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HomeMy WebLinkAbout2009-01-06 Appointment14a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy -Unexpired + 5-yr Term Ending December 31, 2011 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, December 31, 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: 3 Females: 0 Council Announcement Date: June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008 Application Deadline: Wednesday, 5:OOp.m., December 31, 2008 Council Appointment Date: January 6, 2009 AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy -Unexpired + 5-yr Term Ending December 31, 2011 Carl Williams resigned Application deadline is December 31, 2008. Additional applications, if received, will be handed out at the Monday, January 5th work session. i No applications. ODenotes applicant completed the Confidential page of the application. U1-O6-U9 14b NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy -Six-yr Term January 1, 2006 -December 31, 2011 Duties of the Airport Zoning Commission are: 1. To recommend amendments to the current Iowa City Airport Zoning regulations, including the repeal thereof. 2. To recommend the adoption of new Airport Zoning regulations. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets as required. Applications must be received by 5:00 p.m., Wednesday, December 31, 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 Airport Zoning Commission should be directed to Michael Tharp, Airport Operations Specialist at 356-5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: 0 Council Announcement Date: September 20, 2005; November 1, 2005; December 13, 2005; January 23, 2006; February 28, 2006; March 21, 2006; April 18, 2006; June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008 Application Deadline: Wednesday, 5:OOp.m., December 31, 2008 Council Appointment Date: January 6, 2009 AIRPORT ZONING COMMISSION One Vacancy -Six-year Term January 1, 2006 -December 31, 2011 Term expires for Mark Anderson Application deadline is December 31, 2008. Additional applications, if received, will be handed out at the Monday, January 5`h work session. No applications. D Denotes applicant completed the Confidential page of the application. 14c 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 31, 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. 12/ 17/2008 Historic Preservation Commission Attendance Record 2008 Name Baldridge Baker Term Expires 3!29/11 3/29109 1110 -- -- X 2128 -- X 3113 -- -- X 4110 X O/E 518 O/E X 5122 X X 6112 X X 7110 X X 7/24 X X 8114 X X 8128 X O/E 9111 X X 1019 O/E X 1113 X X 11113 X OlE Brennan 3!29/08 X O/E X O/E X O/E X -- -- X -- - O/E -- -- O/E -- - X -' -- X -- -- X - -" O/E -- -- X -- -- X -- -- O/E Downing 3/29/10 1 X O/E X X X X X X O/E X X X X X X X Eubanks 3129!1 129/09 X X X X O/E O/E X X X X X X X X O/E Michaud 3 11 X X O/E X X X X X O/E X O/E X O/E X X Ponto Swaim 3/29 0 3/29/09 X O/E X O!E X O/E O!E X X X X OlE X X X Tichy 3/29/11 -- -- -- -- -- -- O/E X O/E O/E OJE O/E O/E O/E O O -- -- -- - Toomey 3129/09 X O/E X X X X X -- -- - -- -- -- -- - -- -- "- -- -- -- Trimble 3/29!10 x O/E X X X X OJE X X X O/E X X X X - -- -- -- -- X X X X X Wagner 3/29!09. -- -- -- -- - -- -- -- -- -- -- -- - -- --•- Weitzel 3129!08 OIE X X -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Key' X =Present O =Absent O/E = AbsenUExcused 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; December 16, 2008 Application Deadline: Wednesday, 5:00 p.m., December 31, 2008 Council Appointment Date: January 6, 2009 HISTORIC PRESERVATION COMMISSION One Vacancy -Unexpired Year Term, Effective Upon Appointment -March 29, 2011 (1) Longfellow District Representative Viktor Tichy resigned Application deadline is December 31, 2008. Additional applications, if received, will be handed out at the Monday, January 5th work session. Carl Hirschman D 430 Oakland Ave ~ Denotes applicant completed the Confidential page of the application. City of Iowa City ~ r 1 ~_._.®~ 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 RECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Historic Preservation Commission Term 3-29-2011 Youth Advisory Commission, Age on the date of filing:Q Age 15 to 17 (or) ~ ~e 18 ta21 k- Signature of parent/guardian if Age 15 to 17: `~' `~~ da \ME Carl Hirschman HOME ADDRESS 430 Oakland Avenue ~~ r ..' <._.~.s =- ~, w ZIF'''S2240` 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? 81/2 years OCCUPATION Business Development Manager/Co-Owner EMPLOYER Dynamic Broadband PHONE NUMBER: HOME 515-321-3161 BUSINESS 319-363-4300 ext. 5014 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: During my time in Iowa City, I have lived in 4 historic homes. My last home was honored with the historic preservation award when it was renovated. My current home is a 1920's Dutch colonial that I have extensively renovated while preserving the historical integrity. This includes re-using period windows and dorms, re-doing the plaster instead of installing drywall, installing reproduction pushbutton light switches instead of new switches, installing period cabinetry, maintaining/installing period tiling and bathroom fixtures, and maintaining the overall historical integrity of the home. I've always had a deep appreciation of classic architecture and the unreplicable character it brings to a neighborhood. I have hands-on experience doing a complete renovation of a historic home, so I can appreciate the challenges and details involved. 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 have been involved with the board through the renovation of my current home. I understand its purpose of ~couraging protection of historical, cultural, and architacturaly significant strucutres. I understand Robert's Rules of .der and the role of an individual board member. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? can bring personal experience of working through the Historic Preservation processes while restoring a home. I have first hand knowledge of doing much of the work myself and can help relay that to applicants. I understand the needs of individuals and business owners coming to the board and will work with them to address their desires in a reasonable manner that maintains the historic integrity. I'll work to encourage historic preservation while helping Iowa City to continue its development. _ -, ~~ :. _ .., _ -. _.~° x. ..- .. ~~ ~,n POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests,including financial interests and your duties to an employer. ..particular, if you are applying to be a member of a board or commission which makes recommendations tothe City Council about the allocation of City funds, please list any present affiliations you have with agenciesthat apply for funding from the City. "Affiliation° includes being a board member or employee of the agency.Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also 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. No known conflicts IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? a Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes Q 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 Historic Preservation Commission Name Carl Hirschman 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. acquired in an additional business. _ Applicant Signature Signature of parent/guardian if Age 15 to 17: Address 430 Oakland Avenue ~, 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. ~~ r ~ ~_.:.® „~ ~! ~m~~ ~ wir®~~~ -•t.~ CITY OF IOWA CITY Date 12/08/2008 General Application March 2008 Page 3 of 7 NOTE: A new form must be completed if the above information changes or an ownership interestis 14d 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: 5 Females: 3 Council Announcement Date: November 18, 2008 Application Deadline: Wednesday, 5:00 p.m., December 31, 2008 Council Appointment Date: January 6, 2009 PARKS AND RECREATION COMMISSION One Vacancy -Unexpired Term Effective upon appointment -January 1, 2011 John Watson resigned Application deadline is December 31, 2008. Additional applications, if received, will be handed out at the Monday, January 5th work session. Lynne Ginsberg D 51 Ealing Dr Sonia Ryang ~ 103 Grove St Robert Oppliger ~ 1928 Delwood Dr Aaron Krohmer ~ 4848 Court St Trenton Haman [~ 20 Charles Dr Thomas Novak D 609 Manor Dr ~ Denotes applicant completed the Confidential page of the application. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION One Vacancy -Unexpired Term Effective upon appointment -January 1, 2011 The duties of the members of the Parks and Recreation Commission are to recommend and review policies, rules, regulations, ordinances, and budgets 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 31, 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 Recreation Commission November 12, 2008 Page 7 of 7 PARKS AND RECREATION COMMISSION ATTENllANCE RECORD v>~ ~ n ~nnst . ~. NAME TERM N ~ ''~ `O N ° ~ ~ ~ EXPIRES ~ N ~ ~ ~ ~ r ono a~ David Bour eois 1/1/11 O/E O/E O/E X X X ~( O!E X O/E X Gustaveson 1/]/11 X X O/E X O/E X O/E X O/E O/E X Margaret omer L 1/1/12 X X X X O/E O/E X O!E X X X o OyLear I/1/10 X X X X X X X X X X X Matt Pacha 1/1/09 X X X X O/E X X X X X X Jerry 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/1/11 O/E O/E X X X O/E X X X O/E O/E John Wcstef'eld I/1/10 O/E 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 City of Iowa City ~ r i ~_.=.®~r Advisory Board/Commission/Committee ~' ="'~'~~ ,~®~•~ ,•pplication Form -n-~-- 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,~ 'u r~ --~.r~~ ~i'I 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: "`qME HOME ADDRESS ZIP aa~ Is your home address (listed above) w~thin the corporate limits of Iowa City? ~ Yes ~ No How long have you b~e(e1n a resident of Iowa City? OCCUPATION (~ ~ C~ EMPLOYER ' 4 PHONE NUMBER: HOME ~~ '~D. ~DU~ BUSINESS c~J~ ~~~~ Fxp~RiFNrF oNninR ACTiviTIFS WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: . .~' ._~ Q ~ ~ 'v _~; ~a 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? ~~w~. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~'~~ ~ ~tio-l~e~ ~r -~L ya~~~ c~dul+ch~ ~~~r~, ~ ~ ~ ~~ i<~ ~a~~ clean ~ use ~ ~lI rebr~~nce ~vr~r~~ ~~m ~ u~ulV-e~,U~~ wa0~d )~Ke `~ ~~d~r~ce ~u~1~~~~~b~ke ~a~15. 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 ak4~ut Secon 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. ° ~ ~-' „_ w,. .. _ ,.~ ~ .g., ....., ~ ~r 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 1 r i ~l~.®~~ BOARD, COMMISSION AND COMMITTEES ~,,`1°~~~ QUSINESS LISTING ...~.,~_ CITY OF IOWA CITY Name of City `~ ) Board/Commission/Committee I~/1`~1~ '~• ~(nL 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 'r~ c~ - ~. ~ ..,. ~,., _ .<~ l/ A _,.~.. i L ~~ - r ~ .'C.7 ;i S^~ .~ °y' .'`` NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional business. p „ Applicant Signature ) ~ %I Signature of parent/guardian if Age 15 to 17: Address ~ ( ~ U ~ - ~ (~ Vi~('I C ~~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer atl the questions, Council may not consider your application. General Application March 2008 Page 3 of 7 City of Iowa City ~ ~~®~ Advisory Board/Commission/Committee #~ -~"'~'''~~ A implication 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 nex# forma) Council meeting. Appointees serve as unpaid volunteers. This form may be filled out manually (please use a black ink pen), typewritten, or electronicall~,.(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 starting from 2009 Youth Advisory Commission, Age on the date of filing: Age 15 to 17 (or) ~~4ge 180 21 ;~: r? i Signature of parent/guardian if Age 15 to 17: • ° - -~ ~ ° 1 -;-~ w ~ - ~, ,~.. NP".'E Sonia Ryang HOME ADDRESS 103 Grove Street, Iowa City, IA 52246 '_i~ U ~ 4j `~.. ZAP ~~ :~ -3. ~~ 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? Professor Three Years OCCUPATION EMPLOYER University of Iowa _ _ _ ____. PHONE NUMBER: HOME (319) 512-4465 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 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? . ... ......... _ ........ 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 THlS 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 1 face continuing challenges to ensure environmentally safe and viable~ecovery of the neighborhood. In this process, I 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 f~+lfill its `-_ mission as a guarantor of environmentally safe and secure city. y ~ ~,.~.~ .. ; 1,,~ _. i:i POTENTIAL CONFLICTS OF INTEREST ~ ~ ,o "'p`'' 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.) 1isrepresentations 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 BoardlCommission/Committee Sonia Ryang Name PARKS AND RECREATION COMMISSION ~ r ~~:.®~z~ wr~~~~ -~e.as._ 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 {for example, sole proprietor, partner, 5% or more of corporation'sstoclcholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS NoN~ 6,~. __ c.~ ,~ ~~ ~,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; '~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 3 of 7 City of Iowa City ~ r i .,:._:~ Advisory 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). Retum the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BECONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/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 Statistician/Scientist EMPLOYER self-employed PHONE NUMBER: HOME 319-338-4011 BUSINESS 319-594-6835 (C) EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: - .. See attached page. ~ '~ => „~ ~, f ~ r~ F.. ! . ~~ ~ ~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application 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 APPLYING)? See attached page. ('~ Ll .,i '.~J <.~ i /'" .y J ~"7 !. '+~ ~ C~ c_._m _ ~ ~ ~ ~ i *., %~: .. T~ 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 t;~ty 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 Attorney's office at 356-5030. 1 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 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 COMMITTE r,r,®~~~ BUSINESS LISTING -.~...~ CITY OF IOWA CITY Name of City Board/Commission/Committee Parks and Recreation Date 12/02/2008 Name Robert A Oppliger - 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. acquired in an additional busi Applicant Signature ~/ l ~"~'~ ~ Signature of parent/guardian if Age 15 to Address 1928 Delwood Drive 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 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 Parks & Recreation Department, so I was an active participant in the many offerings. Ihave worked as a swimming instructor, lifeguard, Water Safety Instructor, Water Safety Instructor Trainer, and swimming coach and still swim regularly 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. Ihave served on the board of directors for the Master Gardeners and Bicyclist of Iowa City and was one of the founders of Bike to Work Week in the early 90s. Ihave 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, Ihave 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 particularly 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. Ihave 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. .,a f') _ ~_. J l~ F u ~ U m. J .:: ~1 Y r~ •• N_ ~} ~ ~ ~~q V City of Iowa City _ ~ r 1 Advisory BoardlCommission/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 NameP~C1~~5 ~ti~ 4~~~~~1-iyc~ Term ~~'~ "~~~ Youth Advisory Commission, Age on the date of filing: Age 15 to 17 (or) .Age 18'~b 21 ~, ~ ~ Signature of parent/guardian if Age 15 to 17: ~~ ~A NAME HOME ADDRESS `1 Y i t ~ °'a°'ca `~ ! 9 1, l ~; ~+ ZI$ ~vZ~~~ Is your home address (listed above) within the corporate limits of Iowa City? Yes ~ No How long have you been a ressident of Iowa City? OCCUPATION `~J ~-~+--~'~~~ EMPLOYER V~l~ ~ia~w,os Cd ~ ~ PHONE NUMBER: HOME(3 ~ ~1 SW r' `~ l-~~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ____-.. -~ ~'e C~G~avvls ~T ~~ Covnivt~Sy;o~'~ 0..1~,~ G~~ G~:v.t'~~ ~ !v~ {~li,fLlSs ,G'a~ i ~ S ~S~~f-~ean-~. ~ ~ w~~ ~ ~-~--5~ a~ ~ ~n.J~ ~ ~. S d-ra,.~- , fi~ ~~ U ~J l ~~ ~.L P i/~ Vti ~ 'S `I-c~.'C~~v an~ cz~ T~f.L'' ~ ~ ~S ~~L~ ~"~ ~ ~~ Gt~iS:} ~~ ~~ ceL'1L Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. I General Application March 2008 Page 1 of 7 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? (~ ~,~5'p ~ 5 ~ i S `ro •~. ~ a~n,~- G v c.~...ta. ` e v~ _ c~c~.~ ~-a~.~SS '~ 9 ,C'~ lG , ~~,~Z,.e,~ o~.S ,,,,! ~ ~ cE,S ~z--~~-e.,~'~ ~ ~ f-e.,~ ~ d~ J C'E.~ .G~~.~ r-~. u~-- d-~ve ~1'e w '~ $ (1/ ~~,cc..S t-~~ ~ lcwl w.. ~ l ~ fa-cT,v ~ ~~ 't~~ ~~ ~~ rti i~-d~ v.. w ; ~ ~ °~. .f n ~ l1nP W V ~~- ~ ~i ~ o y'~t . ~" - WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING}? '` f ( (. ~ ~~ ~ ~ --e.~~ ~ ~ s e~~z-( ~.l ~.~~ - ` ~~~ ~G7 CJ~''~ ~-c/~ ~ ~_ ~ ~ ~°'-e ~tiT'' •- v l/ J ~ c. `-.S V v c~:~ ~ ~ ,(/j,'V""`~ ~~'~ 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 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 at See~ion 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. t'~ p ,! ""' ~.,.~ ~'~ .. 2~ ;.,~ 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 ~~~~ 5 ~ ~~~~"z-~'~~ ~'~- Name Y~~ ~~~,~--~~ ~ r 1 ~®~~~'~ -~c.a:__ CITY OF IOWA CITY Date Vic"„ ~ ~,Ga`~ 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 ... ::. ;:: ::~ ~~ ~-~ y .,~, .~ v, :... ~~ ~ ~~ u ~~ 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 p/,/arent/guardian if Age 15 to 17: Address "/~y~ ~~w.ra- Sy ~~N-~ ~if-~, L ~ S~ ~~~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application March 2008 Page 3 of 7 City of Iowa City ~ ~ i ~.,.:.®~ Advisory Board/Commission/Committe'~ `~~ ~; :~"'+~~'~~ ,. ,~®.~~ _ ypplication Form r _ _ -~-- ~~~ t ~ ¢ ~) ~~I~ OF IOWA CITY _i -('si\ Individuals serving on Boards/Commissions/Committees play an inApc~rtan#;roie in~~r~ing 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 THATTIME. 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: "' MME 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? Q 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 ^UALIF~' YOU FOR THIS POSITION: * Bom 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 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 Samson 362.5 of theCode of Iowa, please contact the City Attorney's office at 356-5030. ~~.,, _ ~~ a N/A ^. Y ~ , S 4 ...~ ~ ...:2 IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes ~~ _~ -~= v~ 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 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). NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional busingss. Applicant Signatu~ Signature of parent/guardian if Age 15 to 17: Address 20 Charles Dr Iowa City, IA ~~~ A ~' .:III~~~ '~,®~~~ -rti.a.__ CITY OF IOWA CITY Date 12/08/2008 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 Please indicate if there are none. City of Iowa City ~ r 1 ..m Advisory Board/Commission/Committee ~;~ ~'~~ wir 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 RECONSIDERED 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:Q Age 15 to 17 (or) ~ Age 18 to 21 Signature of parent/guardian if Age 15 to 17: NAME Thomas A Novak ., t~ ~ :. .~ f.,'~7 __ <°"7 ~ ~ )ME ADDRESS 609 Manor Drive, Iowa City ZIP ~2~46 _ °~ ,y7.,... Is your home address (listed above) within the corporate limits of Iowa City? Q Yes Nom a How long have you been a resident of Iowa City? since 1981 OCCUPATION Family Practice Physician PHONE NUMBER: HOME 319-351-0879 is rv ~ EMPLOYER self ~ 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 teaming 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. I 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. O .' ' ~ _.~~ a. -- , POTENTIAL CONFLICTS OF INTEREST - ~~ M; ~' J~~ i Please identify any potential conflicts between membership on the advisory board ar~i~'-3~ou~persl o f_. interests,including financial interests and your duties to an employer. ~ ~~ iv ~• ~ :a In particular, if you are applying to be a member of a board or commission which makes recommenda~ns 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 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 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 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Parks and Recreation Name Thomas A Novak _.~- r -~a.as._ CITY OF IOWA CITY Date 12/09/2008 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 none ~~; ~l ,.:; 3 _ ~ ..... ~ ~,;, ~ _.. or NOTE: A new form must be completed if the above information changes or an ownership interestis acquired in an additional busine~. ~~ _ , Applicant Signatu ~- 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. ~~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 3 51-0879 12/9/2008 Page 1 of 1 ~e , Kellie Tuttle From: Tim Hennes Sent: Monday, January 05, 2009 11:40 AM To: Sue Dulek; Kellie Tuttle; Marian Karr Cc: Tim Hennes Subject: FW: Board of Appeals Resignation FYI From: Denny Henderson [mailto:denny@dennyhenderson.com] Sent: Monday, January 05, 2009 11:35 AM To: Tim Hennes Subject: re: Board of Appeals Resignation Tim, Please let this be my letter of resignation as a member of the Board of Appeals for the City of Iowa- City. Due to me not living in the corporate limits of Iowa City I do not qualify for this postition. Thank you Denny Henderson. REALTOR Re/Max Real Estate Centre 1079 Hwy 1 West Iowa City, Iowa 52246 Cell 319-400-6914 Fax. 31.9-338-2407 Licensed to sell Real Estate in the state of Iowa.