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HomeMy WebLinkAboutClair, Scott (1st Term 7/1/19-6/30/23) Appt. 7/2/19r ' - Advisory Board/Commission Application Form rY !t � ° It This application is a public document and as such can be reproduced and distributed for �wrl the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/6/2018 First Name Scott Last Name Clair Home Address* 7 Glendale Terrace City IOWA CITY State IA Zip Code 52/45 1. Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-400-8830 Email Address* clairscottd@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Airport Commission 2. How long have you been a resident of Iowa City?* 2003-2005, 2007 to present (13 yr total) 3. Occupation:* Business Development Mgr. 4. Gender* *This question is rrandatory in order for the City to comply with the States gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. V Male F Female 5. Experience and/or activities which you feel qualify you forth is position:* Private pilot and aircraft owner with aircraft at Iowa City airport (N65988). AOPA and EAA member. B.S. Mechanical Engineering (Illinois, 1991), and J.D. Law (Iowa, 2004). 20 years experience in new product and business development at John Deere. 6. What is your present knowledge of each advisory board you are interested in?* Limited, but willing and able to learn and contribute. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision -making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally —assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. 7. Do you currently have a conflict of Interest?* No 8. Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: 9. Age 49 10. Country of Origin USA 11. Sexual Orientation Heterosexual 12. Religion None 13. Do you have a disability? No 14. Ethnicity European 15. Race European 16. Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* 014 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Drop -down