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Home My WebLink About1997-08-26 AppointmentInformation for Life's Transitions August 6, 1997 To: Mayor Naomi Novick and City Council Members, It is with my deepest regret that I must submit this letter of resignation from the Iowa City Human Rights Commission. Due to the fact that I now reside within the city limits of Coralville, I have been informed that my services are no longer eligible. I have really enjoyed the short period of time that I was allowed to spend on the commission. For future reference, I firmly believe that current members of the ICHRC who have recently moved to the city of Coralville should not be excluded from the eligibility process. I really do appreciate the opportunity that you have given meo Thank you. Sincerely, Dereck A. Hall Program Coordinator Ancillary Services 2201 North Dodge Street RO. Box 168 Iowa City, iowa 52243-0168 (319) 337-1000 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENTS TO THE FOLLOWING COMMISSION: HOUSING & COMMUNITY DEVELOPMENT COMMISSION Three vacancies - Three-Year Terms September 1, 1997 - September 1, 2000 Duties of the Housing and Community Development Commission include assessing and reviewing policies and planning documents related to the provision of housing, jobs, and services for low- and moderate- income residents; reviewing policies and programs of the Public Housing Authority and Community Development Division and make recommendations regarding the same to the City Council; reviewing and making recommendations to the City Council regarding the use of public funds to meet the needs of low- and moderate-income residents; housing policies and programs, and seeking public participation in assessing needs and identifying strategies to meet these needs; recommending to the City Council from time- to-time amendments, supplements, changes, and modifications to the Iowa City Housing Code. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. When possible, Council will appoint persons with expertise in construction and/or finance, a person receiving rental assistance, and a member of the Local Homeless Coordinating Board. The Housing and Community Development Commission will have monthly meetings. These appointments will be made at the August 26, 1997, meeting of the City Council at 7:00 p.m. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered for these positions should contact the City Clerk at the Civic Center, 410 E. Washington Street. Application forms are available from the Clerk's office upon request. Males: 3 Females: 3 August 26, 1997 HOUSING & COMMUNITY DEVELOPMENT COMMISSION Three vacancies - Three - Year Terms September 1, 1997 September 1, 2000 Lori Bears 2801Bon-Aire #369 Sandy Kuhlmann ( has served an unexpired term) 1030 E. College Street Jayne Moraski 1220 Village Rd., #11 Rick House 625 Stuart Court Angela Calvin 2409 Bartelt Rd. #2D August 26;~997 \ '\ HOUSING & COrM NITY September 1, .1997 ~ Septer~b~'e~ . ': . . Lori Bears 2801Bon-Aire #369 Sandy Kuhlmann ( has se 1030 Eo College Street 811U11eX Jayne Moraski 1220 Village Rd,, #Z Rick House 625 Stuart Couri Males: 3 Females: 3 term) L;~ f 6P 16WA ADVISORY BOARD/COMMISSION A ~PLIOATION FOFIM Individuals serving on Boards/Commissions play an important role in advising the Coun~,~_~n n~teF~f interest to our community and its future. Applicants must reside in Iowa City. c-j--. co ~ After a vacancy has been announced, the Council reviews all applications during {'4~e'-wo'FE s~ssion. The appointment is made at the next formal Council meeting. Appointees serve as unpaid ~l.~nte~s. ~'~ PLEASE USE A BLACK INK PEN, Re~rn the application to City Clerk, 410 E. W~gt~ St.F~wa City, THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Is your home addre88 iliated above) within the corporate limits of Iowa City? Fz ~ Yes __ No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION:~~h +ng e_,+ i n vo lve_,O5 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO. THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? SPECIFIC ATTENTION SHOULD BE DIRECTED TO A POSSIBLE CONFLICT OF INTEREST. PLEASE LIST ANY ~RESENT AFFILIATIONS YOU HAVE WITH AGENCIES WHICH MAY APPLY FOR FUNDING FROM THE CITY. ~FFILIATION MEANS BEING A BOARD MEMBER OR EMPLOYEE OF THE AGENCY. OTHER TYPES OF ~,FFILIATION MUST BE EXAMINED ON A CASE-BY-CASE BASIS BY THE CITY ATTORNEY'S OFFICE. {F YOU ARE UNCERTAIN WHETHER OR NOT A POTENTIAL CONFLICT OF INTEREST EXISTS, PLEASE LIST THE AGENCY AND THEN CONTACT THE CITY ATTORNEY'S OFFICE. F YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YES ~NO 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.) :clerk\bdcomapp,l~o August 1996 ATTACHMENT TO APPLICATION FOR HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) WHICH IT SERVES. AS REQUIRED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, PLEASE INDICATE IF YOU ARE A MEMBER OF ANY OF THE FOLLOVVING CATEGORIES: Senior Citizen (62 or older) Handicapped or Disabled Racial or Ethnic Minority Lower Income (see chart below) :~ .-~ Receive Rental Housing Assistance c~-'. Member of the Local Homeless Coorainating BoaF~; t~ Your response is voluntary. and you may wish instead to elaborate on or indiEate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction and/or finance, a person receiving rental assistance, and a person from the Local Homeless Coordinating Board. If you have expertise in construction -or finance please describe your experience and/or training: MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOVVER INCOME HOUSEHOLDS (5/95): $26. $30 $33 $37 $40 $43 $46 $49 300 for a 1- 100 for a 2- 850 for a 3- 600 for a 4- 600 for a 5- 600 for a 6- 600 for a 7- ~erson household ~erson household ~erson household ~erson household :erson household 3erson household ~erson household 650 for an 8+ -person household ppdcdbg~ttc~app. hcd ADDITION TO LORI BEARS APPLICATION FOR HCDC CITY OF IOWA CITY ADVISORY BOARD/COMMiSSION A DPLiCATION FORM Individuals serving on Boards/Commissions play an important role in advising the Coun:cj~L~n rrrt~ters=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 ~he' wo~ 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME4OuL-qr~5 ~r~ C:o~nn Uj~k(D~I~,D(YIdI~C~hTERM Is your home address (listed above) within the corporate limits of Iowa City? Z Yes ~ No OCCUPATION ~~VL b~r~f EMPLOYER~ Comm.~oorJ. PHONE NUMBER: HOME ~' ~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~n54 m~~nO b~. [ ~M~ ~n~o~ ~ inv~t~n~ ~-;e~.~ h0~ '- WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? i b61ievc-rnt ~i, l </jrwJ onH~nc 6ommi,%ion h~g ~ ~, &O~ ~- S~',~2 .~~ f~s~onsibt V~ ~ ee~ ~.',s ~m~is~o~. ~< -b ~V L ATTACHMENT TO APPLICATION FOR HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) VVHICH IT SERVES, AS REQUIRED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, PLEASE INDICATE IF YOU ARE A MEMBER OF ANY OF THE FOLLOWING CATEGORIES: Senior Citizen (62 or older) Handicapped or Disabled Racial or Ethnic Minodty Lower Income (see chart below) Receive Rental Housing Assistance X Member of the Local .Homeless Coordinating Board Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. VVhen possible, Council will appoint a person or persons with expertise in construction and/or finance, a person receiving rental assistance, and a person from the Local Homeless Coordinating Board. If you have expertise in construction or finance please descdbe your experience and/or training: MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOVVER INCOME HOUSEHOLDS (5/95): $26,300 for a 1-person household $30,100 for a 2-person household $33,850 for a 3-person household $37,600 for a 4-person household $40,600 for a 5-person household $43,600 for a 6-person household $46,600 for a 7-person household $49,650 for an 8+ -person household ..dcd~a.p.h-- SPECIFIC ATTENTION SHOULD BE DIRECTED TO A POSSIBLE CONFLICT OF INTEREST. PLEASE LIST ANY PRESENT AFFILIATIONS YOU HAVE WITH AGENCIES WHICH MAY APPLY FOR FUNDING FROM THE CITY. AFFILIATION MEANS BEING A BOARD MEMBER OR EMPLOYEE OF THE AGENCY. OTHER TYPES OF AFFILIATION MUST BE EXAMINED ON A CASE-BY-CASE BASIS BY THE CITY ATTORNEY'S OFFICE. IF YOU ARE UNCERTAIN WHETHER OR NOT A POTENTIAL CONFUCT OF INTEREST EXISTS, PLEASE LIST THE AGENCY AND THEN CONTACT THE CITY ATTORNEY'S OFFICE. ~am c,,,,;,,-~,,~+l,,I ~,'r~+~z ~b a~ L~cd I~,a;k~t ~oaH ~~ (~c~) ~o~,~ch IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ._~YES __NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION7 YES ~)~ NO fit has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.i :clerk~bdcomapp.pro August 1996 CITY OF IOWA CITY ADVISORY BOARD/COMMiSSiON APPLiCATiON FORM Individuals serving on Boards/Commissions play an important role in advising the Coun~'~0n r~'~tte~'~f 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 ~e wo~ 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME J"'io~s~t~,J ~l,,~J C~,,,',,o^~ T'~evCJ,f~q~4 TERM NAME t JR¥1tlg ~or~A~;~l HOME ADDRESS IZ. ZO ~/;/I,~0~. ~v:>/j ~ / // .7--~,=.. ~"1 Is your home address (listed above) within the corporate limits of Iowa City?, ~_~Yp~ No 5'2Z9~ OCCUPATION g,.rP~r'~2J:l'er EMPLOYER PHONE NUMBER: HOME ~'7~ BUSINESS_ I- EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 3PECIFIC ATTENTION SHOULD BE DIRECTED TO A POSSIBLE CONFLICT OF INTEREST. PLEASE LIST ANY ~RESENT AFFILIATIONS YOU HAVE WITH AGENCIES WHICH MAY APPLY FOR FUNDING FROM THE CITY. ~FFILIATION MEANS BEING A BOARD MEMBER OR EMPLOYEE OF THE AGENCY. OTHER TYPES OF ~,FFILIATION MUST BE EXAMINED ON A CASE-BY-CASE BASIS BY THE CITY ATTORNEY'S OFFICE. F YOU ARE UNCERTAIN WHETHER OR NOT A POTENTIAL CONFLICT OF INTEREST EXISTS, PLEASE LIST THE ~,GENCY AND THEN CONTACT THE CITY ATTORNEY'S OFFICE, F YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED.;' ,~'YES NO ::)O YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION7 __YES :It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. :clerk\bdcornapp,pfo August 199- ATTACHMENT TO APPLICATION FOR HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER 'TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) VVHICH IT SERVES, AS REQUIRED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, PLEASE INDICATE IF YOU ARE A MEMBER OF ANY OF THE FOLLOVVING CATEGORIES: Senior Citizen (62 or older) Handicapped or Disabled Racial or Ethnic Minority Lower Income (see chart below) Receive Rental Ho. using Assistance Member of the Local Homeless Coordinating Board Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction and/or finance, a person receiving rental assistance, and a person from the Local Homeless Coordinating Board. If you have expertise in construction or finance please describe your experience and/or training: ,, g. s. ,:, 1,,.,:., .'-c ;-J-Z. ,,. MAXIMUM ADJUSTED GROSS (5/95): $26 $30 $33 $37 $40 $43 $46 $49 300 for 1 O0 for 850 for 600 for 600 for 600 for 600 for 650 for INCOME LEVELS FOR LOWER INCOME HOUSEHOLDS al- a2- a3- a4- a5- a6- a7- 3erson household 3erson household aerson household 3erson household 3erson household :~erson household 3erson household an 8+-person household ppdcdbg~lttchapp,hcd EDUCATION WORK EXPERIENCE ACTIVITIES JAYNE MORASKI University of Iowa; Iowa City, IA Master of Science in Urban and Regional Planning, May 1997 Northeast Missouri State University; Kirksville, MO Bachelor of Science in Business Administration -- Finance, 1995 Summa Cure Laude East Iowa Commercial Real Estate Appraisers; Iowa City, IA Appraiser May 1997 to present · Appraise commercial real estate including apartment complexes, mobile home parks, commercial buildings and land for condemnation work Iowa City/Johnson County Senior Center; Iowa City, IA Consultant Spring 1997 · Created and synthesized results of a survey of current and potential users to aid in long-range planning process Public Policy Center; Iowa City, IA Research Assistant, May 1996 to January 1997. · Innovated environmental justice implementation program for Iowa and Minnesota Departments of Transportation measuring environmental and social impacts of highway investment projects, using Mobile5a automobile emissions models and Maplnfo GIS software City of Iowa City; loxva City, IA Planning and community Development Intern, Fall 1995. · Conducted architectural surveys to designate an historic preservation district · Participated in historic preservation site review committees and public awareness groups to maintain the integrity of neighborhoods with severe growth pressures City of Kirksville; Kirksville, MO Economic Development and Administrative Intern, 1994. · Marketed tax incentives and technical support in Kirksville to prospective businesses ® Developed preliminary Street Illumination Master Plan · Created Public Works informational brochure to increase public awareness and understanding of water treatment and road maintenance facilities Be!ievue Housing Authority; Bellevue, NE Resident Initiatives Coordinator, promotion 1993-94. · Liaison between over 100 public housing residents and staff - Authored successful $28,000 technical assistance grant for Bellerue Housing Resident Council used to improve residents' organizational and job skills · Designed Resident Council activities and community organization strategies to encourage self-sufficiency Secretary 1991, promoted to Public Housing Inspector, 1992. · Evaluated safety and health standards in residents' homes · Maintained tenant rent files, assisted in budgeting for tenant programs Iowa Research Council, November 1, 1996. Roundtable on Iowa Economic Development Incentives Iowa City Chamber of Commerce, Member Visitation Committee 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Is your home address (listed above) within the corporate limits of Iowa City? ~es OCCUPATION ~~t L~f~ PHONE NUMBER: HOME ~)-J ~? No EMPLOYER BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: NHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~J ~~5 ~ ~~ NHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR SPECIFIC ATTENTION SHOULD BE DIRECTED TO A POSSIBLE CONFLICT OF INTEREST. PLEASE LIST ANY =RESENT AFFILIATIONS YOU HAVE WITH AGENCIES WHICH MAY APPLY FOR FUNDING FROM THE CITY. z~FFILIATION MEANS BEING A BOARD MEMBER OR EMPLOYEE OF THE AGENCY. OTHER TYPES OF AFFILIATION MUST BE EXAMINED ON A CASE-BY-CASE BASIS BY THE CITY ATTORNEY'S OFFICE. IF YOU ARE UNCERTAIN WHETHER OR NOT A POTENTIAL CONFLICT OF INTEREST EXISTS, PLEASE LIST THE AGENCY AND THEN CONTACT THE CITY ATTORNEY'S OFFICE. YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~:YES NO ::)O YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? __YES /~___NO has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) August 1996 clerk\bdcomapp.pro ATTACHMENT TO APPLICATION FOR HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) VVHICH IT SERVES, AS REQUIRED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, PLEASE INDICATE IF YOU ARE A MEMBER OF ANY OF THE FOLLOVVING CATEGORIES: Senior Citizen (62 or older) Handicapped or Disabled Racial or Ethnic Minority Lower Income (see chart below) Receive Rental Housing Assistance Member of the Local Homeless Coordinating Board Your response is voluntary. and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction and/or finance, a person receiving rental assistance, and a person from the Local Homeless Coordinating Board. If you have expertise in construction or finance please descdbe 'your experience and/or training: MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOWER INCOME HOUSEHOLDS (5/95): $26,300 $30,100 $33,850 $37,600 $40,600 $43,600 $46,600 $49,650 for a 1-person household for a 2-person household for a 3-person household for a 4-person household for a 5-person household for a 6-person household for a 7-person household for an 8+ -person household CITY OF IOWA CiTY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Cour~f~C~.n r~tte~f 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 ~"~,e w~Y~K s~ssion, The appointment is made at the next formal Council meeting. Appointees serve as unpaid ~unt~s. Z"'~ PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. W~g~ S[:~owa City, Iowa. '= "' " THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMiSSiON NAME NAME ]~T,I(~ ~ O'l Y~ HOME ADDRESS Is your home address (listed above) within the corporate limits of Iowa City? OCCUPATION ~d C~ EMPLOYER PHONE NUMBER: HOME ~Sq - ~ ~q~ BUSINESS ONLY AND AUTOMATICALLY '52r-t-c,t-t- -gc:z d O Yes No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: -LI~~ -q-F~c~'>o~qo,-t Plc~nn;nfi C-yr-c~,dc~,a:P--- 5fi-t&en-I-3 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? c%. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOF at a rey-5~denf ~2-rd a 5-h~den-~ o~ ~t~.~ ~ , . SPECIFIC ATTENTION SHOULD BE DIRECTED TO A POSSIBLE CONFLICT OF INTEREST. PLEASE LIST AN'r PRESENT AFFILIATIONS YOU HAVE WITH AGENCIES WHICH MAY APPLY FOR FUNDING FROM THE CITY. AFFILIATION MEANS BEING A BOARD MEMBER OR EMPLOYEE OF THE AGENCY. OTHER TYPES OF AFFILIATION MUST BE EXAMINED ON A CASE-BY-CASE BASIS BY THE CITY ATTORNEY'S OFFICE. IF YOU ARE UNCERTAIN WHETHER OR NOT A POTENTIAL CONFLICT OF INTEREST EXISTS, PLEASE LIST THE AGENCY AND THEN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? . .. YES V/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. :clerk%bdcomapp.pro August 199: ATTACHMENT TO APPLICATION FOR HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IN ORDER TO ENSURE THAT THE HOUSING AND COMMUNITY DEVELOPMENT COMMISSION IS REPRESENTATIVE OF THE COMMUNITY AND THE GROUP(S) VVHICH IT SERVES, AS REQUIRED BY THE U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT, PLEASE INDICATE IF YOU ARE A MEMBER OF ANY OF THE FOLLOVVING CATEGORIES: Senior Citizen (62 or older) Handicapped or Disabled Racial or Ethnic Minority Lower Income (see chart below) Receive Rental Housing Assistance Member of the Local Homeless Coordinating Board Your response is voluntary, and you may wish instead to elaborate on or indicate areas in which you can make a special contribution to the Commission in another section of this form. When possible, Council will appoint a person or persons with expertise in construction and/or finance, a person receiving rental assistance, and a person from the Local Homeless Coordinating Board, If you have expertise in construction or finance please descdbe your experience and/or training: MAXIMUM ADJUSTED GROSS INCOME LEVELS FOR LOVVER INCOME HOUSEHOLDS (5/95): $26 300 $30 100 $33 850 $37 600 $40,600 $43 600 $46,600 $49,650 for a 1-person household for a 2-person household for a 3-person household for a 4-person household for a 5-person household for a 6-person household for a 7-person household for an 8+ -person household ppdcdbg~41chepp.hcd City of Iowa City MEMORANDUM Date: To: From: Re: August 15, 1997 City Council Marian K. Karr, City Clerk Police Citizen Review Board (PCRB) City Council is scheduled to make five appointments to the PCRB on August 26. The deadline for applications is Tuesday, August 19. Because of the large number of applicants a suggestion was made to furnish you the applications in threesegments. Attached are applications received as of print time Friday, August 15. Copies of applications received prior to 5:00 p.m. on Tuesday will be made for you to pick-up on Wednesday. All applications received between Tuesday and Friday print time will be included in your August 26 agenda packet. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENTS TO THE FOLLOWING BOARD: POLICE CITIZENS' REVIEW BOARD Five (5) Vacancies: One (1) Two-Year Term Two (2) Three-Year Terms Two (2) Four-Year Terms All Terms Begin September 1, 1997 (One vacancy must be filled by a current or former "peace officer.") Duties of the Police Citizens' Review Board include reviewing Police Department investigations into allegations of misconduct lodged against police officers, conducting further investigation of the complaint when the Board deems it necessary, and issuing a public report which explains why and the extent to which the complaint is sustained or not sustained; maintaining a central registry of complaints against sworn police officers and issuing annual reports regarding the disposition of the complaints to the City Council; reviewing police policies and practices from time-to-time and recommending changes to the City Council when the Board deems it appropriate. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. The City Council also reserves the right, for good cause shown, to waive the requirement that the Board include one current or former "peace officer." These appointments will be made at the August 26. 1997, meeting of the City Council at 7:00 p.m. in the Council Chambers. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered for these positions should contact the City Clerk at the Civic Center. 410 E. Washington Street. Application forms are available from the Clerk's office upon request. 7/17/97 (1) August 26, 1997 POLICE CITIZEN'S REVIEW BOARD Five (5) vacancies - One two-year term Two three-year terms Two four-year terms All terms begin September 1, 1997 (one vacancy should be filled by a current or former "peace officer") David L. Engelhardt ..... 940 Cedar Lane Waverly, Iowa 50677 Judith Perkins 1321Coll Drive John Robertson 915 Oakcrest #12 Kenneth L. Stock 2465 Quincy Road NE Solon, Iowa 52333 (prefers 2 year term) John Watson (prefers 2 year term) 403 Elmridge Avenue J.C. Cortese 930 E. Bloomington Street Osha Gray Davidson (prefers 4 year term) 14 S. Governor Street Charles Major #7 Blue Stem Court Robert Barhite (prefers 3 year term) 1802 Calvin Court #1 'Duane Rohovit 721N. Van Buren Street Robert L.Kemp (prefers 2 year term) 1122 Estron Street Marc G. Bunge 1515 Tracy Lane John Cazin, Jr. 1122 Downey Drive Royce W. Phillips(prefers 4 year term) 1413 Sycamore Street William C. Bleeker 2315 Rochester Avenue Paul C. Hoffey 35 Somerset Place Thomas M. Immermann (prefers 4 year 5608 James Avenue SW term) Kalona, Iowa john W. Phipps(prefers 4 year term) 157 Glenn Drive (2) August 26, 1997 POLICE CITIZEN'S REVIEW BOARD Five (5) vacancies - One two-year term Two three-year terms Two four-year terms All terms begin September 1, 1997 (one vacancy should be filled by a current or former "peace officer") Leroy Nida 2317 Plaenview Drive Elizabeth Standard Ray 2607 Friendship Street William Kidwell { ~f~rs 2 or 3 year term) 655 Arlington Drive Ken Gatlin PO Box 778 Lisbon, Iowa 52253 AS OF 5:00 P.M. 8/14/97 (3) August 26, 1997 POLICE CITIZEN'S REVIEW BOARD Five (5) vacancies - One two-year term Two three-year terms Two four-year terms All terms begin September 1, 1997 (one vacancy should be filled by a current or former "peace officer") Leah J. Cohen 643 Scott Park Drive Earl F. Rose 1110 E. Court Street Roy E. Gentry 2801Hwy 6 E. #69 Jose E. Rodriguez 1117 Downey Drive Mark A. Sandler 41 Tucson Place (4 year term) (4 year term) Dennis Mathahs 1119 Church Street Jason King (2 year term) 331S. Lucas Street, #1 Patricia A. Farrant 1050 Woodlawn David A. Lynch (3 or 4 year term) 1227 Muscatine Avenue Ben O'Meara (2 or 3 year term) 419 S 7th Avenue Floyd Akins, Jr. 1309 Goldenrod Dr. Rex Clemmensen 1108 Spruce Street AS OF 3:45 P.M. TUESDAY, AUGUST 19 August 997 POLICE REVIEW BOARD Five (5) vacancies - One two-year term Two three-year terms Two four-year terms All terms begin September I 997 (one vacancy should be filled current former 'peace officer") Leah J. Cohen 643 Scott Park Drive Earl F. Rose 1110 E. Court Street Roy E. Gentry 2801Hwy 6 E. #69 Jose E. Rodriguez 1117 Downey Drive Mark A. Sandler / 41 Tucson Place / Dennis Mathahs / Jason King 331S. Lucas Street, #1 Patricia A. Farrant 1050 Woodlawn David A. Lynch 1227 Muscatine Avenue Ben O'Meara 419 S 7th Avenue Floyd Akins Jr , 1309 Goldenrod Dr. Rex Clemmensen 1108 Spruce Street AS OF 3:45 P.M. TUESDAY, AUGUST 19 August 26, 1997 POLICE CITIZEN'S REVIEW BOARD Five (5) vacancies - One two-year term Two three-year terms Two four-year terms All terms begin September 1, 1997 (one vacancy should be filled by a current or former 'peace officer") Hargaret Raymond (2 or 3 year term) 1016 Denbigh Drive Pierce Brown (2 year term) 633 S. Governor Street Dwight A. Drury (4 year term) 1117 Harlocke Street William (Bill) Peterson (Prefers 3 year term) P. O. Box 1885, Iowa City Jeffrey Fields P. O. Box 942, Iowa City David Coleman 2161 Banbury Circle NE Richard E. Gibson (4 year term) 903 Highwood Street (5) August 26, 1997 POLICE CITIZEN'S REVIEW BOARD Five (5) vacancies - One two-year term Two three-year terms Two four-year terms All terms begin September 1, 1997 (one vacancy should be filled by a current or former 'peace officer") Andre D. Peery (prefers 2 year term) 43 Gryn Court E. Jordan 60 Brunswick Court Henry J. Klosterman 1925 Meadow Ridge Lane CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD [ ?PLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the CourT_C, JVon tters'of interest to our community and its future. Applicants must reside in Iowa City. However, the City (~(;~cil'~serves the right to waive the residency requirement for good cause shown. ~-' a 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING That TIME. ADVISORY BOARD/COMMISSION NAME NAME I'~AL) I~ L- ~Ik~F~'L-H-i~vI~7" HOMEADDRESS Is your home address (listed above) within the corporate limits of Iowa City? OCCUPATION t"'~E~at'""b- F)qF_,(:)Ic~L Di-SAai6|T'~ EMPLOYER t ! "35oq qqqS'BusINEss PHONE NUMBER: HOME 3 ~' ' __Yes X No ~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: / -.) PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEr~ A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DF^yRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(SI. "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in ' chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. "~TZ:~u l o,:.,6z. I WHAT IS YOUR PRESENT KNOWLI~DGE OF THIS ADVISORY BOARD7 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR ! / / m ,,-,4 n/-- PCRB Page 3 CONFLICT OF INTEREST V · El . , AND THEN CAN CONTACT THE CITY .' ' . IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ZYES 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 same time.) cc|e~k~oolctal31).lxo July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW /'?PLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the CoUnCil o~rnatters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Counc'[1 reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME POLICE CITIZEN REVIEW COMMITTEE TERM OPEN NAME Judith Perkins¢ HOME ADDRESS 1321 Coll Drive Is your home address (listed above) within the corporate limits of Iowa City? x Yes __ No C ~UPATION Employee/Labor Relations Manager EMPLOYER City of Cedar Rapids PHONE NUMBER: HOME 358-8719 BUSINESS 398-5000 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Over the past 11 years, I have gained a working knowledge of law enforcement and how police departments operate through negotiations, grievances and other labor/management meetings.~s well as reading journals. For nine of those years, I ~s a part of the legal department. I've served as an ad-hoc mediator, arbitrator and fact~inder. During my 14 years as an advocate for both management and labor, my work has involved investigating incidents, resolution of issues, reviewing, interpreting and sometimes (re)writing workrules, policies and procedures and generally attempting to keep everything in balance. I am very conscientious and experience~when dealing with rights of privacy and confidentiality. For 10 years I was a member of the C.R. Housing Board of Appeals where I dealt primarily with landlords who were appealing the inspectors' interpretations of the city code. I'm currently a member of the League of Cities Liaison Committee with the Chapter 411 Board. Please review the ~'~ched resume for additional information. ° PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF Dr'~FRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Followed CoLmcil discussions in printed and electronic media. Reviewed Ordinance No.97-3792 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? My interest as a 4 year citizen of Iowa City is to see that the Board operates in an efficient, effective manner. To allow citizens to be heard in a timely manner while recognizing the difficult job of the officers as well as appreciating the Council's, City Manager's, and Chief's responsibilities. I firmly believe the knowledge, experience, insight and education I have received over the last 20 years will assist in meeting the expectations of the Council, police department and citizens. Please see my letter to Steve A~kins and c'~ef Byrnes letter of recommendation of October, 1996. PCRB Page 3 CONFLICT OF INTEREST ~ AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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 × NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cde~k~OdCta~>.~O JUly 19 9 7 JUDITH DETHLEFS PEKKINS 1321 Coll Drive Iowa City, Iowa 52246 ~nUCATTON MASTER OF ARTS. May, 1986. The University of College, Iowa City, Iowa. Iowa, GraGat~ MAJOR: Business Administration with an emphasis in Industrial Relations/Human Resources Management. BAC~IELOR OF BUSINESS ADMINISTRATION. May 1984. University of Iowa, College of Business, Iowa City, Iowa. MAJOR: Industrial Relations/Human Resources Management. ASSOCIATE OF ARTS. November, 1982. Cedar Rapids, Iowa. Kirkwood Community College, MAJOR: Pre-Business. COLLEGE COURSES GRADUATE/UNDERGRADUATE INCLUDED: Trade Union Policy and Structure, Collective Bargaining, Public Sector Bargaining, Protective Labor Legislation (EEOC, Affirmative Action, OSHA, Civil Rights), Personnel Management, Compensation Administration, Insurance and Employee Benefits, Computers (including quantitative programming). Also, economics, accounting, business law, psychology, sociology, quantitative mathematics and Liberal Arts. CONTINUING EDUCATION: Short Courses and Seminars sponsored by University of Iowa, Kirkwood Community College, U.S. Department of Labor, U.S. Department of Transportation, National Public Employers Labor Relations Association, Iowa Public Employers Labor Relations Association, Industrial Relations Research Association, Zenger-Miller, Woods Quality Center and the City. Subjects included Fair Labor Standards Act, American with Disabilities, Drug/Alcohol Testing, Occupational Safety and Health Act, Alternative Dispute Resolution, Privatization, Total Quality Service, Downsizing, Affirmative Action, Sexual Harassment, Workplace Violence, Medical Cost Containment, Family and Medical Leave Act, Workplace Diversity, Labor Law, Negotiations, Arbitration, Interest Based Bargaining, Motivational, Train-the-Trainer, and various other topics. ~P~RT~N~ EMPLOYEE/LABOR RELATIONS MANAGER. City of Cedar Rapids, Iowa, 1986 to present. Duties include chief spokesperson during labor negotiations, compensation and benefits, implementation of labor agreements, advise Council and department heads in all personnel areas relating to workers, assist supervisors, strategic planning, research, grievance handling, mediations, factfindings, arbitrations, PERB hearings, restructuring of departments, lay- offs, bumping, committee participation including but not limited to Universal Leave, TQS Steering Committee, Compensation Appeal Board, ADA Accommodation and Planning, Employee Assistance Program, Executive Hiring Committees, Substance Abuse Policy, Insurance Review, Personnel Policy, Bluestem Personnel, Voluntary Separation, Severance Pay, Service Awards and various short-ten one issue committees. INSTRUCTOR. Kirkwood Community College, Cedar Rapids, Iowa. Present. Duties include preparation and administration of lectures, grading of essays and other duties necessary for the instruction of college-level students in various areas of Human Resources. Ad Hoc Mediator, Iowa Public Employment Relations Boar~f],19 1988 """ Duties include mediation of contract disputes in tha public sector. _.~_'! ,-~_,-.. Labor Arbitrator/Factfinder, 1984-1987 Duties include conducting hearings, examination of evidence and issuing awards/recommendation in Iowa public sector labor relations disputes. Teaching Assistant~ Administrative Management, The University of Iowa, College of Business, 1984-1986 Duties include preparation and administration of lectures, examinations and other activities necessary for the instruction of upper level undergraduate students. Service Representative, AFSCME/Iowa, 1975-1979. Duties included organizing new bargaining units, negotiating contracts, training officers and stewards, interest/grievance arbitrations, lobbying for predominantly blue collar, corrections, and professionals in city, county and state government employment. Account Clerk III, Auditoris Office, Linn County, Iowa, 1972 - "1975 Duties included payroll, budget preparation, tax levying, resolution preparation, financial reports to federal and state governments. RCTTVTTT~ ~N~ AWARn~ Iowa Public Employers Relations Association, 1986 - present National Public Employers Labor Relations Association, By-Law Committee - Present Industrial Relations Research Association, Member - Board of Directors, 1987 to p~esent Iowa League of Municipalities Legislative Policy Committee - Present Iowa League of Cities Municipal Police and Fire Retirement System of Iowa Liaison Committee 1995-present Cedar Rapids Housing Board of Appeal, 1984 - 1994 United Way - City of Cedar Rapids Chair, 2 years Business and Professional Womenis Organization, 1983 - present Cedar Rapids Rotary West, 1989 - 1994' Professional Women~s Network, 1991 - 1994 Quota International, 1988 - 1995 Cedar Rapids Literary Club, 1990 - 1995 Phi Theta Kappa National Honor Fraternity - 1983 Kirkwood Women~s Advisory and Assistance Committee, 1982 - 1984 Kirkwood Outstanding Student - Liberal Arts, Business - 1983 Woman of the Year, Linn County, Iowa - 1982 JUDITH ANN PERKINS 1321 Coil Drive Iowa City, Iowa 52246-4111 319/358-8719 October 25, 1996 Steve Arkins City Manager 410 E. Washington Iowa City, Iowa 52240 Dear Steve: As a resident of Iowa City, I am volunteering to sit on the Police Review Board. I am enclosing a resume to give you some idea of my knowledge and skills. As the collective bargaining representative for the City of Cedar Rapids for the past 10 years, I am familiar with law enforcement and have a better understanding of the overall operations than most people. While I do not believe offcers are omnipotent, I do believe they have a difficult job to perform. At the same time, I believe policies and procedures must always be reviewed and changes made when appropriate. I am not volunteering believing this will be an easy task. The mere idea of such a Board is controversial among members of law enforcement. However, as a member of the community, I believe I have a responsibility to offer my service in an area where my expertise may prove valuable. Please expect a letter of recommendation of me ~om Cedar Rapids Police Chief Byrneo Thank you for your consideration. Please contact me if I can provide additional information to you. Yours very truly, Judith Ann Perkins POLICE DEPARTMENT 310 2nd Avenue SW Cedar Rapids, IA 52404-2098 (319) 398-5045 William J. Byrne Chief of Police CEDAR RAPIDS CITY OF FIVE SEASONS ' Time .' for tile October 25, 1996 Steve Adkins, City Manager 410 East Washington Street Iowa City, Iowa 52240 Dear Mr. Adkins: This letter is to recommend Judy Perkins for a position on the Iowa City. Citizens Review Committee. Judy works for the City of Cedar Rapids as the Employee Labor Relations Manager. She is well acquainted with the Police Department and its functions through bargaining and grievance procedures. She is a person who believes in fairness and will stand her Found for a principle. I believe she would be a very fine person for this committee. If you want to discuss this recommendation further, please contact me. Sincerely, William J. Byrne Chief of Police WJB:pik cc: Judy Perkins~ CITY OF IOWA CITY POLICE CITIZEN REVIEW , PLICATION FORM BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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 app!ication 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Police Citizen Review Board TERM 2, 3, 4 years NAME John Robertson HOME ADDRESS 915 Oakcrest #12, Iowa C~5~y246 Is your home address (listed above) within the corporate limits of Iowa City? X Yes No C ~UPATION attorney: faculty member PHONE NUMBER: HOME 354-9~5~ EMPLOYER self employed; Mount Mercy College BUSINESS ~c, 1 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am an attorney in private practice in Iowa City, where a substantial portion of my practice entails criminal ~efense. T am thprefore quite fami]iar with the policies and practices of the Iowa City Police Department. Additionally, I boach in tb9 Criminal Justic~ D~p~rtm~nt ~ M~n~ M~r~y Co]]age, w~9~9 n~arly all my students aspire to careers in law enforcement. Prior to all this, I cnjoycd a tcn ycar carccr in juvcnilc justice with (primarily) the State of Missouri. I also am strongly committed to the concept of a PCRB that functions bull, ds dXi uv~ibig]lL Budid £ui Lh~ puliu~ depaiLmeuL, dud ensuring there is a high degree of trust between law enforcement and the larger community ~t serves. In ~he events tha~ led to the formation ol tn~s Board I have attempted to maintain a sensitivity both towards the community and law enforcement. See my resume and cover letter for additionalqualifications PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE F THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. Although in my former career as a iuvenile iustice professional I worked in various positions that allowed me to detain juveniles and issue warrants, I have never been ~ peace ~ffinPr ~ ~finP~ hy Tnw~ l~w WHATIS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? The PCRB is a city created body charged with providing a review process for citizen complaints regarding pOliCe activities. The Board a]~ is empnw~r~ ~n prnvi~ nv~r~igh~ regarding police policy and procedures to the City Council. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I am very excited ahont the pro.~peef nf .~Prving nn fhp pCWl~, ~q T feel I possess a unique combination of skills and talents that would benefit ~h~ ~n~r~ ~n ~tS a~t~vit~e~. T am = ~trong ~oblom solvor, I havc a working knowledge of police procedure, I possess a sensitivity towards citizen con- ccrns whilc a13o maintiinint a healthy pe~vectiv~ ~e~dlnv Lh~ issues LhdL police officers confront on a regular basis. I value fairness and would work dili~uLly Lu ~su~'e both LhaL complaining citzzens and the ofzzcer's they identify are treated properly in all ways. I also have experience serving on Rnar~ an~ wnrking fn q~ the proCesq functional and healthy at all times. As an attorney, I also possess the illq nAp~qS~ry tn ens~/ro tho ~oard's activitic~ fall into oompliancc vith the requirments of the Ordinance, as well as State and Federal law. PCRB Page 3 ICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. I see no obvious conflicts. There is some possibility a conflict could occur between my role as a lawyer formerly representing a client who files a com- plaint with the Board, and my role as a member o~ the Board. In such a case, I would recuse myself from any role in tnat particular complaint process. Fuit]ier, I would .ut re[3i=~=nt ~ny cli~nt wliu d~bll~ to [~drSu~ a uumpldixiL a ainst the ICPD. IF YOL~ ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? XYES __NO DO YOU CURRENTLY SERVE ON ANOTHER IOVVA 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.) cde~k~.~ctap~.pro JUly 1997 97 JUL 2 8 P,H I .' 3 3 ICj~'.~;, CiT'f. I0"" John Robertson Attomey at Law 22 East Court Street Iowa City Iowa 52240 Phone 319 351 0224 Fax 319 351 8312 email john-robertson@uiowa.edu http://soil. inav. net/-jroberts/law_office_homepage. html July 24, 1997 City Clerk City of Iowa City 410 East Washington Street Iowa City, Iowa 52240 TO WHOM IT MAY CONCERN: I am writing to submit my name for consideration for appointment to the Iowa City Police Citizen Review Board. I believe I am qualified and would make a strong addition to the Board by virtue of my professional and academic credentials, as well as my experience and involvement in our community. I am a lawyer in private practice in Iowa City. Much of my work involves criminal defense, I am therefore familiar in general tens with police procedure, and in specific terms with the procedures utilized by law enforcement agencies in the Johnson County area. Although I defend persons accused of crimes I do not believe it would be accurate to conclude I am in any manner anti-law enforcement. More fairly, my work involves regularly comparing the facts of police investigations to the requirements of the law so as to ensure my clients receive fair treatment in the Courts. In addition, I am a member of the faculty in the Criminal Justice Administration Deparunent at Mount Mercy College in Cedar Rapids. There, I teach criminal investigations and criminal evidence courses to undergraduates, nearly all of whom desire careers in law enforcement. Likewise, in my former career I worked as a juvenile justice professional, primarily with the Missouri Division of Youth Services. There, I administered and developed treatment programs for youthful offenders committed under Missouri juvenile law. Finally, my wife and I have been residents of Iowa City since 1993. I believe Iowa City is the best community in Iowa to live, and I am strongly committed to the City's well being. I also feel the PCRB is both an excellent vehicle for establishing trust between citizens and the law enforcement community, and thereby ensuring the public's interests are served at all times. I have enclosed my completed application, as well as a copy of my resume for your review. I would be happy to supply references and any other materials staff or the members of the City Council might require. Please do not hesitate'tocontact me ff theremany questions. · r Attorney at Law CITY OF IOWA CITY POLICE CITIZEN REVIEW ; ~PLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Cour~ik'7on ~tters'Of interest to our community and its future. Applicants must reside in Iowa City. However, the City ¢[jncil-~eserves the right to waive the residency requirement for good cause shown. o-~ 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME~ · . ADDRES~ y (.~ ~ ' f~ ~ C ~UPATION . PHONE NUMBER: HOME ~ / e' ~ ¢y/~ 7/~ BUSINESS ~ ' 3 ~ ~ ¢ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: . PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF Dr "~RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? PCRB Page 3 CONFLICT OF INTEREST IF X~U.THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE E~ GED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN IF YOU ARE NOT SELECTED, DO YOU WA~ TO BE NO ? ~ ES NOTI 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.) July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD , PLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Coun~E~_~n rn~ters of interest to our community and its future, Applicants must reside in Iowa City. However, the City C;~uncil ~aserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME P(b(;(-- 'e (;'{"' L/~ ~e.-t/, e-C,.)'~::P,TERM Is your home address (listed above) within the corporate limits o~"'i~'wa City? /Yes ~ No C. ,IUPATION Y~res; c[e.~ EMPLOYER (""~~ PHONE NUMBER: HOME ~'~7-- =9'2-::;z5" BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) {SEE Br'-~,~), IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF D~-~,RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? /'4YES 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 same time.) cclefk'q~lctapp.i)ro July 1997 ~3 0 -? 7 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD , 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. After a vacancy has been announced, the Council reviews all applications during the work session. appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. The 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME J, ~, ~~S~ HOME ADDRESS~O 8, Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes __ No C ~UPATION ~~~LT~, ~V~A'~ EMPLOYER PHONE NUMBER: HOMEriC- q~'lPZl' %3~-5~1 BUS~NESS3~-55~' EXPERIENCE AND/OR ACTIVITIE~~H Y~U FEEL QUALIFY YOU FOR THIS POSITI.ON: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF D ~RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the j. authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~2-~,u..~_--~:~)"~ ~r',~ ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF '~)U THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) cch~k~odcts~.~o July 1997 _) -) 'C COR2'fS ,. M S,D. C '*J' 'CHIR%~RACTIC PHYSICIAN 3'16 E. BURLINGTON STREET ...... IOWA CITY, IOWA 52240 31 9-354-5247 Date and Place ol llirth: dune 2L 1955. New York Foundling Orphanage, New York CiOz. New York. F~tucation Northwestern College d ~aic {NWCC}, Bloomingtort A4N. D. C - Dec 1984 Vanderbilt University. 'Peabody College of Educatiott Nashville TN. B.S. - Healt. h ~ ~ Educabon. B.S. - 5peciai Educat~n - Dec: 1973 A/I.S - Specia! Educagon AdminisZra~n - A/lay 1977 Professional Faene, rie~e Chiroprdctic ~ - Private prdctic~ ]ow~ Or.E. Iowa.. 1985-1987 Ogoprac~c Physit~ - Ft !.atden~ Flodd~ A,lianu' Beach. Coordinated and provided chiropractic patient care upon rderral for A4arc 5irmreichA/tD.. Orthopaedie ,,%zrlgeort. 198~- I 983 Teaching Assistant. NI/VCC technique departmentAnatomy Dissection La~. ~udent Clinic ,.Supen,ison 1978-1981 Psyd~tn~ Teacher~>unsdor. Cumberland House S>chool Nashvgle TN. Counsdor for ernotionagy disturbed adolescent boys {14~18 y. o.~}. 1975 1978 Project Director. Home 2. In,', Nashvgle Direct hailway house program for emotionally disturbed/~ adults Progrdm Coordinatoc. Rochege Trairdng Center. Nashville Banning implementmgandcoordinatingdailyschedules for 140 handicappedpersons and$Oslaflmembers. Community 5emce. Uni~sity of lov~ Athletic ~e, nt Iowa Plus 8oant ol Director~ (Presently}. Mayor~ Youth Employment Pmgrdm Iowa Qt3<, Iowa Advisory Committee Hospice Road Races Iowa QtJ<. Iowa OtBcid Chimprdctic Physician ~> RegisItalian. NaObnional Assoc of Women Business Owners. Corporate R;> Membership Chair. CITY OF IOWA CITY POLICE CITIZEN REVIEW ," PPLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the CoD2r~cil orr~atters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Counc~ reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~)OL~ C_~TI'7__-E~:t,J~5 p,~JI~J~E~RM H'~E~j~- NAME (ZE)cjJA~ ~-~ t)-JL.~j ~Oc-r~ HOME ADDRESS IL-~ r_~. ~ d ~N~ ~ Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes No C ~UPATION~~-~(~, ~~/~T~O~_ EMPLOYER ~~ PHONE NUMBER: HOME ~ ~ --H ~ BUSINESS ~~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE D~_ F P S "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by tl~ authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF .)U THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ES __NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES z/NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cclefk~oolctal:~.l~o JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD ,r PLICATiON 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. TERM NAM~/~'~: >Z ~:d:~ HOME ADDRESS . Is your home-address (listed above) within the corporat6 limits of Iowa City? ~ Yes No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY--~U--FOR THIS POSITION: ~"~:? t' PCRB / Page 2 ? ~RE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE .ELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF .ESr"',~PTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. , ,'7' Azzxfo VHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?'T//zK-d-/~u/~/f_Z2 flC~'[/I~ .. tZsT/['-,,/f 7d-, r5 e F cF /'77 ce4'/,,-/z_ '~( ,>7/C'/j O F ~ L/CE ~-'1[1~/7, 7-1t~117~/2 o~dtt5 76/-17" O,F ',/HAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR / PCRB ' Page 3 -ONFLICT OF INTEREST LN AND THEN CAN :ONTACT THE CITY ATTORNEY'S OFFICE. 1~ ~ 7H~ 3-' ~ ~ ~~/~ ~' ~, ' 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 ~/~ NO it has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) clerk~polctap~.~o JUly 1997 CITY OF IOWA CITY · POLICE CITIZEN REVIEW ; PLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Cour~iFbn n~tter'~'of interest to our community and its future. Applicants must reside in Iowa City. However, the City (~G~cil~serves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAMEPolice Citizen Review :Board TERM 3 :year term NAME Robert Barhite HOMEADDRESS1802 Calvin Ct. #1 Is your home address (listed above) within the corporate limits of Iowa City? X Yes C k:UPATION househusband and father EMPLOYER n/a No PHONE NUMBER: HOME 351-3132 BUSINESS 337-1548 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: T h~v~ ~ degree in Law Enforcement. My academic training included classes on the Iowa Vehicular Code, the Iowa Criminal Code, and police procedures (includinq ve- hicle stops, building searches, and proper arrest techniques). From 1982 to 1985 I was employed as a special police officer for the Waukon, Iowa, police department. PCRB Page 2 A:RE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BF' W). IF SO PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DL~'RIPTION ~F YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsectio__n 4, aWd section 907.2. f. Special security officers employed by board of regents institutions a~:~Bt fo in section 262.13. c,- cn g. Conservation officers as authorized by section 456A. 13 eac h. Such employees of the department of transportation as are des~gnatedL~2 e... officers" by resolution of the department under section 321.477. o~_~:'. -:.. i. Employees of an aviation authority designated as "peace officers"Tby the~ authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. I was a special police officer for the city of Waukon, Iowa, from 1982 to 1985. My duties included foot patrol, patrolinq in a car (both with an of- _ ~cer and alone), providing security for p~h]~c ev~n~.q, an~ ~raining in ~h~ ~q~ ~ F~re~rmS T Te=~gned ~n ]985 ~Q a~tond tho Univorsity of Iowa. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Tho citi~3n roySow board was created to investigate accusations of police misconduct, keep records of complaints, review police procednres an~ pratices, an~ make recommen~inn.q. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I have an open mind. I have no agenda to "white wash" Dolice ac- tivities, nor do I have a vendetta against the police department. T would ~D~St~gat~ each ~]]~ga~on Qf pel~o misconduct w~th an unb~s~~ a~ti~ud~, using my experience and education, plus the recommendation of other board members before m~king any ju~gemen~. T be] ieve ~haf ~here ar~ ~n.qtances in which an Q~F~ce~ uses q~,~st~onabl~ behavior, j,,st as th~/Q ar~ t~me~ an ~n- ~vidual might misinterpret an officer's actions or even lie about events. In the wake of the Eric Shaw shooting it is imperative that Iowa City strives to improve relations between its citizens and the police. The creation of the board is the first step. I want to be part of that step. PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) cclerk%,oolctapp.pro July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW ~, ,~PLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Coun_"~on t~atte~S:of interest to our community and its future. Applicants must reside in Iowa City. However, the City_~ncj~eserv~s the right to waive the residency requirement for good cause shown. ~" '--2 .... ' 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Pt~li't.e ~; '('i'ZP__Y'I ~:?eV'I'PW' Boa. r,d TERM NAME Duane f~nhr~v~ f HOME ADDRESS "r~t A/'. ~,~/u'/'?('j~ Is your home address (listed above) within the corporate limits of towa City? C ~UPATION/~LJI'O1P~I~.~/'/:>~b),'C ~A~J~L'~Y' EMPLOYER PHONE NUMBER: HOME 3iC{-35t~LI ~'~? BUS~NESS Yes __ No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~eq~ ~c~du~fs wh,'Ch ~llo~ l~w ~N~cem~ ~ per~r~ PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLY,NGI? ::E tootde hope_ 'b b? e Je, uro PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED7 YES ,.L7' 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.) cclerk'q~elctapp.pro JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD . PLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Co~z~} or~natt~'s of interest to our community and its future. Applicants must reside in Iowa City. However, the Cit~:~n~rese~es the right to waive the residency requirement for good cause shown. ~-- -=' 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME d"~O ~ ,F/r'~ 'T L. J'~t~/d~ HOME ADDRESS J I ;~ ~S"~G ~ . Is your home address (listed above) within the corporate limits of Iowa City? /Yes __ No PHONE NUMBER: HOME ~ S ~ ~ E J 6 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BF' ~W,). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DE,.,,,RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? PCRB Page 3 CC'"'FLICT OF INTEREST IF , JU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YES b/NO has been Council policy not to it an individual to serve on two Boards or Commissions at the same time.) cc~k~icta~.p:o JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW PPLICATION FORM BOARD .,---~ Individuals serving on Boards/Commissions play an important role in advising the CoLFnCil on-matters of interest to our community and its future. Applicants must reside in Iowa City. However, the City~_j3Uncitfeser~/es the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. 'z ADVISORY BOARD/COMMISSION NAME/'~c,\,,_c C,%,~c,,~' ~c-,,.,~-,., (~c~,.,.~ TERM ~7,.~ NAME t~";'x ,:,_,-,__ C-F ~ ,._,,-%~_ HOME ADDRESS ~%~C "~ ..... 1 [ .... ~_ 'T c_ Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes __ No C ]tUPATION %'3~,,~c~- EMPLOYER ~-,,-c \.x~: ...... \ PHONE NUMBER: HOME '~¢--,- bath-- ~-~'a% ,,,- ~3%'-b.3~q ' BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 A, RE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. Special security officers employed by board of regents institutions as set forth in section 262.13. Conservation officers as authorized by section 456A. 13. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. "by the WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? '/ ~, .., ~,--, "~-',-,~ ~,~,~,~ ~ ~ .... a, ~,. ~,.:,,\ ,,c Co,,, ~\~,.,,,~, ,.,-:~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) cclerk~olctap~.pro JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW [ >PLICATION FORM BOARD I Individuals serving on Boards/Commissions play an important role in advising the ' "'/' '~' ' ' 7 ' to waive the residency requirement for good cause shown. 3> r,o 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME NAME ~'0~N C_~z,:~,,, 3k.. HOME ADDRESS il Is your home address (listed above) within the corporate limits of Iowa City? C I:UPATION ~t~ EMPLOYER PHONE NUMBER: HOME ~ t~- 33~-~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: l~6~-~ TERM z. eL ~ ytk ~ bomw,.,v ~Livt Yes No PttSt~q~t 1~77~7of PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF Dr '?RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. /jO~J'L I WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR i~t-4c~ TO LIVe.. k'Nb t&l~tf.. ,4- ~4.,~IL4' . ..L ~4fji"' 70 .5~t.~ ,4-~J ~4~lv//IOv~fjuT, PCRB Page 3 CONFLICT OF INTEREST CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) ccm~k~x~ctapp.pro July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW r PLICATION FORM BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. %~ , ~ ~ . . HOME ADDRESS Is your home address (listed above) within the corporate limits of Iowa City? es C tUPATION iVIpE/~iS.T~,~{C} EMPLOYER EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DF ~:RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated '?3eace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT I'S YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD7 ~"//)V/L. (A.,,//'~,~T''' {'/fh/r ~ W TIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF ~?AU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE Eh, GED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE~- - 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.) cclefk~)olctal~o.l:N'o July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD , PPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Cou~i~H. on matters of interest to our community and its future. Applicants must reside in Iowa City. However, the CityEi~o~Jnc~j'eser~s the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME POT,ICE CITIZEN REVIEW BOARD TERM AN'Y O7' THE 3 NAME William C. Bleeker HOME ADDRESS 2315 Rochester Avenue,L~.G~S, 52245 Is your home address (listed above) within the corporate limits of Iowa City? C IUPATION Retired from public education EMPLOYER X Yes No PHONE NUMBER: HOME 3 9/3'~7-7!,]8 BUSINESS 1 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: An abiding appreciation for what transpires in the comprehensive, positive, best interests of Iowa City and its citizenry; said interest emanating from residence in the community over three Oeriods of time: -- As an undergraduate and graduate student at the University, 1946-52; -- A~ ~ t~.~nh~, nm,n.~.l ~, ~nnna~y pr~ nci pnl, ~nd Central Off~ ce ~ami nist.rator (Assistant Superintendent) in the Iowa City Community School District, 1956-75; -- As a retiree here, returning from public education endeavors in California, 198Y to the ~resent. Professional and personal relationships with students, adults, professional colleagues, and other citizens resulting from a 40-year career in public schools in Iowa and California. Broad, comprehensive experiences and leadership, with an emphasis on people-oriented activi- tics and rolationships, in ~dolyv~ry~ng physical. geogroph~c~l, an~ ph~ln~Oph~nl ~phere~: -- From a small town upbringing and early teaching/administrative assignments in northern -- To similar educational undertakings throughout 20 years in the ICSSD in mid-size Iowa uity; -- To continuing service in schools in the metropolitan area of Los Angeles. -)Specific associations and relationships with the many fellow institutions and agencies, governmental and otherwise, in this and other communities -- all of whose cooperative e~nr~ ~Pp n~,n~l to a grcffw~ng, ever-~m, Drov~r~, v~brant, positive, people-oriented Iowa City environment. PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE D, F P S "Peace officers", sometimes designated "law enforcement officers"', include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. Actual 'peace officers' service: NONE WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Only what is enumerated in the PCRB materials forwarded to me. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? Reason for appl.VinE and potential contributions: As a menns of possibly paying some 'civic rent' in reciprocal f~.~h~on for the numerous positives experienced by my spouse of 50 years, children, and solf ovor the many pa~t f~aitful and continuing yoars in Io~;a City. Further utilizing and contributing a personal and professional make-up inclusive o~: Ya~r, ~mpar~lal, ob3ec~lve, analytical ablhties which, l believe, have been visible, consistent, verifiable characteristics of my public service wherever i've worked, functioned, and resided down through the years. PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. Conflict of interest: NONE of which I am aware. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YES __NO (as you wish ) 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.) cclerk~polctal~p.l~o Willia~ C. Bleeker (8/6/9?) July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD , ] PLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Councfl:~. rr~ers.~f interest to our community and its future. Applicants must reside in Iowa City. However, the City C~i;il ~erves the right to waive the residency requirement for good cause shown. -c_,-- .- "'- 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Police Citizen Review Board TERM NAME Paul C. Hoffey HOME ADDRESS 35 Somerset Place, Iowa City Is your home address (listed above) within the corporate limits of Iowa City? C LUPATION D'irec'tnr of P.hl'ir' ,q~fP~-y EMPLOYER PHONE NUMBER: HOME (319) 339-8939 BUSINESS X Yes No City of Cedar Falls (319) 268-5153 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: As the Cedar Falls Chief of Police, and later Director of Public SAfety, led the department through twn (2) years of intensive preparation toward National Accreditation. In 1989, Cedar Falls Police became the first police aRencv in the state of Iowa to meet the rigid professional standards for the provision of police services and received National Accreditation by the Law Enforcement Commission nn Arrredi~m~inn, The police agency continually updates and revises policies, pro- cedures, and practices in accordance to legal mandates and improved police procedures. These efforts provide a reasonable de~ree of assurance to the employer and the community that the police are doin~ the riRht thin~. Civil litigation is also reduced and public confidence in the police is ~enerallv high. Police conduct, processing and evaluation of complaints against police, leRal issues, and labor union contracts regarding employee discipline is also an integral part of my administrative experience, and should be of considerable benefit. These are my areas of expertise and this is the manner in which I can best serve the Police Citizen Review Board. PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. ~D d. Parole officers acting pursuant to section 906.2. c =. e. Probation officers acting pursuant to section 602.7202, subsectioh.-4, and~ section 907.2. Z' -~ f. Special security officers employed by board of regents institutions as~stfortJ3_ in section 262.13. ~ iTM~ g. Conservation officers as authorized by section 456A. 13. =~;, ~r. h. Such employees of the department of transportation as are designate~"peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. 1958 to 1963: Patrol Officer/Detective Sergeant, City of Iowa City. Consisted of general enforcement and investigative responsibilities. Resigned when offered better position ~ ~ing toward professional career development. 1975 to 1987: Chief of Police, City of Cedar Falls. Responsible for administration of police services. Resigned position to accept aPPointment to newiv-created position of Director of Public Safety. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Knowledge consists of information received throuRh the media and documents forwarded to me from the City Clerk's Office. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I am acutely aware of the application of proper police prattires, arrPprPd pnliro policies, and general rules and regulations, which, when meetin~ and followin~ professional standards. better assures optim,m dP]~v~ry nf ~Prv4~ ~n th~ ~nmmz~nqty I believe I can provide sound advice and ~uidance to the Board, based upon nearly forty (40) years of professional experience in the law enforcement arena. All but five (5) of these years dealt specifically in police management practices and organizational development. As a resident of Iowa City, I am interested in becoming active in community volunteer efforts and felt this board would'be more in line with my area of expertise. PCRB Page 3 ICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CiTY ATTORNEY'S OFFICE. I am not aware of any conflict of interest. expected to occur in mid-September of this vear. Place, Iowa City, Iowa. Retirement from my present position is I am currentIV residin~ at 35 Somerset 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.) July 1997 Law Enforcement/Non-Sworn: 1963 to 1975: Civilian Police Advisor, Office of Public Safety, AID/Department of State, Washington, D.C. Provided managerial advice and guidance to forei n law enforcement agencies r ~ institutional upgrading and interjecting concepts of modern poEice practices. Program w_s phased out in 1975 by Act of Congress. 1987 to 1997: Director of Public Safety, City of Cedar Falls. tration of the Police, Fire and Parking Violations Divisions. hometown of Iowa City. Responsible for adminis- Retiring and returning to CITY OF IOWA CITY POLICE CITIZEN REVIEW "PPLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Council ohm matters of interes to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the righ to waive the residency requirement for good cause shown. After a vacancy has been announced, the Council reviews all applications during the work session. Th, 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 THI PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALL'. CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME F~LI. CE C-A,i'q;t"'(,,~ ~?-,E.Vl.~"'~ P"JO~ERM I.~ ~',,'~1'~ NAME T"t--h>~-.~ ~. ~~~ HOME ADDRESS ~ ~~S Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes ~ ~UPATION ~ ~t~ ~~ EMPLOYER ~-~- b~ PHONE NUMBER: HOME~SL~)~3--~S= BUSINESS~~)SSS--So~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIE D' "[RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION{S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. .~- b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. -J f. Special security officers employed by board of regents instituti~i?.s as ,~_t fortl~ in section 262.13. ;;- z' ~ - ~ g. Conservation officers as authorized by section 456A. 13. D ~ '=~- h. Such employees of the depa~ment of transpo~ation as are de~ate~"pe~ officers" by resolution of the depa~ment under section 321 .~7~ ~ ' ~ i. Employees of an aviation authority designated as "peace ~'~ers~y the authority under section 330A.8, subsection 16. ~ ~ j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS I~,~VIS~/ORy BOARD (OR STATE REASON FO: APPLYING)? PCRB Page CONFLICT OF INTEREST IF ~)U THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU AR ENL~AGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAr CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? L-"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 same time. ccietk\lx~ctaDla. I)to July 199 .) CITY OF IOWA CITY POLICE CITIZEN REVIEW f 'PPLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Cour~'n matters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME/'~Oi..IC--d=' (./7?Tt't~j/~-Z//~7.d NAME ",J(::2k/~///v/, /~/PIGS HOME ADDRESS/~:T7 (-- Z_~-~-- ,-J Is your home address (listed above) within the corporate limits of Iowa City? /-"'Yes __ No C ;UPATION ~ll/Um/t,J/c)r%~LC/Y~,ulK,~n" EMPLOYER PHONE NUMBER: HOME ~.f'/-('(-V/ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU_.FOR THIS POSITION: ,n-r.-/9/.,5'/5 ,Frr,,'~per<-~',.cc- ' /,--, /:~yt"~/e a"/.4z.49'2,~,--5, /~z-/,~, PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DF '~RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. :~.-_,:.. .-- e. Probation officers acting pursuant to section 602.7202, subsec:tidh 4,c;~ind.,;~ section 907.2. f. Special security officers employed by board of regents institutions_~s set f~,.rth in section 262.13. g. Conservation officers as authorized by section 456A. 13. -~- .'7 h. Such employees of the department of transportation as are design~:ed "tS~ce officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?/~/'5-/~/57, ~c- dZ,. 7~/ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST ,_ AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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 /-//~O (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.! ccta'k~x~lctapp,l~'o July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW / ?PLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Council on~atters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~\',, e C',N1', 7._e.v-,, ~,,e~r',.,,.! ~")~o,-r~ TERM NAME L,0,,r~L,% ~'~',~c,, HOME ADDRESS ?'J"SV1 '~\c,~v,,,,A~ ,J Is your home address (listed above) within the corporate limits of Iowa City? ~/Yes __ No c ~uP/vr,o.c~,.,,-\ ~,~,-,~,,), ~,ovB shd~ o~ PHONE NUMBER: HOME '~ ~" ~0~L} BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE DL F P S fe "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. Special security officers employed by board of regents institutions as set forth in section 262.13. Conservation officers as authorized by section 456A. 13. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD?: \'~\',,,,,~, ~\,,,,,~: '-~Xr,,',~, 'V,,,~-,,,,:c,\ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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 r'~NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cclerk\polctapp.pro July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD [ PLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Counci~P~ on n~tters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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 FORTHE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME i~:)li(_Z~ NAME E~"g~-brd'~ ,._%-'VG. ndo.,.cd '?---,,o,...~ HOME ADDRESS Is your home address (listed above) within'the corporate limits of Iowa City? C iUPATION I O~LO ,R-h )cJ-e_n-i-- EMPLOYER TERM 5.fix..] Yes No PHONE NUMBER: HOME ~c-I/- cl It~S '2~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: · ~ ~ +~9 t::>tc''''''~ oq.:: m. cm,,,./e{t-\'Ler,,.% n.-,c ~oL. o0,._e.~',,/_; ~ a_,"'n o.- ~, -':-,, o,. -rco,,..c_u_\-'r-,,,,/me m'be_r Oj'- '-PP¢ bk-n\vev"-s\ On I ~ c,e_,.,, V {' c_-~ ms and ('x~e..5, Vnr .'%\y,. ~e..Grc---.,, ::E Jcr~,~h_+ r'Y-x~-H~ o3- 0,, ('-or'nr',n,,Dntty c.n~le~e- 'ir"x 'Tex'xne_%c-,eF'_ , T have, hfex"'x o,.. .--~n. Sc-o,,....,.-..v/e c"',-cter~ c-..,,t ,t rnAc>,.~ .%c_V",n~[ '-~n,_C hec r~F~(t L am cO, c,t~ o~-9, ce oC- ,,/ PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4{11) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF D "~RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as '~eace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? i,x,,b~qG.'.'.'F "F' ~tVe- WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ' .T_ hr~r~ "k~'~, pf_.rspec~o. c'~ n,, mn~4~er~ hD~.b~nerj %~n~ ~~ c_nnr~rq~d ejx~7 e~. (; ~qD'ice,~ bo~ \\ m CLLe, PCRB Page 3 CONFLICT OF INTEREST IF '~E),U THINK A CONFLICT OF 'INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENuAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S_O__FF_!..CE, 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 /V,, NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cclerk\l)olctalc)p.I)ro JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW i ?PLICATION FORM BOARD - -~ ,,-:L~ ,.-~ ,:-:~ C',, - ;-- ' " Individuals serving on Boards/Commissions play an impo~ant role in advising the Coun~ ~ters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council ~se~es the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME '?~/,'~e.., C~"lZ,'}e,A,''s t~lJZe.a)/~4~ TERM Is your home address (listed above) within the corporate limits of Iowa City? )~ Yes __ No C I;UPATION~hJ,(//c,~JI/t_~/t· ~/~t-TZhe~ [Z)/~l/q'l EMPLOYER PHONE NUMBER: HOME ,,~ :~ ?- %o~--[ BUSINESS ~"7°~-13a EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ?..t .,,, ~,~ to-/L 5,'J.., / :7. ~{,./,L,,.. ~' ~,../~ ,,,, ~..~ PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11) (SEE BF' '~W). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DL ,.,RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION{S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. ~{~ ~t WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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 ,Z NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD ?PLICATION 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. However, the City CounCil reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. C . ~~ ~ EMPLOYER PHONE NUMBER: HOME .~ t~ ' ~ % ~ ' ~ ~ ~ ~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ ~ TERM L, ,~ bc,~ '~ . S,t2,S2 I Yes NO PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE W). IF SO, PLEASE IDENTIFY THE POSITION{S), THE DATES YOU HELD THE POSITION(S), A BRIEF 9E~ ~RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). DE "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. ,~,.-~ PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE_BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE, IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~EYES 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.) cclerk~polctapp.pro July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD [ :>PLICATION FORM :E .... Individuals serving on Boards/Commissions play an important role in advising the Council on ~fi'atters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME Is your home address (listed above) within the corporate limits of Iowa City? 5Yes __ No PHONE NUMBER: HOME EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BET qW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DL .:RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? L'~ r' ~ \ WHAT CONTRIBUTI.ONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 C._ONFLICT OF INTEREST IF ..')U THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED7 ..,~YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION7 (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Y~ec_e ' / ,1~ ~, no + be/, July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW A PLICATION FORM BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME POLICE CITIZENS*REVIEW BOARD TERMp,3 n~ 4 y~ NAME Earl F. Ro'se ' HOME ADDRESS I 1 ]0 E. Court St . IC 52240 Is your home address (listed above) within the corporate limits of Iowa City? L ~LUPATION Physician/retired " EMPLOYER Yes __ No PHONE NUMBER: HOME 3 3 8 - 5 9 8 8 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: CONFLICT RESOLUTION & NEUTRALITY: - trained/experienced mediator OBJECT!VITY & FAIRNESS: - As medical examiner/forensic pathologi to dcaling impartially with law cnforc personnel, prosecutors, defendants and st accutomed cmcnt defense lawyers ADM!NSTRATIVE RULES & EXPERIENCE: Deputy Chief Medical Examiner, State of Va. medical ~xamlner, bity & bounty o% Dallas, 'fexas. FroZessor, Unlvers~t~ty of Iowa and University of Texas (Southwestern Medical School. REVIEWING RECORDS AND EVIDENCE, AND PREPARING REPORTS: - University of Io~a~College of Medicine mortn Uentral Association: reviewing Unlv.s~accreOltat -ion U.S. Senate Select Committee on Assassinations ACCUSTOMED TO DEALING WITH practitioner, then as pathologist. CONFIDENTIAL MATTERS: - a pathologist ~ncru~ng As practicing general meozcal examiner/~orenslc Earl F . Rose , M.D. PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE Br' OWL IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF D. ,CRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcem_ent officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. Deputy Sheriff, State of Texas, County of Dallas deputation Jan. ]9, ]965-August 1968 purpose was t-o provide access as medical examiner to investigate scenes. Reason for leaving: moved to Iowa City WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Ordinance No. 97-3792 "An ordinance creating a P61ice Citizen' Review Board .... " WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR ST,8~TE REASON FOR APPLYING)? Experience, as set out above this community Interest in /arRose,M.D. PCRB Page 3 __Cr"IFLICT OF INTEREST IF OU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. none= 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.) cclerk'~oolctapp.pro July 1997 _/ CITY OF IOWA CITY POLICE CITIZEN REVIEW I , PLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interes to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the righ to waive the residency requirement for good cause shown. After a vacancy has been announced, the Council reviews all applications during the work session. Th~ 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Is your home address {listed above) within the corporate limits of Iowa City? /Yes __ No O' UPATION ?~,~~ EMPLOYER F~' ~ ~o~'~ PHONE NUMBER: HOME ,~1~ _~1 R~n BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ..q,~,c/4 f/~,-.f-) ~-z~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~_~- /3 H ,,ic~4 PCRB Page 3 ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Y~.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.) cc~t~dct~l~.om July 1997 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have had over 50 years experience with firearms of all kinds, including the reloading of ammunition -- both for hunting and target shooting. I have been interested in the law since junior high school, both reading and following cases. At one time I even thought about the law as a career. I was born in Muscatine, Iowa and have lived in most pans of the State at one time or another. I have lived in Iowa City for eight years. I am a Union painter (19 years) and am currently working out of Local 447 located in Cedar Rapids, Iowa. I work for Fru-Con Construction Company, and have worked for them ovcr five years at the Iowa City Proctor and Gamble plant. As a Union painter I have been an officer in both the Des Moines painters Union, Local 246 and Local 447, Cedar Rapids, Iowa. I have also been an apprenticeship instructor in both Union locals, and am qualified as an instructor for the 10 and 30 hour OSHA construction safety comes. I have a very good record both at work and in my other jobs as being fair, forthright and a person of my word. As a Union officer, I have often been called on to sit on Trial Boards both in Des Moines and Cedar Rapids. As a member of the Trial Board, I hear complaints filed by Union members, contractors, or employers, claiming the people committed an infraction of the Union contract, working roles or by-laws. I have sat on many Trial Boards for ten years (4 years in Cedar Rapids Local 447), and continue to sit on these Boards on an as'needed basis. I learned the procedures our contract has for giving notice of a hearing to both sides. I learned firsthand how to give both sides a chance to tell their stories, and make sure they both had a fair hearing. Sometimes both sides were "right" or the facts on both sides were tree. When this happened, the Trial Board considered each side's story and sometimes found both parties "not wrong" but neither party was "totally right." At times like this, the Trial Board tried to mediate an agreement between the two parties. In my ten years of about 60 Trial Board cases, about 20 were appealed to the -- --~ Intemational Board. We have never been overturned or had one remanded back~ap.r: further action. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have watched the Council's discussions of the PCRB on TV, read about the Board in the papers and heard about it on the radio. I saw the announcement in the paper and picked up a packet at the Clerk's Of~ce. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? Because of my work on the Union Trial Board,. I am used to listening to the facts of both sides of a story, considering how those facts either fit in with our Union rules or violate them, and then make a decision. I have mediated some of these disputes when both sides were "right." Many people have told me that I have good common sense, and that I have a real knack of cutting to the chase of a problem and am a good judge of people. I have also found over the years that I can work with most any type of person. I became interested in the PCRB became of my interest in the law. I think I can offer some real knowledge of how both the police and people react when confronted by each other. / -- CITY OF IOWA CITY POLICE CITIZEN REVIEW APPLICATION FORM BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ) pe>~.l'cL C/Y/ZLClqS/ /'~'/LrlJJBOAf~'~ . ADVISORY BOARD/COMMISSION NAME ,JC) ,f ~: Lf./r~ o o ~ i C ~/L Z NAME -,/O -f Z [, R o O R / ( v l; Z HOME ADDRESS ///7 Is your home address {listed above) within the corporate limits of Iowa City? OCCUPATION J~,~ol:/. ~ s o~. ~ Mt ,q./r~' EMPLOYER PHONE NUMBER: HOME (3 / 9 ) 3 ,.I' / - 7..c> ~ / BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: t,,f"T [. / z. · (~7-c) A t ~',/ . )~v o / r~ x if,'( ~ ~ X',' o/ 'r'~f o ,f X Y /~ zf. rL S /-r.,9 V E. .-,f' f'~iq'U 4Cc'r ; CLt ~-~"U /l, tiCtY A r H X 41. / V~, re, a/r/ o /- m-/;'f"tf M a'~o4-1' r-y !,f S yes ( ~ ~,~fC/C7 / PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE Br' OW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES. YOU HELD THE POSITION(S), A BRIEF D~-~CRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace i. the j. officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers" by authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Vf- ~'/ Z. ,' rfz. I WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? //~ rMoc~Cr~ / ~,v~'Za/~ ~ -YJ~/--~ H,'3'P,F~'c q~c>~(- /qL ~ H F/f PS','/#'/t.(. :, ~) ~#'z P ,e. ,,V./',,J Y z t,,r,,vT',~' : (--,) ,,~ ,' V t -.r x ,gn zJ~,< ,,v,f ~ n ,,F r-/7-~r- ~,.- PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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 V//NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cclerk%polctapp.l~'o JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW /' PLICATION BOARD Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our com, munity and its future. A'pplicants must'reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for.good Cause shown. After a vacancy has. been anOounced, the Council. ,revle. ws .all applicatio.nS. 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 {o 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. T-H}S APPLICATION WILL BE CONSIDERED-FOR 'THREE MONTHS ONLY. AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME ~CV~ir~._. A .. "'~ ~lr" .. .OME,ADDRESS.~t[..'~'~.~v~~p.. Is your home .~ddress (listed above) within the corporate !irpits of Iowa City? Y. Yes __ No' PHONE NUMBER, HOME PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) {SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. b. Sheriffs and their regular deputies who are subject to mandated la nf v~e ment training. Marshals and police officers of cities. Peace officer members of the department of public safety as d'~fined~n chapter 80. :< Parole officers acting pursuant to section 906.2. Probation officers acting pursuant to section 602.7202, subsectb~.:4, ~"~d section 907.2. Special security officers employed by board of regents institutions as set forth in section 262.13. Conservation officers as authorized by section 456A. 13. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? % WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. ' 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.) cc~e,k~ctaf~.p,o July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW APPLICATION FORM BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ,' ~E Pe~N~ ~ ~~-~5 Home ~DDRESS } I I fi Is your home address (listed above) within the corporate limits of Iowa City7 OCCUPATION ~//~'~C ~ (~/~ ~ f~S/'} ~'~(° r~PLOYER PHONE .UMBER: HO 5~ ~l ~BUS~ESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4{11) (SEE BELOW), IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: ao Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. Lo j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAK TO THIS VISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. .,~.- ,. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YES NO cn 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.) ')',,r,,,J c.- h '5 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Is your home address (listed above) within the .corporate limits of Iowa City_?_ X Yes ~ No OCCUPATION ,?~1 ~dt~dd/~ Z ._ 'EMPLOYER PHONE NUMBER: HOME ~f/~2 ~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) {SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION{S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION{S) AND THE REASON YOU LEFT THE POSITION{S). authority under section 330A.8, subsection 16. "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the j. Such persons as may be otherwise so designated by law. WH T ,S YOU. P.SSS.T NOW S SS TH,S/ V,SORY SO .C>? . WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~' YES NO (It has been Council policy not to permit an individual to sere on two Boards or Commissions at the same time.) CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD APPLICATION FORM Individuals se~ing on Boards/Commissions play an impo~ant role in advising the Council on makers of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council rese~es the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORYBOARD/COMMISSION NAME Po{~ ct,. Ct:-F[1..e..., ~,.e-v.'~ f-4,., TERM ~ % ~ (~. NAME Po.. ~ r~ r. jL ~- A , {2 o_v- vt.L v--+ HOME ADDRESS [ 0 5' 0 W d o c( I o~ Lu k Is your home address (listed above) within the corporate limits of Iowa City? OCCUPATION A .~SC5"{'~L-~,'f' V, c,~- (:)rG-S t c~e-,-:r EMPLOYER PHONE NUMBER: HOME .~ ,'~ '7- :L ~ 2_ o~ BUSINESS I,/ Yes __ No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) {SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S), "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the j. authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING}?' PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) cclerk'q)olctapp.l~'o JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW APPLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Council on mg~ters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME P.o~ice Citizens' Review Board TERM 3 year (or 4) NAME David A. Lynch HOME ADDRESS12~7 M-.qcatine Ave, TC., TA q724 Is your home address (listed above) within the corporate limits of Iowa City? X Yes __ No OCCUPATION Funeral Director (Intern) EMPLOYER Geo. L. Gay Funeral Home PHONE NUMBER: HOME 351-5329 BUSINESS 338-1132 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: There are several experiences which I:might draW"'GZp~n £or this position, the most recent of which being FUNERAL SERVICE, a field which requires sensitivity to issues, confident]a]ity ana trn~t. T h~vp bp~n ~ RESIDENCE HALL COORDINATOR which requires attention to detail and team- work with other staff members. I have serve~ a campus organization designed to promote safety, especially in the area of sexual assault. Having served on the EQUITY COMMITTEE for the Iowa City School District, I was exposed to issues in the community which could not be solved in a single meeting. This required patience and understanding when discussing each party's side. Lastly, I believe my experiences as a YOUNG BLACK MALE, both positive and negative/will help tobalance the discussions, and provide a voice for ~h~ ~ra~ifinnally nnapr-rppraqentpa_ PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace i. j. officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. "by the LO __ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Only that the most call for a board of this type came in the wake of the Eric Shaw Its intent, however, is one that could be applied at any time. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I am applying to offer a logical, well thought-out opinion on the IowazCity Police Department and its dealings with the While the incidents this Board will be reviewing are few, extremely important because they involve issues of trust, human rights and taking responsibility for one's actions. these incidents involve individuals, whose situations peace officer or citizen, by our decisions. I hope, toward peace, may recent incident. then, to provide a voice which can help facilitate discussion harmony and justice. community. they are civil rights, Most of all, be helped, PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. I do not b~lieve there will be any conflicts of interest if appointed to this board. 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.) cclerk~olctapp.pro July 1997 August21,1997 Mayor Naomi Novick 306 Mullin Ave. Iowa City, IA 52246 Dear Mayor Novick: Subject: Police Citizens' Review Board August marks my family's tenth year in Iowa City, having moved here from Lansing, Michigan in 1987. I am a 1992 graduate of City High, received my degree from Southern Illinois University at Carbondale and am now a Funeral Director (intern) at the George L. Gay Funeral Home. I have been involved with SIUC's S.A.F.E. program and student government, the University of Iowa' s Upward Bound Project and Ultimate Frisbee Team as well as other various jobs and groups which have placed me in contact with different segments of our diverse community. I believe that my appointment to the Board will be an excellent avenue for further community involvement, as well as an opportunity to address very serious issues. Given the population of our city and other factors, the incidents the Board will be reviewing should be relatively few. However, as the Iowa City, Coralville and North Liberty area grows, we might reasonably expect more complaints. We are, therefore, standing at the gateway concerning our police force and its relationship to the community. The Board will help set the stage for future growth and action. I am very excited to begin working with the City Council and the Police Department on the challenges ahead. Please feel free to contact me at your convenience. Thankyou. Respect 1227 Muscatine Ave. Iowa City, IA 52240 (319) 351-5329 home (319) 338-1132 work e-mail: DiscoHucksgaol.com ~ CITY OF IOWA CITY POLICE CITIZEN REVIEW APPLICATION FORM BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME jt~ O,j/h~,~,~ HOMEADDRESS q19 Is your home address (listed above) within the corporate limits of Iowa City? ~/~Yes OCCUPATION Z c~t,J .<~+~a~-~t EMPLOYER PHONE NUMBER: HOME ~ t~ 3 ~ ¢E -') ~t C,f ~ BUSINESS No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities· c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602;7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. -j j. Such persons as may be otherwise so designated by law. G~ ~ ~'-:L'.. .~.:- WHAT YOUR PRESENT KNOWLEDSE OF TH S ADWSORY BOARD? ZV'40/,, ,_,,t WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? V,~ES 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 same time.) cclerk\l~olCtal~13.pro July 1997 CITY OF IOWA CITY Pr'f, ICE CITIZEN REVIEW BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME NAME ftey t~/~/~,'~ -~J~-, HOME ADDRESS/S,~ tlt ~ .. Is ' ~ur home address (listed above) within the corporate limits of Iowa City? OCCUPATION ~'~k~t ~ C~,'~( ~ ~' EMPLOYER TERM Yes ~ No d',,'-,.,-// ~//,--.y .. PHONE NUMBER: HOME L~/2-_'2~ ->rz2/---A"t~"/ BUSINESS ~r-/._,f__,,~ 9"' EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BE[ V), IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as ~defined-in chapter 80. ~ -'" d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsec~:-4, F~d :E .... section 907.2. f. Special security officers employed by board of regents institutions as set f~th in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the depa~ment of transpo~ation as are designated "peace officers" by resolution of the depa~ment under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 33OA.8, subsection 16. j- Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? /,~.~- ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOAR"'~(OR STATE REASON FOR PCRB Page 3 C_.~"cLICT OF INTEREST IF , OU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE, IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED7 YES Nv~O DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION7 YES (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) ccje~k~x~taf~.pro July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW APPLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interes' to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the righ', to waive the residency requirement for good cause shown. 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 FORTHE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALL'~ CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME ~ (X ( / C r~n ~ C. ~ e ~ HOME ADDhESS ] ] 0 Z Is your home address (listed above) within the corporate limits of Iowa City? No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am presently employed at ACT where I am a Senior Test Specialist for the Law School Admission Test (LSAT). The primary concem of the LSAT is the analysis of argumentation. I have been employed at ACT for 10 years. Part of my job involves supervising people, establishing procedures, hiring people, listening to their complaints and problems, finding solutions, writing detailed reports, and moderating meetings of fairness panels. For tour years I served on the Staff Advisory Committee which brought employee concerns before upper management and reported back to staff. I also served on a committee which reviewed and made suggestions regarding changes to the performance review procedures. Before coming to ACT and while working at ACT I taught philosophy at the college level for sixteen years. That teaching involved presenting complicated material in understandable way, listening to arguments, evaluating arguments, giving tactful feedback, communicating clearly and diplomatically, etc. I served as Graduate Student Representative for the University of Iowa Philosophy department. In that capacity I brought graduate students concerns and grievances to the faculty. I have completed all the philosophy course work for a PhD. in Philosophy at the University of Iowa. One of my areas of concentration was Ethics. I believe that my experience in the working world and the knowledge gained in studying many different ethical systems and discussing/teaching both theoretical and practical issues in ethics and philosophy provide a good background for serving on the Police Citizen Review Board. PCRB Page 2 APE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the j. WHAT iS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR 5" . ,'Z a ,, , ' ,q c,, ,- KF,,, ,z PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? XYES 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.) cclerk\l)olctapl~.l)ro July 1997 CITY' OF IOWA CITY POLICE CITIZEN REVIEW BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Police Citizens' Review Board TERM 2 or 3 years NAME Margaret Raymond HOME ADDRESS 1016 Denhigh Drive, Iowa City Is your home address (listed above) within the corporate limits of Iowa City? OCCUPATION Associate Professor EMPLOYER PHONE NUMBER: HOME ;356-6565 BUSINESS X Yes No University of Iowa College of Law 335-9056 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: My experience as ~ ]~wyer and law teacher has given me marLv useful perspectives which qualify me for the commission. I teach Criminal Law and Procedure, so thinking about the constitutional and statutory roles of law enforcement is part of what I already do. I practiced both commercial and criminal law before I became a teacher. This work made me very comfortable with the process of investigation--collecting and organizing information--and drawing conclusions based on that information. It also gave me a strong concern for what is just. I believe I can come to these matters with an unbiased and open viewpoint. Lawyers and legal terminology do not intimidate me. I would welcome the oppo~nity to work with colleagues from the community on this very important matter. -':-~:.~' ~ ..... PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11} (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). Not applicable "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. Marshals and police officers of cities. Peace officer members of the department of public safety as defined in chapter 80. Parole officers acting pursuant to section 906.2. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. Special security officers employed by board of regents institutions as set forth in section 262.13. Conservation officers as authorized by section 456A. 13. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have reviewed the ordinance establishing the board carefully, and believe I understand the basic structure and re- sponsibilities of the board (though I have some questions about how it will work in practice). NHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOB kPPLYING)? Effective law enforcement is critically important to every community. To be trusted and accented by the community, law enforcement must respect the rights of citizens. Tha courts ~r~ -or =~y~ the mO~t ~FFectqVe w~h~Cl~tFlr r~vieVing 8aa. ~ddr~%q~ng pnl. i~e policies. As a relatively new member of this community, I would like to take an active role in establishin~ a vehicle for community input into how law enforcement can best and most fairly function here. I think I can contribute in many ways: I have ample experience investigating facts, writing reports and evaluations, and working with large and diverse KrouDs of people. I also think I can address these issues in an evenhanded and unbiased way_ T fhAn~ the Cnnnr~l fnr it~ rnnmiaPrAf~nn PCRB Page CONFLICT OF INTFREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAr~ CONTACT THE CITY ATTORNEY'S OFFICE. I do not believe I have any conflicts of interest. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YES x 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.: cc~k~x~ctmpp.pw July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW '>PLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the Council on r~tters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME pI.~:JL~ ~ [~ r~b-%r~ L~ . HOME ADDRESS ~%% %- ~g~a~ ~, Is your home address (listed above) within the corporate limits of Iowa City? J Yes __ No C '3UPATION ~.~ EMPLOYER~Rr - ~c~, %~.~a~ PHONE NUMBER: HOME ~%~ ~% ~ ~ BUSINESS ~ D%~[ ~ ~'Z7 ~%~ AND/OR ACTIVIT ES W~H YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4{11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF D ~RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). g. h. i. j. "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. Marshals and police officers of cities. Peace officer members of the department of public safety as defined in chapter 80. Parole officers acting pursuant to section 906.2. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. Special security officers employed by board of regents institutions as set forth in section 262.13. Conservation officers as authorized by section 456A. 13. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON F, OR PCRB Page 3 CONFLICT OF INTEREST IF 'OU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE EhdAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) cd~k~ctap~.Wo July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW i_?PLICATION 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME P(:) C:r_c$__ NAME ~ ~,, "rr~ ~ J. ~ ~ ~ ~ HOME ADDRESS Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes ( '~UPATION ~~4~ ~ ~A~/7~s~ EMPLOYER PHONE NUMBER: 'E,r_.-uT_.4...~,, gaA;-bTERM Lf t? P-. ///"? /-,/,q~/---~x::z .5 T, No HOME ~"~l~ ~-'~,.5c/-- ~9~3 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: L~uF.D .z:,v ~ ~, ,q C~:~ ,2.-,7 L~. ~:~ "'r~_ c.~.~ -- ~ ~-~,, . ~ s~T(~ y~,.~,-~ ¢ ~ s~~r ~ ~.). PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF D :RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as .d~fjined chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsecti~ '4, a~l section 907.2. :-~ .' -o f. Special security officers employed by board of regents institutions a~.t. foFt~_ in section 262.13. ~:: T. g. Conservation officers as authorized by section 456A. 13. .~-'~ cn h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? 'TT' WHAT CONTRIBUTIONS DO YOU FE O A O THI I RY BOARD (OR STATE REASON FOR APPLYING)? ~ P---o u,,.E/"I,"F 'z: ,,o ..q= ts K'r-s "to "T-(-~ E C,~_~c=;/-- Lu",'-r[t A/d' a- p,,~,e-7" PCRB Page 3 C__ONFLICT OF INTEREST Ii~ ~)U THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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 ~10 (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cde~k~po~ct=pp.p~o JUly 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD 0-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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. (' ADVISORY BOARD/COMMISSION NAME P~' ~ ,~ TERM/9//'},/,~_% n Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes No eHoms .UMeS.: HOME ~ ~7--~OU~aUS~.ESS 3 (-- ~C/,F / EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ' ~ ~ ~ , , - PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) {SEE BEI.OW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION{S),. A BRIEF E CRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S}. "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. co Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the j. authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? K ncc. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? / ~/70~' ~, ~ ~oar~ ~[ C're~ PCRB Page 3 _CONFLICT OF INTEREST I 'OU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ YES NO f - DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES ~NO has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.} cclerk\l)olctapp.lxo JUly 1997 August 19, 1997 City Council City of Iowa City 410 East Washington Street Iowa City, Iowa 52240 Jeffrey Fields Post O_ffice B~ 942 Iowa City~.owa ~2244 :.~_~. ~ "9 I write this letter in support of my application to the Police Citizen Review Board. There are several factors which I believe qualify me for a position on the Police Citizen Review Board. The first qualifying factor is my employment experience as a youth worker, an attorney, and a professional in the Iowa City community. Each position I have held during the past seven years has required me to have regular contact with many different members of the community, including persons of significantly varying income levels, age groups, race and ethnic backgrounds, and employment experiences. I have succeeded in each position, always gaining and holding the respect of my clients, my colleagues and members of the general public. The second qualifying factor is my racial and ethnic background. As a person of African American and Native American parents, I have lived everyday of my life leaming that being black and being Indian make me different. That difference is not an excuse, a crutch, or a privilege, but it is significant. People speak of "rose-colored glasses". Each of us sees the wo~d through our own slightly different glasses. My awareness and understanding of this reality allow me to receive all individuals openly and without prejudice. The final qualifying factor is my commitment to fairness and accuracy. We have systems and procedures in effect to promote fairness and accuracy. We have a responsibility to ourselves as a community to be honest with ourselves through these systems and procedures. I believe that if we establish the most fair procedure possible and follow that procedure with the greatest level of accuracy possible, justice will be done. Consequences must be served when necessary and apologies must be made when deserved, but above all things we must be fair, and we must be accurate. This is where I believe I will make the greatest conuibution to the Police Citizen Review Board T,~ u fo ur time and consideration. Je y d CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD · : PLICATION 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Police Citizen Review Board TERM Any available. NAME Jeffrey Fields HOME ADDRESS P.O Box 942,Iowa City, IA 5224" I U I~ UaKcrest Street Apt G~ Is your home address (listed above) within the corporate limits of Iowa City? xx Yes __ No c :UPATION Attorney . EMPLOYER Self-emmloyed PHONE NUMBER: HOME 319-356-5656 BUSINESS 'same EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITIO-,~: :.-_ ,:. --~ See attached statement. ..--.._. -- PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) {SEE BF~ OW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF 5 :RIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION{S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. not a current or former "peace officer", WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ,m, yse]f with City ot= Tnw~ C,~ty C)rr~n~n~ qT-~Tq~ I have read ~na f~mili~riTe~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? Please see attached statement. PCRB Page 3 CONFLICT OF INTEREST IF )U THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. I do not know of any current or future conflicts of interest. 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.) cc~k~oo~t.~.~o July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Police Citizen's Review Board (PCRB)TERM NAME David Coleman HOME ADDRESS 2161 Banbu.ry C'i,rcle ._NE Is your home address (listed above} within the corporate limits of Iowa City? X Yes __ No OCCUPATION Assistant Director- Res-idence Life EMPLOYER The University of Towa PHONE NUMBER: HOME 351-1308 BUSINESS 335-9167 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ have been a_ resident of Iowa City for 30 years and have been associated with the university both as a student and as a member of the staff. Presently, I hold the position of assistant director of residence life and have been in the department of Residence Services on a fulltime basis for over 28 years. I have some knowledqe of police work throuqh close contact with our department of Public Safety. I have had on many occasion made decisions as to when our public safety department should be called to intervene in matters of student behavior, and i have both an understanding and appreciation for the work that . t's performed by law enforcement personnel Additionally, I served on the universi y Committee on Human Rights and served term as it's chair. In this capacity, I had the experience of conductinq various investiqations where members of ~he university community alleged violations of the policy on human rights or other such complaints or violations aqainst individuals. This gives me some feel for the investigatory process. As assistant director of the department of residence services a great deal of my time is spent hearing disciplinar' ~atters where student behavior may have gotten out of line with guidelines that are set by the residence halls and/or the university. PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4{11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S} AND THE REASON YOU LEFT THE POSITION{S}. "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. ~D j. Such persons as may be otherwise so designated by law. -- '~ No, I have never been a peace officer. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? My knowledge of the advisory is imited to what I have read in the newspaper or information that I have heard through the media. I elieve that the advisory board would serve to give advice to the city on controversial issues whic ight involve the Police Department. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? I believe that my contribution to such a board could assist in rendering unbiased opinions and also I believe that because of my university position could bring many years of experience in working with and understanding a large segment of the population of Iowa City--the college students. I also believe that it is important to have such a board be comprised of a cross section of the population and I believe that I could bring a minority point of view to the committee. Such I believe is greatly needed. PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) ccletk\pdctapp,pro JUly 1997 CFTY OF IOWA CITY POLICE CITIZEN REVIEW BOARD APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on fi;Patters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME ~l~~ ~ ~/~o~ HOMEADDRESS ~0~/~[~~dO ~ Is your home address (listed above) within the corporate limits of Iowa City? PHONE NUMBER: HOME 217- ]' ~'~Y?~BUS~NESS ~es 71') ~' 5,,s"- f Z No EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: .-~ t-p,,~,F ~ ,_,,-/-/'.~. . ~ PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the j. authority under section 330A.8, subsection 16. Such persons as may be otherwise so designated by law. wHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR ~PPLYING)? PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? YES DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION7 YES NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cclerk~:)lctlpf).l~o July 1997 Application of Richard E. Gibson for position on the Police Citizen Review Board. EXPERIENCE AND/OR ACTIVITIES VVHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Member and past chair of I.C. Housing Commission Longtime member of Johnson County Regional Planning Commission On second year of second term on Iowa City Planning and Zoning Commission My employment with the University requires that I work cooperatively with large and d~verse numbers of persons on complex and often contentious issues. VVHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? As a long time resident of Iowa City, I am interested in the community having the best government possible. This requires informed, interested and capable citizens willing to contribute their time and energy to the process of governing. It also requires both elected and appointed citizens who are willing to advocate for the needs of the community as a whole, often in the face of more local or narrowly focused issues or agendas~'~' that are usually vociferously and vigorously advocated. I have demonstrated my ability and willingness to make this commitment in my service as a six-year member of the Planning and Zoning Commission and as a former long-time member of the Johnson County Regional Planning Commission. am interested in continuing to participate in the process. I would be an unbiased and objective member of the Board, willing and able to represent the best interests of the full community in the Board's recommendations to the City Council. The Police Citizen Review Board has been Created by the Council in response to an event that badly divided the community, with the expectation that the existence of the Board would lessen the likelihood of a repeat of the circumstances that prompted the need for the Board and to provide an in-place forum to deal objectively, expeditiously and effectively with similar incidents in the future. For this purpose to be realized the Council must name a Board that will enjoy the confidence and respect of the community. I believe that my record of service holds promise that I would be able to contribute to the likelihood of success of the Board and I welcome the opportunity to contribute my services to reaching this objective. C{TY OF IOWA CITY POLICE CITIZEN REVIEW APPLICATION FORM BOARD 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. However, the City Council reserves the right to waive the residency requirement for good cause shown. 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, 41 0 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Po~L;~, C?r[~s Re~j~e~0 gc>~r~ TERM NAME ~nJ, rg ~, ~¢~ HOMEADDRESS ~S C~n Is your home address (listed above) within the corporate limits of Iowa City? /Yes __ No OCCUPATION ~mp~ ~fi5~+ EMPLOYER ~t~- PHONE NUMBER: HOME ~t~-3~- 5~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers ", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by Re authority under section 330A.8, subsection 16. ~ ;. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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 v~NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) cclerk~:)olctapp.pro JUly 1997 08-25-1997 09:]2AM FROM CITY OF IOWA CITY POLICE CITIZEN REVIEW BOARD APPLICATION FORM TO ]5658~9 P.01 ~.~ .. . ~ ~-~ 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. However, the City:Counci~teser~®e the dght ~o waive the residency requirement for go~ cause shown. ~ '~ ~ .~ Aher a vacancy has been announced, the C~ncil reviews all applications during'~the w~Fk session. The appointment is made ~ the next formal C~ncil meeting. Appointees sere aS un~aid 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 TH!~ PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Is your home address (listed above) within the corporate limits of Iowa C~? ~ Yes ~ No B8-25-199? 09: 35AP1 FROM TO 3565~89 ARE You OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) (SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). 'Peace officers ', sometimes designated "law enforcement officers", include: a, Shedffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety ms defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated es 'peace officers" by the authority under section 330A,8, subsection 16. WHAT CONTRIBUTIONS DO YOC~EL YOU CAN KE TO THIS ADVISO Y BOARD ~0R STATE REASON FOR TOTFL P. 08-25-1997 09:32Rr,1 FRQI'I TO 3,.5656EIE~ P. ~ ~ PCRB Page 3 CONFIICT QF INT~RFST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFRCE. 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 st the same time.) July 1997 CITY OF IOWA CITY POLICE CITIZEN REVIEW APPLICATION FORM BOARD Individuals serving on Boards/Commissions play an important role in advising the CouF~[ on rfi__atters of interest to our community and its future. Applicants must reside in Iowa City. However, the City Council:~eserves the right to waive the residency requirement for good cause shown. 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. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME TERM Is your home address (listed above) within the corporate limits of Iowa City? v/Yes __ No OCCUPATION,Z/~o/' D f'II/'an PHONE NUMBER: HOME -,_3/q EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: \." ~( VXL l ¢!,<,~rc e roe f-~ s. PCRB Page 2 ARE YOU OR HAVE YOU EVER BEEN A "PEACE OFFICER" AS DEFINED IN IOWA CODE SECTION 801.4(11 ) {SEE BELOW). IF SO, PLEASE IDENTIFY THE POSITION(S), THE DATES YOU HELD THE POSITION(S), A BRIEF DESCRIPTION OF YOUR DUTIES IN THE POSITION(S) AND THE REASON YOU LEFT THE POSITION(S). "Peace officers", sometimes designated "law enforcement officers", include: a. Sheriffs and their regular deputies who are subject to mandated law enforce- ment training. b. Marshals and police officers of cities. c. Peace officer members of the department of public safety as defined in chapter 80. d. Parole officers acting pursuant to section 906.2. e. Probation officers acting pursuant to section 602.7202, subsection 4, and section 907.2. f. Special security officers employed by board of regents institutions as set forth in section 262.13. g. Conservation officers as authorized by section 456A. 13. h. Such employees of the department of transportation as are designated "peace officers" by resolution of the department under section 321.477. i. Employees of an aviation authority designated as "peace officers" by the authority under section 330A.8, subsection 16. j. Such persons as may be otherwise so designated by law. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? PCRB Page 3 CONFLICT OF INTEREST IF YOU THINK A CONFLICT OF INTEREST MAY EXIST BETWEEN OTHER ACTIVITIES IN WHICH YOU ARE ENGAGED AND YOUR POSSIBLE APPOINTMENT TO PCRB, PLEASE DESCRIBE BELOW AND THEN CAN CONTACT THE CITY ATTORNEY'S OFFICE. 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.) cclerk\polctapp.pro July 1997 c~Leah J. Cohen 7 L/Z 6.' ' 'v/Margaret Raymond 7 2 or(~ear term b-/"john Watson 6 Prefer~:~year term Mark Sandler 6 Patricia A. Farrant 6 Judith Perkins 5 Earl F. Rose 5 ~avid Coleman 5 ~ ~ ............................................................ .................................... William C. Bleeker* 3 Richard Gibson 3 4 year term * Applicant withdrew