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HomeMy WebLinkAboutCellman, Christier Advisory Board/Commission Application Form � ' rY pp r°i�y This application is a public document and as such can be reproduced and distributed for the 25 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 10/27/2022 First Name* Christie Last Name* Cellman First Name ( Phonetic spelling ) Optional Last Name ( Phonetic spelling ) Optional Home Address* 128 Arabian Ct City* Iowa City State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3199306177 Email Address* christie-cellman@uiowa.edu 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? Iowa City Occupation: * Graduate Research Assistant and DEI Director at the Daily Iowan 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: * I am a current MSW candidate, a graduate research assistant at the Law, Health Policy, & Disability Center, the DEI Director at the Daily Iowan, and I am heavily involved in the community - giving several public speeches and rallying for the greater good. Public speeches include a voter inauguration ceremony in 2018 call hosted by the NAACP, and two public speeches regarding the overturning of roe versus wade this year - one in Iowa city and one at the capital and Des Moines. What is your present knowledge of each advisory board you are interested in?* Disseminating information to educate the public on illegal discrimination and civil rights and making recommendations to City Council. 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 Pan Religion Atheist Do you have a disability? Yes Ethnicity Race White Gender identity Non -binary *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* 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.