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HomeMy WebLinkAboutPacketr 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 8/30/2022 First Name* Ines Last Name* Beltre First Name ( Phonetic spelling ) Optional Last Name ( Phonetic spelling ) Optional Home Address* 984 Westside Drive City* Iowa City State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 787-426-1037 Email Address* beltrei@yahoo.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? around 2.5 years (6 years in Iowa) Occupation: * Employment Manager (HR) 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: * Currently part of the Diversity and Inclusion Committee for Johnson County. Also part of LULAC in Iowa City. I try to be on every activity regarding human rights, diversity and inclusion as well as keep up to date with news and changes, participate in symposiums and conferences. What is your present knowledge of each advisory board you are interested in?* it currently has 8 members, the Chair is Jason Glass. I read the minutes to keep tracking what the commission is doing for our community. 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 Dominican Republic Sexual Orientation Religion Do you have a disability? Yes Ethnicity Race Gender identity Female *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. r 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 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* r 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. r 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. r 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 8/28/2022 First Name* T.J. Last Name* Dedeaux-Norris First Name ( Phonetic spelling ) Optional Dee Dough Last Name ( Phonetic spelling ) Optional Home Address* 332 S Linn St 418 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* 8184005236 Email Address* tj-dedeaux-norris@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? 6 years Occupation: * Associate Professor/ Artist 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: * T.J. Dedeaux-Norris is a mixed -media artist who employs painting, fiber, performance, video, and music to explore the somatic impacts of racial, gender, and class socialization. In form and content, their work poses a philosophical inquiry into the distinction between Self and Other, with the body as a social microcosm of distinct yet discursive dynamics to observe and question. Everything is both permeable and fractile. Dedeaux-Norris completed their BA at University of California at Los Angeles and their MFA at Yale University. Their work has been presented internationally at the Contemporary Arts Museum Houston, Mission Creek Festival, Nasher Museum of Art, Performa, Prospect New Orleans, Rotterdam Film Festival, The Studio Museum in Harlem, Sundance Film Festival, and The Walker Art Center - among other institutions. Dedeaux- Norris has participated in residencies at Grant Wood Colony, MacDowell, Skowhegan, and Yaddo. They are a 2019-2020 Pollock -Krasner Foundation grantee, a 2022 Iowa Artist Fellow, and a tenured Associate Professor at University of Iowa. What is your present knowledge of each advisory board you are interested in?* I am newly acquainting myself with the HRC and feel that within my art practice and teaching pedagogy that I embody and already practice the ideologies and concerns of the commission. Having lived in Cedar Rapids/Iowa City for the past 6 years, I believe I've gotten great lived experience in understanding the needs and gaps of needed programming and advocacy. I'm also an eager learner. 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 43 Country of Origin Guam, USA Sexual Orientation NA Religion Do you have a disability? Ethnicity Black American Race multi raced (black/white/native/creole) Gender identity Fluid she/they pronouns *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. r 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 6/29/2022 First Name* Denise Last Name* Hagerla First Name ( Phonetic spelling ) Optional Last Name ( Phonetic spelling ) Optional Hey-girl-uh Home Address* 174 Shrader Rd City * Iowa City State IA Zip Code* 52245-4920 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 7732181287 Email Address* didihag@yahoo.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? 7 months Occupation: Clinical Social Worker 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've spent much of my 20+ years as a social worker serving marginalized populations and providing education and support to other professionals working with the LGBTQIA+ community. I am always seeking opportunity to create, live, and work in community that strives to uphold the values of diversity, equity, and inclusion. This is a big impetus for my recent move to Iowa City. What is your present knowledge of each advisory board you are interested in?* I've been watching the educational initiatives of the Human Rights Commission over the past several months and have been impressed with the level of community engagement and the breadth and scope of ways in which this committee reaches out to community for education and impact. I also have watched several hours of the committee meetings to witness the content and purpose of these meetings. 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 50 Country of Origin United States Sexual Orientation Lesbian/Queer Religion UUS Do you have a disability? No Ethnicity N/A Race White Gender identity Gender non -conforming *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. r 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 7/22/2022 First Name* Ryan Last Name* Hall First Name ( Phonetic spelling ) Optional 3192486400 Last Name ( Phonetic spelling ) Optional Home Address* 18 Kenneth Dr 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* 3158706939 Email Address* rhall@newpi.coop Boards & Commissions Select a Board or Commission you are interested in: Human Rights Commission Select a Board or Commission you are interested in:* Historic Preservation Commission (HPC) Historic Preservation Commission Category* At -Large Preference on first choice If multiple boards are being applied for. Human Rights Commission How long have you been a resident of Iowa City? 7 years Occupation: Information Technology and Data Analysis 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: * > Political Science Honors graduate of the University of Iowa with a focus in bias, protest, and political revolution. Published academically on related topics. > Grew up in a poor single parent household and became a first generation college student. Understands the struggles of navigating our educational system without any prior experience or guidance. > Familiar with boards and their functions through my work with the board at New Pioneer Food Co-op > Very passionate about Iowa City's history and it's relationship with underserved communities. > Appreciative of the inclusivity that Iowa City offers while understanding that our work has just begun What is your present knowledge of each advisory board you are interested in?* > Familiar with the functions of the committees and their relationship with Iowa City as a whole > Understands the limits of the boards as well as their importance > Good sense of board relationships and how to constructively and inclusively navigate topics and build solutions 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 33 Country of Origin United States Sexual Orientation Heterosexual Religion None Do you have a disability? No Ethnicity Race White Gender identity Cisgender *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. r 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 10/6/2022 First Name* Michael Last Name* Halley First Name ( Phonetic spelling ) Optional 641-233-0445 Last Name ( Phonetic spelling ) Optional Ha -lee Home Address* 310 Finkbine Lane City #2 State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 641-233-0445 Email Address* mhalley25@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: Account Manager at Ideal Energy, LLC 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: Served 12-years on Fairfield, Iowa city council and completed the Iowa League of Cities Certified Elected Municipal Official program, so I'm very familiar with city government. More recently I served as an unofficial advisor to the City of Fairfield Diversity, Equity, and Inclusion Committee, though I was not an official member. I've advocated for human rights during my time as an elected official and would like to expand that work here in Iowa City. What is your present knowledge of each advisory board you are interested it * I read information provided on the city's website, read the most recent meeting minutes, and watched the most recent meeting on Channel 4. 1 have a general understanding of the commission's responsibilities and activities. 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 47 Country of Origin United States Sexual Orientation Heterosexual Religion None Do you have a disability? No Ethnicity White Race White 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* mv� m f rj 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. r 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 10/4/2022 First Name* Thorn Last Name* Hawthorne First Name ( Phonetic spelling ) Optional Last Name ( Phonetic spelling ) Optional Home Address* 327 Highland Drive City * Iowa City State IA Zip Code* 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 8179805820 Email Address* hello@thornhawthorne.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? Occupation: * Communications Specialist 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: * As a communications specialist working in the next town over, I serve alongside city council and every board and commission. I've become extremely familiar with everything about the process and would really love to be able to do the same work in Iowa City since I live here. I'm transgender, disabled, and a descendant of refugees, so I'm also particularly well versed in related social justice and human rights issues. What is your present knowledge of each advisory board you are interested in?* I've been interested in and watching public meetings since I moved to Iowa City 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 26 Country of Origin America Sexual Orientation Queer Religion Do you have a disability? Yes Ethnicity Not Latino Race Middle Eastern / White Gender identity Transgender/Agender *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. r 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 11 /8/2022 First Name* Grace Last Name* Kreger First Name ( Phonetic spelling ) Optional 5157107634 Last Name ( Phonetic spelling ) Optional Home Address* 20 S. Lucas Street, Apartment D 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* 5157107634 Email Address* gkreger@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? 11 years Occupation: Program Director Assistant, Reach for Your Potential, Inc. 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 have ten years combined professional experience serving individuals with disabilities and low-income, at -risk youth (MYEP - Direct Support Professional/Program Facilitator, RFYP - Program Director Assistant, NCJC - Youth Counselor). I have extensive professional and volunteer experience working on political campaigns, most recently serving as an elected delegate in 2018 and 2020. 1 have additional formal volunteer experience with Iowa City Hospice, Iowa Youth Writing Project, and Girls on the Run. As an undergraduate student at the University of Iowa, I studied nonfiction creative writing with a focus on gender studies, social justice, trauma, and empowerment. I am passionate about advocating for and defending the rights of others. What is your present knowledge of each advisory board you are interested in?* The HRC educates the public on discrimination and civil rights via public forums, activities, and programs. The HRC also provides suggestions to City Council regarding legislation concerning discrimination. The HRC meets once a month, and members serve for three years. This is an unpaid, volunteer position. 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 31 Country of Origin United States of America Sexual Orientation Bisexual Religion Unitarian Do you have a disability? No Ethnicity Caucasian Race White Gender identity Female *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* "a 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. Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? 15 years Occupation: Pastor, retired 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: 5 years as a Human Rights Commissioner in the City of Dubuque, Iowa (1978-1983); continual training in Human Rights work as a theologian, pastor, and citizen; completing a first term with the IC Human Rights Commission during which time I have received training in implicit bias, critical race theory, E.Q. (emotional intelligence) toward understanding the necessity for D.E.I. (diversity, equity and inclusion) to enrich and hold secure life of every resident. The IC HRC has just begun a 3 year strategic plan "Breaking Bread" in which I had a contributing role and am prepared to invest all the more in the realization of this plan. I am an old (73), white, heterosexual, married, male with a passion for the human rights of every person - a willing and eager voice with time and energy to to serve. What is your present knowledge of each advisory board you are interested in?* I'm completing a first term on the IC Human Rights Commission. My attendance record is near perfect as we navigated our way thru the COVID-19 pandemic. I have led the training sessions for citizens to learn how to apply for Iowa City's annual Human Rights grants and then contributed to the ranking and awarding of these grants; I have served on the Human Rights Award committee this and last year. my relationships with Stefanie Bowers, Equity and Human Rights Director, and commissioners is positive and supportive. 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 r 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 8/29/2022 First Name* Holly Last Name* Stevenson First Name ( Phonetic spelling ) Optional 3198008421 Last Name ( Phonetic spelling ) Optional Home Address* 4430 E Court St 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* 3198008421 Email Address* hastevenson@optimaelifeservices.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? Occupation: * Director of Diversity, Equity and Inclusion 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 currently serve as the Director of Diversity, Equity and Inclusion for Optimae LifeServices. We serve over 40 of Iowa counties and I am based out of Iowa City. I have my PhD in Philosophy, focusing on social injustice, from The University of Iowa and I also have my MAs in Philosophy and Gender, Women and Sexuality Studies. I am published on issues pertaining to marginalization and intersectionality and I also offer a unique perspective being from the UX and also having an invisible disability. What is your present knowledge of each advisory board you are interested in?* At present, I am aware that this board is doing invaluable work to both spread awareness and education to all members of the community regarding their rights but also to promote social justice progress to make Iowa City a city that is advancing DEI initiatives and making them a priority. 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 27 Country of Origin United Kingdom Sexual Orientation Straight Religion N/A Do you have a disability? Yes Ethnicity Race White Gender identity Female *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. How long have you been a resident of Iowa City? 1 year Occupation: Executive Director, Immigrant Entrepreneurs Summit 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 the Executive Director for a nonprofit organization that works with immigrant and minority business owners to help educate and advocate for business success. We hold business summits in Eastern Iowa as well as in other parts of the Midwest to bring people together to support and encourage the immigrant entrepreneurial experience. Additionally, I serve as Branch Manager and Marketing Manager at Community CPA, a regional CPA firm that is an immigrant and woman -owned business, and which serves a large immigrant and minority client base. What is your present knowledge of each advisory board you are interested in?* I am interested in the Human Rights Commission. Currently, I know some of the members who were formerly part of the commission, and I know that it advocates for civil rights in Iowa City, as well as make recommendations for the city.. 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.