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Home My WebLink About1986-01-28 AppointmentA CITY OF CIVIC CENTER 410 E. WASHNGTON ST. OWA IOWA CITY, IOWA 52240 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING AN APPOINTMENT TO THE FOLLOWING COMMISSION: BROADBAND TELECOMMUNICATIONS COMMISSION One vacancy - Three-year term March 13, 1986 - March 13, 1989 The duties of the Broadband Telecommunications Commission include serving as a review board to resolve disputes between any subscriber or poten- tial subscriber and the cablevision company; reviewing and auditing reports by the cablevision company to the City as required by the Cable Television Ordinance; working with the public, the media, the City, and the cablevision company for the purpose of making recommendations on various issues; engaging in other activities pursuant to the effective monitoring and evalua- tion of the CATV system in the City. Iowa City appointed members of boards and commis- sions must be qualified voters of the City of Iowa City. This appointment will be made at the January 28, 1986, meeting of the City Council at 7:30 P.M., in the Council Chambers. Persons interested in being considered for this position should contact the City Clerk, Civic Center, 410 East Washington. Application forms are available from the Clerk's office upon request. CITY (319) 356-500 ��z titt aMiaiaiaaaaJ...a+♦.\V.aa.\vc\.vv!vv�+.\.n.,.w::::::: uvavaw.,.....Jl.......uu:..vn.w.v.n ..v...+.r\vn•.+.n�n,vnw (Current members: 2/M 6 3/F) January 28, 1986 BROADBAND TELE03"ICATIONS mtliSSION - One vacancy - Three-year tern March 13, 1986 - March 13, 1989 j i Susan J. McGuire 145 S. Westminster (served unexpired term) i \4 IF 1.�...:�........ ................ ........... .. _............_..,,_.A...�_... BROADBAND TELECOMMUNICATIONS COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. The City Council announces Advisory Board/Commission vacancies 90 days prior to the date the appointment will be made. This period provides for a 30 -day advertising period and a 6O -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. NAME Susan J. McGuire if" ADDRESS 145 S. Westminster/I.C. OCCUPATION Continuing Ed. Coordinator EMPLOYER East Central Regional Library PHONE NUMBERS: RESIDENCE 397-3233 BUSINESS 319-365-05Z3• TERM: EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: . T am currently filling an uaeapired vacancy on the BTC , Other experience includes community served 3 years as. national delegate to NFLCP conferences .. a sebse=fber !e lieeit^ge-C^'',-""�^" WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I am familiar with= the Triannual Review process now WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? T hove that my_nrevious experience on this Commission will help to 'inform &serve theme community on these ssubsa — we`are a e P stages in terms ot telecO—un�—Clvu, 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 a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? YES NO If you are not selected, do you want to be notified? _L_YES—f �; D This application will be kept on file for 3 months. and automatically considered for any.vacancy during that time. May 19d;AN 2 11966 MARIAN K. KARR CITY CLERK (1) %a• M i Vh...x:.......t...............--t... ....,•........ ......... STATEMENT OF INTEREST A "yes" answer to any of the following questions will not necessarily exclude you from consideration for appointment to the Iowa City Broadband Telecommunications Commission. However, the information will assist our Legal Department in determining whether or not there may exist a conflict of interest which would preclude your further consideration. Are you or is any member of your immediate family or anyone dependent upon you: T a. An employee of or a stockholder in either Heritage Comnunica- tions, Inc., or a subsidiary or limited partnership(s) (including Cablevision Associates VII), the general partner of which is or is controlled by any of the above? Yes No _ b. An employee of or a* stockholder in any radio or television station or news publication operating in Iowa City or serving the Iowa City area or of any parent company or subsidiary thereof, or in any other manner affiliated with any of the above? Yes No _X c. An employee, stockholder, partner, or proprietor of any . corporation or business which has or is likely to have a significant contract or business connection with either Heritage Communications, Inc., or a subsidiary or limited partnership(s) (including Cablevision Associates VII), the general partner of which is or is controlled by any of the above? Yes No A If you have answer 'yes" to any of the above questions, please include a complete explanation using additional paper if necessary. /7-z N •1/hhM Nvattval. v\a v.\.... w a v a a\alvaa...i.nri:V CITY OF IOWA CITY CIVIC CENTER 410 E. WASHINGTON ST. IOWA CITY, IOWA 52240 (319) 356-5030 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENTS TO THE FOLLOWING COMMITTEE: COMMITTEE ON COMMUNITY NEEDS Three vacancies - Three-year terms March 1, 1986 - March 1, 1989 It is the duty of members of the Committee on Community Needs to coordinate communication channels between groups and citizens of Iowa City and the City Council and staff and then to responsibly respond to program proposals as solutions designed to meet the community's needs. Iowa City appointed members of boards and com- missions must be qualified voters of the City of Iowa City. These appointments will be made at the January 28, 1986, meeting of the City Council at 7:30 P.M. in the Council Chambers. Persons interested in being considered for these positions should contact the City Clerk, Civic Center, 410 East Washington. Application forms are available from the Clerk's office upon request. 173 I %4 Vr City of Iowa City MEMORANDUM Date: January 22, 1986 To: City Council From: Marianne Milkman, CDBG Program Coordinator ryi Re: Committee on Community Needs Appointments The CCN membership should represent as nearly as possible a cross-section of the Iowa City population in background, ideologies, geographic location, age and socio-economic status. The following list is intended to assist you in making appointments to the three CCN vacancies for the terms expiring March 1, 1986. Current Membership CCN Membership: 11 persons (including one member of the Housing Commis- sion) Expiring Terms: 3 Geographic Distribution: Iowa Avenue -Muscatine Avenue Neighborhood - 1 Creekside Neighborhood - 2 (2 terms expiring) Miller/Orchard Neighborhood - 1 Westside - 4 Eastside - 1 Southside - 2 (1 term expiring) General Characteristics: Comity Representation Needs Minority Members - 2 Creekside Neighborhood Elderly - 5 Near Northside Neighborhood Lower Income - 4 Central City Neighborhood University Staff Members - 2 Lower Income White Collar Worker Professional - 3 Laborers Clerical - 1 Trades Laborer - 1 Business Enterprises Small Business - 1 Financial Institutions Human Services Interests - 4 Since there have been very few applications for these vacancies and four addi- tional vacancies on the Committee will occur this year, a letter is being sent to various organizations and groups lacking representation. Hopefully, this will encourage applications which will provide a broader representation on the Commit- tee. bjl/3 ��3 I (Current members: 7/F f, 4Ai) January 28, 1986 j - CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM U l� LSnn Individuals serving on Boards/Commissions play an important role in.h-gV* 51 2be Council an matters of interest to our community and its future. Applicants must reside in Iowa City. MARIAN K. KARR The City Council announces Advisory Board/Commission vacancies 90 dayglpgigtEgoj p date the appointment will be made. This period provides for a 30 -day advertising peri E' and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. ADVISORY )BOARD/COISSION NAME�I-/-/t(n• �( N(a'/ld•1// M-1-, Te'M // ::i%/ ///. ) NAME /,'r:i 6 / /I /-J1-2. HOME ADDRESS A//I.jj/f / / J/l/� 712. L (.` . Is your home address (listed above) within the corporate limits of Iowa City? Y E OCCUPATION !!`/:')l -/L C/1'iiflt EMPLOYER PHONE NUMBERS: HOME 3 1:17/ - '-/ 7 BUSINESS_ 3', /-L •rt C EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: -7-///l:C L['.c"M2 Ut'27-i lei%/l lilC•-/i-('i'evc t7za-;c'L/ 1 07S - 1r7) -1 ' C.LN Lr/i/1/�S ./ //.�f N/Yl /'il C x'i•>-`a�C��-7'Tin.G 7.l>./v 1. _... WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? J / %(! /il5 Cal? al'7 c',1, %I•!G % i';IcJlrS(.') SNC /�':, (/l /A //A /'lilt !';r%/Cr l'r (','':1,A.,;.,i; h;�L T / T / l (.'(;.e /' k' &. l /L;%,/)L WHAT CONTRIBUTIONS 00 YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? /,-`(',(r/ :/; ll% J Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YES :—NO If you are not selected, do you want to be notified? —YES NO This application will be kept on file for 3 months. February 1983 172 .........,..................... _....,....... - CITY OF IOWA CITY - ADVISORY BOARO/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important -role in advising the Council on matters of interest to our community and. its future. Applicants must reside in Iowa City. The City Council announces Advisory Board/Commission vacancies 90 days prior*to the date the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. iADVISORY BOARD/COMMISSION NAME %mow. : t G�..%..,< ;'G_�": ;� TERM NAMEi .•%r �.� HOME ADDRESS Is your home address(listedabove) within the corporate limits of Iowa City? OCCUPATION .... -- EMPLOYER PHONE NUMBERS: HOME Y - L• i% BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: .'. a:.' -iii-: A. C�'ll _.,,.t„ L'• L'. Jt w-12.[n,i .N t,.Y,-,y /T' -7.T �'-^"�'�-�• � G:: u.n.-.�'i+•�.c. .YX .rC�•c-��.. iG4Gru,"L Ll..�. L.i....L " /mLe 4,yr i' q-L.7ii ,�•c. Ln.._ :.-.-ri ': �.L:-:..4 ..:.r+'7/ct� �', '7 / n 11..z:: G..r-; T1 3 7 .f �r /- �� . Z [ y -�•�_ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? a� c �.[iL•I.,..Y�r I':'Hvr+wLL.wi L.- v-7.. `�.-R..nJ Nn�f^_L. �iJ.��•wr,....-� '!- :�: rel...., iLt'f� ^Y i✓i F.y .L'i�Llw4" ".�•- WHAT CONTRIBUTIONS 00 YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? -777 Specific attention should be directed to possible conflict of interest as defined in " f•l Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not a ^-- potential conflict of interest exists, contact the Legal Dept. Will you have a conflicts:':.-,.,: of interest? _YES = 'NO 1 If yoF191cTttzwiXj lecrtted, do you want to be notified? _YES NO This be�k t on file for 3 months. February 1983 DF-' - 0 1995 _ .7) _ ) MAP.'lhl K. ;CAI=r. CIT1r'LiG:f /7,3 ATTACHMENT TO APPLICATION FOR COMMITTEE ON COMMUNITY NEEDS IN ORDER TO ENSURE THAT THE COMMITTEE ON COMMUNITY NEEDS IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES, PLEASE INDICATE IF YOU ARE A MEMBER OF ANY OF THE FOLLOWING CATEGORIES: Elderly (62 or older) Handicapped or Disabled _ Racial or Ethnic Minority Lower Income (see chart below) None of the above Your response is voluntary, and you may wish instead to elaborate on or indicate areas n�you can make a special contribution to the Committee in another section of this fora. MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOWER INCOME HOUSEHOLDS (5/83) $16,000 for a I -person household $18,300 for a 2 -person household $20,600 for a 3 -person household $22,900 for a 4 -person household $24,300 for a 5 -person household $25,750 for a 6 -person household $27,150 for a 7 -person household $28,600 for an 8+ person household /73 i City of Iowa City MEMORANDUM Date: January 22, 1986 To: City Council From: Marianne Milkman, CDBG Program Coordinator ►Yl Re: Committee on Community Needs Appointments The CCN membership should represent as nearly as, possible a cross-section of the Iowa City population in background, ideologies, geographic location, age and socio-economic status. The following list is intended to assist you in making appointments to the three CCN vacancies for the terms expiring March 1, 1986. Current Membership CCN Membership: 11 persons (including one member of the Housing Commis- sion) Expiring Terms: 3 Geographic Distribution: Iowa Avenue -Muscatine Avenue Neighborhood - 1 Creekside Neighborhood - 2 (2 terms expiring) Miller/Orchard Neighborhood - 1 Westside - 4 Eastside - i Southside - 2 (1 term expiring) General Characteristics: Community Representation Needs Minority Members - 2 Creekside Neighborhood Elderly - 5 Near Northside Neighborhood Lower Income - 4 Central City Neighborhood University Staff Members - 2 Lower Income White Collar Worker Professional - 3 Laborers Clerical - 1 Trades Laborer - 1 Business Enterprises Small Business - 1 Financial Institutions Human Services Interests - 4 Since there have been very few applications for these vacancies and four addi- tional vacancies on the Committee will occur this year, a letter is being sent to various organizations and groups lacking representation. Hopefully, this will encourage applications which will provide a broader representation on the Commit- tee. bj1/3 /73 i V I b� CITY OF IOWA CITY CMC CENTER 410 E. WASHINGTON ST. IOWA CITY, IOWA 52240 (319) 356-5000 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING AN APPOINTMENT TO THE FOLLOWING COMMITTEE: DESIGN REVIEW COMMITTEE One vacancy - Indefinite term January 28, 1986 - --- The duties of the members of the Design Review Committee include encouraging and promoting the acceptability, attractiveness, cohesiveness and general design compatibility of new construc- tion and rehabilitation, both public and private, within and adjacent to the central business dis- trict of Iowa City; to review preliminary plans and development and construction in both the pri- vate and public sectors; to make recommendations on the architectural, aesthetic and general design aspects of all proposed public and private improvements within and adjacent to the central business district redevelopment area. Iowa City appointed members of boards and commis- sions must be qualified voters of the City of Iowa City, Iowa. This appointment will be made at the January 28, 1986, meeting of the City Council at 7:30 P.M. in the Council Chambers. Persons interested in being considered for this position should contact the City Clerk, Civic Center, 410 East Washington. Application forms are available from the Clerk's office upon request. 17Y 1 (Current members: 6/M 6 4/F) i Jar,..,. la 109A DES 7 I i i i Gec 3t I Cla 516 Oet 43C 7 v..,......., .........., __.._ .... - CITY OF IOWA CITY - ADVISORY BOARD/COMMISSION APPLICATION F r m Individuals serving on Boards/Commissions play an importanu role in Rd,4 sin e Council on matters of interest to our community and its future. App>fcdnt must reside in Iowa City. The City Council announces Advisory Board/Commission vacanciesVAFaiNi°sl PFio"IAUthe date the appointment will be made. This period provides for a 30-daftW60 IFF7 "Veriod and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. ADVISORY BOARD/COMMISSION NAME (7f S1 &r !(-9V'fr) CeN niTi EE TERM tI F E NAMEQRxG �gbtE HOME AODRESS_,3 f�eATNEt �� Is your home aress (listed above) within the corporate 1'mits of Iowa City? / w S_ OCCUPATION A'c SlOf u r EMPLOYERd G Ld ys p p �p PHONE NUMBERS: HOME _ 33 % - 2 3 % % BUSINESS_ 3 3 S- // / 3 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: F WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? VLRY i/i7 LEt !(sem TO L,0,fAr /ieA,* WHAT CONTRIBUTIOr S DO YOU FEEL YOU CAN MAKE FOR APPLYING)? ! GMK /ge(Afj GZLai „e BOARD (OR STATE REASON 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 a potential conflict of int rest exists, contact the Legal Dept. Will you have a conflict of interest? _YES NO If you are not selected, do you want to be notified? YES NO This application will be kept on file for 3 months. February 1983 1%S VT -w..,......,..,...1—... ....... ...... .................... ...--__ _ ..........................................1. .tI;, 11,,;CAN1st.,;t-'� - CITY OF IOWA CITY - ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving an 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. The City Council announces Advisory Board/Commission vacancies 90 days prior to the date the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. ADVISORY BOARD/COMMISSSION NAME I) S14N Zr-VF]JJ CAWPhITM TERM 1Nf.VT-1# zl-V NAME C L o m C 8"4S HOME ADDRESS 517;; VAw (—aUFXN Is your home address (listed above) within the corporate limits of Iowa City? _yc- OCCUPATION_iy)Mt,F1, ✓:KleA ., EMPLOYER P.&Nsla.l VkA--, YYgme FIC PHONE NUMBERS: HOME 53 1.41555 BUSINESS 56,Y -Z/700 mwr. 3Z7, EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: 1H& 17u Jr can/Si3_Ttnf4° �CrscRtarzsrx�2wn , owc4a 4 14Anlacrcp Acc.e-e&6tunl MlpmLlJr iWII�TAI�TI to -IS He'r avi IA. 81NVI1tuV _ S".,VIMs Av--rW (M c4ft%iTj C-- / tc AZ". pgn', YFA" TMLM WWJL- 4CkXW A4P JN TW C01�A04W T QP-4st<p- enC01Z^!NAnAQQ M%Z re.Rf 7,WOTI S L-4 t J GUftf RS g GdDC Lip 1jw4j= 4rWj oFFt L:s WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? "Iuls caMr+rR:r'aataoewS t2jwpoSM DOIC4JS 09:� PRC.IUCCS LvHle.W lsiFi.'C1'''fFC' 1WM4r otc SMawA GZy. ANb If Aoybro �coM1nIAVD3 CJ4AA4951#4 Tlmi 0=4►J m 07A'Aaws'-at>✓t1W V1s%A"-1k rlsc,¢trj oc cvwTaw Me–. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ?, TNIWW-L H&jjr :CVE;ca'GY7 Frcot.gn 5o-0ack si=LLS wNwu prW Lowg LE'4xw 0 LUL -MA TUU A1314+T1I 1L F-eCATIT A 0=14" MAO sL p21I Sot.tn TnvUS So AL7i`Km m ' D5514A1 Fti" A C11t& l(21TWIA, ALS- MY 6AX9AAMU;V4 E7CPL44IpVtr Ah,0 h/E1+J S"'fo 'v.+, L- X4W=� A1.L0w ft?LT ID GQ%JR11Swr6 A PQM^ J FM ed=nV TO TW- =C, PW14N twWLW Co-w,�g 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 a potential conflict of interest exists, contact the Legal Dept. Will you Ilwe aeon liar of interest? _YES _-NO yfJtC u If you are not selected, do you want to be notified? YES _NO u This application will be kept on file for 3 months. Acom N�rrr, FebruarK1983AM !(. i:AF.R i sEl- I'VOr S Wolnl.lo tjor I.1nUr A r-u.JFGcf-0 Iw/nOLL57- Q�Gn-�.iT+d�tnH=rFr ( i conW wrlw Y4(r INTM.PJAL rvYfr'GilJnvteALS(ylirAY1S ow lutr 611ty1v4S HL4+ IVO14AJS /aNO-(iilAS 1i9Vlt tics SAy r,.J IYAr &XT iqL crt- d 1T(f aaN 7014KS wNtc.H i'Hls AgVls02u 130Afc0 fZfV1t1WS. ��S Ir T <................ a_. ..... ,..................... .... ... ...... ...... . - CITY OF IOWA CITY - ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving an 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. The City Council announces Advisory Board/Commission vacancies 90 days prior to the date the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WI}.L, �BE CONSIDERED FOR 3, MONTHS ONLY. ADVISORY 80 RO/COMMISSION NAME IX,2jo vN/dU dblMl�Cel TERM NAME Pi- L'2 HOME ADDRESS Q3o T1/J Al2/kLtJ Is your home address (listed above) within the corporate limits of Iowa City? OCCUPATION ftlT�l/1( EMPLOYER %�ff?5t'`1 IJYYi MP/P1 PHONE NUMBERS: HOME BUSINESS¢ WHAT CONTRIBUTION§�DO YOU FE€L y04 CAN MAKE TO THIS ADVISORY BOARD (OR STATE,REASON_ 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 a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YES _NO �y ihaf IW04jl /*H4s( (iy/ I1j,LY p C%) If you are not selected, do you want to be notified? X YES NO ili(�41G/ This application will be kept on file for 3 months and % , p f/'?", 7 automatically considered for any vacancy during that time. February 198 JAN 2 0 isms MARIAN 1%. KARR CI'N CLERK (1' /7S r U CITY OF CIVIC CENTER 410 E. WASHW TON ST. IOWA CITY IOWA Cay,, IOWA 52240 (319) 356-5000 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING AN APPOINTMENT TO THE FOLLOWING COMMISSION: AIRPORTCOMMISSION One vacancy - Six-year term March 1, 1986 - March 1, 1992 Duties: To exercise all the powers granted to cities and towns under Chapter 330 of the Code Of Iowa, except the power to sell said airport. To annually certify the amount of taxes within the limitations of the Statutes of the State Of Iowa, to be levied for airport purposes. All funds derived from taxation or otherwise for airport purposes shall be under the full and absolute control of the Airport Commission, deposited with the City Treasurer, and disbursed only on the written warrants or orders of the Airport Commission. Iowa City appointed members of boards and commis- sions must be qualified voters of the City of Iowa City. This appointment will be made at the January 28, 1986, meeting of the City Council at 7:30 P.M. in the Council Chambers. Persons interested in being considered for this Position should con- tact the City Clerk, Civic Center, 410 East Washington. Application forms are available from the Clerk's officwe upon request. 174 j - CITY OF IOWA CITY - ADVISORY BOARD/COMMISSION APPLICATION FORM • Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. The City Council announces Advisory Board/Commission vacancies 90 days prior to the date the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/coamission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INk PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. ADVISORY BOARD/COMMISSION NAME AIRPORT Cowimistion/ TERMS NAME E,✓NIS KNOWL4nl44 HOME ADDRESS /(075R4E leoa) Is your home address (listed above) within the corporate limits of Iowa City? 4/E5 OCCUPATION �ILoT EMPLOYER r11rC✓ab� W D NT i1A SwarK (�o PHONE NUMBERS: HOME 33Q-'744/ BUSINESS 3S/ - 0828 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: (,JirU 12 Vg S OI- ELVifI JEYRkA 14d QyjkAdS RlaSft) /f -T Td F_ Q04." As dpacr �� ANICI A,C v.JiT}{ Tl.�E Q��L.��S 'il1E A�({� CT J.IAS ,EwIPnU�F•IIke7 /rJ -IFIE PAsT ko 40,44" r /'T 4?E SET X0t 'T/lE eJORI��(1___j�!CJ�iuf�GaG.,G F'AA. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? i 4rA tt/lb�ek" uwi#1TilE 4,tMA11�IM/ /N VIP- �ASi DN _nk I�EVLOaimkAT of T✓/!. HR51 CoKf2A*7-"_ An/u4 J,nt(� :i A,�n I•'.4,,, Lac ,�i7il4.vtE of �!/!� Di�F.ENI mE..,%Ees, AuJ�/�.�stmcr/y'q�q/y WHAT CONTRIBUTIONS 00 YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON 7 FOR APPLYING)? FEPL i dAu /leCn �� nanm/�/>Jay A f�ieVh T7/Arve 4o4Cs of 00m a4a,Je4 tdi73Y 6AA PF401,47)c../S To Qee k✓E F✓nrJ✓nt� (-02 Skk:., I✓/a��,�,�.✓— hnl� �wer4ika 1e-veL�o�, r of Tt/E �/�yacr 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 a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YES _,V NO D If you are not selected, do you want to be notified? _YES L D This application will be kept on file for 3 months. fruafg4p,31986 M CITY CLERK ARR 176 2 �- 1 CITY OF IOWA CITY CIVIC CENTER 410 E. WASHWGTON ST. IOWA CffY, IOWA 52240 (319)356_5000 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENTS T TO THE FOLLOWING BOARD: MAYOR'S YOUTH EMPLOYMENT BOARD One vacancy - Unexpired term plus ar January 28, 1986 - Aprille15,�e1989erm One vacancy - Three-year term April 15, 1986 - April 15, 1989 It is the duty of members of the Mayor's Youth Employment Board to provide jobs at various private non-profit and public organizations for disadvantaged youth in Johnson County. Iowa City appointed members of Boards and Commissions must be qualified voters of the City of Iowa City. These appointments will be made at the January 28, 1986, meeting of the City Council at 7:30 P.M. in the Council Chambers. Persons inter- ested in being considered for these positions should contact the City Clerk at the Civic Center, 410 East Washington. Application forms are available from the Clerk's office upon request. I _ I I 1 ff i I i V+�l<.iCpvaaaaJ...ar aaV.w....aaa.lu..........n... r.. r.r...a.�a.w...J4.�.........w...v..w....v.n+...n..n•..rrrrr.+' (Current members: 7/NI 6 3/F) January 28, 1986 MAYOR'S YOUTH EMPLOYMW BOARD - One vacancy - Unexpired term plus three-year term January 28, 1986 - April 15, 1989 M 6 12 b p (Current members: 7/NI 6 3/F) January 28, 1986 MAYOR'S YOUTH EMPLOYMW BOARD - One vacancy - Unexpired term plus three-year term January 28, 1986 - April 15, 1989 M 6 12 v�.............. ................. ._..,,........,.._........ FADVISORYLI ;1 BOARD/COMMISSION APPLICATION FORM L± ��.I123 __,. Individuals serving on Boards/Commissions play an important role ih)p9sjng�the:ooncil on matters of interest to our community and its future. Applicants must rear/ierIaiva'Ci'ty: The City Council announces advisory board vacancies 60 days prior to tlie''date the appointment will be made. This 60 -day period provides for a 30 -day advertising period and a 30 - day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. All applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE-YEAR PERIOD. DATE 1/22/86 ADVISORY BOARD/COMMISSION NAMEMayor'a Youth Employment Proa TERM Unexpired term NAME Marsha La Follette ADDRESS 629 Oakland Ave. OCCUPATION Consultant EMPLOYER Grant Wood Area Education Agency PHONE NUMBERS: RESIDENCE 338-9177 BUSINESS 1=800=332-8488 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Special education teacher Northwest Junior Hirth School Consultant to special education teachers in the Cedar Rapids school system and surrounding communities. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Several associates at Gcant WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? Resource for information on working with students enrolled in special education_ programs. Specific attention should be directed to possible conflict of interest in Urban Renewal project or as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YES XX NO Knowing the length of term, are you willing to serve this term? XX YES NO If you are not selected, do you want to be notified? XX YES NO If you are not appointed for the current vacancy, do you wish to be considered for a future vacancy? XX YES _NO January 1979 `%7 A ^ltiA \vttvt.�t.tv••'i v.a a.t t'.v vvv o�� ADVISORY BOARD/COMMISSION APPLICATION FORM F 0 JAN 2 4 19EE Individuals serving on Boards/Commissions play an important role inWhAR1 Kbe ",Ril on matters of interest to our community and its future. Applicants must resimETinCIMICiV. The City Council announces advisory board vacancies 60 days prior to the date the appointment will be made. This 60 -day period provides for a 30 -day advertising period and a 30 - day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. All applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE-YEAR PERIOD. DATE 1/24/86 ADVISORY BOARD/COMMISSION NAME Mayor's Youth Employment TERM 3 years NAME Jan Liggett ADDRESS3025 Friendship St. Iowa City. Johnson County Juvenile OCCUPATION Juvenile Court Officer EMPLOYER Court System PHONE NUMBERS: RESIDENCE (319) 337-3574 BUSINESS 337-3147 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 12 Years as a Youth counselor. including 7 years with rhe .invenilp Court System WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Board Member 11/84 to present WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? Knowledge of the youth serving network. Continuntinn of gnod working relationships between Juvenile Court and Mayor's Youth. Specific attention should be directed to possible conflict of interest in Urban Renewal project or as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? YES XX NO Knowing the length of term, are you willing to serve this term? XX YES _NO If you are not selected, do you want to be notified? XX YES _NO If you are not appointed for the current vacancy, do you wish to be considered for a future vacancy? XX YES _NO January 1979 177 v� CITY CMC CENTER r OF IOWA CITY 410 E. WASHNGTON ST. IOWA UY, IOWA 52240 (319)356-500D NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING AN APPOINTMENT TO THE FOLLOWING COMMISSION: HUMAN RIGHTS COMMISSION One vacancy - Unexpired term January 28, 1986 - January 1, 1988 The duties of the members of the Human Rights Commission are to provide for the general welfare of the citizens of Iowa City by study- ing the relationships of people of various races, colors, creeds, religions, nationali- ties, sexes, and ancestries living within the community. To provide procedures for the operation of said Commission to eliminate pre - Judice, intolerance, bigotry and discrimination in the City of Iowa City, Iowa, by declaring discriminatory practices in the areas of public accommodations, employment and the leasing, sale, financing or showing of real property to be against public policy and to provide procedures for the investigation of complaints and conciliation and to provide for enforcement. Iowa City appointed members of boards and commis- sions must be qualified voters of the City of Iowa City. This appointment will be made at the January 28, 1986, meeting of the City Council at 7:30 P.M. in the Council Chambers. Persons interested in being considered for this position should contact the City Clerk, Civic Center, 410 East Washington. Application forms are available from the Clerk's office upon request. X79 3 1 i �'-1+'..:\iaaaavaJ...:ua.:v..a.\...va.ra...::�...... -:::.:...w....�........A.....w........v.v.v..w.uv....��.v.vnw.v.a+..• J H D 2: sl 21 Po 1! Ei 1: i-• _... _ ... - CITY OF IOWA CITY - ADVISORY BOARD/COMMISSION APPLICATION FORM ' Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. The City Council announces Advisory Board/Commission vacancies 90 days prior -to the Jate the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commissian before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. ADVISORY BOARD/COMMISSION NAME 1%?ltin ,p�\�S �nrtt�+:y TERM '1 + . ,g$ NAME �o C jgME ADDRESS a(--4 zr ('.,cC �a Is your home address (listed above) within the corporate limits of Iowa City? Nr OCCUPATION aU5RV4S EMPLOYER Se�sr PHONE NUMBERS: MOME 3�51-C)'A() BUSINESS 2,.171 -0.'3C9 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: \L_ 17IN % I ^ % _ V IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? .C. C WHAT CONTRIBUTIONS 00 YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? -\nA o.. �.� � cw\ I• uc iucrU (`�uy �4 w %ti v ArcL�5 SPIUk 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 a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YES _Z—NO If you are not selected, do you want to be notified? _YES VNO L E D This application will be kept on file for 3 months. ll F ruary 1983 NAV 19 1989 MARIAN K. KARR CITY CLERK G1 179 - CITY OF IOWA CITY - ADVISORY 80AR0/COMMISSION APPLICATION FORM Individuals serving on Boards/Comais'sions play an important role in advising the Council on matters of interest to our. community and its future. Applicants must reside ?n Iowa City. The City Council announces Advisory Board/Commission vacancies 90 days prior to the date the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers -that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date.. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILIj BE CONSIDEAR FOR 3 MONTHS ONLY. ADVISORY BOARD/CO ISSION NAME TERM .3 / f NAME r AMM)W- f kn1 ,u, HOME AD RESS 904OAr /at1 Is your home address (listed above) within the corporate limits of Iowa City? OCCUPATION /1 thA d- holLt/itC le" EMPLOYER PHONE NUMBERS: HOME 3.37-6997/ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOAHI9 POSITION: '0A_"y-t_— IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? N✓d, .1,,ea4 d ,L�_I v , f,a amlpCtLL1 OaCue%Leaws . WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO TIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? &,fZfA./ n1,.,,,�v:..57/:' ii, ltc%t... Ru/ hii,.,i •-,•��20, L"'t -i.%,c 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 a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YESNO If you are not selected, do you want to be notified? YES fl L D This application will be kept on file for 3 months. ut19435 MARIAN K. KARR CITY CLERK (1) /79 a4 k4lZw att4�. JaUl-,�., a&" rrle~ tF I I •V�...,............. �..................... ............. ..c_—..,.,.,.. - CITY OF IOWA CITY - ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. The City Council announces Advisory Board/Commission vacancies 90 days prior to the late the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/commission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council looting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. ADVISORY BOARD/COMMISSION NAME Human Rights TERM 3 years HANE Rose Capers HOME ADDRESS 1946 Broadway OF Is your home address (listed above) within the corporate limits of Iowa City? yes OCCUPATION Secretary EMPLOYER University of Iowa Hospitals 6 Clinics PHONE NUMBERS: HOME 337-3365 BUSINESS 356-4131 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: .Being a permanent resident in the Iowa City community. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? It is a commission responsible for administering the City Human Rights Ordinance, WHAT CONTRIBUTIONS 00 YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? To assist the Board in administerine the city Human Rights Ordinance. 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 a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YES __A_NO If you are not selected, do you want to be notified? x YES NO D This application will be kept on file for 3 months. j D Feb;983� UUUUUU DEC 11 19A5 MARIAN K. !:ARR CITY CLERIC (I: l99 - CITY OF IOWA CITY - ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Coamissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. _ The City Council announces Advisory Board/Commission vacancies 90 days prior to the date the appointment will be made. This period provides for a 30 -day advertising period and a 60 -day training period for new members. The training period allows new members to become familiar with the responsibilities and duties of the advisory board/comeission before becoming a full voting member. After a vacancy has been announced and the 30 -day advertising period has expired, the Council reviews all applications during the informal work session. The appointment is announced at the next formal Council meeting. Appointees serve as unpaid volunteers. Council prefers that all applications must be submitted to the City Clerk no later than one week prior to the announced appointment date. PLEASE USE A BLACK INK PEN. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR 3 MONTHS ONLY. ADVISORY BOARD/COMMISSIOi NAME •C • A uw_ <c- eJ TERM 3 NAME g HOME ADDRESS " Is your home address (listed abo e) thin the corporate limits of Iowa City? OCCUPATION iCJan �tc.� EMPLOYER C CJtl��¢., a ..�/ � PHONE NUMBERS: ROME 3 S/- 020.9/ BUSINESS 3 SC, - el EXPERIENCE ANO/OR ACTIVITIES WHICH YOU FEEL QUALITY YOU FOR THIS POSITION: Au_u w AAI� 0c' Xao ci lei�ft. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS BOARD? WHAT CONTRIBUTION 00 YOU FEEL YOU CAN MAKE TO THIS VISORY BOARD (OR STATE REASON FORAPPLYING)?e�c-� 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 a potential conflict of interest exists, contact the Legal Dept. Will you have a conflict of interest? _YES _NO / If you are not selected, do you want to be notified? _YES lFruary ]This application will be kept on file for 3 months.and will t�automatically be considered for any vacancy during that 198 ,• JAN Z' 0 o M CVT-( CLERK (1 l�9