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HomeMy WebLinkAbout1995-05-23 AppointmentRECEIVED MAY 11 1995 20 Evans Street, Apt. 3D, Iowa City, IA Sara E. Mehlin (319)339-1993 May9, 1995 Allison Ames-Galstad Chair City of Iowa City Human Rights Commission 927 Iowa Avenue Iowa City, IA 52245 Dear Allison, I have accepted a position in Terre Haute, IN as the Campaign Director for the United Way of Wabash Valley. My resignation takes effect May 26, 1995. There are many people and committees that I will miss when I leave Iowa City June I, 1995. My four years as a commissioner have been challenging, meaningful and grati~ing. The City of Iowa City Human Rights Commission will always have a place in my heart for I believe we are all here to make our community a place where all oflife's opportunities are afforded to everyone, regardless of their gender, age, color and sexual orientation. I am deeply honored that the City Council appointed me to the commission for two three year terms. I hope my work which includes: Brown Bag forums, By-Law revisions, Judge for Martin Luther King, Jr. essays, City Social Service Task Force, Human Rights table at the mall for the Community Awarenes days, and working on the annual Breakfast in some small way helped improve the commission's interplay with the community. I wish you and the commission my best. Yours truly, City of Iowa City Human Rights Commissioner Susan Horowitz, Mayor Pat Harvey, Vice Chair CITY OF IOWA CITY NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENTS TO THE FOLLOWING BOARD: BOARD OF LIBRARY TRUSTEES Three vacancies. Six-year terms July 1, 1995 - July 1, 2001 The Board of Librery Trustees is a semi-auton- omous body of nine persons empowered by State Law to plan, direct and control all affairs of the public libraP/, This includes determining long- range goals of library service, adopting written policies to govern operation of the library and employing a competent staff to help plan and implement the Board's service goals. Iowa City appointed membem of boards and commissions must be eligible electors of the City of Iowa City. The Library Board meets the fourth Thursday of each month at 5:00 p,m. These appointments will be made at the May 23, 1995, meeting of the City Council at 7:30 p.m, in the Council Chambers. The City of Iowa City encourages divemiry 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 Cle~'s office upon request, May 23, 1995 Males: Females: 3 3 BOARD OF LIBRARY TRUSTEES Three vacancies - Six-year terms July 1, 1995 - July 1, 2001 Gene Knutson 2415 Mayfield Road Ronald C. Wright 3014 Pinecrest Road Mark W. Martin 720 South 7th Avenue Charles T.Traw (has served an unexpired term) 411 MacBride Drive Mary Md~urray 1201 Seymer Avenue 115,'16.'95 li:45 '~'319 350 549~ I(PL ~]004:005 CiTY OF iOWA CiTY - ADVISORY BOARD/COMMISSION APPLICATION FORM · /' Jividual~ ~erving on Board~/Commi~=ion~ ploy an important role in advising the Council ~n ma~cr= of inter~ tO our community and its future. Applicants must reside in Iowa After a vacancy has been announced, the Council reviews all applications during the work session. ~ppointmen[ is made at the next formal Council meeung. Appointees serve as unpaid volunteers. PLEASE USE A BLACK IN K PEN. Return the application to City Clerk, 410 E. Washington St., Iowa Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR PUBLIC. THIS APPLICATION WiLL ~5 CONSIDERED. FOR THREE MONTHS ONLY AND AUTOMATICAl CONSIDERED FOR ANY VACANCY 0URING THAT TIMe. ADVISORY BOARD/COMMiSSiON NAME.~'~ ~'~ ~ ~ L,'~r~,~ ~,~¢~ o~ TERM NAME ~,'~ ~]~/]l~,r?~ HOME ADDRESS ,~J ¢~J~'o~. Is your home address (hsted abovel within the corporate limits of Iowa City? ~ Yes No PHONE NUMBER: HOME ~E/ '~-~¢ BUSINESS I::XPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION; , . el -/,, " ' ' ' ' ' ' WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIOi~S DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON F Specific attention should be d,rected tO possible conflict of interest as defined in Chapter. s 362.6, 403A,22 o( Code of Iowa. Should ¥oc be uncertain whether or not potential conflict of interest exists, contact the A~orne,,,'s Office. Will you have a confiic: of interest? YES v" NO -: / If you are not selected, do you want to be notified? ...... YES you currently sepze on another Iowa City Board or Commission? ~YES / NO' has been Council policy.not to permit an individual ~o serve on two 8oards or Commission~ at the same 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 t~,?r community and its future· Applicants must reside in Iowa City. After a vacancy has 6een 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 -/-/~/~4PP~' ~ ~"~fg,2 HOME ADDRESS ~// ~,~,~ Is your home address (listed above) within the corporate limits of Iowa City? / Yes ~ No OCCUPATION 4~ EMPLOYER ~ ~p~ PHONE NUMBER: HOME 35/- 0 COg BUSINESS ~- EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT S YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR S0ecific a~ention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A.22 of the Code of Iowa. Should you ba unce~ain whether or not potential conflict of interest exists, contact the City A~orney's office. will You have a conflict of interest/ YEs ~NO . , If you are not selected, do you want to be .notified? ~'/YES [' ,ou currently serve on another Iowa City Board or Commission? It has been Council policy not to permit an individual to serve on two Boards or Commissions~at the same time. ¢ia,'~tbd-comm.a~p January 1994 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM l.-dividuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to' r 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, ~,10 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. ADV,SORY BOARD, OMM,SS.ON NAME TERM NAME ~ d. ~;~ HOME ADDRESS 7~ ~' 7~ &*. Is your home address {listed above) within the corporate limits of Iowa City? ~ Yes ~ No PHONE NUMBER: HOME ~-//7~ BUSINESS ~- 25Z~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ ~ ~ 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), ~ ~ ~ ~~ fl~~/(~ ,~~ ~ Specific attention should be directed to possible conflict of interest as defined in Chapters 362.j, 403A.22 of the Code of Iowa. Should you be unce~ain whether or not potential conflict of interest exists,. contact the Cit~ A~orney's Office. Will you have a conflict of interest? .YES ~_NO __ .-~ If you are not selected, do you want to be notified? ~ YES ..NO ~ 'OH 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. January 199, CITY OF IOWA CiTY ADVISORY BOARD/COMMISSION APPLICATION FORM I,-dividuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to ,r 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 ~ppointment 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 Board of Library Trustees TERM 3/7/95 - 7/1/99 NAME Ronald C. Wrisht HOME ADDRESS 3014 Pinecrest Road 52245 Is your home address (ilsted above) within the corporate limits of Iowa City? ~ Yes . No OCCUPATION Investment Manager (V.P. - Investments) EMPLOYER Iowa State Bank & Trust Co. PHONE NUMBER: HOME 358-9824 BUSINESS 356-5813 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THiS POSITION: I have 28 years professional experience in the field of finance and investing assets. While I have resided in Iowa City for less than one year, I have a history of involvement in my former places of resi- dence. I am a former Scoutmaster and was active in the local Chamber of Commerce. I believe ones citizenship should be exercised as is possible. I am currently serving as a Board member t . I understand the Library has many significant f ~ Youth Homes, Inc. here in Iowa Ci y, ..... ~m.~.t could be beneficial since.I have no nar term. an~ [e~ ,~ ~,.~ ~ i.~mn.~ to make in the e ...... ~. ~ ~ e a oersonal interest in assisting '-~ econceived ideas or personal agenda ~o F~um~=. ~ h_v . ~ ... pr ....... ~lities to serve the needs o~ iowa b~ty. the Librar. y to expana z~s ca~ · WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I understand the designed purpose and functions of the Board of Library Trustees in Iowa City, I have spoken at length with a former member of the Board and have gained some insights into the dynamics of this particular group. I do not know any serving member personally. WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THiS ADVISORY 80ARe (OR STATE REASON FOR APPLYING)? My professional financial expertise should prove to be useful. I have experience · · in to conti~-[ue to exercise. I have sign. ificant experience in civic fund raising, that ,I am w. ill ~g ..... ~.m~ ference data sources which may be. een.~e. in the work envlronmen~ uu ~ .... re . using technology · - ==--~= {n re~ar~ ~ electronic information ean~iln8, ficial in guiding the Library's cont[nue~ e[~u~ ...... o- - ~o Specific attention should be directed to possible conflict of interest as defined in Chapters 362,6, 403A.22 of the Code of Iowa, Should you be uncertain whether or not potential conflict of interest exists, .contact the City Attorney's Office, Will you have a conflict of interest? .__.YES X .NO -: If you are not selected, do you want to be notified? .__~_X YES D ~u 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 ~'t. the same time January 199, CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM ?dividuals serving on Boards/Commissions play an important role in advising the Council on matters of interest t~ dr 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 FORTHE PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Aov,soRY BOARO,OOMM,SS,ON NAME¥TE.M Is your home address (listed above) within the corporate limits of Iowa City? Y~ Yes , No OCCUPATION ~/t'~, Yl ~-- ~_.,~r' EMPLOYER ~- C--~T' PHONE NUMBER: HOME ~- ~2_- BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WH, AT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? J. £~,~_ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING);' ~ ,mK-'~hS~ ¥~'-,'~'~- I,,.~ll~ ~ [4~ . ~,,~<J2n,~;N,S ' Specific attention should be directed to possible conflict of interest as defined in Chapters' 362.6,, 403A,22 of the Code of Iowa. Should you be uncertain whether or not potential conflict of interest existsi'bontact the City Attorney's Office. Will you have a conflict of interest? YES t),-,NO .; If you are not selected, do you want to be notified? ~ YES D ou 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. January 1994 CITY OF IOWA CITY NOTICE THE CITY COUNCIL OF IOWA CITY IS CON- SIDERING APPOINTMENTS TO THE FOL- LOWING COMMITFEE: DESIGN REVIEW COMMITFEE Four vacancies - Three-year terms July 1, 1995 -July 1, 1998 The duties of the members of the Design Re- view Committee include recommending for City Council approval, aspects of urban design com- ponents of urban renewal projects located in areas designated by City Ordinance. The City Council may also request advice and recommendations from the Design Review Com- mittee on projects located outside of such desig- nated urban renewal areas such as those pro- jects receiving property tax exemption under the Near Southside Commercial Urban Revitaliza- tion Plan and the Near Southside Residential Urban Revitalization Plan. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Design Review Commit- tee meets the third Monday of each month at 4:00 p.m. These appointments will be made at the May 23, 1995, meeting of the City Council at 7:30 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 posi- tions 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 Males: 2 Females: 3 May 23, 1995 DESIGN REVIEW COMMITTEE Four vacancies - Three-year terms July 1, 1995 - July 1, 1998 Karyl Larson (has served an unexpired term) 714½ Kimball Avenue Randy T. Rohovit 2408 Crestview Avenue Gary R. Nagle (has served an unexpired term.) 18 Warwick Circle Martin K, Haynes 805 Southlawn Drive Clara Swan (has served one full term) 928 N. Dodge Street Males: 2 Females: 3 May 23, 1995 DESIGN REVIEW CO~4ITTEE Four vacancies - Three-year terms July 1, 1995 - July 1, 1998 Karyl Larson (has served an unexpired tem) 714½ Kimball Avenue Randy T. Rohovit 2408 Crestview Avenue Gary R. Nagle (has served an unexpi~ 18 Warwick Circle term) Martin K. Haynes 805 Southlawn Drive 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 ~ur 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. o o,co lSS,ON Is your home address (listed above) within the corporate limits of Iowa City? X Yes ~ No. PHONE NUMBER: HOME 88q'/2bZBUSINESS 5~'/ · 4?00 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL OUALIFY YO.U FOR THIS POSITION: WHAT,S YOUR PRESENT ~NOWLEDGE OF TH,s AOV,SOR¥ BOARD: Z ~e "~ WHAT GON/TRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR '" .. Specific attention should be directed to possible conflict of interest as defined in Chapters 362~6, 403A.22 of the Code of Iowa. Should you be uncertain whether or not potential con~c~)f interest exist$~contact the City Attorney's Office. Will you have a conflict of interest? .YES , If you are not selected, do you want to be notified? ~,YES NO D' 'ou 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, January 1994 CITY OF IOWA CITY Design Review Committee ADVISORY BOARD/COMMISSION APPLICATION FORM In.' iduals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. At least two-thirds (6) of the Committee members must be elk~ible electors of !owa Citv, and the remaininq one-third (3) may be eliqible electors of Johnson Cq,tjntv. 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 t~,',~,~l~'~ ~I:~¥1E~J c-c~illlTTE~ TERM NAME ~ ~ ~ , ~1~ HOME ADDRESS ~ ~~ Is your home address (listed above) within the corporate limits of Iowa City? . OCCUPATION ~I'T~ EMPLOYER PHONE NUMBER: HOME ~'~ I '~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Yes __ No WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ (..01~1~1) I-~'~_. ~ A~ ,,'~c,Vl~P-Y' ~Dt uJ~dcH ~VI~-WG PRP~'3'-E~"5 'PO~ ;~~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~ ~ ~E-~YIH~ 'TO ~O~(~OE ~IT~ ~ ~' Specific attention should be directed to possible conflict of interest as defined in Chapters 362.6, 403A,22 of the Code of Iowa, Should you be unce~ain whether or not potential conflict of interest exists, :contact the City Attorney's Office. Will you have a conflict of interest?YES ~NO If vm are not selected, do VOU 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~t the same time. CITY OF IOWA CITY Design Review Committee ADVISORY BOARD/COMMISSION APPLICATION FORM _ In," -iduals serving on Boards/Commissions play an important role in advising the Council on matters of interest to oh. community and its future. At least two-thirds (6) of the Committee members must be eliqible electors of Iowa City, and the remaininq one-th_ird (3_~.may be eli(~ible electors of Johnson County,, 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,~ t(.=t,,t 12-~V't~- w' C~t.,~4 t'F'~ TERM NAME'~-,~,4~ ~ ~o~ow~ e~l~ ~ HOME ADDRESS ~ Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes ~ No OCCUPATION A~l~ A~.t~ EMPLOYER PHONE NUMBER: HOME ~l-O(~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 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)? ~ A~ ~ ~t$ ~I~GM ~ ~ ~I~ Specific attention should be directed to possible eonflict of interest as defined in Chapters 382 6,.403A 22 of the Code of Iowa. Should you be unee~ain whether or not potential conflict of interest exists, ~ntaot the City Attorney's Office. Will you have a conflict of interest? YES If y~u are not selected, do you want to be notified? '"q YES Do you currently serve on another iowa City Board or Commission? '"w NO NO YES "~ NO It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time. clerk~bd.comm.app January 199: 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 intE to 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. 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., 1owa~ Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR PUBLIC. THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICP CONSIDERED FOR ANY VACANCY DURING THAT TIME. Is your home address (listed above) within the corporate limits of Iowa City? / Yes ~ No PHONE NUMBER: HOME,~-~ BUSINESS ~,~l-~O~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON APPLYING)? Specific attention should be directed to possible conflict of interest as defined in Chapters 362,6, 403A.22 o' Code of Iowa. Should you be uncertain whether or not potential confli~ct of interest exist.~, contact the Attorney's Office, Will you have a conflict of interest? __YES v/ NO If you are not selected, do you want to be no[if;cd? p/YES NO : Dr 'ou 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 t c~ef~tbd.comm.epp January 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. NAME ~[~~n HOME ADDRESS ~ ~, ~O~ ts your home address (listed above) within the corporate limits of Iowa City~ ~ Yes No i PHONE NUMBER: HOME~J~~ ~n BUSINESS ~- EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIF~ YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? {~ ~SG ~ WHAT ~ONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR Specific attention should be directed to possible conflic~onterest ~ ~fined ih Chapters 362.6, 403A.22 ot toe Code of Iowa. Should you be uncertain whether or not potential conflict of interest exists, contact the city Attorney's office. Will you have a conflict of interest? __.YES N NO 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 Com~sipn~t th~.~ame time. c~t~.comm, a~ ~ Janua~ 1994 NOTICE CITY OF I0 WA CITY THE CITY COUNCIL OF IOWA CITY IS CON- SIDERING AN APPOINTMENT TO THE FOL- LOWING COMMISSION: BROADBAND TELECOMMUNICATIONS COMMISSION One vacancy - Unexpired term May 23, 1995 - March 13, 1997 The duties of the Broadband Telecommuni- cations Commission include serving as a review board to resolve disputes between any subscriber or potential subscriber and the cable- vision company; reviewing and auditing reports by the cablevision company to the CiW as re- quired by the Cable Television Ordinance; w- orking with the public, the media, the City, and the cablevision company for the purpose of making recommendations on various issues; engaging in other activities pursuant to the effective monitoring and evaluation of the CA'iV system in the City. The BTC meets the fourth Monday of each month at §.'30 p.m, Iowa City appointed mem- bers of boards and commissions must be eligi- ble electors of the City of Iowa City, This appointment will be made at the May 23, 1995, meeting of the City Council at 7:30 p.m. in the Council Chambers. The City of Iowa City encourages diversity in the appoint- ment of citizens to boards and commissions, Persons interested in being considered for this position should contact the CiW Clerk at the Civic Center, 410 E. Washington Street. Appli- cation forms are available from the Clerk's office upon request, Males: 4 Females: 0 May 23, 1995 BROADBAND TELECOMMUNICATIONS COMMISSION One vacancy - Unexpired term May 23, 1995 - March 13, 19'97 Elizabeth "Betty" B. McKray 603 Brookland Park Drive · ' 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 ' community and its future. Applicants must reside in Iowa City. A,ter 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 volunte'eis. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washing{oa 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 A_UTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. · ' ADVISORY BOARD/COMMISSION NAM -C TERM/?C ,, NAME~,z~'~ ~ ~7~'~Rx Is your home address (listed above) within the corporate limits of Iowa City? ~. Yes __ No OCCUPATION~.~R~ ~ ~'~ ~ ~ [~ ~oP ~2 ~ EMPLOYER PHONE NUMBER: HOMEZ/~-~ g'd~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR Specific a~ention should be directed to possible conflict of interest as defined in Chapters 362.6,403A.22 of the Code of Iowa. Should you be unceAain whether or not potential co~ict of interest exists, contact the CiW Attorney's Office. Will you have a conflict of interest? YES ~NO If you are not selected, do you want to be notifiad? ~YES Do you currently sere on another Iowa Ci~ 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, January 1994 STATEMENT OF INTEREST A "yes" answer to any of the following questions will not necessarily exclude you from consideration for appointment to the Iowa City Broadband Teleco~unications Co~mission. However, the information will assist our Legal Department in determining whether or not there may exist a conflict of interest which would preclude your further consideration. Are you or is any member of your immediate family or anyone dependent upon you: An employee of or a stockholder in either Heritage Communica- tions, Inc., or a subsidiary or limited partnership(s) (including Cablevision Associates VII), the general partner of which is or is controlled by any of the above? Yes __ No ')<~ An employee of or a stockholder in any radio or television station or news publication operating in Iowa City or serving the Iowa City area or of any parent company or subsidiary thereof, or in any other manner affiliated with any of the above? Yes__ No ~ An employee, stockholder, partner, or proprietor of any corporation or business which has or is likely to have a significant contract or business connection with either Heritage Communications, Inc., or a subsidiary or limited partnership(s) (including Cablevision Associates VII), the general partner of which is or is controlled by any of the above? Yes No If you have answer "yes" to any of the above questions, please include a complete explanation using additional paper if necessary.