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HomeMy WebLinkAbout2024-05-07 Appointment Item Number: 11.a. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT May 7, 2024 Ad Hoc Truth & Reconciliation Commission - One vacancy to fill an unexpired term, upon appointment - December 31 , 2024. (Marie Krebs resigned) Attachments: Vacancy Notice Board Demographics Attendance Sheet Application Coversheet Campbell-Martin, Selena - Application Garza, Lucerza - Application Mohamed, Lubna - Application Palmer, Zach - Application Rossi, Kayla - Application NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: AD HOC TRUTH AND RECONCILIATION COMMISSION One Vacancy—Unexpired Term Term: Upon appointment—December 31, 2024 • The City Council has established the Truth and Reconciliation Commission (TRC) to bear witness to the truth of racial injustice in Iowa City and to carry out restorative justice, through the collection of testimony and public hearings, with such work to include a recommendation to the Council of a plan for dedicating and/or renaming public spaces and/or rights of way in honor of the Black Lives Matter movement; The charges of the TRC are as follows: A. Fact-Finding The TRC shall collect evidence, including first-hand testimony,of discrimination and racial injustice in multiple settings and compile a complete record of racial injustices that will inform and support the fundamental institutional and policy reforms necessary to address systemic racism. B. Truth-Telling The TRC shall: 1) Provide multiple fora and creative opportunities for persons impacted and traumatized by racial injustice to share their stories of racial injustice and experience to be heard by: (a)fellow communities of color, (b) a broad cross section of the entire Iowa City community; and(c) key decision-makers in city government,the business community and the University;2) Explore ways to provide such opportunities through art, music,theater,workshops, rallies and other forms of congregation, multimedia and listening designed to reveal truths that cannot be fully expressed in traditional fora;and, 3) Create a repository for community stones expressed in multiple media(written, video, audio, art)that can be catalogued and used to educate and inform members of the community. C. Reconciliation The TRC shall: 1) Provide opportunity for and facilitate direct conversation among and between community members of color,white community members and representatives of various sectors in which people of color experience discrimination and injustice(e.g. police and protesters, landlords and tenants,students and teachers, patients and health care providers, business owners and staff);2) Create a replicable model that provides a structure for enabling these conversations throughout the city; 3) Make available opportunities for a broad cross section of the community to learn about discrimination and racial injustice in our community;and,4) Identify and recommend to the City Council institutional and policy reforms, new social practices, expectations, protocols, habits, rituals, conversations and celebrations that will move Iowa City toward a shared experience of race and difference,justice and equity and community and harmony. • The TRC shall have members who are representative of the City's BIPOC communities and organizations, including those who have direct lived experience with systemic racism, as well as experts who support those communities. To the extent possible, as determined by the City Council, the TRC shall include representation from groups such as the Iowa Freedom Riders, the Black Voices Project, the South District Neighborhood Association, the Iowa City Human Rights Commission, and the Community Police Review Board. Johnson County residency is required. Iowa City residency is preferred but not required if an applicant offers expertise or representation not available from applicants who reside in Iowa City. Members of other City boards and commissions are eligible to serve on the TRC; • The TRC will have an organizational meeting within 30 days of appointment of all its members by the City Council and will determine the frequency and conduct of its meetings. Applications must be received by 5:00 p.m., Tuesday, April 30, 2024. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the TRC appointment process should be directed to Kellie Fruehling at 356-5041. CN CN \ _E / / ) _ ! k! k ! k - \- ) - \ ƒ 0 / k , x A 0 } ) / / / / / \ : \ \ \ / / \ ) / \ ) \ \ \ \ \ \ / \ \ k 0 \ / / . � \ /� \ \ \\ } � � � \ moo 0ƒ \ \ \ ! \ \ \ \ \ \ x ) 0 ) 0 ] 0 ! / / / / 0 N b b b b rl N rl Z � a a a a a �i N d 0 H � � N P. P. P. P. P. P. P. P. M 0 �J O M W W W W W W Q W F 0 a W N W M P. P. P. P. P. d P. P. � W N A C„J i./ Q CEJ � ^��]i G� M W W W W W d W W [�:=WyJ] W `I F F F � M a d a a N d a a I.: F � x � .. N a a a a N a a N a a a N N a ¢ c .. �, s. a :. N a ¢ a N a a � ... � y � '� Py � N N N N N N N N � � O N7C a � N W M M M M M M M M M N N N N N N N N N ^�� �� �� A h t0 � �+ � W z ',°, e d ° a � � E a Board/Commission Application Cover Board/Commission: Ad Hoc Truth & Reconciliation Commission One vacancy to fill one unexpired term Upon appointment—December 31, 2024 It is hereby established, as a formal policy of the City Council of Iowa City,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 Announcement Date: 03/19/2024 Application Deadline: 04/30/2024 Council Appointment Date: 05/07/2024 Date of Non-Gender Appointment: 06/17/2024 After date above Council may appoint without regard to gender Gender Balance Requirement: 1 Female Current Gender Balance: Female: 3 Male: 4 Gender Name and Address Female Campbell-Martin, Selena 1550 Deerfield Dr North Liberty IA 52317 Female Garza, Lucerza 906 Benton Dr Apt 31 Iowa City IA 52246 Female Mohamed, Lubna 1905 Gleason Ave Iowa City IA 52240 Male Palmer, Zach 2111 Palmer Circle Iowa City IA 52240 Female Rossi, Kayla 2631 Lakeside Dr Apt 11 Iowa City IA 52240 Advisory Board/Commission Application Form Submit Date: Jun 27, 2023 This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile • NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. • Date of Application (Date will be captured on form submission) Selena E Campbell-martin First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 1550 Deerfield Dr. _ Home Address Suite or Apt North Liberty _ IA 52317 City State Postal Cade Is your home address (listed above) within the corporate limits of Iowa City? e Yes r No How long have you been a resident of Iowa City? 3 Home: (708) 310-0218 Primary Phone Alternate Phone helphopeandlovefoundation@gmail.com Email Address Entrepreneur Occupation Gender (*This question is mandatory 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 section of the application below.) * W Female Boards & Commissions Selena E Campbell-martin Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) TRC Interests & Experiences Experience and/or activities which you feel qualify you for this position: Community Leader & Humanitarian What is your present knowledge of each advisory board you are interested in? I have attended a number of meetings for the TRC. I am familiar and aware of the primary functions and goals related to the TRC. Potential Conflicts of Interest 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. 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. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. 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. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. Selena E Campbell-martin List your answers here: My Personal Nonprofit Help Hope and Love Foundation Founder, President & CEO 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 serve on another Iowa City board or commission? r Yes c 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 51 Country of Origin u5 Sexual Orientation Heterosexual Religion Christian Do you have a disability No Ethnicity African American Selena E Campbell-martin Race Black 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) 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. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. r I Agree Selena E Campbell-martin Advisory Board/Commission Application Form Submit Date: Feb 28, 2024 This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile • NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. • Date of Application (Date will be captured on form submission) Lucerza Garza First Name Middle Last Name Initial First Name (Phonetic spelling) 3193810373 Last Name (Phonetic spelling) Garza 906 Benton Drive 31 Home Address Suite or Apt Iowa City IA 52246 City State Postal Cade Is your home address (listed above) within the corporate limits of Iowa City? o Yes o No How long have you been a resident of Iowa City? 7 years Mobile: (319) 381-0373 Primary Phone Alternate Phone lucerzagarza@gmail.com Email Address Administrative Assistant Occupation Gender (*This question is mandatory 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 section of the application below.) * C Female Lucerza Garza Boards & Commissions Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: former Iowa Freedom Rider, volunteer for The Sankofa Outreach Connection What is your present knowledge of each advisory board you are interested in? Ad Hoc Truth & Reconciliation Commission stands for truth, justice, and equity for Black people who have experienced/suffered unwarranted acts within the community. Ad Hoc Truth & Reconciliation Commission strives to bring change that acquires peace, accountability, and a solution. Potential Conflicts of Interest 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. 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. Lucerza Garza Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. 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. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: N/A Res. #22-78 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 serve on another Iowa City board or commission? r Yes r 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 Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Lucerza Garza 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) 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. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. [;F I Agree Lucerza Garza Advisory Board/Commission Application Form Submit Date: Oct 24, 2023 This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile • NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. • Date of Application (Date will be captured on form submission) Lubna S Mohamed First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 1905 Gleason Ave Home Address Suite or Apt Iowa city _ IA 52240 City State Postal Cade Is your home address (listed above) within the corporate limits of Iowa City? O Yes r No How long have you been a resident of Iowa City? 10 years Mobile: (319) 330-1421 Home: (319) 333-1613 Primary Phone Alternate Phone mohamed.lubna@iowacityschools.org Email Address Para substitute - Arabic interpreter Occupation Gender (*This question is mandatory 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 section of the application below.) * [;F Female Boards & Commissions Lubna S Mohamed Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I'm from Sudan and we have a lot of people from Sudan in Iowa city, Coraville and north liberty, I deal with issues and also I'm a member at the NAACP, I usually work closely with Mr Sanders and reported to him the issues and discrimination issues in my community. What is your present knowledge of each advisory board you are interested in? As a member of NAACP i have an experience about the discrimination in housing, educations and different area addition to my Sudanese community racial discrimination issues. Potential Conflicts of Interest 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. 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. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. 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. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. Lubna S Mohamed List your answers here: None Res. #22-78 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 serve on another Iowa City board or commission? r Yes c 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 Country of Origin Sexual Orientation Religion Do you have a disability Ethnicity Race Gender Identity Lubna S Mohamed *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) 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. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. r I Agree Lubna S Mohamed Advisory Board/Commission Application Form Submit Date: Mar 29, 2024 This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile • NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. • Date of Application (Date will be captured on form submission) Zach Palmer First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 2111 Palmer Circle _ Home Address Suite or Apt Iowa City _ IA 52240 City State Postal Cade Is your home address (listed above) within the corporate limits of Iowa City? e Yes r No How long have you been a resident of Iowa City? 3.5 years Home: (319) 512-3820 Primary Phone Alternate Phone zachpalmerl2@gmail.com Email Address Reentry Case Manager; Community Oraanizer Occupation Gender (*This question is mandatory 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 section of the application below.) W Male Boards & Commissions Zach Palmer Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: 2023 Dream.Org Justice Cohort Alum, Founder/Director of Coalition to Abolish Prison Slavery at Iowa, Formerly incarcerated citizen, Child of incarcerated parent, AA Graduate, Peer Support/Recovery Specialist, Former volunteer mentor to children of incarcerated parents, Case Manager assisting returning citizens, mental health advocate, presented Research at the Capitol and Iowa Human Rights Conference, Active community organizer for criminal legal reform, former committee member for Change U-Iowa English What is your present knowledge of each advisory board you are interested in? It was started after the Black Lives Matter movement in 2020 with support from Janice Weiner and Laura Bergus. The TRC was created to look at racial justice and have conversations focused on healing and trauma-informed perspectives for restorative justice. Potential Conflicts of Interest 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. 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. Zach Palmer Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. 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. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: Housing Case Manager at Inside Out Reentry Res. #22-78 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 serve on another Iowa City board or commission? r Yes r 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 29 Country of Origin United States Sexual Orientation Straight Religion Christian Zach Palmer Do you have a disability Yes Ethnicity 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) 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. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. ❑p I Agree Zach Palmer Advisory Board/Commission Application Form Submit Date: Apr 25, 2024 This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. If appointed to a Board/Commission, all other applications will be removed from consideration. Profile • NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. • Date of Application (Date will be captured on form submission) Kayla F Rossi First Name Middle Last Name Initial First Name (Phonetic spelling) Kae-luh Last Name (Phonetic spelling) Ross-ee 2631 lakeside drive apartment 11 Home Address Suite or Apt Iowa city IA 52240 City State Postal Cade Is your home address (listed above) within the corporate limits of Iowa City? o Yes o No How long have you been a resident of Iowa City? since 2019 Home: (224) 538-8167 Primary Phone Alternate Phone kfrossi@comcast.net Email Address trans cranial magnetic stimulation patient advocate Occupation Gender (*This question is mandatory 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 section of the application below.) * C Female Kayla F Rossi Boards & Commissions Which Boards would you like to apply for? Ad Hoc Truth and Reconciliation Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Experience and/or activities which you feel qualify you for this position: I graduated with a bachelors of psychology from the university of Iowa in 2022 after completing undergrad during a global pandemic. I then went on to be a certified brain injury specialist that rehabilitated those who have sustained traumatic or acquired brain injuries. I then transitioned to intensive psychiatric rehabilitation in rural Iowa where I provided mental health support and resource acquisition to underserved communities. I am now working as a trans cranial magnetic stimulation specialist for a mental health company in Iowa City, where I treat patients with treatment-resistance depression or OCD. I am getting my masters of Social Work through the University of Denver Graduate School of Social Work. I have years of experience volunteering with underserved populations and providing advocacy as well as support to those in need which feel has made me a great candidate. I continuously ask myself how I can give back to a community that has done so much for me and actively work towards making Iowa City a better place by supporting those in need, increasing awareness about services available for those in need, and helping others who do not have access to resources. As a social work student I feel that my fight against injustice starts small and that means being apart of boards and commissions to help create a better, just world for the youth who will live in it not so long from now. My experience in social work has opened my eyes to the importance of macro level social work and the need for social workers to be social justice advocates as well as a resource for our clients. Overall. I hope my small contributions can allow me to leave this world in a better place than I found it. What is your present knowledge of each advisory board you are interested in? Ad Hoc Truth Commission: I believe I am a good candidate for this commission as my work as a social worker student has provided me with a wealth of knowledge to fight racial injustice as well as be solution focused in figuring out ways to solve these problems so that everyone can benefit. I believe my drive to uplift others voices and fight for injustice can be a great asset to this board. As stated in my experiences, I have identified my passion for social change as well as the importance for macro level social work. I believe that being able to give back to my community and advocate for others will also assist me in being a great social worker. Potential Conflicts of Interest 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. Kayla F Rossi 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. Most members of City Boards and Commissions are employed, and/or have a financial interest in one or more non-profit entities. 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. In order to navigate potential conflicts of interest for certain matters, please list any and all business or non-profit entities in which you have an employment or financial interest. List your answers here: Employed @ Nystrom and associates (formerly psych associates of iowa) no other financial interests in any non-profits Res. #22-78 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 serve on another Iowa City board or commission? r Yes c 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: Kayla F Rossi Age 24 Country of Origin USA Sexual Orientation female Religion spiritual Do you have a disability yes Ethnicity Race caucasian 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) 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. Kayla F Rossi Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. r I Agree Kayla F Rossi Item Number: 12.a. CITY OF OF IOWA CITY � fil COUNCIL ACTION REPORT May 7, 2024 Ad Hoc Truth & Reconciliation Commission - One vacancy to fill an unexpired term, upon appointment - December 31 , 2024 (Sikowis Nobiss Resigned) Airport Commission - One vacancy to fill a four-year term, July 1 , 2024 - June 30, 2028. (Term expires for Hellecktra Orozco) Community Police Review Board - Two vacancies to fill a four-year term, July 1, 2024 - June 30, 2028. (Terms expire for Amanda Remington & Orville Townsend Sr) Historic Preservation Commission (At-Large) - One vacancy to fill a three-year term, July 1 , 2024 - June 30, 2027. (Term expires for Margaret Beck) Historic Preservation Commission (College Green) - One vacancy to fill a three-year term, July 1 , 2024 - June 30, 2027. (Term expires for Noah Stork) Historic Preservation Commission (E. College St.) - One vacancy to fill an unexpired term plus a three-year term, upon appointment - June 30, 2027. (formerly advertised as unexpired term - Cole Eckhardt Resigned) Historic Preservation Commission (Woodlawn Ave.) - One vacancy to fill an unexpired term plus a three-year term, upon appointment - June 30, 2027. (formerly advertised as unexpired term - Kevin Larson resigned) Housing & Community Development Commission - Three vacancies to fill a three-year term, July 1 , 2024 - June 30, 2027. (Terms expires for Becci Reedus, Kaleb Beining, Karol Krotz) Applications must be received by 5 p.m., Tuesday, May 14, 2024. Airport Zoning Board of Adjustment - One vacancy to fill a five-year term, January 1, 2024 - December 31 , 2028. (Term expired for Heather Flynn) Airport Zoning Commission - One vacancy to fill a 6-year term, January 1, 2024 - December 31, 2029. (Term expired for Dennis Keitel) Historic Preservation Commission (Jefferson St.) - One vacancy to fill a three-year term, July 1 , 2022 - June 30, 2025. (formerly advertised as unexpired term — Lyndi Kiple resigned) Vacancies will remain open until filled.