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HomeMy WebLinkAbout2024-08-06 Appointment Item Number: 11.a. CITY OF IOWA CITY COUNCIL ACTION REPORT August 6, 2024 Human Rights Commission - One vacancy to fill an unexpired term plus a three-year term, upon appointment — December 31, 2027 (Sylvia Jons resigned). Attachments: Vacancy Notice Board Demographics Attendance Sheet Application Coversheet Bartenhagen, Kate - Application Dettbarn, Avery - Application Dimambu, Clinton - Application Guo, Rebecca Rong - Application Heil, Megan - Application Hirst, Donna - Application Kane, Janine - Application Medina, Isaac - Application Mohamed, Lubna - Application Schafer-van Houtte, Anya - Application Steger, Deandre - Application Tippe, Allison - Application Vogel, Eric - Application NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HUMAN RIGHTS COMMISSION One Vacancy: Unexpired Term— 12/31/24 plus a 3-year term(01/01/25-12/31/27) Upon Appointment—December 31, 2027 • Duties of the Commission include: Disseminating information to educate the public on illegal discrimination and civil rights, such as organizing and facilitating educational public forums that address one or more of the broad range of topics included within the rubric of human rights; • making recommendations to the City Council for such further legislation concerning discrimination as it may deem necessary and desirable; • cooperating within the limits of any appropriations made for its operation with other agencies or organizations both public and private whose purposes are not inconsistent with those of Title 2 of the City Code (Human Rights Ordinance) • planning programs and activities designed to eliminate racial, religious, cultural and other intergroup tensions including but not limited to sex, color, creed, disability, gender identity, sexual orientation, marital status, age, and national origin. • The Human Rights Commission meets the third Tuesday of each month at 5:30 p.m. in the Lobby Conference Room at City Hall,410 E.Washington Street. Iowa City-appointed members of boards and commissions must be at least 18 years of age and live in Iowa City. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Applications must be received by 5:00 p.m., Tuesday, July 30, 2024.An application can be completed and submitted on the City of Iowa City website at www.icqov.orq or by contacting the City Clerk's office. Questions about the Iowa City Human Rights Commission should be directed to Stefanie Bowers, Human Rights Coordinator at(319) 356-5022. C � U N L L L-O m U iwm m v v v v c c m v v m v m m v v v v m m E m w w m � C T d ry N t U C ] E W (7 C7 W Z U N _T a m 0 0 0 0 0 0 O Z lz lz lz Z z o m E E of m Z U m Z m m m m m .O X X X X x O O O L O K N W m W W W N O c7 N O � O W O c -o o a 0 -°o -10o m c - m Q v v v o rn m m >. O UOS min a OKU W U Y y E a N � Ol y V1 N M O a M M N p N W m v v E E E 1E.0 _ N C L C O N L U N y) v N L O W z12 MO I O O N OI 1. a v 0 VW C C U 6 Nm mSg m� � vm xNm Eo0 w ° `o � t �� vv c� ° ma = m> ' m `v mav � a`� ¢ a`U tANa` m o � o a c v L" L W W T N i O N pJ T O E 12 o } N T d C Y E N Q T N (O M p f N N N N N N N N N R W �Q O O O O O O O O O E W N N N N N N N N N O O � L wn in - d € E � O O H ZO M o_ a a s a a a 0 U 12 12 12 12 12 1 In € v K X X X X X E v N C C C C C j j j C 0 0 � O b O � N m L N L C L m N m Q; O N N O N N > > L O E d` O J C T Q N m � � m Z I j 0 5P WR a + § x P4 * x x x x x x x 4 x x x x x w w � \ D x 4 x x < x x x e @ a x x xx x x x = ƒ § \ \ 77 \ * aw ( 04 ; « ■ e ( ± Board/Commission Application Cover Board/Commission: Human Rights Commission One vacancy to fill an unexpired term plus a 3-year term (01/01/25-12/31/27) Upon appointment—December 31, 2027 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: 06/18/2024 Application Deadline: 07/30/2024 Council Appointment Date: 08/06/2024 Name and Address Name and Address Bartenhagen, Kate Medina, Isaac 1801 Earl Rd 44 Post Rd Iowa City IA 52246 Iowa City IA 52245 Dettbarn, Avery Mohamed, Lubna 614 S Johnson St Apt 3 1905 Gleason Ave Iowa City IA 52240 Iowa City IA 52240 Dimambu, Clinton Schafer-van Houtte,Anya 1819 Lower Muscatine Rd 903 E College St Iowa City IA 52240 Iowa City IA 52240 Guo, Rebecca Rang Steger, Deandre 1940 Plaen View Dr 100 Mayflower Hall Room 5350-1 Iowa City IA 52246 Iowa City IA 52242 Heil, Megan Tippe, Allison 406 S Gilbert St Apt 927 1105 Prairie du Chien Rd Iowa City IA 52240 1 Iowa City IA 52245 Hirst, Donna Vogel, Eric 810 N Linn St 518 N Van Buren St#5 Iowa City IA 52245 Iowa City IA 52240 Kane, Janine 2608 Catskill Ct Iowa City IA 52245 Advisory Board/Commission Application Form Submit Date: Jun 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) Kate M Bartenhagen First Name Middle Last Name Initial First Name (Phonetic spelling) Kate Last Name (Phonetic spelling) Bartenhagen 1801 Earl Rd. 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? 1 year recently, 10 years in the 80s Home: (408) 823-1882 Mobile: (408) 823-1882 Primary Phone Alternate Phone katebartmft@gmail.com Email Address Licensed marriage and family therapist 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 Kate M Bartenhagen Boards & Commissions Which Boards would you like to apply for? Human Rights 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: In my work, as a therapist, I work with diverse populations. Also, I lived in Silicon Valley/San Jose for 25 years and have been exposed to an interacted with individuals from all different backgrounds, cultures, and experiences. I have a deep appreciation for and respect of all people. What is your present knowledge of each advisory board you are interested in? It is limited; however, I am very interested and excited to learn. 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. Kate M Bartenhagen 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: 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 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 60 Country of Origin United States Sexual Orientation Heterosexual Religion Buddhist Kate M Bartenhagen Do you have a disability No Ethnicity European-American 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) 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 Kate M Bartenhagen Advisory Board/Commission Application Form Submit Date: Mar 15, 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) Avery C Dettbarn First Name Middle Last Name Initial First Name (Phonetic spelling) A-ver-ee Last Name (Phonetic spelling) Debt-barn 614 S Johnson Street Apt 3 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? 2 years Mobile: (563) 451-0173 Primary Phone Alternate Phone averydettbarn@gmail.com Email Address Server, Iowa Chop House 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 Avery C Dettbarn Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Interests & Experiences Avery C Dettbarn Experience and/or activities which you feel qualify you for this position: In my collegiate career, I have done many activities and had many experiences that qualify me to serve on Iowa City's Human Rights Commission. I am majoring in Political Science and working on a Human Rights Certificate at the University of Iowa, and these two areas of study have given me great experience and perspective about politics and human rights, including how they intersect, and how we can use politics to help promote and protect the rights of people. Specifically, my study in human rights has taught me how to identify human rights violations and how one can promote the protection of human rights in different ways. This combination of Political Science and Human Rights study allows me to have a unique perspective on how to approach the protection of human rights from a political viewpoint, which I know will be useful to me on the commission. Along with this, I am currently an At- Large Senator for the University of Iowa's Undergraduate Student Government, and I know this activity and experience qualify me for the position on the Iowa City's Human Rights Commission. As a senator for USG, I must listen to the concerns and needs of students on campus and work to either draft legislation or advocate for resolutions/legislation to help support students and ensure they are living a safe and happy life on campus. This experience gives me the necessary skills to identify issues constituencies face and how I need to properly approach the situation to ensure I am being empathetic, while also being a strong advocate to address the issue at hand. Another activity that I feel qualifies me for this position is my role as a member and the social media coordinator for the University Democrats at Iowa. Through this organization, members strive to achieve positive social change along with expanding inclusivity and uplifting voices across campus. This membership has given me the experience to work with legislators, governmental candidates, and other organizations to uplift positive social change around campus and ensure that all communities feel welcome on campus. This includes engaging with students to ensure each of their needs are being met and that they feel their human rights are being honored and protected on campus. This position also taught me how to deal with sensitive situations especially with people coming to you with sensitive information. I have learned how to be empathetic and caring to people while also engaging in conversation to learn how to support people while keeping them safe. Some of these changes have included writing letters to legislators about certain bills to protect the rights of LGBTQ+ youth in Iowa and also partnering with cultural organizations around campus to provide safe spaces to marginalized communities on campus and hear what they want to see changed on campus, in Iowa, and around the world. Each of my experiences and activities throughout my life, and especially in College have taught me the necessary tools and skills to be a productive member of the Human Rights Commission. I have learned how to balance many priorities, ensuring I give my all in each thing I do. I have also learned communication skills between executive boards in my organizations, to general members in organizations, and engaging with students and Iowa City residents. I know I also have a strong work ethic, organization skills, and writing and research skills, but I think the quality I have that most sets me apart from my peers is my dedication and passion for advocating and protecting human rights. I am passionate about helping every Iowa City resident feel safe in Iowa City, which begins with ensuring their rights as humans are being protected. Recommending legislation to protect Iowa City's residents' human rights is also something I am very passionate about as I have learned through my studies how legislation can impact human rights. I also really enjoy and am passionate about planning activities such as the safe space on campus for students, and I know this would help me plan Iowa City activities to promote the rights of individuals and eliminate racial, religious, and cultural tensions. I know my passion for human rights, along with my experience with my studies and the skills I have learned through activities gives me the necessary qualities to represent the needs of Iowa City citizens and their needs for protection of human rights on the Iowa City Human Rights Commission. Avery C Dettbarn What is your present knowledge of each advisory board you are interested in? I am currently in a class at the University of Iowa taught by Stefanie Bowers titled Governance and Human Rights, and in this, Stefanie explained Iowa City's Human Rights Commission and some of the issues the commission hears and experiences. Along with this, I have done some research online about the duties and tasks of the Commission, including reading the Human Rights Commission's website on duties and looking at Iowa City's website and the chapter on the Human Rights Commission and the duties, powers, and structure of the commission. I have a good framework of knowledge about the Human Rights Commission, and if appointed as a member of the Commission, I am passionate to learn more about the Commission! 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. List your answers here: N/A Avery C Dettbarn 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 20 Country of Origin United States Sexual Orientation Straight Religion N/A Do you have a disability No Ethnicity White Race White Avery C Dettbarn 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. W I Agree Avery C Dettbarn Advisory Board/Commission Application Form Submit Date: Nov 03, 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) Clinton M Dimambu First Name Middle Last Name Initial First Name (Phonetic spelling) CLINTON Last Name (Phonetic spelling) DIMAMBU 1819 LOWER MUSCATINE RD Home Address Suite or Apt IOWA 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? 5 Mobile: (319) 333-6490 Primary Phone Alternate Phone clintondimambul4@gmail.com Email Address Organizer _ 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.) ❑p Male Clinton M Dimambu Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in property management? o Yes o No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in nonprofit management? o Yes o No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you receive rental assistance? o Yes m No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in construction? oYes o No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in finance? oYes o No Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have Knowledge. What is your present knowledge of each advisory board you are interested in? I have Knowledge in Human Right and zoning 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. Clinton M Dimambu 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: 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 28 Clinton M Dimambu Country of Origin DR Congo Sexual Orientation Male Religion Catholic Do you have a disability no Ethnicity black Race black 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. W I Agree Clinton M Dimambu Advisory Board/Commission Application Form Submit Date: Jul 11, 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) Rebecca Rong Guo First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 1940 Plaen View Drive _ 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? e Yes r No How long have you been a resident of Iowa City? 20 Mobile: (319) 284-1734 Primary Phone Alternate Phone rongchun_guo@yahoo.com Email Address Project Director of Oncology Trial-CRO company Occupation Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Rebecca Rong Guo Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have served in the leadership committee and graduate student committee over the last 19 years. I served as a volunteer poll worker for 20 years in Johnson county. Human right and democracy are the foundation of united states of America. It is an honor and privileges' to serve. What is your present knowledge of each advisory board you are interested in? I read all the online postings of Human Rights Commission Board. There are always more to learn and I am a believer of life long learning and practitioner of what I learn. 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. List your answers here: I am not a city employee. Rebecca Rong Guo 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: Gender W Female Age 47 Country of Origin Mongolia Sexual Orientation Female Religion Open Minded Do you have a disability No Ethnicity Asia Pacific Islander Rebecca Rong Guo Race Asia Pacific Islander 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 Rebecca Rong Guo Advisory Board/Commission Application Form Submit Date: Jul 16, 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) Megan Heil First Name Middle Last Name Initial First Name (Phonetic spelling) 5635135249 Last Name (Phonetic spelling) 406 S. Gilbert Street Apartment 927 Home Address Suite or Apt Iowa City IA 52442 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? 2 years Mobile: (563) 513-5249 Primary Phone Alternate Phone heilmegan2@gmail.com Email Address Student Occupation Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Megan Heil 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: As a rising third-year student at the University of Iowa, I have been working towards degrees in Ethics & Public Policy and Social Justice, as well as an undergraduate certificate of Human Rights through the College of Law. While pursuing this education, I have volunteered as a Rex Honey intern at the University of Iowa Center for Human Rights. In this position, I transcribed YouTube videos to improve accessibility and learned about a whole host of human rights issues; I also learned about local organizations and efforts dedicated to human rights. At the University, I also helped restart the Students for Human Rights organization, now known as SHRAI. I am the current Vice President of the organization, and have helped plan advocacy initiatives and events for the previous and coming semesters. I have developed connections with faculty at the Center for Human Rights, as well as with other student organization leaders and community organizations. Outside of school, I serve with AmeriCorps at the Immigrant Welcome Network of Johnson County (IWNJC). Here, I have really honed my community outreach skills and event planning abilities. We have communicated and collaborated with numerous rights organizations, such as the Center for Worker Justice, the Housing Fellowship, and crisis services such as CommUnity. I feel greatly connected to the Johnson County community and its resources, and feel confident in my ability to educate others about these resources. I also feel confident in my ability to develop programs and events with other community organizations to improve outreach, inform the community about their rights, and promote human rights as a whole. Through both the university and IWNJC, I have improved my knowledge of state and federal legislation connected to human rights. I can interpret bills and court decisions in order to educate others and use my sociology background to determine how these laws and rulings will affect peoples' lives. I've helped others navigate the bureaucratic system, introducing them to social services, assisting in finding legal employment pathways, and applying for housing programs. I feel very passionate about educating others about their rights and ensuring they are protected in my community and globally. What is your present knowledge of each advisory board you are interested in? I know that the Human Rights Commission engages in education and outreach to inform people of their rights and to identify discrimination. I also understand that they build relationships with community organizations to develop programs and events to engage community members. 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. Megan Heil 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: 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: Gender [;F Female Megan Heil Age 20 Country of Origin United States Sexual Orientation 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) 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 Megan Heil Advisory Board/Commission Application Form Submit Date: Mar 09, 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) Donna L Hirst First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) Hirst 810 N LINN ST Home Address Suite or Apt Iowa City IA 52245 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 1970 Mobile: (319) 594-2469 Home: (319) 594-2469 Primary Phone Alternate Phone donna-hirst@uiowa.edu Email Address retired librarian 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.) * p Female Donna L Hirst Boards & Commissions Which Boards would you like to apply for? Human Rights 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 am very active in community human rights initiatives: Johnson County Interfaith Coalition (esp. Steering Committee, voting, education, healthcare, fundraising); Center for Worker Justice, League of Women Voters, 100 Grannies (environment). Congregational United Church of Christ Mission Board, Shelter House Book Sale Steering Committee. Through JCIC I work with 4 black churches (Purpose Place, New Creations International, Bethel AME, and New Life Apostolic. In my 43 years as a librarian I was active in library and university diversity initiatives. What is your present knowledge of each advisory board you are interested in? I have read the information on your website, scanned a few agendas, and attended several community events. I requested information from Mark Pries and got a lengthy note back about obligations, time commitments, and activities. 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. Donna L Hirst 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: I have no financial interests in any organizations I am affiliated with except that I regularly give donations to local 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 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 75 Country of Origin United States Sexual Orientation female Religion Christian Donna L Hirst Do you have a disability no 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) 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 Donna L Hirst Advisory Board/Commission Application Form Submit Date: Jun 26, 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) Janine Kane First Name Middle Last Name Initial First Name (Phonetic spelling) /j//uh//n//ee//n/ Last Name (Phonetic spelling) /k//ay//n/ 2608 Catskill Court Home Address Suite or Apt Iowa City IA 52245 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? 8.8 years Mobile: (563) 599-3230 Primary Phone Alternate Phone janineckane@gmail.com Email Address Retired School Psychologist _ 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 Janine Kane Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Human Rights Interests & Experiences Experience and/or activities which you feel qualify you for this position: Human Rights: Throughout my personal life, I have been invested in diversity and equity. I have seen the detriments of segregation in schools and communities, and have witnessed the lifelong benefits of inclusion of all in every setting. I have sought relationships with diverse others in order to increase understanding and use my privileges to advocate accordingly. As a school psychologist, I worked with families from all socioeconomic backgrounds and many cultures and backgrounds, and assured that their rights as student, parent, or guardian were respected and assured, breaking down barriers by establishing trust and lines of communication. I was an active member of GWAEA's Equity Advisory Committee, and upon my retirement, was asked to stay on the committee as a community representative. When teaching students at Loras College, I prioritized diversity in my daily activities on campus, including serving as a member of the Diversity Committee and by providing opportunities for students to learn about the rights of all individuals, especially those who were from underrepresented groups, received special education services, and/or were members of the LGBTQ+ community. Library: I have held a library card and found the library to be a valuable resource since I was 5 years old, in each place I have lived since my childhood. I am currently a school psychologist who will soon retire, and I have also taught in higher education as well as held other paid and volunteer positions including a volunteer adult literacy tutor. As an assistant professor at Loras College for 7 years, I led various courses in the teacher preparation program. My highest priority during these years was to help future teachers understand the importance of literacy and the need to support ALL students regardless of academic ability, socioeconomic status, gender, sexual orientation, or any other categorization that society determines. In the 14 years I have served students and families in two of Iowa's Area Education Agencies, in rural and urban areas, I have continually urged families to utilize the many beneficial services provided by their local libraries. I share my positive perspective of reading, books, and libraries with students, especially those with whom I work who have experienced difficulty learning to read; helping them understand that they are capable and can learn in multisensory ways in addition to reading print materials (as they improve their reading skills) is one of my top goals. In our current political climate, I am increasingly concerned about the limiting of access to information in all formats to the citizens of our Nation and State. Being a member of the ICPL Board of Trustees would provide me with additional opportunities to advocate for free and equitable access to information at the local level and perhaps also serve as an avenue to expand my efforts in promoting the indispensability of public libraries now and in the future. I am proud to say that my daughter, Hannah, is a former employee of ICPL and a graduate of the UI Library and Information Science program. Through her work in public libraries in Wisconsin since her graduation, I have developed knowledge of issues public libraries face, innovative programming ideas, and potential opportunities for additional services to benefit children, youth, and adults. Janine Kane What is your present knowledge of each advisory board you are interested in? Human Rights: I have attended and actively participated in events offered by the City that relate to diversity and inclusion. Through conversations that occurred at these events, I have become more aware of challenges that are present in our community regarding civil rights and discrimination, and was encouraged to apply for a position on this committee. I am greatly concerned about the current political climate in our State and Nation, as it appears that human rights are continually debated, not equitably available, and are subject to removal for certain groups. I support our State Motto: liberties are essential for all Iowa and U.S. residents, and believe rights need to not only be maintained but also to be expanded appropriately. I would appreciate the opportunity to apply my experience and knowledge to aid the City in assuring that individuals' rights are not infringed upon. Library: My understanding is that the Library Board of Trustees plans and directs policy and procedures for the Iowa City Public Library. Funding, goal-setting, and employment decisions are important functions of the Board. Members are appointed for six-year terms. If selected to serve, it is my plan to use my knowledge and experiences as I collaborate with members of the Board, library staff, and community stakeholders to positively impact the future of ICPL. 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. List your answers here: Grant Wood AEA was my employer until July 31, 2023. To the best of my knowledge, I have no financial interests in any entities that are engaged in contracts with the City of Iowa City. Janine Kane 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 63 Country of Origin United States Sexual Orientation Heterosexual Religion None Do you have a disability Yes Ethnicity White Race White Janine Kane 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. W I Agree Janine Kane Advisory Board/Commission Application Form Submit Date: Mar 19, 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) Isaac Medina First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 44 Post Rd _ Home Address Suite or Apt Iowa City _ IA 52245 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: (641) 351-9688 Primary Phone Alternate Phone isaacmedina20l4@gmail.com Email Address Attorney 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 Isaac Medina Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Library Board of Trustees Interests & Experiences Experience and/or activities which you feel qualify you for this position: I am passionate about public libraries and the service that they provide to our communities. I see myself supporting the goals of the Public Library at to make sure that they have the resources they need to reach all members of our community. I am also passionate about human rights and deal a whole lot with issues that intersect with immigrant in our communities. I am currently on my third year of working as an attorney who's primary area of practice is immigration. Being an attorney has allowed me to hone in my critical thinking skills, writing and speaking as well as attention to detail. Given these are transferable skills I am confident that I could put them to use in these boards and commissions. What is your present knowledge of each advisory board you are interested in? I have a surface level knowledge of the board and their duties and I am interested in learning more and help support our public library and or the human rights commission. 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. Isaac Medina 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: I am currently employed by Trey Sucher Law, PLC. 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 28 Country of Origin USA Sexual Orientation Heterosexual Religion Catholic Isaac Medina Do you have a disability No Ethnicity Hispanic/Latino Race N/A 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. [;F I Agree Isaac Medina Advisory Board/Commission Application Form Submit Date: Jul 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) 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 Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Lubna S Mohamed 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. List your answers here: None Lubna S Mohamed 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: Gender W Female 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: Jul 23, 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) Anya C Schafer-van Houtte First Name Middle Last Name Initial First Name (Phonetic spelling) Onya Last Name (Phonetic spelling) Schafer-Van Hootie 903 east college street 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? 13 years Mobile: (309) 738-5036 Primary Phone Alternate Phone anya.abbey@gmail.com Email Address Stat/ at home Parent Occupation Boards & Commissions Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Anya C Schafer-van Houtte 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: As parent, a member of the LGBTQIA community, and a person always striving to help dismantle the oppressive systems with in our culture I'm always wanting to show up. What is your present knowledge of each advisory board you are interested in? I'm aware of the work they do for the community 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. List your answers here: None Anya C Schafer-van Houtte 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: Gender W Female Age 57 Country of Origin United States Sexual Orientation Queer Religion Atheist Do you have a disability No Ethnicity Belgian Anya C Schafer-van Houtte 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. Please Agree with the Following Statement I certify that the information I have given on this application is complete and correct. r I Agree Anya C Schafer-van Houtte Advisory Board/Commission Application Form Submit Date: Oct 29, 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) Deandre Steger First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 100 Mayflower Hall Room 535C-1 _ Home Address Suite or Apt Iowa City _ IA 52242 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? 12 months Home: (319) 804-6477 Primary Phone Alternate Phone Osteger.deandre@gmail.com Email Address Student 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 Deandre Steger Which Boards would you like to apply for? Human Rights 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 a member of the Food Pantry, the Basic Needs at Ulowa Student Board, Diversity Council, Dean of Students Advisory Board, and the Foundationalist, and I use those different avenues of community engagement to highlight different aspects of myself. The Foundationalist is literary based, the Diversity Council highlights actively listening to communities of color and representing them, the Dean of Students Advisory Board provides a space to directly engage with University Staff, and the Food Pantry provides necessary items for the Student Population. I love all of my experiences. What is your present knowledge of each advisory board you are interested in? I like to think of the Iowa City Human Rights Commission as a collaborate effort to learn, recognize, and act against prejudice and discrimination against the factors that separate but strengthen us, like sex, color, disability, sexual orientation, marital status, age, and nationality. The Committee meets on the fourth Tuesday of every week and it's open to the public. Depending on the event, it can be held at 410 E Washington St or as needed. 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. Deandre Steger 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 19 Country of Origin United States Sexual Orientation Bisexual Religion N /A Deandre Steger Do you have a disability N /A Ethnicity African American, White Race Mixed 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. [;F I Agree Deandre Steger Advisory Board/Commission Application Form Submit Date: Nov 14, 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) Allison K Tippe First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 1105 Prairie du Chien Rd _ Home Address Suite or Apt Iowa City _ IA 52245 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? 7 years Mobile: (319) 321-4459 Primary Phone Alternate Phone a.k.tippe@gmail.com Email Address Social Worker 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 Allison K Tippe Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Human Rights Commission Interests & Experiences Experience and/or activities which you feel qualify you for this position: I have been a licensed social worker since 2009 and currently work as a victim advocate with the Domestic Violence Intervention Program in Iowa City. I have spent several years working as a reproductive rights activist, working as a doula in underserved communities. Additionally, I have What is your present knowledge of each advisory board you are interested in? Human Rights Commission educates the public on discrimination and civil rights within our community. They consider grantees and grant applications presented to the commission. Additionally, they design programs and events within the Iowa City community to help educate the public about issues of race, class, gender, sexual orientation, and national/ethnic identities. 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. Allison K Tippe 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: Domestic Violence Intervention Program - full-time employment 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 36 Country of Origin United States Sexual Orientation Bisexual Religion Agnostic Allison K Tippe 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) 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 Allison K Tippe Advisory Board/Commission Application Form Submit Date: Oct 30, 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) Eric W Vogel First Name Middle Last Name Initial First Name (Phonetic spelling) Last Name (Phonetic spelling) 518 n Van Buren _ 5 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? 4 yrs Home: (319) 936-8123 Primary Phone Alternate Phone ericvogel75@gmail.com Email Address Contractor 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.) fJ Male Boards & Commissions Eric W Vogel Which Boards would you like to apply for? Human Rights Commission Board Member Information: Eligible Preference on first choice (If multiple boards are being applied for.) Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in property management? o Yes o No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in nonprofit management? o Yes o No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you receive rental assistance? e Yes o No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in construction? o Yes o No Question applies to Housing and Community Development Commission (HCDC) Board Member Information Do you have expertise in finance? f•Yes r No Interests & Experiences Experience and/or activities which you feel qualify you for this position: Maintenance for 60 plus rental properties for 15 years What is your present knowledge of each advisory board you are interested in? Absolutely no knowledge but I am 100% sure I can take on the task and be beneficial for Iowa City 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. Eric W Vogel 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: 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 48 Eric W Vogel Country of Origin USA Sexual Orientation Male Religion Na Do you have a disability Yes Ethnicity Iowa City Race White 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. ❑p I Agree Eric W Vogel Item Number: 12.a. CITY OF IOWA CITY COUNCIL ACTION REPORT August 6, 2024 Public Art Advisory Committee (Art or Design Professional) - One vacancy to fill an unexpired term, upon appointment - December 31, 2026 (Steven Miller resigned). Correspondence included in Council Packet. Attachments: Resignation Public Art - Miller Connie McCurdy From: Steve Miller <stevem@slingshotarchitecture.com> Sent: Thursday,July 18, 2024 2:54 PM To: Connie McCurdy Subject: PAAC Resignation RISK **This email originated outside of the City of Iowa City email system. Please take extra care opening any links or attachments. ** Hi Connie, In order to begin serving on the Planning and Zoning Commission, I will be resigning from the Public Art Advisory Committee effective August 2. Thank you for your help with this! With appreciation, Steve STEVE MILLER AIA, LEED AP DIRECTOR C 319-389-7519 SLINGSHOTARCH ITECTU RECOM 103 E COLLEGE STREET#102 IOWA CITY, IA 52240 t