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HomeMy WebLinkAbout2003-11-10 Appointment NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy - Unexpired + 5-yr Term Ending December 31,2008 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, November 5, 2003. The City 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 Johnson County/Iowa City Airport Zoning Board of Adjustment should be directed to Ron O'Neil, Airport Manager at 356-5045. Spouses 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: 0 Council Announcement Date: August 19, 2003 (Re-ad with additional 5-yr term); October 14, 2003 Application Deadline: Wednesday, 5:00p.m., November 5, 2003 Council Appointment Date: November 10, 2003 AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy - Unexpired + 5-yr Term Ending December 31, 2008 No applications as of 5:00 p.m., Wednesday, November 5, 2003. [] Denotes applicant completed the Confidential page of the application. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: ANIMAL CARE AND ADOPTION CENTER ADVISORY BOARD One vacancy - Three Year Term January 1,2004 - December 31,2006 The Animal Control Advisory Board shall provide such recommendations and advice as are required by the 28E Agreement between the City of Iowa City and the City of Coralville, or as may be requested by the City Council or City Manager of Iowa City or by the City Council or City Administrator of Coralviile. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa city. Applications must be received by 5:00 p.m., Wednesday, November 5, 2003. The City of Iowa City encourages diversity in the appointment of citizens to boards and c6mmissions. 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 Animal Care and Adoption Center Advisory Board should be directed to Misha Goodman, Animal Shelter Supervisor at 356-5295. 9/16/2003 ANIMAL CARE AND ADOPTION CENTER ADVISORY BOARD 12 MONTH ATTENDANCE RECORD 07~01/02 to CURRENT Meeting Date Mi~he!e J~nelle Ta~mara 'rom Gill Ma~a.n Brand,tatter H~kh~r Mee~ter Dennis 08/29/02 x x x UE X 09/25/02 X X UE UE X 12/04/02 UE X X UE X 02/26/03 E EA X Schnake X 03/26/03 X EA X UE X 06/05/03 X Kathy X UE X Maggarell 08/13/03 X EA EA UE X 10/29/03 EA X X UE X (X) = Present (UE) = Absent (EA) = Absent/Called (Excused) Spouses 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: 1 Females: 3 Council Announcement Date: September 23, 2003 Application Deadline: Wednesday, 5:00 p.m., November 5, 2003 Council Appointment Date: November 10, 2003 ANIMAL CARE AND ADOPTION CENTER ADVISORY BOARD One vacancy - Three Year Term January 1, 2004 - December 31, 2006 Term expires for Maryann Dennis Maryann Dennis [] (Currently serving unexpired term) 1307 Rochester Ave Marti Horan [] 2407 Crestview Ave [] Denotes applicant completed the Confidential page of the application. t0/14/2003 ~ [2:30 FAX 3tg3565&9'/TOW& CTTY CLERK ~0021007 CiTY OF IOWA C~ AD SORY BOARDICOMMISSION APPLICATION FOEM lnd~lt ~ ~ ~m~l~ ~ s~ I~ mb in ~ ~ ~ ~n ~ ~ ~ ~ our ~da~~~. ~. M~I.~=~ ........ .. i_~' .PL~E ~E.A B~K INK P~. ~ ~ ~1~ ~ ~ ~ ~10 a. ~a~n~ =~, ~ ~',, ~E ~BU , -- .............. ~, v *~ A~ ~ y O0NBIDER~ ~ ~Y V~ ~ ~R A~NmESWHI~ YOU ~ II~isrepmsent~tlone on t~. apldleattpn ,.alii candltul= Just ~.u~e for mmowl of an eppoir~ee. If you fall to ,,newer all the que~on~, Council will not mmlder yau~' appll~Uon. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION ,aPPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on n~ters oEbterest to our community and its future. 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. ,.v Board ADVISORYBOARD/COMMISSION NAME Animal Care and Adoption Center Adv±S°¥ERM - - -31- 0( NAME Martt t-loran HOME ADDRESS 2407 Crest:view Ave. ~ Towa Cit¥~ IA 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? z.3 years OCCUPATION Studio Asststan~ EMPLOYER H Horan Studio } ..)NE NUMBER: HOME 319-351-3064 BUSINESS 319-351-2674 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I love animals and have been a vegetarian for 33 years. I have been an active member of the Eastern Iowa Aquarium Association for 13 years, holding most offices including President. Our family has raised several pets, including dogs and cats. Our most recent cat was a rescue cat from the Iowa City Animal Control and Adoption Center. I understand the city ordinances with regards to leashing and licensing, a~d the importance of good veterinary care. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have spoken with Mtsha Goodman about the current issues that the board is facing (Licensing by mail,the 28E Agreement with the City of Coralville and JQhnson County) I have downloaded the minutes of the last four meetings (all that were Available) and am familiar with the issues discussedpincluding the dog I Misrepresentations on this application will constitute just cause for removal of an appointee. Ipark I If you fail to answer all the questions, Council will not consider your application. cderk'~bdcon~pp( 1 ).doc Apd{ 2002 WqAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? As a concerned citizen, I hope that I can contribute an open mind andwillingness to listen to all sides of the issues to help serve the City of Iowa City in keeping the Animal Control and Adoption Center open and in the best condition possible. My compassion for animals is a leading reason for me to become involved with this Advisory Board. POTENTIAL CONFLICTS OF INTEREST Please identify any potential ~,onflicts 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. I cannot think of any possible conflict of interest. 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 serve on two Boards or Commissions at the same time.) I Misrepresentations on this application will constitute just cause for rernoval of an~p~int~._m'~? co ~----' I I' 'f you,fail to answer all the questions, Council will not consider your application. ©' ~ ~ ~ cclerk~dcomapp( 1 ).doc ~,p~J 2002 (2) ~ 11-10-03 B NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF ADJUSTMENT One vacancy - Five-Year Term January 1,2004 - January 1, 2009 Duties: In appropriate cases and subject to appropriate conditions and safeguards, the Board may make special exceptions to the terms of the Zoning Chapter in harmony with the general purpose and intent of the ordinance and in accordance with general or specific rules contained therein. The Board may grant variances to the Zoning Chapter only in the case of "unnecessary hardship." The hardship must be substantial, serious, real, and of compelling force, as distinguished from reasons of convenience, maximization of profit or caprice. The Board may also hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by a City official in the enforcement of the Zoning Chapter. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, November 5, 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 Board of Adjustment Commission should be directed to Bob Miklo, Senior Planner at 356-5240. BOARD OF ADJUS'I MENT '12 MONTH ATTENDANC E RECORD 00t00/00 to CURF --NT Meeting Date Vi~e~t EHC Gidal ~ ~ Mt~hael PaUlDennis Keitel ' h /~' ~ ~ o/~ ~ ~ ~/~.~ x ~ x X (X) = Present (0) = Absent (O/C) = Absent/Called (Excused) Spouses 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: 1 Council Announcement Date: September 23, 2003 Application Deadline: Wednesday, 5:00 p.m., November 5, 2003 Council Appointment Date: November 10, 2003 BOARD OFADJUSTMENT One vacancy - Five Year Term January 1, 2004 - January 1, 2009 Term expires for Michael Paul Michael Wright [] 815 Roosevelt St [] Denotes applicant completed the Confidential page of the application. 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 volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St,, Iowa City, 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 ~ ~ ~ TERM /'[.d)~-/./'~* NAME /~-,~ //~)//~'~-- HOME ADDRESS ~/~- /"~005~_... C) Is your home address (listed above) within the corporate limits of Iowa City? ¢//Yes _.~_~o Z HOW long have you been a resident of Iowa City? ~ PHONENUUBER: HOUE 55~'~5~ BUS~N.SS ~S~--~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: If gou fail to answor all tho quostions, Council will not considor ~our a~lication. cte~Xallbd~m~( ll.d~ April 2002 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR . U u ' ~ . ~ , . · 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. If you 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. 1"'-,3 IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? v~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 serve on two Boards or Commissions at the same time.) 3resentations 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. cler k\a~ltxlc om a~ p( 1 ),d cc April 2002 (2) NOTICE THE CITY council OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS Two Vacancies - Five-Yr Terms (1) Mechanical Professional January 1, 2004 - December 31, 2008 It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the Uniform Building Code, Uniform Plumbing Code, National Electric Code, Uniform Mechanical Code, Uniform Fire Code, the Dangerous Building Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:30 p:m. or at the call of the Building Official Applications must be received by 5:00 p.m., Wednesday, November 5, 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 regarding the Board of Appeals should be directed to Tim Henries, Sr Building Inspector at 356-5122. 9116/2003 BOARD OF APPEALS 12 MONTH ATTENDANCE RECORD 0t/01/03 to CURRENT Meeting Date Wayne ,John Ga~ Haman Anna Buss Tim Fehr Douglas Steven M~as Roff~an DuCh~e BUckman 8/6/2003 x x x x x absent x 10/6/2003 x x x x x x x 11/3/2003 x x absent x x x x (X) = Present (0) = Absent (O/C) = Absent/Called (Excused) Spouses 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: 5 Females: 0 Council Announcement Date: September 23, 2003 Application Deadline: Wednesday, 5:00 p.m., November 5, 2003 Council Appointment Date: November 10, 2003 BOARD OF APPEALS Two vacancies - Five Year Terms January 1, 2004 - December 31, 2008 (One Mechanical Professional) Term expires for Anna Buss and Tim Fehr Anna Buss [] (Currently serving 2nd 5-yr term) PO Box 2807 [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION / PPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council ~lS:j~tter~of ir~'Test to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications dudng the work ~on. ~he 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. V~'ashingtoT~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 ~ ~'j'~ ~ TERM ~ (~ - O~' NAME '~-v~¥~_c,- C~..S% HOME ADDRESS ~. O- ~ ~0~ I ~ Is your home address (listed above) within ~e ~omte limits of Iowa Ci~ /Yes No How long have you been a resident of Iowa Ci~? ~ I ~ G ~ OCCUPATION ~, ~, ~,~ ~ ~ EMPLOYER ~ ~ F..ONENUMBER: HOMEriC- ~-~ BUSINESS ~1~-~- I1~O EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: u WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~J~ ~ ~OJJUu-k- 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 Apd12002 (~) WHAT 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 Boai'd 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 S _e~36~ of the Code of-Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? V/YES NO DO YOU CURRENTLY SERVE ON ,ANOTHER IOWA CITY BOARD OR COMMISSION? __YES v/NO (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. cae~dcomapp¢).doc Apd12002 (2) NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION One Vacancy - Throe Year Term (1) Woodlawn District Representative March 29, 2003 - March 29, 2006 Duties of the Historic Preservation Commission include: conducting studies for the identification and designation of Historic Districts; reviewing and acting upon all applications for Certificate of Appropriateness; cooperating with property owners and city agencies regarding romedy of dangerous conditions; furthering the efforts of historic preservation in the City by making recommendations on preservation issues, when appropriate, by encouraging the historical, architectural or cultural value, and by encouraging persons and organizations to become involved in preservation activities. This Commission meets the second Thursday of each month at 5:30 p.m and, if necessary, the fourth Thursday of each month at 5:30 p.m. Iowa City appointed members of the boards and commissions must be eligible electors of the City of Iowa City. Applications must be received by 5:00 p.m., Wednesday, November 5, 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 Historic Preservation Commission should be directed to Shelly McCafferty, Urban Planner at 356-5243. 0/15~2003 HISTORIC PRESERVATION COMMISSION 12 MONTH ATTENDANCE RECORD 1/9/03 - 10/23/03 Brown Street Summit Street Woodlawn College Green East College Longfellow At-large At-large At-large At-large James Ponto MichaeIGunn Peter Mark McCallum James Enloe Tim Weitzel Michaelanne Richard Michael Amy Smothers Jochimsen Widness Carlson Maharry (term exp. 3/31) (term exp. 3/31) Meeting Paul Sueppel Date (term began 4/1) 9-Jan-03 X OIC O X O X OIC (MW) X X X 23-Jan-03 X X O X X X X (MW) O/C X O/C 13-Feb-03 X OIC 0 X X X X (MW) X X X 27-Feb-03 X X O X X X O/C (MW) X X X 13-Mar-03 OIC X O X X X X (MW) X X X 10-Apr-03 X X Vacant X O X X (PS) X X X 24-Apr-03 X OIC Vacant X 0 O/C X (PS) X X X 8-May-03 X X Vacant X X X X (PS) X X X 22-Ma¥-03 X X Vacant X X X OIC (PS) X X X 5-Jun-03 X X Vacant X X X OIC (PS) OIC X X 26-Jun-03 X OIC Vacant X OIC X X (PS) X X X 8-Jul-03 X X Vacant X OIC X X (PS) X X X 10-Jul-03 X OIC Vacant X OIC X O/C (PS) X X X 24-Jul-03 X X Vacant X OIC X X (PS) X OIC X 14-Au,(]-03 X X Vacant X OIC X X (PS) X X OIC 28-Au~-03 X X Vacant X X X X (PS) X X X 11-Sep-03 X X Vacant X O X X (PS) X X O/C 9-Oct-03 X X Vacant X X X O (PS) X X X 23-Oct-03 X X Vacant X X X X (PS) X X X X = Present O = Absent O/C = Absent/Called (Escused) initials indicates which representative absent or present Spouses 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: 8 Females: 1 Council Announcement Date: December 10, 2002; January 21, 2003; February 18, 2003; April 8, 2003; May 20, 2003; July 15, 2003; August 19, 2003; October 14, 2003 Application Deadline: Wednesday, 5:00 p.m., November 5, 2003; Council Appointment Date: November 10, 2003 HISTORIC PRESERVATION COMMISSION One Vacancy - Three Year Term March 29, 2003 - March 29, 2006 (1) Woodlawn District Representative Term expires for Peter Jochimsen No applications as of 5:00 p.m., Wednesday, November 5, 2003 [] 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 Three Vacancies - Three-Yr Terms January 1, 2004 - January 1,2007 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, November 5, 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 16, 2003 HUMAN RIGHTS COMMISSION 12 MONTH ATTENDANCE RECORD 0~/03 - 09/03 Meeting Date Lisa paul Ret sh Keri Neblett Rick SPooner AliCe Mathis BOb Peffer Da¥id Sh~ Nick K!en~ke Bi!!ie Beckman Townsend 1/28/03 X O/C X O/C X O/C X X X 2/25/03 X X X O/C X X X X X 3/25/03 X X X O/C O/C X X X X 4/22/03 X OIC X X X OIC X O/C O/C 5/27/03 X X X O/C O/C X X X X 5/29/03 - X X X O/C O/C X X X X EXECUTIVE SESSION JUNE MEETING CANCELLED 7/23/03 X X O/C X Resigned O O/C X X AUGUST MEETING CANCELLED 9/23/03 X X X X N/A Resi~lned X Resigned X (X) = Present (0) = Absent (OIC) = Absent/Called (Excused) Spouses 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 23, 2003 Application Deadline: Wednesday, 5:00 p.m., November 5, 2003 Council Appointment Date: November 10, 2003 HUMAN RIGHTS COMMISSION Three Vacancies - Three Year Terms January 1, 2004- January 1, 2007 Term expires for Lisa Beckman, Paul Retish, Keri Neblett Paul Retish [] (Currently serving 3-yr term) 66 Penfro Dr Lisa Beckman [] (Currently serving 3-yr term) 1234 Santa Fe Dr O~iver Christian Belcher [] 636 S. Dodge St #6 Ron Mavrias [] 464 Samoa Mark Grever [] 2874 Triple Crown Ln #7 Geoff Wilming [] 703 S. Seventh Ave [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION /' OPLICATION FORM FILED t0~J ,CF? ' 4 AM I1:16 Individuals serving on Boards/Commissions play an important role in advisin!~lT~C~ matters of interest to our community and its future. Applicants must reside in Iowa City. ir~AIb, F~Ty` ~0WA After a Vacancy has been announced, the Council reviews all application~t~n'g't~e ~ork session. The appointment ~s made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Retum 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 P,~GE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ,DVISORYBOARD/COMMISSIO.~AIV~ ~-'"t~a~'~'~'~'~'~'~'~'~'~h ~ ~'~,~' '~,~ TERM~/,~,,.. ,OMEADDRESS Is your home address (listed above) within the corporate limits of Iowa City? ~'~es No -Iow long have you beer~a resident of Iowa City? "~ ~ ~ ?('t ?' ./ 3COOPATION (~lr"'& '~c..A,"-- ~'J EMPLOYER ~] ~/ L~ ~r ,ONE NUMBER: HOME ~,_~'"[ -,~'<:~ ~. ~ BUSINESS ~'~G"~- EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: · --- ..... ~ : , /~_ O 'NHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? IMisrepresentations 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'tbdcomapp( 1 ),doc April 2002 (1) V' ~,t CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (~R STATE REASON FOR ;~OTENTIAL CONFLICTS OF INTEREST ~lease identify any potential conflicts between membership on the advisory board and your personal interests, nciuding financial interests and your duties to an employer. n 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 ~or funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of ~ffiliations must be examined on a case by case basis by the City Attorney's office. Vou should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a ~ember of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is ~ttached. · f you are uncertain whether a potential .c, onflict of interest exists or have questions about ~tion 3~.5 of the Code Df Iowa, please contact the City Attorney s office at 356-5030. ~_.C)~ _ ~ , F YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~/YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES lit 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\b<Jcomepp( 1 ).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 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 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. ~ (O~ Age "~o..~ ) ]K Religion ~ Gender /'l.J f---4~ Disability ~l ~00'~ Income (see table) //~-. Race, color ! or ethnic group ,/4t~er, rez~tSexualOrientation ~ National origin Other (Please explain below) Human Rights Attachment.doc April 2002 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION FILED APPLICATION FORM Z0030CT 2h AI~II: 3~, CITY CLERK OWA Individuals serving on Boards/Commissions play an impo~ant role in ~g [ne ~ouncil 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 "OONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~ ~1'O~ ~sS,~ TERM J n. O4-J . 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? / I ~ ~ ¢¢ 3CCUPATION ~ ~¢~ ~o/~ EMPLOYER ~/H~ PHONE NUMBER: HOME ~~ BUSINESS ~¢-~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 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. clerk\al~bdcomepp(1 ),doc April 2002 YHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR 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. [ you 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. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? I~ YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the~me time.) I M isrepresentations on this application will constitute just cause for removal of ~h'ba~poi~ee. If you fail to answor all tho quostions, Council will not considor your applicatioff, m ¢~erk\hreornapp(~ I.do¢ ~ ~O April 2002 41- CITY OF IOWA CITY ADVISORY BOARD/COMMISSION FILED APPLICATION FORM 00 0CT PM 3= 3O CLOT' CLERK Individuals serving on Boards/Commissions play an important role in advising the C~o~tXe~)~i/~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 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 ~-~tJW~tV~ ~-(¢&~A,~ ~.0~tl~d$5~Ov~ NAME ~ ~A~ ~Z HOME ADDRESS ~ Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? ~ ~% ~ 3CCUPATION ~ ~ ~.¢0~ ~ EMPLOYER PHONE NUMBER: HOME ~t~' ;5[¢5~6~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: , - . ¢ ( J - , WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? % ~ ~ ~ ~ I If you fail to answer all the questions, Council will not consider your application, NHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~ (.~.vx ~/'~',,x.~ t/~.~ ~_~ ~ ~ /~ ~o~ ~ ~ ~ ~{~ , , . ~ ' t ', - ~ 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 A~orney'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 uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City AEorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? S 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 serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. I I If you fail to answer all the questions, Council will not consider your application. clerk\hrcomapp(l ).dec 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 $36t300 $45,400 2 15,550 25~900 31,100 41,450 51 ~800 3 17,500 29t150 35~000 46~650 58,300 4 19,450 32~400 38,900 51,850 64,800 5 21~000 35~000 42p000 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 681450 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 farther this goal, the city s~'ives to ensure that the Human Rights Commission is repmsantafive of the community. Therefore, "appointments shall take into consideration men and women of various racial, religions, 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 Sexual Orientation National origin Other (Please explain below) ~ ~ Ap,~2002 C~ Oliver Belcher 636 South Dodge Street -- o ~ Apartment #6 "*< rtl ] Ill~ Iowa City, IA 52240 ,,~_;;o (319) 325-3555 ~ ~ EDUCATION University of Iowa; Economics major (B.S.), Junior EMPLOYMENT Research Assistant, UI French and Italian Department: Iowa C/fl, IA Research for materials associated with a French professor's (Wendelin Guentner) book project. Proofread and revise manuscripts of the book. (August 2003- June 2004) Dell Staff/Cashier, New Pioneer Cooperative Society: Iowa Cifl, IA Preparing customer orders, 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 ddnks in unique small town environment, trusted by owner to close store 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 Committee, Universifl of Iowa: research inquiries and propose solutions on local human rights issues, mostly regarding the University of Iowa. (September 2003 - May 2004) DJ/Commentator KDIC, 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 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. f ADVISORY BOARD/COMMISSION NAME~/.~.~.w. ~ ~.~z~_v./z,'_~_ ? NAME/~/2 .~../~..~r/.~'-~ HOMEADDRESS~gZ/:.,~.~.,cz,_. ~__~--~ .'~~-TI Is your home address (listed above) ~thin the corporate limits of Iowa City? .,¥ Yes --o HOW long have you been a resident of Iowa City? ~4'2 ~. OCCUPATION /~,.~',,~,~, ~,~,~/~ EMPLOYER ///~T"._~/..~. F bNENUMBER: HO~E 33~'%~3~'?' BUSINESS EXPE. RIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~. ~  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. ccle~k~bdcomapp(l ).doc Apd12002 (1) WqAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identi~ any potential conflicts be~een membemhip on the adviso~ board and your pemonal interests, including financial interests and your duties to an employer. In pa~icular, if you am applying to be a member of a board or commission which makes recommendations to the Ci~ Council about the allo~tion of Ci~ 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 ~se by case basis by the City Afforney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with ~ain impo~ant exceptions, a member of a ci~ Board or Commission from having an interest in a city ~ntmct. A copy of Section 362.5 is attached. i ~u am unchain whether a potential conflict of interest e~sts or have questions about Section 362.5 of the Code of Iowa, please conta~ the City Attorney's offi~ 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 X NO (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. cc[e rk\bdcomapp( 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 (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 ~ Religion Gender ~ Disability hoome (see ble) oe, oolor or c~c ~oup ~ ~Sexu~ Orientation ~ational ofi~ ~O~er ~le~e expl~ below) Human Rights Attachment.doc 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 dudng the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid ~/olunteers. PLEASE USE A BLACK INK PEN. Retum 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 /LI~ ~,~. ~,.? ~'fZ r~,'r.,*,'~ TERM ~'T~," NAME //V~.~.r~K /"~tI~ovF-~ HOME ADDRESS ~v 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? 1 5' OCCUPATION /~./,e.~Jg _"~ R¢,~/<'/L:,"~,r'L~ ~P~--EMPLOYER [ 3NENUMBER: HOME ?i'~- 35'"~- ]393 BUSINESS ,-7 --n EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSI~:~)~ ~ rtl WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Mismprosontations on this application will constituto just causo for romoval of an appointoo. If you fail to answor all tho quostions, Gouncil will not considor your application: cclerk\bdcomapp(l ).doc Apd12002 (1) W~4AT 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 Ju 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. 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.) IMisrepresentations on this application will constitute just cause for removal of an appointee. II II you fail to answer all the questions, Council will not consider your application. ccle rk\bdcomapp( 1 ).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 0ow 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 fu~er 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 ~£,',eo/0-- I Religion Gender Disability ,~ (o.~ J 0 0 Income (see table) Race, color or ethnic group Sexual Orientation National origin Other (Please explain below) ~ ~ Human Rights Attachment.doc 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. ADV,SORY BOARD,COMM,SS,ON NAME.A . /5 TERM Is your home address (hsted above) w~th~n the corporate limits of Iowa City? ~ Yes ~ How long have you been a resident of Iowa City7 ~ ~ ..o.~ .uu~.= .ou~ ~-/~/~ ~us~.~ss ~- ~-.- EXPERIENCE AND/O~ ACTIVITIES WHICH YOU FEEL GUALIFY YOU FOR THIS POSITION:~~ . . i /'~ . WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~r~¢ I~isrepresentations on this ~pplic~tion will constitute just ~use for removal of ~n ,ppointee. I If you fail to answer all the questions, Council will not consider your application. ~l~=~,x~).~. ~pril 2002 ~^/HAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR ,.. /- ~- 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 Code of Iowa, please contact the City Attorney's office at 356-5030. IT1 IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ,~ YES NO ~:~ ol DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES :,~' NO (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. derk'~hcdco3mapp( 1 ).do~ Apdl 2002 (2) NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION Two Vacancies - Four-Yr Terms January 1, 2004 - January 1, 2008 The duties of the members of the Parks and Recreation Commission are to recommend and review policies, rules, regulations, ordinances, and budgets relating to parks, playgrounds, recreation centers, and cultural functions of the City and make such reports to the City Council as the Commission deems in the public interest; to exercise bread responsibility for the development of parks, recreation centers, playgrounds, and cultural facilities to serve the City--including the creation and appointment of advisory groups to make studies. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, November 5, 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 Parks and Recreation Commission should be directed to Terry Truebiood, Parks & Recreation Director at 356-5110. September 16, 2003 PARKS AND RECREATION COMMISSION ATTENDANCE RECORD YEAR 2003 DATE NAME SEATED JAN. FEB. MAR. APR. MAY JUNE JULY AUG. SEPT. OCT. NOV. DEC. Kevin Boyd 9/5/01 X X X NM X X X X X X Margaret 5/03 Loomer (Ginsberg) ........ X X X X X X Craig Gustaveson 1/1/99 O O X NM X O O X X X Judith Klink 1/1/03 X X X NM X O X X X X Nancy Ostrognai 1/1/0t X X X NM X X X X X X Matt Pacha 1/1/97 X X X NM X X X X X X Al Stroh 1/1/96 X X X NM X X O O X X Sarah Walz 1/1/03 X X X NM X X X X X X John Westefeld 1/1/02 X O O NM X X X X X X KEY: X = Present O = Absent NM = No meeting Spouses 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: 4 Females: 3 Council Announcement Date: September 23, 2003 Application Deadline: Wednesday, 5:00 p.m., November 5 2003 Council Appointment Date: November 10, 2003 PARKS AND RECREATION COMMISSION Two Vacancies - Four Year Terms January 1, 2004- January '1, 2008 Term expires for Margaret Loomer and Allen Stroh Margaret Loomer [] (Currently serving unexpired term) 1248 Jensen Street [] Denotes applicant completed the Confidential page of the application. 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 futura. 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. Raturn 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 SE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME P~, ~z~ .~,~_c.~e-~_~rcr~ ~4:~,~ TERM NAME ~~ ~, ~o~ HOME ADDRESS /~ ~ Is your home address (li~ed above) within the corporate limits of Iowa City? ~ Yes ~ How long have you been a reei~nt of Iowa City? ~ ~ ~ ~CCUPATION ~; ~.~ ~ (~ ' EMPLOYER ~ ~ PHONE NUMBER: H~E ~1 -~ BUSINESS - ~ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~-~,~ /~) ~o (~ ,'m~r~. ~-~'~-- If you fail to answer all the questions, Council will not consider your application. clef k~l~d~m~o( 11.4~c April 2002 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR ,~PPLYING)? [,J.'~.~ ~ ~-~v'o~l~{ c~S~v'e_, ~ ~ ~ ~TENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisow boa~ and your personal interests, includi~ financial interests and your d~ies ~ an employer. In pa~icular, if you are applying to be a member of a board or commission which makes recommendations to the City Council abo~ the alloc~ion of ~W funds, please list any present affili~ions you have with agencies that apply for funding from the City. 'Affiliation' includes being a boa~ member or employee of the agency. Other Wpes of affiliations mu~ be examined on a case by case bas~ by the CEy A~orney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with ce~ain impo~ant exceptions, a member of a ~W ~ard or Commission from having an intere~ in a ~W contr~. A copy of Section 362.5 is a~ached. "you am unce~ain whether a potential conflict of intere~ exits or have questions abo~ Section 362.5 of the ,ode of ~wa, pl~se conta~ the City A~omey'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 permft an individual to serve on t~vo Boards or Commissions at the same time.) !Misrepresentations on this application will constitute just cause for removal of ~poifl~ee.~ If you fail to answer all the questions, Council will not consider your application;.~C-) ~ ,*,rT., ~) April 2002 (2) Spouses 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: 1 Females: 3 Council Announcement Date: September 23, 2003 Application Deadline: Wednesday, 5:00 p.m., November 5, 2003 Council Appointment Date: November 10, 2003 SENIOR CENTER COMMISSION Two vacancies - Three Year Terms January 1, 2004 - December 31, 2006 Term expires for Chevalier Monsanto and Deb Schoenfelder Keith Ruff [] 601 S. Gilbert St #611 Josephine Hensch [] 3107 Balfour Place Nancy Wombacher [] 3644 Elgin Dr Robert L,1/etsc~ [] Welsh 84 Penfro Drive Elizabeth McKray [] 701 Oaknoll Dr #118 [] Denotes applicant completed the Confidential page of the application. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION Two Vacancies - Three Year Terms January 1,2004 - December 31, 2006 The duties of members of the Senior Center Commission are to: 1. Serve in an advisory role to the City Council with regard to needs of the Senior Center. 2. Make recommendations with regard to policies and programs at the Senior Center. 3. Join staff and other interested persons in seeking adequate financial resources for operation of the Senior Center. 4. Encourage full participation by senior citizens in the programs of the Senior Center. 5. Ensure that the Senior Center is effectively integrated into the community and cooperates with organizations with common goals in meeting the needs of senior citizens. 6. Serves in an advocacy role with regard to the needs of senior citizens in Iowa City. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Senior Center Commission meets the third Tuesday of each month at 3:00 p.m. Applications must be received by 5:00 p.m., Wednesday, November 5, 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 Senior Center Commission should be directed to Linda Kopping, Senior Center Coordinator at 356-5225. 9/16/03 SENIOR CENTER COMMISSION 12 MONTH ATTENDANCE RECORD 0ii0~/03 to CURRENT Meeting CheValier Deb0Yah Jim Betty KeI!Y Jay Joanne Hera Lori senz Charity Eye Date M~hSaht~ SC~°~hfei~ S~hinfler Honohen R~wley casser!y Jan. 14, x X x x X O/C x x 2003 Jan. 21, x x x x x o/c x x 2003 Feb. 18, X X X X X OIC X X X 2003 Mar. 24, X X X X X X X X X 2003 Apr. 15, X X O/C X X X O/C X X 2003 May 20, X O/C O/C X X X X X X 2003 Jun. 17, X X X O/C X O/C X X X 2003 Aug. 8, X X NA X X NA X X NA 2003 Sept. 16 X X NA X X NA X X NA (X) = Present (0) = Absent (O/C) = AbsentJCalled (Excused) 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~I~llSSIO~ NAME 9~_~V'~ i ~ ¢' d (Jl~ ?-~V~. TERM O110~ '-' NAME HOME ADDRESS GOI $,¢[Ib~..c¥Sf. Is your home address (listed above) within the corporate limits of Iowa City? ~X Yes __ No How long have you been a resident of iowa City? ~1 ~J ~ ~ , I OCCUPATION F¢.~! J~iii~u~VtY~/¢¢/-4 ~For EMPLOYER ~-.~Jc...~Jr 0.~DV~V~J(' HONE NUMBER: HOME $5t4' 5&Il 2. BUS,NESS '55t5-- EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~34~' 0~- ~ WHAT IS YOUR PRESENT KNOWLEDGE OF THIJADVlSORY BOARD? ~ (+ O~ ~ ~ r~ in ~k.n~n vn ~ ~ ~ -- WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR ' ' - I' / -- I- POTENTIAL CONFLICTS OF INTEREST Please identi~ any potential conflic:s be:ween membership on the 8dvi~ board and your personal interems, including financial Jn:erasls and your dulias ~o an employer. In pa~iculsr, if you are applying to be a mem~r of a board or commission which makes recommendations to ~he City Council about ~he allocation of City funds, please lira any pre~ent ~ffiliations you have with agencies that apply for funding from lhe CRy. "Affiliation" includes being a board member or employee of lhe agency. Other types of affiliations musl be examined on a ca~ by case basis by the City A::orney's office. You should also know :ha: Section 362.B of ~he Code of Iowa generally prohibRs, with ce~ain impo~ant exceptions, 8 member of 8 city Board or Commission from having an interes~ in a city con~ra~. A copy of Section 362.6 i~ a~ached. If you are unce~ain whether a ~ential conflict of in:ere~ exits or have que~ions abou~ection ~2.~ of the ~ode of Iowa, please con~act the City Attorney's office at 3~6-B030. 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 /~ NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) ,erk,allb<~comal)pHLdoc~.~ ~~0~.~ j.X~¥'~.~/., i~/~)j~) D'~-., *- April 2002 (2) CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM FILED ~0~3 OCT ~2 PM ~: I 0 Individuals serving on Boards/Commissions play an impodant role in advisfil~'~ye ~,,6_~ri~l~on matters of interest to our community and its future. Applicants must reside in Iowa City. 10WA Ct~ 10WA 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. Retum 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 -~/-~-O,~ NAME-.~,~)-~'Z~ ,4, ,~/~x~'.~/~ HOMEADDRESS.~)~7 .~£'~,~'/~ 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 ,,~ ,~'/'.~',,,~",~7/ EMPLOYER I-..ONE NUMBER: HOME,~/~- ,.~._g'-~ - ~ 7~' ~ BUSINESS ,-- EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? /-~, ~ 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. cclerA',~dcomapp( 1 ).doc Apd12002 (,1) WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR 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. 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 serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just for removal of cause an appointee. f you fail to answer all the questions, Council will not consider your application. cclerk~bdcomapp( 1).doc Apdl 2002 (2) 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 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 APPMCATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADV,SORY BOARD.COMM,SS, N .AME TERM - Is your home address (listed above) within the corporate limits of Iowa City? ~'~Yes No How long have yo~ been a resident of Iowa City? PHONE NUMBER: HOME ~JT-2/f7 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:~O _ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I Misrepresentations on this application will constitute just cause for removal of an appointee. II II If you fail to answer all the questions, Council will not consider your application, cie rk ~llbdco m~ol){ 1 ),dc¢ April 2002 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING) ? POTENTIAL CONFUCTS 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 CiW 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. If you 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 SE NOTIFIED? J~ES 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 serve on two Boards or Commissions at the same time.) If you fail to answer all the questions, Council will not consider your application. cierk~llbdcomapp~ 1 ).doc. April 2002 (2) Attachment to Advisory Board/Commission Application Form Nancy C. Wombacher EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITON: For the past 8 years, since retiring from the University of Iowa, I have been an active participant in several programs at the Senior Cemer. I have worked with a signfficant number of Senior Cemer participants as well as staffin coordinating several very successful events. Prior to this, I served as departmemal administrator at the Univ. of Iowa for 20 years, where I coordinated the assignment of space, directed the hirio~ and assignmem of personnel and managed a budget of around $18,000,000 to $20,000,000 per year from a variety of funding sources. I was involved in establishing and administering policies and procedures within the relevant guidelines of the University of Iowa and other pertinent emitias. I enjoy people, and believe that I can contribute in a positive manner to the Senior Center by serving on the Commission. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD: It is my understanding that the Senior Center Commission functions in an advisory role. I believe the Commission also serves as a representative body for the Center participants, seeking input and serving as a conduit to the staffand/or City Council. And, ! hope to learn more about the specific Commission responsibi]kies in the months to come. I understand that the Commission meets monthly. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE m:ASO~ FO~ APPLVmO): In addition to the experience and activities described above, I feel that I have enjoyed the offerings of the Center for the past 8 years; and it'possible, I would now like to raake a commitment in time and effort to "give back" to the Center. ~ ~ It should be noted that my spouse and I usually spend January in a warmer clin~e, and~ therefore I would not be available for a meeting in January each year. I am, however, accessible by e-mail or cell phone. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION F/LED APPLICATION FORM z00 Nov.5 Ut lY CLERK , Individuals serving on Boards/Commissions play an important role in advising tt~l~n~t~FIYn~t~r~,,,vv,,,~ or interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PL£A$£ U$£ A BLACK INK P£N, Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AB SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBI'IC, 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 :~e~/i~ ~e,~ ~/'c,w/n,~.;.r(~,.,Y TERM ~ ?/ ~ NAME ~ A' ~/~ HOME ADDRESS ~ ~,~ ~y~ 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? ~ ~ ~CCUPATION ~/'~ ~/~1~' EMPLOYER PHONE NUMBER: HOME ~' ~/~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Misrepresentations on this application will constitute just cause for removal of an appointee. I I If you fail to answer all the questions, Council will not consider your application. clef k/allbdcomapp{1 ~doc April 2002 WHAT 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. If you are u ,r~rtain~.. ~ether a potential conflict of interest exists or have questions about Section 362.5 of the Code/~lovv~-~ple~ontact the City Attorney's office at 356-5030. _ IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? tv/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 serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. I I If you fail to answer all the questions, Council will not consider your application. clerk~e~lbdcomapp(1 ),doc April 2002 (2) Senior Center Commission Application My.~tame is Bob Welsh. I am a member of the Senior Center. c~ I I~ev~t~ the Senior Center should be: ~ ~ ~ a primary focal point for services and life-enriching experiences for ~-~ ~ the seniors oflowa City and Johnson County; ~ ~ ~* a hub of activities, recognizing that other community facilities can and · ~ should be utilized; ~' ~ * and last but not least m. A warm and friendly facility in which the ~ ~ seniors have a sense of belonging and the staff is dedicated to their service. I will work with staff, members of the commission, members of the Senior Center, seniors and the community at-large to generate varied and exciting programs. I believe that many agencies and community and university groups would be willing to provide programs and activities free of charge to participants. I believe that the Senior Center should be a place for seniors of aH age brackets, income and social levels and educational background. EXPERIENCE: I have been active in senior programs and am a strong advocate for seniors. I lead the effort for the city to purchase the Old Post Office and to sale some of the land for the erection of Ecumenical Towers. I served as chair of the Ecumenical Housing Corporation and represented that corporation on the committee that made the original plans for the Senior Center. I chaired the Johnson County Nutrition Committee for many years. I am currently chair of the Program, Planning and Budget Committee of the Heritage Area Agency on Aging and chair of the Johnson County Task Force on Aging. (My terms as chair of these two groups end on June 30, 2004.) KNOWLEDE: I have attended several meetings of the Commission. CONTRIBUTION: I believe my knowledge of the community, my familiarity with the concerns and needs of seniors, and my roles in the aging network provide me with the background to assist the Commission in fulfilling its mission. I also believe that I have the skills to reach out and listen to persons and include them. I believe ! am a strong advocate for seniors. In the past ! served as the first chair of what is now called the Housing and Community DeveLopment Commission and as the first chair of what is now called the Telecommunications Commission. After many years of not serving on a City Board or Commission ][ am now ready to serve again. It would be an honor to serve Iowa City as a member of the Senior Center Commission. I trust I have earned your support. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION FILED I PPLICATION FORM individuals serving on Boards/Commissions play an important role in advisino t~'[~)d~J~,rnatters of interest to our community and its future. Applicants must reside in Iowa City. IOWA CITY, IOWA 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 ~E CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSiON NAME ,~g~, ~ R ~JTF-~ ~0/~///! ~$/O~ NAME ~Z.I~ ~-~E~ HOMEADDRESS~I~gO~~ 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? ~HONE NUMBER: HOME ~ -~J~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ':~i~R'TeP__- WHA~IS YO~ P~ENT ~OWL~O~HIS XDVISORY BOARD? ~ ~ If gou fail to answor all tho quo~tions, Council will not considor gout application. clerk~allbdcmapp{1 ).~c April 2002 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR 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 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 ce~ain 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. If you are unce~ain whether a potential conflict of interest exists or have questions about Section 362.5 of the 'ode of Iowa, please contact the City Attorney's office at 356-5030. 11 ~N ~ r~ IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YES O DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES ~ NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) IMisrepresentations on this application will constitute just cause for removal of an appointee. II II If you fail to answer all the questions, Council will not consider your application, (2) ~yor Ernie Le~m~n c/o Iow~ ¢±ty C~v±¢ Center 410 ~. ~s~±n~ton Stree~ Iow~ City, Iow~ ~2240 October Dear Ernie, After nearly ten years on the Airport Commission, I have decided to terminate my tenure. The items I set forth to do when I first got on the Airport Commission have been accomplished. They were: Develop the North End of the Airport. Strive for financial independency Modernize the terminal building Obtain the approval for a precision instrument approach from the FAA Procure a replacement Fixed Base Operator Now it's someone else's turn. Thanks for all your support during the years. I'll continue to offer any assistance to the Commission or to the Council that they may ask of me. Sincerely, Rick Mascari -~ __rD '~ ~'~ 610 Southgate Avenue Iowa City, IA 52240 319-354-1000 FIL.ED ZOO3OCT30 ~11:18 CITY CLERK October 28, 2003 IOWA CIT , IOWA The Honorable Mayor Mr. Ernest Lehman 410 E. Washington Street Iowa City, Iowa 52240 Dear Ernie: I am writing to thank you for the honor of my appointment to the Airport Commission, however, at this time I am submitting my resignation. It has been a joy working with the Airport Manger, our FBO Jet Air, other Commissioners, the City Council, and City staff, however, personal commitments are too demanding for me to continue in this role. I think ABS has made some excellent recommendations to improve the operations and growth of the Iowa City Airport. I also believe, fi.om my observations over the past year and a half, that these recommendations can be best achieved by placing the management of the airport under the City Manager. Finally, I think the City Council should seriously consider changing the airports' status as an Enterprise Fund. I think the Airport is a transportation facility, just as the City buses are, and given the fact that the Airport does not have Air Carder Service, I don't think it will ever make revenues for the City. I sincerely hope I am wrong on this last point. Again, it has been an honor! Most Sincerely, Michelle Robnett 3375 Wentworth Place Iowa City, IA 52240 IW; f Ernest W. Lehman, Mayor Iowa City Council Dear Mayor Lehman, With this letter, I give the Council notice that I will leave the Planning and Zoning Commission for Iowa City on December 31, 2003. Thank you for letting me serve Iowa City on this Commission, and for trusting my judgement in concert with other citizens in land use decisions that will be part of Iowa City for a long time. Sincer~ Ann M. Bovbjerg 1710 Ridge Road October 23, 2003 Copies to PCD