HomeMy WebLinkAboutCarlson, Nancy (1st Term 1/1/21-12/31/25) Appt. 3/16/21^,,,f It Advisory Board/Commission/Committee Application
"� This application is a public document and as such can be reproduced and distributed for
CITY OF IOWA CITY the public. This application will be considered for twelve months only and automatically
UNEKOCirYOFIfnMTUa considered for any vacancy during that time.
NOTE: Applicants MUST reside in Iowa City and be 18 years of age unless specific qualifications are stated.
Date of Application t� IS, 109ai
Which Board or Commission(s) are you interested in ZosXy-cl o c—
Which one do you prefer?
Applicant Information:
First Name ma Last Name
Nome AddressIr�r.N-n,On Sl--
City ra c&,W+c,. C. t�.t _ State ,ig Zip Code 5 -).',X ( S
Contact phone number 5 t- 3i 3_7_ Email Address hr- in It th J-7 S @ iy,cr t, c.oYh
f. Is your home address (listed above) within the corporate limits of Iowa City? YES Y NO
2. How long have you been a resident of Iowa City?
3. Occupation: tj,C,lk'�y�,---.�•�
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4. Gender* ��rr
'This question is mandatory in order for the City to comply with the State's gender balance requirement whic' 8 2 5
treats gender as binary "Gender Identity" may be provided in the demographics section of the application. bel 1d?1
❑ Male JGwa Ctty�l°3
K Female
5. Experiences and/or activities which you feel qualify you for this position:
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D. w par is your present lcnowteage of each advisory board you are interested in?
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