HomeMy WebLinkAboutBurr, Darlar Advisory Board/Commission Application Form
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r°i�y This application is a public document and as such can be reproduced and distributed for the
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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
If appointed to a Board/Commission, all other applications will be removed from
consideration.
NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated.
Date of Application
6/28/2022
First Name*
Darla
Last Name*
Burr
First Name ( Phonetic spelling )
Optional
Last Name ( Phonetic spelling )
Optional
Home Address*
784 Mission Point Rd
City*
Iowa City
State
IA
Zip Code*
52245
Is your home address (listed above) within the corporate limits of Iowa City?*
Yes
Contact Phone Number*
707-290-1984
Email Address*
Darlaburr20l4@gmail.com
Boards & Commissions
Select a Board or Commission you are interested in:*
Human Rights Commission
Preference on first choice
If multiple boards are being applied for.
How long have you been a resident of Iowa City?
One week
Occupation:
Transitioning teacher
Gender*
*This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity"
may be provided in the Demographics sectionof the application below.
Male
Female
Experience and/or activities which you feel qualify you for this position:
Teacher in a title 1 school for 4 years in CA with extensive experience advocating for students and their families.
Living with a chronic illness since birth and I help run several support groups, as well as an ambassador for the
Oley Foundation.
What is your present knowledge of each advisory board you are interested in?*
Human rights are a passion of mine and I would love to be a part of a commission that helps ensure human and
civil rights are not violated. To be a part of community and educational programs for human rights.
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 family ties, during their tenure or for one year thereafter.
Section 362.5 of the Code of Iowa generally 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.
Do you currently have a conflict of Interest?*
No
Do you currently serve on another Iowa City board or commission?*
No
(Optional) 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:
Age
35
Country of Origin
United States
Sexual Orientation
Female
Religion
Do you have a disability?
Ethnicity
Race
Gender identity
*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*
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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.