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HomeMy WebLinkAbout2003-10-28 AppointmentSpouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 3 Council Announcement Date: September 9, 2003 Application Deadline: Wednesday, 5:00 p.m., October 22, 2003 Council Appointment Date: October 28, 2003 HUMAN RIGHTS COMMISSION One Vacancy - Unexpired Terms Ending January 1, 2005 Bob Peffer resigned Oliver Christian Belcher [] 636 S. Dodge St #6 Ron Mavrias [] 464 Samoa Mark Grover [] 2874 Triple Crown Ln #7 Valerie Garr [] 14 Pond View Ct [] Denotes applicant completed the Confidential page of the application. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HUMAN RIGHTS COMMISSION One Vacancy - Unexpired Term Ending January 1,2005 The duties of the members of the Human Rights Commission are to receive and to determine the merits of human rights complaints alleging unfair or discriminatory practices in the area of employment, credit, public accommodation, education, and housing. The Commission shall provide conciliation and the enforcement necessary to further the anti-discriminatory goals of the Human Rights Ordinance and to protect citizens from unfounded charges of discriminatory practices. The Iowa City Human Rights Commission has an obligation to investigate and study the existence, character, cause, and extent of discrimination in Iowa City in order to eliminate discrimination by education, conciliation, and/or enforcement. It is also the duty of the Human Rights Commission to draft revisions to the Human Rights Ordinance if necessary to eliminate prejudice, intolerance, bigotry, and discrimination. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Human Rights Commission meets once a month at 7:00 p.m. Applications must be received by 5:00 p.m., Wednesday, October 22, 2003. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at the Civic Center, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Human Rights Commission should be directed to Heather Shank, Human Rights Coordinator at 356~5022. September 10, 2003 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION FILED APPLICATION FORM ~0030CT 10 PH 3:30 CiT,' CLERK Individuals serving on Boards/Commissions play an important role in advising the C~u~o~a~e~&terest to our community and its future. Applicants must reside in Iowa City, After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal 6ounoil meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLAOK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PA6E MARKED *'CONFIDENTIAL.'" THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~"~UW~a.V~ ~-~t"~ ~Z)C'~Vi~{$$~ TERMJc'~tu ~' ~l ~ NAME ~ ~ ~ HOME ADDRESS ~U~.~.~ Is your home address (listed above) within the corporate limits of Iowa City? ~Yes ~ No How long have you been a resident of Iowa City? ~ ~ ~5 PHONE NUMBER: HOME ~l~- ~5[~G~ BUSINESS ~[~'~5'~ ~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT ~S YOUR PRESENT KNOWLEDGE OF TH~S ADWSORY BOARD? I M isrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. cletk\atlbdcomapp( 1 ),doc April 2002 NHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~-¢_~,v~ ~,~ ~'~ ~¢~ {~ ~ /,~ i~o~ ~ ~ ~ ~{~ ,, · ~ ' ~ ., - U t ' , POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that 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. A copy of Section 362.5 is attached. ,f you are unce~ain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City Attorney's office at 356-5030. IF ARE NOT SELECTEO, DO WANT TO BE NOTIFIED? NO g - DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES O (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. clerk\hrcornapp(1 ).doc Apdl 2002 (2) TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective January 31, 2002 Household 30% Median Income $0% Median 60% Median 80% Median Income Median Size (Poverty Level) Income Income (low income) Income 1 $13,600 $22,700 $27,200 $36,300 $45,400 2 15,550 25,900 31,100 41,450 51,800 3 17,500 29,150 35~000 46,650 58,300 4 19,450 32,400 38,900 51,850 64,800 5 21,000 35,000 42,000 56,000 70,000 6 22,550 37,600 45~100 60,150 75,200 7 24,1 O0 40,200 48,200 64,300 80,400 8 25,650 42~750 51,300 68,450 85,500 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. '"~L~ Age Religion Gender Disability Income (see table) Race, color or ethnic group Sexual Orientation National origin Other (Please explain below) clerk~momapp{1).doc ~ Ap~2002 Oliver Belcher 636 South Dodge Street ~C) o 1--' Apartment #6 -"~ ~ ~ Iowa City, IA 52240 ,.~)~::~~ (~ (319) 325-3555 ~. EDUCATION University of Iowa; Economics major (B.S.), Junior EMPLOYMENT Research Assistant, UI French and Italian Department: Iowa City, IA Research for materials associated with a French professor's IWendelin Guentner) book project. Proofread and revise manuscripts of the book. (August 2003 - June 2004) Deli Staff/Cashier, New Pioneer Cooperative Society: Iowa City, IA Preparing customer arders, general upkeep of the working area, handling deposits when counting down cashier drawer, and answering phones. (May 2002 - March 2003) Cashier/Staff, The Main Squeeze Juice Bar: Grinnell, IA Made smoothie and specialty drinks in unique small town environment, trusted by owner to close stare alone, cleaned customer and employee areas. (August 2001 - December 2001} REFERENCES Steven Kanner, City Councilor, (319) 338-8865 Shelton Stromquist, History Department, Professor (319) 337-5463 Reza Asian, Religion Department, Visiting Professor (805) 698-9122 OTHER EXPERIENCE & INTERESTS Human Rights Charter Cornmiffee, University of Iowa: research inquiries and propose solutions on local human rights issues, mostly regarding the University of Iowa. (September 2003 - May 2004) DJ/Commentator ICDIC, Grinnell College Radio: research local, national, and international issues and relate to the public; play specific: music format. (August 2001- December 2001) Poweshiek County Green Party, Chairman: registered voters for the Green Party, set up "green" events, and coordinated sponsorship for local activities in Poweshiek County, Iowa. (February 2001 - December 2001) PUBLICATIONS "Bitter Coffee Market Realities" Fellowship Vol. 69, Issue 5 (July/Aug. 2003). CITY OF IOWA CITY ADVISORY BOARD/COMMISSION A, PPLICATION FORM Individuals serVing on Boards/Commissions play an important mia in advising the Council on matters of interest to our community and its futura. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications dudng the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. [ ^DV,SORY BOARD/COMMiSSiON NAME~.~. ~ ~.~ NAME~/~ ~ /~.,~,r//~/,~r_~ HOME ADDRESS ~'$/-/:.~z,, ~--~ ~. __'-t-I Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes --o How long have you been a resi'dent of Iowa City?. ~'2 ~,~3.- OCCUPATION ,'~,~.r'~.~.,~ ~,~ EMPLOYER ~//~'~" I- ,.)NE NUMBER: Hor,;1E ,.~j~'";~',~? BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ WHA~,~ YO~. ~.~S~N~ KNOW~ O~.H,S A~V,SO.Y ~OA.~ ~ ~~ ~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. cclerk\bdcomapp( 1).doc April 2002 W'qAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identi~ any potential ~nflicts be~een membership on the adviso~ board and your personal interests, including financial interests and your duties to an employer. In pa~icular, if you are applying to be a member of a board or ~mmission which makes re~mmendations to the Ci~ Council about the allo~tion of Ci~ funds, please list any present a~liations you have with agencies that apply for funding from the City. "A~liation" includes being a board member or employee of the agency. Other types of a~liations must be examined on a case by case basis by the City A~orney's o~ce. You should also know that Section 362.5 of the Code of Iowa generally prohibit, with ~ain impodant exceptions, a member of a ci~ Board or Commission from having an interest in a ci~ ~ntract. A ~py of Section 362.5 is attached. ~ ~u are unce~ain whether a potential ~nflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please conta~ the City A~orney's o~ce at 356-5030. ~ ~ / / ~ ~ ~ 0~ ~ ~ , -- IF YOU ARE NOT SELECTED. DO YOU WANT TO BE NOTIFIED? ,X' YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES .X NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) If you fail to answer all the questions, Council will not consider your application. cclerk\bdcornapp(l ).doc April 2002 (2) TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective January 31, 2002 Household 30% Median Income 50% Median 60% Median 80% Median Income Median Size (Poverty Level) Income Income (low income) Income ! $13,600 $22,700 $27,200 $36,300 $45,400 2 15,550 25,900 31, ! 00 41,450 51,800 3 17,500 29,150 35,000 46,650 58,300 4 19,450 32,400 38,900 51,850 64,800 5 21,000 35,000 42,000 56,000 70,000 6 22,550 37,600 45,100 60,150 75,200 7 24,100 40,200 48,200 64,300 80,400 8 25,650 42,750 51,300 68,450 85,500 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city sa-ives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION ]FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. Age ~ Religion Gender ~ Disability Income (see table) ~ Race, color or ethnic group 8exual Orientation . National origin Other (Please explain below) Human Rights Attachment.doc April 2002 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION .APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a Vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid ~olunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME /LJ'~P,4,~ ~,'~'/~_,' ~,r~,,~,'c£,'~, TERM NAME //V~.~.~J~ ~VE~ HOME ADDRESS ~'~'/'~~'~ /"~'~D/~ Croud~ I Is your home address (listed above) within the corporate limits of Iowa City? ~,Yes No How long have you been a resident of Iowa City?. ~ ~' OCCUPATION /~./~ 7F/~ ,~e,.<:-//~/~'L( orf'..~yo~t...EMPLOYER ~//~,,ve-r-$.~/-'~:::eo ~ DNENUMBER: HOME ~i~- 3~- ]3~$ BUSINESS 31~ ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSIT~I~ EXPERIENCE AND/OR WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I - I Mismpmsontations on this application will constituto just causo for romoval of an appointoe. If you fail to answor all tho quostions, Council will not considor your application. ccterk\bdcomapp( 1),dcc Apdl 2002 (~) W4AT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that 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. A copy of Section 362.5 is attached. I ~u are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City Attorney's office at 356-5030. / V o ,, Fl,,,~ -Z- , ~ l-r~ "o IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES ANO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. !f you fail to answer all the questions, Council will not consider your application. cclerk'~)dcomapp(l ).dec April 2002 (2) TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective January 31, 2002 Household 30% Median Income 50% Median 60% Median 80% Median Income Median Size (Poverty Level) Income Income (low income) Income 1 $13,600 $22,700 $27,200 $36,300 $45,400 2 15,550 25,900 31,100 41,450 51,800 3 17,500 29,150 35,000 46,650 58,300 4 19,450 32,400 38,900 51,850 64,800 5 21,000 35,000 42,000 56,000 70,000 6 22,550 37,600 45,100 60,150 75,200 7 24,100 40,200 48,200 64,300 80,400 8 25,650 42,750 51,300 68,450 85,500 ATTACHMENT TO APPLICATION FOR TIlE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. Age ~£,'~co/o,-- [ Religion Gender Disability ,~ ~/~ 0 0 Income (see table) Race, color or ethnic group Sexual Orientation National origin Other (Please explain below) ~ ~ Human Rights Attachment. doe April 2002 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION .PPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED 'CONFIDENTIAL.' THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME /G~o~f/~ ~ (l'P';P'~Z.'ZZzi,5,El~e'~ TERM ~ NAME /~ ~ HOME ADDRESS /~ ~ Is your home address {listed above) within the corporate limits of Iowa City? ~ Yes ~ ~ N~ ~ How long have you been a resident of Iowa City? J~/~ /~7~ .~ ~ ~ ~CUPATION :~,~,~"~'~-~'~'~ EMPLOYER ~,~.~, ~ PHONENUM.E.: HOME 3m) .US,NESS (?m) EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 5/~. ,~2~/~f-,~: I / ~ ~,~ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD7 ~ ~,~,~-~ Misrepresentations on this application will constitute just cause for removal of an appointee. ~ I If you fail to answer all the questions, Council will not consider your application. cler k~all~comapp( 1 ).d~ April 2002 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR . PLYING)? I) ~/~-~-~ ~J~/~,~'/~ ~'~/'~'/,~_ ,z~ ~ ~ ~ ~ ~(~,~ {5~ POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that 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. A copy of Section 362.5 is attached. ~ou are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the (Jode of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED?''~YES NO~/' DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~YES ~NO (It has been Council policy not to permit an individual to se~e on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. cie rl~hrcoma pp( 1).doc Apd12002 (2) TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective January 31, 2002 Household 30% Median Income 50% Median 60% Median 80% Median Income Median Size (Poverty Level) Income Income (Iow income) Income 1 $13,600 $22,700 $27,200 $36,300 $45,400 2 15,550 25,900 31,100 41,450 51,800 3 17,500 29,150 35,000 46,650 58,300 4 19,450 32,400 38,900 51,850 64,800 5 21,000 35,000 42,000 56,000 70,000 6 22,550 37,600 45,100 60,150 75,200 7 24,100 40,200 48,200 64,300 80,400 8 25,650 42,750 51,300 68,450 85,500 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and wome~ of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR TIlE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. ~/~ Age /)a ~/,~- Religion ~f-C Gender ~ Na DisabiliW ~ ~ ~eome (see ~ble) ./~,~ ~ce, color or e~c ~oup [~a~/ Sexu~ Orientation [~ 5 ..~. Na~on~ ofig~ O~er (Please expl~ below) ~ ~ ~ ~mm~l'~ ~fi12002