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HomeMy WebLinkAbout2008-12-16 Appointment9a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF ADJUSTMENT One vacancy -Five-Year Term January 1, 2009 -January 1, 2014 Duties: In appropriate cases and subject to appropriate conditions and safeguards, the Board may make special exceptions to the terms of the Zoning Chapter in harmony with the general purpose and intent of the ordinance and in accordance with general or specific rules contained therein. The Board may grant variances to the Zoning Chapter only in the case of "unnecessary hardship." The hardship must be substantial, serious, real, and of compelling force, as distinguished from reasons of convenience, maximization of profit or caprice. The Board may also hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by a City official in the enforcement of the Zoning Chapter. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, December 10, 2008. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Board of Adjustment Commission should be directed to Sarah Walz, Associate Planner at 356-5239. m z o o x II ~ II m II II II Z 0 sv Z o o ~ D N ~ D N ~ -~ ~ ~ m ~ m 3 ~ ~ ~ N ~ ~ d a s ~? 3 ~ ~ ~ ~ ~ w w ~c a~ ~ z a n ~'o G o v d v ~ ~ ~ v ~• ~ S m ~ `° am - °o = ~ ~ ~ ~ cn ~ c 3 o ~ ~ ~ a ~~ ~, ? -: n, O ~ ~ >v ~ ~ ~ ~ w ~ cn 0 0 v ~ ~ ~' ~ ~ ~~ v m 0 0 0 0 0 o m .1 O > O j O J O O O -O ~ N ~ O CO W OD Z Z Z Z ~ Z 3 3 3 3 3 m ~ N x x x x ~ = w w x x x m x N ~ x x x x m x x x m x ~ x x m x x s ° x x x x m x x x x x w x O x x `D o rn 0 N N ...~ O D ~ W a ~ °' a ~ °, ~ a ~ ~. O N a ~ I o o 0 Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in-law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 2 Females: 2 Council Announcement Date: September 23, 2008; November 3, 2008 Application Deadline: Wednesday, 5:00 p.m., December 10, 2008 Council Appointment Date: December 16, 2008 BOARD OF ADJUSTMENT One vacancy -Five Year Term January 1, 2009 -January 1, 2014 Term expires for Karen Leigh Barbara Eckstein D 814 Ronalds St ~ Denotes applicant completed the Confidential page of the application. City of Iowa City _,± ? 1 Adviso Board/Commission/Committee ~' =-'' ~'~~ ry '!~•,~~,~'~ p ~plication Form -~-~-- 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 gE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. t Advisory Board/CommissioNCommittee Name'C~oAav aF ~ 43usi' ME,u T Term ~ 09 ~ ~y Youth Advisory Commission, Age on the date of filing:Q Age 15 to 17 (or) ~ Age 18 to 21 ...4., Signature of parent/guardian if Age 15 to 17: =;:.. `' N~'`AE ~~tt3A,z~ Ec~cTEoN `T~~' ~; HOME ADDRESS nl~l 2G~~L~-~ ~~2EEZ Z#';°~2;~4 '~_ ~~ Is your home address (listed above) within the corporate limits of Iowa City? ,Yes A ~Jo How long have you been a resident of Iowa City? l ~ Yc~ Rs OCCUPATION . EN cct st~} l~rtcst=, lA~ss•oc~~+re ~'~ovos~'r' .EMPLOYER U ~ ,..L . PHONE NUMBER: HOME ~ S I ~ SS S~ BUSINESS _ ~3 S - t8~-~3 _ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: A~T TttE UAO:V~s ir~~ .L f2E~o2E.SC-.!~T Tit C- 1 iZ~~a~'s Co FricE ~~rr~rr Is "i`ffE ~4c~f~~Mlc si~E~ .CN RtL N/~lT'C-s2S !tlFV~,VCt Td i7C u;.Ttf S~fFCE ~ r=e,otsn 2.E'CVVE2Y MiTi~jA i~U.~ SPhG~ P1.AN'Ni/11~-~ CRf'i~'t'}~ ~2d~Cci'S ~TCz AS /~ SGi~o~r4R ~ a.."VE Si~lni ED ~N~ 'v~1Krn-EN 1t(3r3~ ~E i2E[.~Tid.~uS~ir~ 3ETwce~ SscS Ri ES i'EcoQ ~ E TEct, (1.-TE2f~ 27 ~ iIN Fv~Mfl`) ~nlta "7"NE !~~VE~G t~ t~.Ap C->~`7' ~~" 5f ~4CE . rt~i s i~/i~s 13G-[-.w_ T uuks~lUEvu~o~dCCl~us, ~CZE~V yC~4RS. Ft9R ~>~niY O~ 7~OS£ ~i~~Rs /dot ('r~on{hR`I Such 3~ ~ (=0(~ ~ Y E~o25 ~ TERaI-7/~~U~t~ /'~ c;5zi; S~ U1;Ty /t Pcgti'Nt--tom flr~,~v i stc~2y Y v~2r3A a3 i~~vE ~c P.M ~'~- i . ~Ui CR-S~ s~~~Y Fnl~ rltE ors was itlu:1~ eir~ . Wlisrepresentations on this application will constitute just cause for removal of an appointee. If you fail co answer all the questions, Council may not consider your application. General Application WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Z ~Ee.~C-vc it CoNSirJFRs ~EC~,u~srs F~°R ~xC~~'T~i~.+ux `~ ~}tE 7~,~.;td;C, a{~~~tilk~,~C~s~ ~`I UNta~'2SjAni~J;nSG-_ tuc~M~t~rE ilnio~~.srAti!~i.UCr Y`i!t-tti n;~W- C=OMES r~'•~M REI4~i~Cr '' `'~ f?,~,f_S.=.cr~ri. -ti ;~tE c ~Ty',~ u1C-~3s ATE, huc MiKi/ U1Ri <,tt ~'s j7C-scti~ (' T-V ~U of 7htr= 1 ~-v~R ~ Q . WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? -~. ~RlA1 C AN~ PtiiC2~sl IIU SEE/N ~~ 77th (3;~7 I~rG7"U~E f}Nn ERP~RiE/(JGL°° T171.Ui:lAJC~ coMni.~x ~p~ ~l'J ~ R~1v~2St/~L S~h~Tr/}L rPnO~LC-M s. r H-rt~/ E A- >_c~ ~ Ttt r. U~ i~ ~-~ ~F C^X~~RtC^IUC~ Wc`.R~i~'Ct fti~ /~ C2f~C~:,'P Td C©t~'~E IU A (~~CISidN~ _L.'vk S7'J!~iEf~ zo~~:~~, wcs~t qty CL~Fs~. .~' M R pP L Yf /~c Cj ,S ~ c A~ 5 E. _' f~ L i iC E TO S ~CLV E ~'Ft E c i r Y- :.~ o _> ,'P ' w K'.cN. _ ~a+~ ~'"~ - ~ ~.; ~.~ ..+a ~.~1 O \ '1 w~ POTENTIAL CONFLICTS OF INTEREST ~ ~' Please identify any potential conflicts befinreen membership on the advisory board and your personal interests,including financial interests and your duties to an employer. Ir. articular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attomey's office. You should also knowthat 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 ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or-have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. I4 PQTE.N'+iRl.~ouFl.~eT of IA1T6QfcST 'v.lco.;;,l~ fi3G- IF 'Tti-C- Un7;1~~2s2Tjl I+PPU~U '~ T-t~E cry (=c~R ~-~ ~xce~r+on3. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (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 co answer all the questions, Council may not consider your application.. General Application BOARD, COMMISSION AND COMMITTEES ~,,"`~~ ~~~`~ BUSINESS LISTING -•-~.as._ CITY OF IOwA CITY Name of City Board/Commission/Committee t3o A R ~ of R ~ v ~ s i ~+ ~ ~ T Date $ Al ow '~ $ Name ~RR~ARA ~ c~csTCr,~J Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS ~a r~ ~- -., _.y ,-~,.. ~.~, i ', `•..1 F~1 ~ "~~ " N D O 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/guardian if Age 15 to 17: Address ~i4 R°N r+~os ST R~ET' 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 9b NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy -Five-Year Term January 1, 2009 -December 31, 2013 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, December 10, 2008. 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: 2 Females: 0 Council Announcement Date: September 23, 3008; November 3, 2008 Application Deadline: Wednesday, 5:OOp.m., December 10, 2008 Council Appointment Date: December 16, 2008 AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy -Five-Year Term January 1, 2009 -December 31, 2013 No applications as of Wednesday, 5:OOp.m., December 10, 2008 ~ Denotes applicant completed the Confidential page of the application. 9c NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS Two Vacancies- Five-Year Terms January 1, 2009 -December 31, 2013 One (1) Mechanical Professional It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the Uniform Building Code, Uniform Plumbing Code, National Electric Code, Uniform Mechanical Code, Uniform Fire Code, the Dangerous Building Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:30 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, December 10, 2008. 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. Btis~rd of Appeals Attendance Record NAME TERM EXPIRES Jan-08 Feb-08 Mar-08 NM NM Steve Buckman 12/31/2011 x Andrea French 12/31/2012 x Tim Fehr 12/31/2008 x John Roffman 12/31/2007 x Chad Campion 12/31/2008 x AI Gerard 12/31/2010 0!E Scott McDonough 12/31/2011 _ KEY X =present O =absent O/E = absent/excused NM = No meeting = not a member Board of Appeals Attendance Record May-08 Jun-OS Jul-08 Aug-08 Sep-08 X X X X X X X Oct-08 Nov-08 Dec-08 Apr-08 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: Council Announcement Date: September 23, 2008; November 3, 2008 Application Deadline: Wednesday, 5:00 p.m., December 10, 2008 Council Appointment Date: December 16, 2008 BOARD OF APPEALS Two vacancies -Five-Year Terms (1) One Mechanical Professional January 1, 2009 -December 31, 2013 Term expires for Chad Champion, Tim Fehr (Mechanical Professional) Denny Henderson ~ 3995 Roberts Ridge Rd D Denotes applicant completed the Confidential page of the application. 12/10/2008 17:52 3193374431 REMAX REAL ESTATE CE PAGE 01 Clt}/ Ot IOW1 Cl~j/ Advisory BoardlGom rn issionlCorn m ittee ,,+pplicat~on Form t ? r~ ~~..r~: ~` ,~ ,~ ~ ~` 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). Retum the . application to City Clerk, X410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A puBLtc DOCUMENT AND As suCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL gECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY IJURING THAT TIME. Advisory BoardlCommission/Committee Name Boa of Is Term Q9 to 13 Youth Advisory Commission, Age on the date of filing:0 Age 15 to 17 (or) a Age 18 to 21 Signature of parentlguardian if Age 1'; to 17: NAME Denny Henderson HOME ADt~RESS 3995 Roberts R' a Rd. ZIP ~ .~ yf~o Is your home address (fisted above) within the corporate limits of Iowa City? ~ Yes ~ No How long have you been a resident of Iowa City? 5years OCCUPATION REALTOR EMPLOYER RelMsx Real Estate Centr® PHONE NUMBER: HOME 3319-400-6914 BUSINESS .31.9-358-9888 FJCPERIENCE AND/OR ACTIV1TiES WHICH YOU FEEL QUALIFY YOU-FOR THIS POSITION: I have over 30 years in the cons#ructian business, owner of concrete company, owner of site devebpment company, and owner of commerical and residential building company. As well as half owner of an Electrical, company. -_ LJ . '~ ` ? ...9 . ~~-° %: _.,_ Misrepresentations on this application will constitute just cause for removal of an appointee. It~ou fail to answer all the questions, Council may not consider your application. General Application March 2008 Page 1 of 7 12/10/2008 17:52 3193374431 REMAX REAL ESTATE CE PAGE 02 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The appeals board is used if a party feels that they have a avid reason to du® other then what the code calls far. anither worn there day in court so of speaking. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I believe with the back ground I have, I would be able to give some insight and professional oplon. .~, _:; . . ._. (~ ,~ ._~~i w-, _.~~ _:. G ~w: ~ ay :-: ~~ POTENTIAi_ CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. ' ~ particular, if you ate applying to be a memberof a board orcommission which makes recommendations tothe ~„~y Counal about the allocation of City funds, please list any presen# 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 knowthat5ection 362.5 of the Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a po#entaal 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? 0 Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has bean Council policy not to permit an individual to serve on iwo Boards or Commissions at the same time,) Misrepresentations on this application will consti#ute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application March 2008 Page 2 of 7 12/10/2008 17:52 3193374431 REMAX REAL ESTATE CE PAGE 03 BOARD, COMMISSION ~I,ND COMMITTEES BUSINESS L~tSTING r 1 ~~.+~0~~ r~.,.~n~~1y,,,,, ~ ~,'~rrWr~i -•~.as~ CIN ot= IOWA Crrr Name of City BoarcllCommissianlCommittee Board afAapeals Date 12!10!2008 Name Denny Henderson 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 afi Section 362,5 isattached (see page 6)• List all businesses in which you or your spouseldomestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 590 or more of oorporation'sstocl~holdings). Please indicate If there are none. BUSINESS NAME BUSINESS ADDRESS Denco Proper5es LLC 3995 Roberts Ridge Rd. lows City 52240 .,., ,-, ti ~~~, ~ c~ -- ~~ _.~„ ,3 ..r' NOTE: A new form must be completed if the above information changes ar an ownership interestis acquired in an additional business. _ Applicant Signature \'°~ Signature of parentlguardian rf Age 15 17: Address 3995_ Roberts Ridge Rd. Misrepresentations on this application will constitute just cause for removal ofi an appointee. If you fail to answer all the questions, Council may not consider your application. General Application March 20D8 Page 3 of 7 "I L-"1 b-Utf 9d NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION One Vacancy -Unexpired Term Effective upon appointment, ending March 29, 2011 For a Longfellow District Representative Duties of the Historic Preservation Commission include: conducting studies for the identification and designation of Historic Districts; reviewing and acting upon all applications for Certificate of Appropriateness; cooperating with property owners and city agencies regarding remedy of dangerous conditions; furthering the efforts of historic preservation in the City by making recommendations on preservation issues, when appropriate, by encouraging the historical, architectural or cultural value, and by encouraging persons and organizations to become involved in preservation activities. This Commission meets the second Thursday of each month at 5:30 p.m and, if necessary, the fourth Thursday of each month at 5:30 p.m. Iowa City appointed members of the boards and commissions must be eligible electors of the City of Iowa City. Applications must be received by 5:00 p.m., Wednesday, December 10, 2008. 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 Historic Preservation Commission should be directed to Christina Kuecker, Associate Planner at 356-5243. 10/24/2008 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: 5 Council Announcement Date: October 21, 2008 Application Deadline: Wednesday, 5:00 p.m., December 10, 2008 Council Appointment Date: December 16, 2008 HISTORIC PRESERVATION COMMISSION One Vacancy -Unexpired Year Term, Effective Upon Appointment -March 29, 2011 (1) Longfellow District Representative Viktor Tichy resigned No applications as of Wednesday, 5:OOp.m., December 10, 2008 ~ Denotes applicant completed the Confidential page of the application. Page 1 of 1 Marian Karr From: Carl Hirschman [carl@xwires.net] Sent: Monday, December 08, 2008 11:09 AM To: Council Subject: Historic Preservation Commission Vacancy I'm applying for the Historic Preservation Commission Vacancy for the Longfellow neighborhood. I have lived in Iowa City for~over 8 years, co-own a small local business, and have experience working with the Historic Preservation Commission in the restoration of my current home. I would make a very positive contribution to the commission and the community if appointed. Please feel free to contact me with any questions you may have. Thank you, Carl Hirschman Office: 319-363-4300 ext. 5014 Cell: 515-321-3161 ®~ ~~/,l/ /~ o /~ k-~ 12/8/2008 9e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION Two Vacancies -Four-Year Terms January 1, 2009 -January 1, 2013 The duties of the members of the Parks and Recreation Commission are to recommend and review policies, rules, regulations, ordinances, and budgets relating to parks, playgrounds, recreation centers, and cultural functions of the City and make such reports to the City Council as the Commission deems in the public interest; to exercise broad responsibility for the development of parks, recreation centers, playgrounds, and cultural facilities to serve the City--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 Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, December 10, 2008. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Parks and Recreation Commission should be directed to Terry Trueblood, Parks & Recreation Director at 356-5110. Parks and Recriisaterrti Commission November 12, 2008 Page 7 of 7 PARKS AND RE`IAION COMMISSION ATTENllANCE RECORD v~~u ~nnst NAME TERM ~ ~ ~ c ~ ~ ° o ~ N EXPIRES c ~ N N ~ ~ y ;a r oo a+ David Bour eois I/1/ll O/E O/E O/E X X X X O!E X O/E X 1/1/11 X X O/E X O/E X O/E X O/E O/E X Gustavcson Margaret omer l 1/1/12 X X X X O/E O/E X O/E X X X ,o Ryan O'Leary I/1/10 X X X X X X X X X X X Matt Pacha I/I/09 X X X X O/E X X X X X X Raaz 1/1/12 X X X O/E O/E X X X X X X Phil Reisetter 1/1/09 X O/E X X X O/E O/E X X X X John Watson I/1/ll O/E O/E X X X O/E X X X O/E O/E John Westef'eld 1/Ii10 OIE X X X X X X O/E X O!E X KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting LQ = No meeting due to lack of quorum Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 6 Females: Council Announcement Date: September 23, 2008; November 3, 2008 Application Deadline: Wednesday, 5:00 p.m., December 10, 2008 Council Appointment Date: December 16, 2008 PARKS AND RECREATION COMMISSION Two Vacancies -Four-Year Terms January 1, 2009 -January 1, 2013 Term expires for Philip Reisetter, Matthew Pacha Lynne Ginsberg ~ 51 Ealing Dr Sonia Ryang ~ 103 Grove St Robert Oppliger ~ 1928 Delwood Dr Aaron Krohmer D 4848 Court St Trenton Haman D 20 Charles Dr Maggie Elliott ~ 1316 Center Ave Thomas Novak [~ 609 Manor Dr Lorin Ditzler O 811 E College St, Unit 3-5 ~ Denotes applicant completed the Confidential page of the application. City of Iowa City ~ r 1 Advisory Board/Commission/Committee ~;~~~r,~~~.~ .-application Form 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). Retum the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name ~~a~ w.~~.~~~ Term Youth Advisory Commission, Age on the date of filing:Q Age 15 to 17 (or) ~ Age 18 to 21 Signature of parent/guardian if Age 15 to 17: '' 4ME 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? ~'1~) l OCCUPATION ~ ~ .[~ PHONE NUMBER: HOME 33~~~~~1 EMPLOYER 4 BUSINESS ~~ y~3~~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ ~~~ ~~l ~ ~ ~~ ~~ ~ ~ ~ ~~~ c G~ ~ ;. ~ ~ ~~ - y.~ .. -.~ ~.;~ ~... Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application March 2008 Page 1 of 7 ZIP -aa~ Yes ~ No WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~~~~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? u'~i ~ ~Ga~~v i~ ~r ~~ yams a~ul+c h. ~~~/~, ~ ~ ~e ,~~' I~~ ~qvt~ clean k GrCG~able ~ gill re6~~~nr~ ~~l rl~I~ ~ ~m ~ u~~lv-~ , U~d w~o~d I ~ ke ~b e~ h~is~ce ~u~l ~'~N~ ~b~ k~ ~-vail5. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. particular, if you are applying to be a member of a board or commission which makes recommendations tothe amity 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 knowthat 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 ofSection 362.5 is attached (see page 6). _ -., If you are uncertain whether a potential conflict of interest exists or have questions at~ut Sec#lon 362.5 of theCode of Iowa. please contact the Citv Attornev's office at 356-5030. ~~~~ ~ = - . , - __ ~, ~,. r:... rr, '. ~~ ~~ IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~No 11 DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has been Council policy not to permit an individual to serve on two Boards or 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 March 2008 Page 2 of 7 _~ r _~ ~_,:.® BOARD, COMMISSION AND COMMITTEES ~,,"1°~~'~ BUSINESS LISTING ~_ CITY OF IOWA CITY Name of City Board/Commission/Committee ~ Date Name Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6). List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS i ~-~, ~_ ~ ~, ,~ _ - ~. • , ..._ -r ~ -.. . e--S a "'~3 a..~--3 :~'. i'\ ~ w NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional businel s. ~ \ Applicant Signature `~' l ~ i~ I Signature of parent/guardian if Age 15 to 17: Address ~ ~ ~ U ~ LVI t~ ~~11L~ 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 March 2008 Page 3 of 7 City of Iowa City _~ r _ 1 t ~"Ifr®t+>7 Advisory BoardlComm~ssion/Committee ~,;~'~~ '~ Application Form ~~-~-- 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 alt 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 electronicalty;,(PDF). Retum the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. - - Advisory Board/Commission/Committee Name Parks and Recreation Commission Term starting from 2009 Youth Advisory Commission, Age on the date of filing:0 Age 15 to 17 (or) ~~ge 18:0 21 ;~ Signature of parent/guardian if Age 15 to 17: ~-° ~; ~ ~ j ~ 1- . r,,,,~ ,,.~ _~ NP-'E Sonia Ryang ___ _ __ . HOME ADDRESS 103 Grove Street, Iowa City, IA 52246 a; G ,_.~ .~~,- '~. ZAP ~7 :~-a ~,, No Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes How long have you been a resident of Iowa City? Three Years OCCUPATION Professor PHONE NUMBER: HOME (319) 512.-4465 EMPLOYER University of Iowa __ _ __ BUSINESS (443) 622-4091 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am anthropologist by training and my past fieldwork experience in helping community organizations in diverse, international contexts will allow me to make significant contributions toward Parks and Recreation Commission of the City of Iowa City. 'isrepresentations on this application will constitute just cause for removal of an appointee. If you fail io answer all the questions, Council may not consider your application. General Application March 2008 Page 1 of 7 WHAT iS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? _ _ __ Parks and Recreation Commission of the City of Iowa City reviews plans and proposals pertaining to recreational facilities, playgrounds, and other open and closed spaces in the city in order to ensure healthy and wholesome recreational life of citizens. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? __ I am a displaced resident of Park View Terrace, which sustained substantial flood damage in June 2008. My neighbors and I face continuing challenges to ensure environmentally safe and viable,~ecovery of the neighborhood. In this process, l have been richly educated about environment, ecology, flood recovery, and viable use of open, green space, to cite only a few. My first-hand experience of battling with flood recovery, I believe, will no doubt assist the Commission to offer an informed decision-making advice to the City Council. In addition, part of my teaching expertise concerns disaster and global warming. Thus, my research interest has substantial elements that are of interest for the Council in order to fulfill its mission as a guarantor of environmentally safe and secure city. a ^; - _ `~' i~ .....; ~ ; ~, ti _;,; ;- y" iFj ~ S'~ POTENTIAL CONFLICTS OF INTEREST ~ ~ ~ °"~ Please identify any potential conflicts between membership on the advisory board and dour personal interests, including financial interests and your duties to an employer. In_.rticular, 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 general ly prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) •repisrepresentations on this application will constitute just cause for removal of an appointee. If you fail "~o answer all the questions, Council may not consider your application. General Application March 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City BoardlCommission/Committee Sonia Ryang Name PARKS AND RECREATION COMMISSION _! r ,, ~~®~,~ ~; ""'1~ .wr®~~~~ CITY OF IOWA CITY 11/24/2008 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 (fbr example, sole proprietor, partner, 5% or more of corporation'sstockholdings). please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS NONE. ~~. ~,, w ; J ..w ~~~ •• 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/guardian if Age 15 to Address 103 Grove Street, Iowa City, IA 52. gisrepresentations on this application will constitute just cause for removal of an appointee. If you fail io answer all the questions, Council may not consider your application. General Application March 2008 Page 3 of 7 City of Iowa City ~~ r 1 Advisory Board/Commission/Committee ~,,.;~~~ -.pplication Form ~t-~-- 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 RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Parks and Recreation Term 2 or 4 year Youth Advisory Commission, Age on the date of filing:Q Age 15 to 17 (or) ~ Age 18 to 21 Signature of parent/guardian if Age 15 to 17: "'AME Robert A. Oppliger HOME ADDRESS 1928 Delwood Drive Zlp 52240-5911 Is your home address (listed above) within the corporate limits of Iowa City? Q Yes ~ No How long have you been a resident of Iowa City? 31 years OCCUPATION StatisticianlScientist EMPLOYER Self-employed PHONE NUMBER: HOME 319-338-4011 BUSINESS 319-594-6835 (Cl EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: See attached page. ~ ,. l ._~ ~~~ ~ z ~ ,. - ~ _z-, ».,. ~ ~~J . ,_ , r _ ~,. wL:S !- -" !'~ ` .. -p __,, I'" 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 March 2008 ~ Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? See attached page. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYINGI? See attached page. ..~ 7 ,'~? ..Y~ L a., ~ ~ G ~~~ ` `~ `' ~ " 7 a ~ J :~ 1) ~~ POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. particular, if you are applying to be a member of a board or commission which makes recommendations tothe amity 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 knowthatSection 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 ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attomey's office at 356-5030. I have no conflict of interest. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD Oft COMMISSION? ~ 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 March 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Parks and Recreation ~~:r®~J ~~ :.111~~~~ ..ra...` CITY OF IOWA CITY Date 12/02/2008 Name Robert A. O li er 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 no business interests ,..,., ;'D L,.. _. ' "~.. ,. i ~ t ~-~ .i. P /~ .. +'7 ~- NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional busine~: ^ -a~----~ Applicant Signature ~'"/ l ~'"`~''~ ~' Signature of parent/guardian if Age 15 to Add ~ nno n..~.....,.a 11ri..e 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 March 2008 Page 3 of 7 Application for Robert Oppliger 1 of 1 Experiences and Activities Which You Feel Qualify You for This Position I have had a long standing involvement with activities supported by the Parks & Recreation Department. As a youth my father was the assistant director or our community's Pazks & Recreation Department, so I was an active participant in the many offerings. I have worked as a swimming instructor, lifeguard, Water Safety Instructor, Water Safety Instructor Trainer, and swimming coach and still swim regulazly at Mercer Park. During the 30+ years that I have lived in Iowa City, I have been an active bicyclist both recreationally and as a commuter. For the past decade, I have been a soccer referee for the Kickers program and at the age-group and high school competitive level. I have significant interest in community service. I have served on the board of directors for the Master Gazdeners and Bicyclist of Iowa City and was one of the founders of Bike to Work Week in the early 90s. I have served on the organizing committee for the Iowa City Bike Criterion and several other organized bike events. Currently, I am secretary of the Iowa City Road Race Committee which organizes the fall Run for the School Road Race and serve on the current Bike to Work Week Committee. Professionally, I have interest in promoting physical activity and fitness and have served continuously since 1992 on committees for my professional organization, the American College of Sports Medicine. What Is Your Knowledge of this Advisory Board? I'm familiar in general with the Board's role in providing general oversight and input to Parks & Recreation Department activities. Also, I followed with interest the recent development of a strategic plan and the value it might have in providing guidance as Iowa City grows. As a bicyclist, I was particulazly interested in the strategic plan's priorities for developing a trail system. I am one of the citizens who have encouraged Iowa City to regain its designation as a Bike Friendly Community. What Contributions Do You Feel You Can Make to this Advisory Board I have excellent communication skills, both verbal and written, which have served me well in civic and professional committee activities. I have good critical thinking skills and the ability to analyze and evaluate information and prioritize needs and activities. Through my professional work and travel, I have been exposed to ways that other communities provide opportunity for recreation and believe this may be of value as a board member. 3 e ,~ ~~ • '; ':! wE E .. , , .. .._ a'~ _~ Y ~~ . +'° . . ety ~:~ City of Iowa City ~ r ..m Advisory BoardlCommissionlCommittee ~~ ~'~~ w~,a°~~~ `,pplication Form -~- 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 RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. II ~7 Advisory Board/Commission/Committee Name~~+; Lis ~ ~ V~~c-c'~~.~ y~ Term _~~K "J~-D Youth Advisory Commission, Age on the date of filing:^ Age 15 to 17 (or) .Age 18..tb 21 f~ Signature of parent/guardian if Age 15 to 17: - - ~ ~ ~.~. ,. -. V~ ~~AME ~. a ~l ~_ HOME ADDRESS ~ ~ ~ b Co c,~,s--'~-'~~f-. ~J~ ~'-`-~i t ~ : ~.~-~ Is your home address (listed above) within the corporate limits of Iowa City? J l`i __~.'~. "' ~` ~ i y ZF~ ~ ~~~~ Yes ~ No How long have you been a resident of Iowa City? ~ ~ ~ i OCCUPATION `~J ~-~+-~'~~- EMPLOYER VU~ C~~a~,~~5- Ca ~ ~ ja PHONE NUMBER: HOME(3l <1 SG1 ~ -3 (-~3 BUSINESS -' EXPERIENCE AND/OR ACTIVITIES-WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ,~^ C ~,{''~ I , ~/ l~`1,:~--4'~ ~_ -'~~..1 ~ii'l,S t ll-~.. ~..~ ~ !~-~ 1 ~c.~--\l s ~L°-i:~~~~ 't~L'~.Y~._~_. Cll/l J c.:"~,~y~./2 W1~.v/~ Fi ~ `~~ ~ t ~~ S {,~ ~S , „~ ~GL.~ -~_ ,(~~.~ ~ ~~~o~ e ~'t'11~5 t~~~ pp~ c\ c -~ '~ .e G'(, G ~-v f, v1 ~ o-i_'_ ~y ~ L o /vr+'vt ~ 5 j ~ o ~'L 0.1, ~ G ~ ~'`~ C o .~.v~G r ~ - N ~ °~-`~~~ t, ~ ` l~ U ') 6 J V \~ c~~ ~ 5 ' -%'f~-yy~. ~ ~ W~-~vt ~cl-~~ GLvtd, ~L~.a"~ ~'l.. S ~--rS-vt-. t~ ~ v` a e.~s ~-w~ c~ J u ~ ~~ -t~,2 c c t-~ S ~ ~ ~ ~ e d' () ~' b c e~SS Ge, ~~ ~~ ~ ~~~-i ~ ~s1- t" ~ ~ ~~. ~~. Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application March 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~~,~.. ~, ~ct~-1-~ ttit~'e~"2~J ;, ~ ~ n.u,f-el,S ~v N,~~:~.-r~-~ '7~~..f-' ~-~ ~c /"~/r'I b~ ,'~Y~ti l,l,~ b > ti ~ ~ S ~'C~ °`~.. ~ ~L°--- C L'J c%y..f~ V ~. , ...~~ ciC~4~'i.~l..~ v~S n - --~ <~ 9 ~2 G , \ ~ ~q.Z cn,~ o~S vv ~ ~ GE, S 8-t~~-e.~~ ~ ~ i 1-~~,~ Q d~ , C'-~~J ,~Lv1,~- ~ ~f- ~~~ Pa B ~) ~~~z.s t-~- ~ 1~,.~ ~.~.. ~ I ~ ~ n,,,. ~ d~ ~t'1,~1~- CL v~ r~ i~t~ v~ ~,t. , `~ ~, °L ~~ ~ w -~ ~- lac WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~' ~1,t-~ s ~~ s ~-~~S ~~.~-~i~d,~ tlL'~'Z~ ~~.~~ Ire ~~~~`~~ ~~. ~ ~' ~' j ~ ~? ~1f ~- ~'> ,S'~-Phi"~~ , ~-_ ~.<5~ ~ c? ~v v~f ~ ~~ (} v~/l.z~(~-- ~~`.' ~~-mow ~` ~ ~~- ~~ vt,~ ~z a L, POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts .between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. particular, if you are applying to be a member of a board or commission which makes recommendations tothe amity 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 ease by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). ~.a If you are uncertain whether a potential conflict of interest exists or have questions a~o~ut Se~#ion 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. -'; Y-~ .. L'! _ is ~ ~~~ r ~: d, .. Zy ',sJ J IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~No (It has been Council policy not to permit an individual to serve on two Boards or 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 March 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee ~~-rk S ~ ~~c~G2-~'r~ ~"- Name r _,~ - _ ~ wy,®~~+~ -~a.a~ CITY OF IOWA CITY Date - ~~_~ ~ ~,~~'~~ Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memberof a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 isattached (see page 6)~ List all businesses in which you or your spouse/domestic partner, or parent if applicant is Age 15 to 17, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation'sstockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS ~. _~ ~~, .:~ ~.,~, J-G.~ -~ '~ ~~ .~, ~..~ NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional, business. Applicant Signature ~~ :~%`l~, . Signature of parent/guardian if Age 15 to 17: Address y~y~ Cc~._~-,- ~7 . ~a„~~ ~if-~, .~- ~, . S~ ~~G, 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 March 2008 Page 3 of 7 City of Iowa City ~ r 1 ~..:. ®~r Advisory Board/Commission/Committed' _ ~; -~"'~'I''~~ ,~®~~~ _ _pplication Form -~-~-- ~_f, ; ~-` ~ '. ~~1~17 OF IOWA CITY ~-.~_~ Individuals serving on Boards/Commissions/Committees play an ir~~Qrta~nfi:roie iri~dp~sing 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 RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR-ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Parks and Recreation Commission Term 4 yrs Youth Advisory Commission, Age on the date of filing:Q Age 15 to 17 (or) ~ Age 18 to 21 Signature of parent/guardian if Age 15 to 17: ^' aME Trenton Haman HOME ADDRESS 20 Charles Dr Iowa City, IA ZIP 52245 Is your home address (listed above) within the corporate limits of Iowa City? ^/ Yes ~ No How long have you been a resident of Iowa City? 3.5 yrs (consecutively) OCCUPATION Senior Personal Banker EMPLOYER MidWestOne Bank PHONE NUMBER: HOME 319-330-6446 BUSINESS 319-356-5972 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL OUALIF`f l'OU FOR THIS POSITION: * Born and raised in Eastern Iowa, including a resident of Iowa City for over 9 years (non-consecutively) * Have worked professionally in Iowa City for over 5 years * Actively involved in community and community organizations; including Junior Achievement, Iowa City Chamber ,Ambassadors, United Way 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 March 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? To my knowledge this board is to make recommendations and review all aspects of policy in regards to Iowa City parks and recreation centers. ,This board reports directly to the city council. Have discussed limited aspects of board ~ponsibilities with current member Ryan O'Leary. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? `Local knowledge of Iowa City and surrounding areas * Able to bring a young, enthusiastic energy and work ethic to board " Have both marketing/management and financial backgrounds and expertise to offer (school degree and professional experience respectively) " Have a vested interest as a developing member of the community to promote and grow the community while improving the quality of life "Able to offer a younger perspective on issues, including how to attract and/or retain young families and young professionals in the area POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. _ particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attomey's office. You should also knowthat Section 362.5 of the Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of lov>a, pfease contact the City Attorney's off ce at 356-5030. ~~ ,~., ' .,., a o r.'I` ~ ......,~ ~~ _ _ ...+n. .. t _. a- rye ~J: IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~`o-o- . DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has been Council policy not to permit an individual to serve on two Boards or 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 March 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Parks and Recreation Commission Name Trenton Haman ~.~ ~ i "m1ir. `t + rw,®~w~ -rti.a.~_ CITY OF IOWA CITY Date 12/08/2008 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 N/A -None .._, ~,-- .-, -:, ; ; _, __ ~-r; .. NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional busin Applicant Signatu Signature of parent/guardian if Age 15 to 17: ~-' Address 20 Charles Dr Iowa City, IA 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 March 2008 Page 3 of 7 City of Iowa City ~ ~ r i ..III Adviso Board/Commission/Committee ~;~ ~~~ ~ ~ ~®~~~ pplication Form -~-~-- 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 RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Parks and Recreation Commission Term 2009 Youth Advisory Commission, Age on the date of filing: Age 15 to 17 (or) ~ Age 18 to 21 Signature of parent/guardian if Age 15 to 17: n NAME Maggie Elliott _ -- _ _~. HOME ADDRESS 1316 Center Avenue, Iowa City, Iowa 52240 ZfP::~2240 ':- r~ Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes-tt,~'~';o '_~- n --- How long have you been a resident of Iowa City? 34 years OCCUPATION Executive Director EMPLOYER Iowa Ciry Hospice PHONE NUMBER: HOME 354-4413 BUSINESS 688-4212 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am an active user of the City's park and recreational facilities. I was instrumental in working with the Park and Recreation Department, Friends of Iowa River Scenic Trail (FIRST) and Project Green to develop a hospice trail site in Willowcreek Park. My relationship with the Parks Department continues on this project as Iowa City Hospice (my employer) assumes the responsibility for upkeep of the area. I recently served on a focus group for the Park and Recreation's Master Plan. 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 March 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I was asked to be a member of a focus group for the Park and Rec's Master Plan. I appreciated this opportunity and got a glimpse into the issues and opportunities of our city's parks and recreational facilities through this process. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? have been a resident of Iowa City for 30+ years and have been an active user of the city's recreational facilities throughout that time. I have an interest in Iowa City's parks and recreational facilities and believe that they are a major contributing factor to our quality of life and our ability to attract people and businesses to the area. I am interested in volunteering my time to the Parks and Recreations Division because Iowa City's parks and facilities are an integral part of my life. I am proud to live in Iowa City and one of the many reasons is the wide offering and wonderful facilities and parks our community has to offer. I would appreciate the opportuntiy to be part of maintaining, improving and expanding on our parks and recreational facilities. _~ J ~Y~ .r __,. i~ POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts betuveen membership on the advisory interests,including financial interests and your duties to an employer. • yr ~'9 -~~ r.~ boar'and -yoour 'personal '' r w ' particular, if you are applying to be a member of a board or commission which makes recommendations tothe ~,,.y Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "AffiliationH 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 ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. am the Executive Director of Iowa City Hospice and we are working with the Park and Recreation Division to create a hospice area in Waterworks Park. I would remove myself from discussions/decisions pertaining to this project. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Q Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (It has been Council policy not to permit an individual to serve on two Boards or 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 . March 2008 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Parks and Recreation Commission ~r r i ~..~.® ~ui~~ ~ ww°`°~~~ -+~.as__ CITY OF IOWR CITY Date 12/10/2008 Name Maggie Elliott 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 ._> ^..~ '~ d A ---ti __._' ._ ~.~ {:+J +~' h .. W NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an addiional b Applicant Signature // ~ ~-('~ Signature of parent/guardia i Age 15 to 17: Address 1316 Center Avenue, Iowa City, Iowa 52240 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 March 2008 .Page 3 of 7 City of Iowa City ~ r 1 ~_.:.®~ Advisory Board/Commission/Committee ~; ..lll~~,~~ ~ ~®/~ application Form ~-~-- 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 Parks and Recreation Term 2009 - 2013 Youth Advisory Commission, Age on the date of filing:^ Age 15 to 17 (or) ~ Age 18 to 21 Signature of parent/guardian if Age 15 to 17: NAME Thomas A Novak t:~ v - -- ~ ~ ~~ )ME ADDRESS 609 Manor Drive, Iowa City Zlp ;~~46 - ~~~ _ ~ .~.. Is your home address (listed above) within the corporate limits of Iowa City? 0/ Yes Nom ~'~ How long have you been a resident of Iowa City? since 1981 ~ -~ ~"' .~ ~. n;3 OCCUPATION Family Practice Physician EMPLOYER self y ~ PHONE NUMBER: HOME 319-351-0879 BUSINESS 319-643-2516 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I attended St John's University planning to major in Forestry and took courses in forestry, ecology and biological sciences before attending medical school at the University of Iowa. I am an avid gardener and have spent a considerable amount of time learning about native plantings and sustainable gardening and turf practices for this area. I have had a lifelong affinity for outdoor recreation and frequently use many of the parks and trails in the area. In the course of raising four children in Iowa City I have had the opportunity to experience activities in nearly all the recreational facilities in Iowa City. 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. ~.;neral Application March 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The Parks and Recreation Commission reports to the City Council on recommendations regarding policies, regulations and budget items for parks, playgrounds, recreational and cultural facilites. The commission also has resposibility for guiding the discussion regarding the development of new parks and facilities. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? Our home is adjacent to City Park and numerous suggestions have been made about the opportunity Iowa City has to enhance the riverfront recreational facilities and trails; I would enjoy being able to contribute to that discussion and to contribute to the recovery of our community resources following the flooding of 2008. I am active with a variety of groups that promote healthy family-centered activities and feel that this helps provide me with a knowledge of what types of improvements and additions would benefit the recreational and cultural facilities Iowa City has to offer. ~_ e .r~~ ~~~ ~-+~ Y POTENTIAL CONFLICTS OF INTEREST - ~ "~~ ~' ~` Please identify any potential conflicts between membership on the advisory board aqd~=~ou~persl o ^~ interests,including financial interests and your duties to an employer. .,~ ,~ rv :~ In particular, if you are applying to be a member of a board or commission which makes recommenda~ibns tothe ''~ty Council about the allocation of City funds, please list any present affiliations you have with agenciesthat ply 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 knowthat Section 362.5 of the Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission. from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. 'none IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~ No (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. ~.~neral Application March 2008 Page 2 of 7 _~ r ~~~~.®~ BOARD, COMMISSION AND COMMITTEES ~r-~~~'s BUSINESS LISTING ~.,,__ CITY OF IOWA CITY Name of City Board/Commission/Committee Parks and Recreation Date 12/09/2008 Name Thomas A Novak 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 ~` ,1 o• NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional busi Applicant Signature, Signature of parent/guardian if Age 15 to 17: Address 609 Manor Drive, Iowa City 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. A- ~~neral Application March 2008 Page 3 of 7 Page 1 of 1 Marian Karr From: Thomas Novak [thomas.a.novak@gmail.com] Sent: Tuesday, December 09, 2008.4:16 PM To: Council Subject: Parks and Recreation Commission Advisory Board application I am applying for a four year term on the Iowa City Parks and Recreation Advisory Board. After graduating -from high school in Cedar Rapids I attended St John's University in Collegeville, MN, planning to major in Forestry. I took courses in forestry, ecology and biological sciences before attending medical school at the University of Iowa. I have been a resident of Iowa City since 1981. I am an avid gardener and have spent a considerable amount of time learning about native plantings and sustainable gardening and turf practices for this area. I have had a lifelong affinity for outdoor recreation and frequently use many of the parks and trails in the area. In the course of raising four children in Iowa City I have had the opportunity to experience activities in nearly all the recreational facilities Iowa City has to offer. Our home is adjacent to City Park and numerous suggestions have been made about the opportunity Iowa City has to enhance the riverfront recreational facilities and trails; I would enjoy being able to contribute to that discussion and to contribute to the recovery of our community resources following the flooding of 2008. I am active with a variety of groups that promote healthy family-centered activities and feel that this helps provide me with a knowledge of what types of improvements and additions would benefit the recreational and cultural facilities Iowa City has to offer. Please feel free to contact me if you have any further questions. Sincerely, Tom Novak 609 Manor Drive 351-0879 12/9/2008 City of Iowa City r _,'- _ ~ Advisory Board/Commission/Committee .~~,,~~~ 'application Form "~-"-- 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 Parks and Recreation Commission Term January 2009 Youth Advisory Commission, Age on the date of filing:^ Age 15 to 17 (or) ~ Age 18 to 21 a Signature of parent/guardian if Age 15 to 17: --~ ~~ NAME Lorin Ditzler TOME ADDRESS 811 E College Street, Unit 3-5 c. ~_ Y~ ~~' r~! 240 ~.~ ZII~ ~ -~ Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes ~ ~ Chi How long have you been a resident of Iowa City? 21/2 years OCCUPATION Director of Events and Leadership Programs EMPLOYER Iowa city Area Chamber of commerce PHONE NUMBER: HOME 309-536-0381 BUSINESS 319-337-9637 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: In my position at the Iowa City Area Chamber of Commerce, I have the privilege of directing the Community Leadership Program. As program director, I have gained an in-depth knowledge of Iowa City and developed relationships with community leaders irr many areas_ These experiences allow me a more holistic perspective on a variety of community issues, including parks and recreation. 1 am pursuing an interest in city planning by taking classes in the Urban Planning department at the University of Iowa. This knowledge will enable me to make well informed decisions about Iowa City's parks and recreation. I have also had the opportunity to develop my board leadership as a member of the board of directors and .marketing chair for the Iowa Women's Foundation. Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail ~o answer all the questions, Council may not consider your application. General Application March 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The commission reviews policies and budgets and oversees development of Iowa City's parks and recreational facilities, and makes recommendations to the city council. Members are appointed to four year terms by the city ~.ouncil. I have reviewed the minutes from previous meetings to gain an understanding of the types of issues that prise in a typical meeting and the nature of the decisions made by the commission. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? d have two primary reasons for applying for this position. First, I have a great excitement for planning and development issues and am working toward a career in the urban planning field. Pursuing opportunities such as the parks and recreation board are a critical part of this long term goal, abng with building knowledge in the classroom and on the job at the Area Chamber. As a result of these experiences, I am ail the more aware that parks and recreational facilities are an invaluable part of any successful and well planned community. The board will benefit from my tremendous in#erest in the subject, in tha# I will show high commitment and will take initiative to develop expertise on relevant issues. Second, 1 am a strong believer that everyone should take ownership in their community by getting involved. Since moving here less than three years ago, 1 have taken on roles in the community as a mentor, a board member, an actor, a singer, a public speaker, a philanthropist, a volunteer, and many other roles that have helped me build a strong attachment to Iowa City. dam excited for the opportunity to take on a .new role that matches my interests so perfectly, and feel fully prepared to do so. If selec;#ed, my interactions with many areas of the community will be valuable in informin m contributions to the board. Thank ou for our consideration! 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. 1n particular, if you are applying to be a member of a board or commission which makes recommendations tothe 'ity Council about the allocation of City funds, please fist any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation" includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attomey's office. You should also knowthat Section 362.5 of the Code of Iowa generally prohibits, with certain importantexceptions, a member of a city Board or Commission from having an interest in a city contract. A copy ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. "? .~ None known. ~' , =; `_.a l c~ ,~ . i., ~ _~ ~"l ,rx,J ~_., n .J IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes ~ j [~d` ~° DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION?~ ^ lies ~ 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 March 2008 Page 2 of 7 ' --~ r ~ BOARD, COMMISSION AND COMMITTEES ~ .~ rr®~~~ BUSINESS LISTING •.-t~_ CITY OF IOWA CITY Name of City Board/Commission/Committee Parks and Recreation Commission Date 12/101200$ Name Lorin Ditzler 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 .e~ ., =' ~~ -si r _ 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/guardian if Age 15 to `C7: Address $11 E College Street, Unit 3-5 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 March 2008 Page 3 of 7 Page 1 of 1 ~',,., Marian Karr From: Julie Raaz [jnraaz@mchsi.com] Sent: Sunday, December 14, 2008 7:23 PM To: Council Subject: Parks and Rec Commissioners Esteemed Council Members. 1 believe there are a couple of open commission spats for the IC Parks/Rec Commission. I am a current member and have been for 3+ years. I enjoy the commission and greatly enjoy serving the community. Fc~r the next folks assigned, I'd like to see fihe c©mmission reflect and look like the City of IC- as amiddle aged white guy I can honestly say my `crew' is more than represented. l support the notion fc~r same more gender equity, racial diversity and please appoint someone in the 18- 2f~ year-old sector. Much study and writing has pinpointed that city `lose' people from Parks/'Rec world/activities between the ages of ~8 and 28. Let`s i ,~ ~~ help that a little bit by securing a young adult to go with us mature folks an this commission. So the trifecta is a 20-something woman of color- seriously would be a good additional to our august body. signed Your humble cammissionerl Jerry Raaz 48 Green Mtn IC lA This correspondence will become a public record. 12/15/2008 9f NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION Two Vacancies -Three-Year Terms January 1, 2009 -December 31, 2011 The duties of members of the Senior Center Commission are to: Serve in an advisory role to the City Council with regard to needs of the Senior Center. Make recommendations with regard to policies and programs at the Senior Center. Join staff and other interested persons in seeking adequate financial resources for operation of the Senior Center. Encourage full participation by senior citizens in the programs of the Senior Center. 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. Serves in an advocacy role with regard to the needs of senior citizens in Iowa City. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Senior Center Commission meets the third Tuesday of each month at 3:00 p.m. Applications must be received by 5:00 p.m., Wednesday, December 10, 2008. 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. 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 23, 2008; November 3, 2008 Application Deadline: Wednesday, 5:00 p.m., December 10, 2008 Council Appointment Date: December 16, 2008 SENIOR CENTER COMMISSION Two vacancies -Three-Year Terms January 1, 2009 -December 31, 2011 Term expires for Robert Engel, David Gould No applications as of Wednesday, 5:OOp.m., December 10, 2008 0 Denotes applicant completed the Confidential page of the application. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: YOUTH ADVISORY COMMISSION One Vacancy -Unexpired + Two-Year Term Effective upon appointment -December 31, 2010 One (1) person -Age 15 to 17 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, December 10, 2008. 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.orq. Questions about the Iowa City Youth Advisory Commission should be directed to Marian Karr, City Clerk at 356-5041. O X u u m u u zzD~~ rt ~ N N N ~ 3 rt ~ ~'=m ~ ~ x ~~ ~ c~ c N c~ a v~ ~ v r v z~ =~ ~= as' °: ~' 3 ~ < ~ n~ ~ ci ~ ~ =. 3 ~ ~ Q- N ~ ~ ~' cD ~ ~ Z ~ ~ o~, c~ ~ v ~ ~~ ~ ~c~ ~ ~. m ~ N N N N N N N m -~ w ~ w ~ w ~ w ~ w ~ w ~ w ~ X m O ~ O O O O O O '~ ~ CO CO 00 OD 00 CD CO x x x x ~ m as ~ i . )( >C >C >C N m cn z z z z z z ;'' ~ ~ ~ ~ ~ ~ ~ X X X X m m O O O X X X m m m ~ z z z z z z °' ~ ~ ~ ~ ~ ~ ~ z z z z z z y ~ ~ ~ ~ ~ ~ ~ X X m m X X o 0 Z Z Z Z Z Z O0 ~ ~ ~ ~ ~ ~ ~ p >C m X X X X X ~ X X O m c i X X X X X N ~ X O ~C X >C _ w N vz~ ~ o 0 m co 3 ~~ D ~Q °< N O. W O C~ O O ~~ ~~ O 0 c ~ _ ~ D ~, "' v ~~v~ ~ N ~ ~ m ~ d °o ~ n ~' ~m0 `'' O ~ ~ ~ vN 0 z O D Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 2 Females: 3 Council Announcement Date: September 9, 2008; October 21, 2008 Application Deadline: Wednesday, 5:00 p.m., December 10, 2008 Council Appointment Date: December 16, 2008 (Recommendations to be made by Council liaison) *** Said age requirements maybe waived by the Council due to a lack of applicants. YOUTH ADVISORY COMMISSION One Vacancy -Unexpired + Two Year Term Effective upon appointment -December 31, 2010 One (1) person -Age 15 to 17 on the date of filing (David Segar resigned) Luan Heywood [~ 1207 Tyler Ct D Denotes applicant completed the Confidential page of the application. City of Iowa City ~ r ~~. _ _ Advisory Board/Commission/Committee ~; =-"~'~~ ~~ application Form -~-~-- 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 ~u~~ ~ t~c~1~`f~©1~,~ ~i711Y1-`1SS~~o~1 Term ~g ~- f~ Youth Advisory Commission, Age on the date of filing:' Age 15 to 17 (or) ~ Age 18 to 21 Signature of parent/guardian if Age 15 to 17: S NAME t-t~-1~! r~'P''7C~~C'C~.1 HOME ADDRESS ~ ~ ®~ ~~.~Y C't- ZIP ~~~ua Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes ~ No How long have you been a resident of Iowa City? ~~~ J ~-- Z(~(1® ~U1-0 ~ OCCUPATION S~u(~~t EMPLOYER h Ia. PHONE NUMBER: HOME ~ ~% ' ~~ ~ ~~ =~~'~ BUSINESS /~ Icy, EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~,~v~-vS Fuumd-~~. iacar o~ C~I-{.t.L©.,~kh~~pc~ N,kt~r~ ~-r~,;t~ ~~vu+`cccc~, ~,r~;,,,~, 20 05 - b "~- ~vUnn'btR~ {o! ~~x.~tf, C~ ~uc~ , I.fici i~, a r~ c~~+~(.~, ~-: v/i ..r x~ , zb8 ~, - 10U1/t~ P~~ C.ti~111iryi~~Q~ ~ C~-~1~ r~.,s, ~,~0 ~ :_ V ~ ~~V~YiutiNt c-~ ~~ ~ 1-~iS~~, V ld~w~.Pi~-- - ~ , ~'.~ `' . `~ ~_x Misrepresentations on this application will constitute just cause for removal of an appointee. you fail to answer all the questions, Council may not consider your application. General Application March 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~~ C~ ~ ~ ~~`~ ~ ~ ~~~ ~~ u~av WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~~~ ~, ° ~ ~~, ~~~, ~~. .fat ~Pi an,, ~~d. .~ee1 ,~~..n~~eP~, ?.., POTENTIAL CONFLICTS OF INTEREST .- ~ Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. particular, if you are applying to be a member of a board or commission which makes recommendations tothe amity 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 ofSection 362.5 is attached (see page 6). If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~No (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 March 2008 Page 2 of 7 ~~~~®~ BOARD, COMMISSION AND COMMITTEES ~ ~~ ~~~`_~`~ BUSINESS LISTING -•.t.as,_ CITY OF IOWA CITY Name of City Board/Commission/Committee .~r~~ ~ VI ~0~~ ~~~ ~" a+~ Date /~ --~~ ~ Name L~I~ ~`~ 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). PIS acquired in an additional business. Applicant Signature Signature of parent/guardian if Age lY5 to 17: Address ~ 2 ®~- ~;~,4~ r Ct 101`y~, C~;~ w,; C ,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 March 2008 Page 3 of 7 NOTE: A new form must be completed if the above information changes or an ownership interestis