 17: <;: -.I ::J -~ :......!c~: .""" r--" ~-~... I ~ 'rn -0 ~22~ 5> [{]Yes [ftJo r- ! :rJ ~ <..J [\II\.ME Michelle Han HOME ADDRESS 1909 Earl Rd. Iowa City, IA 52246 Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? 31/2 EMPLOYER none BUSINESS 319.541.1348 OCCUPATION Student PHONE NUMBER: HOME 319.341.3674 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am very active in school and in extracurriculars and have set high goals for myself. I am the Volunteer Coordinator of the West High Student Senate. As Coordinator, I organize numerous volunteer activities to make available to every one. Some examples include activities with Run for the Schools, Dinners at the Ronald McDonald House and Pen-pal opportunities with Horn Elementary school students. In addition, I hold leadership positions in extracurricular activities such as Biology Club where I am Vice-President, STAND (An anti-genocide student organization> in which I am the secretary and co-founder, and Math Club where, as a four-year member since Junior High school, I am a executive board member. As a high achieving student, I am very responsible and am able to handle stress and work. Therefore, I know that I am ready for the responsibility of a Board member. 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 December 2006 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Although I do not know what the Advisory board specifically has done, I believe its purpose is to have the youth involved in the community not only passively but also as active members. Through this, I believe that adolescents "~1ay can become contribute even as adults. The Youth Advisory Board n is a way young adults can start their active lolvement in the area early on in high school. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I want to join foremost because I want to give a voice to the youth. I think it is important that students, especially high school students who are starting to become active in the community, a chance to have their say and opinions. As a high school student, I want to make the contribution as well. As an active voice in the community I will strive to involve other youth in our area. As a prominent member and leader in school, sports, and many extracurricular activities, I can positively influence the student body to become genuinly interested in our own community and become more involved as well. I am a very motivated individual with strong credentials in both academics and extracurricular activities and I have been looking for many ways to become involved more on a larger scale with the community, and as the Youth Advisory Board seems like the perfect match for me, I will give my full time and efforts to the board. I look forward to being able to participate. 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. , )articular, if you are applying to be a member of a board or commission which makes recommendations tothe GltY 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 a~ut SeeBon 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. :?: () ~ --r-;::-, ,-. None. C) ....( -. ~! ===t C"j f ,:-( i"-. fTl 1'1"1 -0 5 ::0 -.,.. 0 <-- /', W "- IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? [l] Yes ~o ~ DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? DYes [l] 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 December 2006 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING j ~ 1 --= -u:, ~~~!:'t ~~~~~~ ~ .. CITY OF IOWA CITY Name of City Board/Commission/Committee Youth Advisory Commission Date 10/10/2007 Name Michelle Han 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 None. None. C5 = = ::?::G ~ "'"'!-.,~ ./ -ol __II t~"""""" ~() - : / ,-r1 ~ IT1 ~ I -,..-; r~ ~/", '-...../ W )> ~ . NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. Applicant Signature /ll?; em II -I/{l17 Signature of parent/guardian if Age 15 to 17: Address 1909 Earl Rd. Iowa City, IA 52246 7J ~O~:I7'C1 . k v. J)' r7 7j , 0 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 December 2006 Page 3 of 7