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HomeMy WebLinkAbout2005-03-01 Appointment NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy - Unexpired Term Ending December 31,2006 The powers and duties of the Airport Zoning Board of Adjustment are: 1. To hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by an administrative official in the enforcement of the Airport Zoning Chapter. 2. To hear and decide special exceptions to the terms of the Airport Zoning Chapter upon which such board is required to pass under the Airport Zoning Chapter. 3. To authorize upon appeal in specific cases such variance from the terms of the Airport Zoning Chapter as will not be contrary to the public interest, where owing to special conditions a literal enforcement of the provisions of the Airport Zoning Chapter will result in unnecessary hardship, and so that the spirit of the Airport Zoning Chapter shall be observed and substantial justice done. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets at the call of the Chairperson. Applications must be received by 5:00 p.m., Wednesday, February 23, 2005. The City Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www. icgov.org. Questions about the Johnson County/Iowa City Airport Zoning Board of Adjustment should be directed to Randy Hartwig, Airport Commission Chair at 337-2101. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 0 Council Announcement Date: March 16, 2004; May 4, 2004; June 15, 2004; August 3, 2004; September 14, 2004; November 2, 2004; December 7, 2004; January 18, 2005 Application Deadline: Wednesday, 5:00p.m., February 23, 2005 Council Appointment Date: March 1, 2005 AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy - Unexpired Term Ending December 31, 2006 Carl Williams resigned No applications as of 5:00 p.m., February 23, 2005 [] Denotes applicant completed the Confidential page of the application. NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: CIVIL SERVICE COMMISSION One Vacancy - 4 Year Term April 4, 2005 - April 6, 2009 Duties: Approve all entrance and promotional examinations used by the City of Iowa City; holds hearings involving employee discharge or reduction in rank or compensation and ascertains to the best of its ability the facts of the case. After weighing all evidence, takes action as provided in Chapter 400 of the Code of Iowa. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. Members of the Civil Service Commission must be residents of the City of iowa City preceding their appointment. The Commission meets when deemed necessary. Applications must be received by 5:00 p.m., Wednesday, February 23, 2005. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www. icgov.org. Questions about the iowa City Civil Service Commission should be directed to Sylvia Mejia, Personnel Administrator at 356-5026. Board/Commission: Civil Service Commission ATTENDANCE RECORD YEAR 2004 (Me etin~ Date TERM 4129/04 NAME EXPIRES 10128104 Lyra Dickerson 4/3/06 X James Anderlik 4/4/05 X --- Dorothy Maher 4/7/08 X X KEY: X = Present 0 = Absent OIE = AbsentJExcused NM -- No Meeting --- = Not a Member Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 0 Females: 2 Council Announcement Date: January 18, 2005 Application Deadline: Wednesday, 5:00 p.m., February 23, 2005 Council Appointment Date: March 1, 2005 CIVIL SERVICE COMMISSION One Vacancy - Four-Year Term April 4, 2005 - April 6, 2009 Term expires for William Cook William Cook [] (Currently serving unexpired term) 45 Edgewood Circle [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION / PPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME Civil Service 6ommission TERM4/4/05 - 4/6/09 NAME William Mo Cook HOMEADDRESS 45 Edqewood Circle~. Is your home address (listed above) within the corporate limits of Iowa City?. X Yes p-~ ~;': How long have you been a resident of Iowa City? 40 + Y e a r s OCCUPATION Custom Picture Framer EMPLOYER Se]fl F ~NENUMBER: HOME 338-2455 BUSINESS 430-450qF~;~; EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 21 yea rs experience as Civil Service employee (TCPD 67-88-Retired Sgt,); Insurance Ind. (89-90); Paralegal (City Attorney's Office 90-94); Private Investigator (94-01); Custom Picture Framer (02-Present). Education: B.S.-U of I (Sociology); AA-KCC (Paralegal); FBI National Academy; BNDD (now DEA) National Academy. WHATIS YOUR PRESENT KNOWLEDGE OFTHIS ADVISORY BOARD? I am acquainted with current Commission members Dorothy Maher and Lyra Dickerson and believe I can work well with them. Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) Februao/2004 WHAT CONTRIBUTIONS DO YOU FEELYOU CAN MAKE TO THIS ADVISORY BOARD(OR STATE REASON FOR f 'LYING)? I am confident the diversity of my employment and educational background will permit me to be a positive evaluator and skilled hearin§ official, as described in the duties of a Civil Service Commissioner. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code ( ~wa, please contact the City Attorney's office at 356-5030. Not Conflicted IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? X YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES X NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2004 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HISTORIC PRESERVATION COMMISSION Three Vacancies - Three Year Terms March 29, 2005 - March 29, 2008 (2) At-Large (1) Longfellow District Representative Duties of the Historic Preservation Commission include: conducting studies for the identification and designation of Historic Districts; reviewing and acting upon all applications for Certificate of Appropriateness; cooperating with property owners and city agencies regarding remedy of dangerous conditions; furthering the efforts of historic preservation in the City by making recommendations on preservation issues, when appropriate, by encouraging the historical, architectural or cultural value, and by encouraging persons and organizations to become involved in preservation activities. This Commission meets the second Thursday of each month at 5:30 p.m and, if necessary, the fourth Thursday of each month at 5:30 p.m. Iowa City appointed members of the boards and commissions must be eligible electors of the City of Iowa City. Applications must be received by 5:00 p.m., Wednesday, February 23, 2005. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www. icgov.org Questions about the Iowa City Historic Preservation Commission should be directed to Bob Miklo, Urban Planner at 356-5240. 1/13/2005 Historic Preservation Commission Minutes December 9, 2004 Page 5 Historic Preservation Commission Attendance Record 2004 'rerrn Name Expires 2/12 2/26 3/11 4/8 4/22 5/13 5/27 6/10 6/14 7/8 7/22 8/10 8/26 9/2 9/9 9/23 10/14 ltl10 11/18 12/09 A. Smothers 3/29/05 X O/E X X X X O/E X X X X X X X X X X X X O J. Enloe 3/29/06 O/E X X X O O O O O O O O O O O O O O O O M. Gunn 3/29/07 O/E O/E X O/E O/E X X X X O X X X X X O X X X X M. Maharry 3/29/05 X X X X X X X X X X X X X X X X X X X X M, McCallum 3/29/06 X X X X X X X X X X X X X X X X X X X 0 J Pardekooper 3/29/06 ............................................................................ X J. Ponto 3/29/07 X X X X X X X O/E × X X X X X X O/E O,~E X X X P. Sueppel 3/29/06 O/E O/E X X X X X X O X O .................................... J Weissmiller 3/29/06 ........................................................ 0 X O/E O/E O O T. Weit'zel 3/29/05 X X X X O/E X O/E X X X X X X X X X X X O X J. Zimmer 3/29/07 ............ O/E O/E O/E X O/E X O O X X O 0 O ................ Key: X - Present O = Absent O/E = Absent/Excused NM = No Meeting ..... Not a Member Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 6 Females: 1 Council Announcement Date: January 18, 2005 Application Deadline: Wednesday, 5:00 p.m., February 23, 2005 Council Appointment Date: March 1,2005 HISTORIC PRESERVATION COMMISSION Three Vacancies - Three Year Terms March 29, 2005 - March 29, 2008 (2) At-Large Representatives Term expires for Michael Maharry, Amy Marie Smothers Jerry Raaz [] 48 Green Mountain Dr Michael Maharry [] (Currently serving 1st 3-yr term) 903 E College St Michael Brennan [] 1207 Seymour Ave (1) Longfellow District Representative Term expires for Tim Weitzel Tim Weitzel [] (Currently serving 1st 3-yr term) 523 Grant St Michael Brennan [] 1207 Seymour Ave [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSION PPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has bccn announced, the Council reviews all applications dudng the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. '- -- THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. (J~-F-/~i~ TERM -~ Is your home address (listed above) within the corporate limits of Iowa City?. ~ Yes No How long have you been a resident of Iowa City? ~'~_ [ PHONE NUMBER: HOME "~[C),5~J~-~'~ - BUSINESS BI?-~'~),~J'_'-~ ,. EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHEAT ~ YO, UR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~~ ~ I Misrepresentations on this application will constitute just cause for removal of an ap~,ntee. ~-'? I ?? II If you fail to answe ~ ~y ~ pplication. ~'__ ::. _~/ ~ I DIRE~R OF FACI~ES NCS P~SON -~ /~ IOWA C~, ~ 5~4~9~ U~ ~ ~ ~-~ General Appli~tion ~ Ol~a ~rua~ 2004 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR Please identi~ any potential ~nflicts be~een membership on the adviso~ board and your personal interests, including financial interests and your duties to an employer. In padicular, E you am app~ing to be a mem~r of a ~ard or ~mmis~on which ~kes r~mmendations to the Ci~ Council a~ut the allo~tion of Ci~ funds, plea~ list any pm~nt a~liations you have with agencies that app~ for funding from the Ci~. "A~liation' includes being a ~ard member or employee of the agency. Other ~pes of a~liations must be examined on a ~ by ~ basis by the Ci~ AEorney's o~. You should also know that S~ion 362.5 of the C~e of Iowa general~ prohib~s, with ~ain implant ex~pt~ns, a member of a ci~ Board or Commi~ion from having an interest in a ci~ ~nt~ct. A ~py of S~ion 362.5 is a~ached. If you are un,Rain whether a ~tential ~nfli~ of interest exists or have questions a~ut Section 362.5 of the C~e of Iowa, please ~nta~ the Ci~ A~omey's o~ at 35~5030. IF YOU ARE NOT SELECTED, ~ YOU WANT TO BE NOTIFIED? ~YES NO , / DO YOU CURRENTLY SERVE ON ANOTHER IOWA CI~ BOARD OR COMMISSION? YES ~ NO (It has ~n Coundl ~liw not to ~rm~ an indMdual to ~e on ~o Boards or ~mmi~ions at the ~ time.) IMisrepresentations on this application will constitute just cause for removal of an appointee.._ If you fail to answer all the questions, Council will not consider your application. -~-~ © ~_) '. -. General Applimtion (2) ~ebru~ 20~ Page 1 of 1 Marian Karr From: Raaz, Jerry [jerry.raaz@pearson.com] '" ',tffffJ/~' Sent: Wednesday, February 23, 2005 2:20 PM To: 'marian-karr@iowa-city.org' ~.q~) Subject: commissions Marian I am applying currently for consideration on 2 IC commissions Parks and Recreation Historic Preservation My personal preference (and experience/knowledge) would make Parks and Recreation my first choice. However, if I am passed over for PRC, then I would welcome the opportunity to serve my community on the Historic Preservation Commission. Thank you for the consideration. Thank you, Jerry Raaz Director of Facilities Pearson 2510 N Dodge St. Iowa City, IA 52245 office 319.339.6413 fax 319.339.6753 jerry.raaz@pearson.com This email may contain confidential material. If you were not an intended recipient, Please notify the sender and delete all copies. We may monitor email to and from our network. 2~3/2005 Page 1 of 1 Marian Karr From: Raaz, Jerry [jerry.raaz@pearson.com] Sent: Wednesday, February 23, 2005 2:29 PM To: 'cou ncil@iowa-city.org' Subject: Commission appointment To all, I am currently applying for 2 commissions ( I have previously submitted necessary paperwork/forms for both commissions) this is a second reminder and Reinforcement of my interest and motivation to serve my community and make a contribution to a community I hold dear. Parks and Recreation- my first choice- I am an active consumer of IC PR offerings and have years of administrative, planning and budget experience that I would be able to share with this commission. I have used local services for 30 + years and now I want to give something back to my community. Please give me strong consideration as you make your choice. Parks/Rec would be my first choice if I am fortunate enough to be selected to serve. Historic Preservation- again, I think my experience, background and knowledge combined with pragmatic and practical problem-solving skills would be an asset to this fine commission. While I am not current resident of a historic structure, I did live in an older home and neighborhood for 20 years in IC and I value how important intelligent preservation can help maintain the livability of a city. Again, thank you for considering my application. Thank you, Jerry Raaz Director of Facilities Pearson 2510 N Dodge St. Iowa City, IA 52245 office 319.339.6413 fax 319.339.6753 j erry.raaz~pearson.com This email may contain confidential material. If you were not an intended recipient, Please notify the sender and delete all copies. We may monitor email to and from our network. 2/23/2005 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS 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? i~Yes __ No How long have you been a resident of Iowa City? /2. y~O. f~ PHONE NUMBER: HOME ' BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION~ ' WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~1,/~ Misrepresentations on this application will constitute just cause for removal of an appointee. JJ II If you fail to answer all the questions, Council will not consider your application. cc~erk~bdcomapp( 1 )doc April 2002 (1) WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City Attorn?y's office at 356-5030. ~:::~ ./ IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? '/YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? __YES -/NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. cclerk',bdcomapp(1 ) doc April 2002 (2) TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effect~e January 28, 2004 Household 30% Median Income 50% Median 60% Median 80% Median Income Median Size (Pover~ Level) Income Income (low income) Income 1 $15,150 $25,250 $30,300 $40,250 $50,500 2 17,300 28,850 34,620 46,000 57,700 3 19,450 32,450 38,940 51,750 64,900 4 21,650 36,050 43,260 57,500 72,100 5 23,350 38,950 46,740 62,100 77,900 6 25,100 41,800 50,160 66,700 83,600 7 26,800 44,700 53,640 71,300 89,400 8 28,550 47,600 57,120 75,900 95,200 ATTACHMENT TO APPLICATION FOR THE 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 FOLLOWING CATEGORIES: Senior Citizen (62 or older) Handicapped or Disabled Person of Color Receive Rental Housing Assistance Lower Income (see table) 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. HCDC Attachment.doc April 2002 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~$Te~.tC ~,~S~R. vA'T~M TERM NAME 1~.~4t~- ~~ HOME ADDRESS I~o~ Is your home address (listed above) ~thin the corporate limits of Iowa Ci~? ~ Yes ~ No How long have you been a resident of Iowa Ci~? OCCUPATION ~6~ EMPLOYER PHONE NUMBER: HOME ~- ~ . BUSINESS ~- ~to EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALI~ YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~. ~,u~, A-~'~e ~t~ .. "r~Ob~A ~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2004 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU wANT TO BE NOTIFIED? YES DO YoU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES ~. NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2004 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an impodant role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ~,'~..~.,~c- ~¢~JeZ' I/~h G/~/'_('$,'~/? TERM '~ )~ ~ NAME' /~ ~C,'~( HOME ADDRESS ~ ~. ~ ~ Is your home address (listed above) within the corporate limits of Iowa Ci~? ~ Yes ~ No How long have you been a resident of Iowa City? ~u~ U~ /~ Z OCCUPATION ~c~'~,',~[W~/~,~ ~4~,n~ EMPLOYER (/~ /~,,¢~; ~/~ ~ fiNE NUMBER: HOME ~]~ ~ F~ ~Z~ BUSINESS ~/¢~ 3~-F -~2¢e EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~:a ~,~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. cclerk\bdcomapp(1 ) doc April 2002 (1) WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR I POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In padicular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached. , ~u are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of Iowa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~'. YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES /~. NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. 'f you fail to answer all the questions, Council will not consider your application. cclerk\bdcomapp(1) doc April 2002 (2) TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effect~e January 28, 2004 Household 30% Median Income 50% Median 60% Median 80% Median Income Median Size (Poverty Level) Income Income (Iow income) Income 1 $15,150 $25,250 $30,300 $40,250 $50,500 2 17,300 28,850 34,620 46,000 57,700 3 19,450 32,450 38,940 51,750 64,900 4 21,650 36,050 43,260 57,500 72,100 5 23,350 38,950 46,740 62,100 77,900 6 25,100 41,800 50,160 66,700 83,600 7 26,800 44,700 53,640 71,300 89,400 8 28,550 47,600 57,120 75,900 95,200 ATTACHMENT TO APPLICATION FOR THE 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 FOLLOWING CATEGORIES: Senior Citizen (62 or older) Handi~ ~p~.~. Person of Color Receive Rental _I2t?usin~}}  Assistance Lower Income (see table) Member of the I~cal 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. HCDC Attachment.doc April 2002 NOTICE THE CiTY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION One Vacancy - Unexpired Term Ending January 1,2008 The duties of the members of the Parks and Recreation Commission are to recommend and review policies, rules, regulations, ordinances, and budgets relating to parks, playgrounds, recreation centers, and cultural functions of the City and make such reports to the City Council as the Commission deems in the public interest; to exercise broad responsibility for the development of parks, recreation centers, playgrounds, and cultural facilities to serve the City--including the creation and appointment of advisory groups to make studies. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Parks and Recreation Commission meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday, February 23, 2005. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www.icgov.org. Questions about the Iowa City Parks and Recreation Commission should be directed to Terry Trueblood, Parks & Recreation Director at 356-5110. Januaw 13,2005 Parks and Recreation Commission November 10, 2004 Page 5 of 5 PARKS AND RECREATION COMMISSION ATTENDANCE RECORD YEAR 2004 TERM NAME EXPIRES 1/14 2/11 3/10 4/13 5/12 6/9 7/14 8/11 9/8 10/13 11/10 12/8 Kevin Boyd 1/1/06 X ................................ David Fleener 1/1/08 X X X LQ X O/E NM X O/E NM Craig Gustaveson 1/1/07 X X X LQ X X NM X X NM Judith Klink 1/1/07 X O/E X LQ X X NM X X NM Margaret Loomer 1/1/08 X X X LQ X O/E NM X X NM Ryan O'Leary 1/1/06 ......... LQ X X NM X X NM Nancy Ostrognai 1/1/05 X X X LQ X X NM X X NM Matt Pacha 1/1/05 X X X LQ X O/E NM OrE X NM Sarah Walz 1 / 1/07 X X X LQ X X NM O/E X NM John Westefeld 1 / 1/06 X X X LQ X X NM X X NM KEY: X = Present O = Absent OfE = Absent/Excused NM = No meeting LQ = No meeting due to lack of quorum .... Not a Member Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: 4 Council Announcement Date: January 4, 2005; January 18, 2005 Application Deadline: Wednesday, 5:00 p.m., February 23, 2005 Council Appointment Date: March 1, 2005 PARKS AND RECREATION COMMISSION One Vacancy - Unexpired Term Ending January 1, 2008 Dave Fleener resigned Drew Brixen Dillman [] 845 Normandy Drive Jerry Raaz [] 48 Green Mountain Dr Clay Claussen [] 2145 Palmer Circle M. Kay Colangelo [] (Not in City Limits) 3022 Newport Rd NE [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ADVISORY BOARD/COMMISSiON PPLICATION FORM Individuals serving on Boards/Commissions play an impodant role in advising the Council on ma~e~ Of i~est ;t~ur communi~ and its future. Applicants must reside in Iowa Ci~. (~-: :~;: -- After a vacancy has been announced, the Council reviews all applications during the work sessi~. ~The ~pointment is made at the ne~ formal Council meeting. Appointees se~e as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa Ci~, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE ~ST PAGE MARKED "CONFIDENTIAL." 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 Ci~? ~ Yes __ No How long have you been a resident of Iowa Ci~? ]~ ~HO~ENUmER: HOME ~1%5~" 77~ BUa,ESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVI$ORY BOAR~ ~~ ~k~ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions; Council will not consider your application. General Application (1) February 2004 W' T CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? K/~IglN~ ~'/: /V,.~/ INTGR~.~T Iff N~3'dR~ POTENTIAL CONFLICTS OF INTEREST ~d BT~ ~4ME¢~ Please identify any potential conflicts oetween memoersmp'on the advisory board and your personal ~nteres~s, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City· "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362·5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached. If , are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code of ,,,wa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? '~. YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES X. NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) ~2 M~smp,res~tatm.on this application will constitute just cause for removal of an appointee. If yo~t~ail to~-a~ ns~iThll the questions, Council will not consider your application. General Application (2) February 2004 Page 13A ' ' ' Tuesday, Apdl 27, 2004 cx ~ . O · O ' Iowa City l>rcss-CitiZCn .~ ~ Rob Bignell, opinion page editor ~**~.. x.~: ~' Phone: 337-3181 ~ ~:,:~;.~.., .. v .~-- "":~ E/mail:0pinion~press-citizen.com ,.. ,..· into park enl SUla E~Iy leade, of New ;~'."3L; cen~r of m~. ~,e Pe~- Share Your Idea ~o~.~ Iowa city residcnm '. ~,~::ar ~ view b&fld ~les h~ fl~c York City ~ remembe~ ;- ,. ~., s~a 1~ me ~gs of a for one imm 0f ~ion ~d ~ ma~cent natu~ p~k cily proper dt~tg fl~c w~icr foresight ~ove ~ o~em: ' O~w ~t h~ ~n i~or~ ~ ~e · If yoWd like t0 monfl~s. II provid~ a natuvA ~at i~m ~ fl~e sct~ ~ide ' ~llmau p~t but fl~ wo~d be ~- submit a guest opinion co~dor for ~c ~ pcnc~ of a m~ive ~t of l~d for fiu~ ly appreci~ ~,~e ~. that addresses 10ca~ · ~a~ to fire he~ of ~. It fl~e creation of ~n~ P~k :- ~ ~ef~y desired ~ ~ issues of p01iti~l and showc~ a,c ~scs, now- ~xere w~ plenty of conma 0pial0a m&e ~c p~k ~c~ible m social significance, em m~d ~ccs of rite biologi- ~ nal~ ~d .o~ ~d ~ but p~e im n~ c~y f~ch~a~g front av~lc ~ ~e ~iden~ of ~auW co~d ~ ~e p~k c0nta~ ~e opinion page where fl~e New York CiW ~ ~e ~e, ~c~ib~w~d~e~°lg~- ~mam~or~etnoto~m editor at opin on.press- conmn~ ~11~ ~e c~m but fl~e f~ of ~e dW ~ ~vcmiW of Pe~a Iowa City but ~ ~e ~ citizen.com, h~dw~ forc~ for consol were able '.m see beyond P~ ... w~. ~e ~ con.m- of Crowd. fl~c~ ~ simeon ~ 6~iag ~e ~er pl~g a conv~fion cen~ ~e possib~fies of ~e or off,er development n~ pie f~m ~e wonder of fl~e fl~e home of n~g b~ owk, wh~e "~o c~ for furze. At ~ mom~t we ~ve ~e fiver. A b~U~ p~k ~opi~ world ~ rite con- you?" c~ lcn~ ~auty It w~ - not the m~y ~e ~e op~ m show ~ i~ ~ b~ufi- ~g,. but when under- otw stormier ~m. M~ of e~e~enm ~ dele ne~- ,s~ ~om ~ ~e con- ~y de.ed ~d p~ s~od, Mso awe ~spi~g these con~c~ would bc borh~, ~ ne~r-. ~u~ mol~ of a ~1 on by ~e fiver but e~y ~c~ b~uty ~at ~ na~ ~ o~ ~sh~ by ~e plac~g of hoo~, low hcome ho~ ~ ~e b~ of ~e Io~ ~ver, sible by a f~t ~d biwcle ~ ' a housing ~act p'a~iMly --~ofwtfi~NewYork~ Iowa Gi~ We &~dy ~ bfi~e &eady ~der con- Hitua's showca~ bld~hng one of fl~e nat~ a~eved ~ ways Iowa CiW m~e a def~ible d~ m s~cfion wo~d con.bum ' world~ rn~ pafl~s of ~ ~kely ~ s~-- ~ be~ ~ ~H~ cen~r much more m ~e long-~ Itickow ItiH P~k is a ~e remem~md. It ~ ~n- not o~y of Iow~ but ~ of at~acfivenc~ of fl~e ~a gear succ~ ~d it is lov~ ge~ h~ fl~e city. ~ Iowa City grows, wc ~ P~k. ~e resort. ~ ~ ~d ~ ~ wo~d ~ofl~er ho~ ~d ~cd more e~h p~g ~en I ~k of P~, ce~ of ~e ~enc~, ~e ~actof~y~c. yc~. U~o~tcly, it ~ ~x- ~11 find intimate contact ~ndon, Mon~M m~d o~er scope of o~ ~uence ~ A g~ reco~cfion of i~ by s~ding devclo~ ~th nat~c more ~d more grc~t ~d beau~ cifi~, ev~ ~den We ~ve ~efit- a pr~fie on ~c lfi~xer merit ~d o~emlfip i~ucs, prccio~ m~d h~d ~ come l~c~ds~,scen~fmm ed a wond~ loud.on, crowd of ~c Peninsul~ ~dit~morc~ely~s~ by. ~d ~ways c~ be fl~eff p~ come to my ~d ~d it ~ o~ op~W ~d Mong ~fl~ m~ augmenm~on fl~ it ~ m ~w. We now developS, but a ch~cc ne~ ~e ~p of ~e ~t wh~ ~o~ib~ty m ~de~d of fl~c wood.ds ~e~y have ~e oppom~ty ~ set set &side such a 'perfectly ' fl~e s~en~ of flint fo~ - present would present a ~ide m~ofl~er such bcau~ defined p~ccl cmmot be I reckon fl~ek ch~. ~o tlaat end, we oust m fion ~d ~ b~d u~n fl~em, yew ~ce ea~cement of nat~M p~k ~ wo~d ~e reg~ned. place fl~e Pe~a hous~g 0~ physicM se~g ~ a fl~e proposed m forest on much le~ c~e ~d se~e a Reach Orew B. Dillman, a development somewhere gift. We must ~d ~d fl~e opposite b~k Of fl~e ~ferent function ~m~ does tired medical d0~0f and Iowa e~e ~d put o~ best n~ showc~e the fiver thai. fiver. A brief w~k acro~ a Cily Pm'k. r~ident, at flrewdillmanl~ah00. to work ~ m~x~ fl~e ~ i~ way flwo~ ate f~tbfidge wo~d ~e p~ ~e Peni~m~a presently com. Patron's Pad 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 dudng the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. NAME ;:~'r~ F&~,~¢_ HOME ADDRESS 4~_ ~e¢, Is your home address (listed above) within the corporate limits of Iowa City?. ~ Yes No How long have you been a resident p,f Iowa City? 3Z occuPAT, O. I;)~Oi~r ~¥ F~lhh~.~ EMPtOYER f4C~ PHONE NUMBER: HOME 3!9, 3¢_9..%~0 BUS,NESS ,~t~'~0'~ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOB THIS POSITION: Misrepresentations on this application will constitute just cause for removal of an~intee. If you fail to answer all the questions, Council will not consider your application. General Applimtion (~) WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE RE~,SO~I FOR Please identity any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are apphting to bo a member of a board or commission which rakes recommendations to the City Council about the allocation of City funds, please list any present affiliations you haYe with agencies that apply for funding from the City. 'Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 302.5 of the Code of Iowa generally prohibits, with certain important e×coptions, a member of a city Board or Commission from having an interest in a city contract. ^ copy of Section 302.5 is attached. If you are uncertain whether a potential conflict of interest exists or have questions about Section 302.5 of the Code of Iowa, please contact the City ^ttome¥'s office at 350-5030. IF YOU ARE N___OT SELECTED, DO YOU WANT TO BE NOTIFIED? ~YES NO IX) YOU CURRENTLY SERVE ON ANOTHER IOWA CIT~ BOARD OR COMMISSION? YES ~ NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) . Misrepresentations on this application will constitute just cause for removal of an If you fail to answer all the questions, Counci~ will not consider your application. General Application (2) February 2004 Page 1 of 1 Marian Karr From: Raaz, Jerry [jerry.raaz@pearson.com] Sent: Wednesday, February 23, 2005 2:20 PM To: 'marian-kar~@iowa-city.org' Subject: commissions I am applying currently for consideration on 2 IC commissions Parks and Recreation Historic Preservation My personal preference (and experience/knowledge) would make Parks and Recreation my first choice. However, ifI am passed over for PRC, then I would welcome the opportunity to serve my community on the Historic Preservation Commission. Thank you for the consideration. Thank you, Jerry Raaz Director of Facilities Pearson 2510 N Dodge St. Iowa City, IA 52245 office 319.339.6413 fax 319.339.6753 jerry.raaz~pearson.com This email may contain confidential material. If you were not an intended recipient, Please notify the sender and delete all copies. We may monitor email to and from our network. 2/23/2005 Page 1 of 1 Marian Karr From: Raaz, Jerry [jerry.raaz@pearson.com] Sent: Wednesday, February 23, 2005 2:29 PM To: 'council@iowa-city.or§' Subject: Commission appointment To all, I am currently applying for 2 commissions ( I have previously submitted necessary paperwork/forms for both commissions) this is a second reminder and Reinforcement of my interest and motivation to serve my community and make a contribution to a community I hold dear. Parks and Recreation- my first choice- I am an active consumer of lC PR offerings and have years of administrative, planning and budget experience that I would be able to share with this commission. I have used local services for 30 + years and now I want to give something back to my community. Please give me strong consideration as you make your choice. Parks/Rec would be my first choice if I am fortunate enough to be selected to serve. Historic Preservation- again, I think my experience, background and knowledge combined with pragmatic and practical problem-solving skills would be an asset to this fine commission. While I am not current resident of a historic structure, I did live in an older home and neighborhood for 20 years in IC and I value how important intelligent preservation can help maintain the livability of a city. Again, thank you for considering my application. Thank you, Jerry Raaz Director of Facilities Pearson 2510 N Dodge St. Iowa City, IA 52245 office 319.339.6413 fax 319.339.6753 jerry.raaz~pearson.com This email may contain confidential material. If you were not an intended recipient, Please notify the sender and delete all copies. We may monitor email to and from our network. *************************************************************************** 2/23/2005 CITY OF IOWA CITY ADVISORY BOARDICOMMISSlON PPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Retum the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY OURING THAT TIME. ADVISORY BOARD/COMMISSION NAME .('?~'~'J~.~ '~' ~..~.c..¥¢,:~.-~ c~.',. TERM ~.~-~--;~-.~ '-J~'"' ~, O~' HOME ADDRESS ,2-1~' (~,~,.I ~'"',~-~,' ~-~¢v'~-~'''J NAME ~,, I A~ Is your home ad.ess (listed above) within the corporate limits of Iowa City? t~Yes No How long have you been a res~ent of Iowa City? ~ dcw ~ O ,~ c~v-.~ OCCUPATION ~~-c~l~L~¥- /J"~ ~'~'~-~¢~"'~ (~_o~.~J-~.~'~MPLOYER PHONE NUMBER' HOME .~-~ -~2~'~- BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 7 :' 'c, -T'~ . WHAT IS YOUR PRE;;T KNOWLEDGE OF THIS ADVISORY BOARD? Misrepresentations on this application will constitute just cause for removal of an appointee. I~ II If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2004 WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR Plea~ identi~ any potential ~nfli~s ~een membership on the adviso~ board and your personal interests, including financial interests and your duties to an employer. In paaicular, ~ you are applying to be a member of a ~ard or ~mmission which makes r~m~ndations to the Ci~ Council about the all~tion of Ci~ funds, pl~se list any pre,at affiliati~s y~ ~ve ~th agencies t~t app~ for funding from the Ci~. "Affiliation" includes ~ing a board mem~r or employee of the ascap. Other ~s of affiliations must be examin~ on a ~ by ~se basis by the Ci~ ARorney's o~. You should also know that S~ion 362.5 of the Code of Iowa geneml~ prohibits, with ~aain impoaant ex~ptions, a member of a ci~ Board or Commission from having an interest in a d~ ~ntmct. A ~py of S~ion 362.5 is aRached. If you are un~aain whether a ~tential ~nflict of interest exists or have questions about S~ion 362.5 of the Code of Iowa, please ~nta~ the Ci~ Aaomey's om~ at 35~5030. IF YOU ARE NOT SEkHCTED, ~ YOU WANT TO BE NOTIFIED? ~ES NO ~ YOU CURRENTkY SERVE ON ANOTHER IOWA CI~ BOARD OR COMMISSION? YES (It has ~en Council ~li~ not to ~rml an indMdual to ~e on ~o B~rds or ~mmi~ions at the ~ time.) If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2004 Clayton "Clay" Claussen 2445 Palmer Circle Iowa City, IA 52240 Cell: 319.331.9911 Home: 319.351.HAWK Objective To be appointed to the Iowa City Parks & Recreation Commission. With over twenty years of experience in recreation I can bring a seasoned vision to Iowa City's recreational endeavors. Currently, as a realtor with RE/MAX Real Estate Centre, I understand the real property value of recreational facilities and services to our community as well as the social and educational opportunities they can provide our citizens. Professional Recreation Experience Management Consultant, Iowa & Texas, 1986-2003: Provided a variety of planning, operations and management services to high visibility corporations. ~, Amana: Major appliance manufacturing plant in Iowa with 2,000 employees. · Assisted in a feasibility study for an on-site employee fitness facility. · Provided budget projections, facility design and operations input. I~ Benefits Design Incorporated: Austin, Texas benefits company providing outsourced HR services to companies in 37 states and 14 foreign countries. · Helped determine the feasibility of establishing a fitness center for clients in a new office building. · Provided a matrix of projected profits or losses for various sized facilities. · Utilized my budget projections in their final site selection and did establish an on-site wellness operation. ~- Core Fitness: New 20,000 sq. ft. fitness center to open in Iowa City in 2003. · Created the business plan presentation for financing. Solicited cost estimates for all equipment, furnishings and systems. · Established an' operating budget for the first year with projections for years two and three. · Assisted the architectural firm in developing a functional layoutd~esign.~ Configured the exercise areas including studio types and s~zes!~ ~_. equipment selection and placement. Configured the locker roo~-for maximum utilization and proposed custom features: women's private dressing area, massage area with access from men's and women;s locker rooms and heat and humidity control zones. · Marketed to adjacent businesses to establish credibility via my corporate wellness background. :~: · Created and trademarked the name, Established a website for marketing and establishing a potential member data base. Dell Jewish Community Center: An exclusive twenty acre education and recreation center overlooking Austin, Texas. · Audited their problematic fitness center and made operational suggestions. · Recommended a restructured staffing model and personal trainer compensation plan (which were both adopted). · Per my direction, created staff training and operations manuals, a new member utilization tracking system, a cleaning and maintenance schedule and a new member orientation program. Ertl Toy Company: A manufacturing plant with over 500 blue collar employees in Dyersville, Iowa that operates a recreation center as a joint venture with a local civic group. · Conducted a systematic analysis of the operation. · Presented findings to the Community Development Council. · The Council hired a new manager, implemented staffing changes and increased marketing efforts. John Deere: The renowned farm implement manufacturing plant in Waterloo, Iowa. ·Hosted a committee studying the feasibility of an on-site employee fitness facility. · Provided operations insight that included budget formulation, staffing, program scope, site requirements, equipment needs and a myriad of specific recommendations. ·Provided follow-up support. Eventually a plan was implemented with their local YMCA providing equipment and staffing. Quaker Oats: A large food processing plant with over 2,000 primari~blue collar employees in Cedar Rapids, Iowa. --~ ~ · Supported an employee committee studying the feasibility of establishing an on-site employcc fitness center. -~:. ,-- · Performed a s~te assessment and recommended a new build~ ,.r~g~ !:: outside the manufacturing complex for dependent, non-secure~dess?. · Provided budget projections. ~ · A facility is still under consideration. Trilogy Software: A progressive software design company with nearly 1,000 professional employees in Austin, Texas. · Prepared key portions of an employee interest survey which overwhelmingly supported creating an on-site fitness/leisure center. · Project on hold pending the company restructuring for a public offering. 2 Director, Rockwell Employees Recreation Center, Cedar Rapids, Iowa, 1986-1999: Directed the successful start-up and ongoing operation of a 60,000 sq. ft. corporate recreation center, one of the largest in the United States. Subsidized initially, the Center now operates in the black due to innovative strategies and creative management. · Established a joint venture physical therapy clinic. · Reduced lost work time 25% by providing services on-site. · Produced a profit center to offset high-cost, Iow-income services. · Created an Extended Family Plan Membership. · Expanded eligibility beyond traditional employee ranks to a cross-section of the community. · Opened a new, lucrative revenue source. · Presented a high-profile community resoume for health promotion, charity events, summer camps, sports leagues and tournaments. · Honored by the Iowa Governor's Council on Physical Fitness and Sports as the best corporate program in the state. Manager, Iowa City Racquet & Health Club, Iowa City, Iowa, 1981-1985: Turned a failing 40,000 sq. ft racquet club (now North Dodge Athletic Club) into a profitable multi-purpose fitness operation. · Expanded programming to include weight training, aerobics and health promotion services. · Changed memberships from annual to monthly. Reduced seasonal revenue fluctuations and increased membership retention. · Provided time share services to the University of Iowa Recreation Program and Department of Athletics. Education Health Promotion Director Program, The Cooper Institute, Dallas, TX 1999. Premier Fast Trac I Entrepreneurial Training Program, Cedar Rapids, IA~1~99. Bachelor of Arts, Political Science, University of Iowa, Iowa City, IA. _~', Affiliations/Activities Association for Worksite Health Promotion, former Professional Member-s; ~ International Health & Racquet Sports Association, former Associate M~ber Austin Well City Initiative, Founding Member Health Promotion Director Credentialing Group, Advisory Member University of Iowa Alumni Association, Life Member I-Club, Member Iowa City Girls Softball, former Board Member Regina Education Center, former School Board Member Page 1 of 1 Marian Karr From: Marian Kart Sent: Friday, February 04, 2005 9:21 AM To: 'ClayClaussen@aol.com'; *City Council Subject: RE: Application for Parks & Recreation Commission Unexpired Term - Clay Claussen Thank you for your interest in the Parks & Recreation Commission. To be considered for the appointment we must receive a signed application. I will be mailing you the application today to the address indicated below. The deadline for applications is February 23 and Council will be making the appointment at their March 1. Again thank you for your interest and if you have any questions please contact me. Marian K. Karr City Clerk 356-5041 ..... Original Message ..... From: ClayClaussen@aol.com [mailto:ClayClaussen@aol.com] Sent: Friday, Februao/04, 2005 12:20 AM To: cou ncil@iowa-city.org Subject: Application for Parks & Recreation Commission Unexpired Term - Clay Claussen Dear Council Members, I am submitting my application for the unexpired term opening on the Parks and Recreation Commission. With over twenty years of experience in recreation/wellness/fitness management I am prepared to face the challenge of providing affordable quality recreational and cultural facilities and opportunites for all of our.citizens. Recreation is my passion and I would sincerely appreciate the opportunity to commit my time, knowledge and energy to the task of making Iowa City a truly special place to live and play. Yours in health, Clay Clay Claussen, REALTOR Re/Max Real Estate Centre 1121 Shirken Drive PO Box 189 Iowa City, IA 52244 Cell: 319.331.9911 Office: 319.338.9888 Fax: 319.337.4431 Home: 319.351.HAWK(4295) Licensed to sell real estate in the State of Iowa *** eSafe scanned this email for malicious content *** *** IMPORTANT: Do not open attachments from unrecognized senders *** 2/4/2005 Cl~ OF IOWA C~ ~ DVISORY BOARD~COMMiSSiON .,' .' ~PPLICAT~ON FO~ ~ · ~ m~ ~ ~ ~ f~l PL~E USE A B~CK INK P~ ~ ~ a~ ~ c~ ~em. 410 E. ~~ SI, ~ C~. ~lS ~PLI~TION 18 A PU~IC ~ ~ ~D ~ S~ ~ BE REPR~U~ ~D DiS~I~ FOR E ~BMC, WI~ ~E ~~N ~ F ~E ~ P~E ~KED "CONFIDEN~AL" ~lS A~TION I~ 8E ~NSlD~ FOR ~R~ ~ ~S ONLY ~D ~O~TI~ I y ~lO~ FOR ~ VArY DU~NG.~T TIME. ~ ~ ., How Io~ ~ ~ ~n a ~t ~EmEN~ ~0~ ACT~m~ , / ~eneral Application (1) February :L:~)04' 01/11/05 12:35 TX/PJi N0.2800 P.O02 [] 82/14/2885 11:17 3193587418 AUSTIN BURKE CLOTHIE PAGE 83 01/11/2005 TUE 11:23 FAX ,~193fi654d? I~t CI~ C~ ~003/007 W~T C~RI~NS DO YOU FEE[ ~OU C~ ~ TO ~18 ~RY ~ (OR STATE R~N FOR In ~lar, ff ~ ~ app~ tO ~ a ~ ~r ~ e ~rd or ~mm~lon ~l~ ~kes ~m~ndafl~ to the IF YOU ~ NOT SELECT~, ~ Y~ ~ ~ TO ~ NOTIFI~? ~YES NO -[~ ~ · DO YOU CUtElY'SERVE ON ~O~ ER IOWA C~ BO~D OR ~MI~I~? ~S ~NO Mle~~ns on ~ ap~ n ~1 ~ns~te jU~ ~u~ for m~val of an ap~lntee. General Appflcatlon (2) Febnjary 2004 o~/]1/05 12:35 TX/P,X NO.2800 P.003 · NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: TELECOMMUNICATIONS COMMISSION Two Vacancies - Three-Year Terms March 13, 2005-March 13, 2008 The duties of the Telecommunications Commission include serving as a review board to resolve disputes between any subscriber or potential subscriber and the cablevision company; reviewing and auditing reports by the cablevision company to the City as required by the Cable Television Ordinance; working 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 CATV system in the City. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Telecommunications Commission meets the fourth Monday of each month at 5:30 p.m. Applications must be received by 5:00 p.m., Wednesday, February 23, 2005. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at City Hall, 410 E. Washington Street. Application forms are available from the Clerk's office upon request or on the City website at www. icgov.org. Questions about the Iowa City Telecommunications Commission should be directed to Drew Shaffer, Cable Television Administrator at 356-5046. 1/13/2005 TELECOMMUNICATIONS COMMISSION 12 MONTH ATTENDANCE RECORD 01/01/03 to CURRENT Meeting Date [4Lmbcrl¥ Saul Meikes Brett Castillo Terry Smith Jim Pusack 612/03 x x x x x 7/28/03 x x x x x 8/25/03 x x x x o/c 9/22/03 x x x x o/c 10/27/03 x x x x o/c 11/24/03 x x o/c x x 12/15/03 o/c o/c x x x 1/2/04 x o/c x x x 1/26/04 x x x x ,, x 2/23/04 x o/c x °lc 3/22/04 x x x x x 4/26/04 x x x x O/C 5/24/04 x x O/C x x 6/28/04 x x x olc x 7/26/04 o/c x x x x 8/26/04 did not meet did not meet did not meet did not meet did not meet 9/27/'0~ ' ' X X X X X 10/25/04 X X 11/04 Did not meet Did not meet Did not meet Did not meet Did not meet x X X X x 12/20/04 1/24/05 X X X X X (X) = Present (O) = Absent (O/C) = Absent/Called (Excused) Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 2 Females: 1 Council Announcement Date: January 18, 2005 Application Deadline: Wednesday, 5:00 p.m., February 23, 2005 Council Appointment Date: March 1,2005 TELECOMMUNICATIONS COMMISSION Two Vacancies - Three Year Terms March 13, 2005- March 13, 2008 Term expires for Terry Smith, Jim Pusack Carl Hirschman [] 935 E Bloomington St Gary Hagen [] 2128 S. Riverside Dr #125 [] Denotes applicant completed the Confidential page of the application. CITY OF IOWA CITY ~?, ADVISORY BOARD/COMMISSION ..... APPLICATION FORM '- Individuals serving on Boards/Commissions play an important role in advising the Council on m~tt!.e~-of ih'~rest to our community and its future. Applicants must reside in Iowa City. ~p. ,~ After a vacancy has been announced, the Council reviews all applications during the work session. The ~ippointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. ADVISORY BOARD/COMMISSION NAME ¢,~r~.U, ;,'c,'~^'; Ce ~.';s ~:~ NAME ~ ~ ~'~r~C~Q~ HOME ADDRESS ~ E ~oo~ ~O~ ~- Is your home address (listed above) within the ~rporate limits of Iowa Ci~? ~ Yes ~ No How long have you been a resident of Iowa Ci~? ~ ~ ~2 ~; S OCCUPATION ~(~ ~O~A~ EMPLOYER ~-~(~ 'HONE NUMBER: HOME 5~- ~-%~ BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALI~ YOU FOR THIS POSITION: - O 0 - WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~ 0 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (1) February 2004 VHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING)? ~ ~.~ ~\¥,..~ ~.0 (5~0\o,- N,~ (~f-e~ i'4"~ ~CO/'~ejr-',.iLS -fO 0,,. POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code f Iowa, please contact the City Attorney's office at 356-5030. "Er.: IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? X YES NO ~ ~: ¥:~ i -'~' ~---'~: DO YOU CURRENTLY SERVE ON ANOTHER IOWA CiTY BOARD OR COMMISSION? XES NO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2004 CITY OF IOWA CITY ADVISORY BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Council on matters of interest to our community and its future. Applicants must reside in Iowa City. After a vacancy has been announced, the Council reviews all applications during the work session. The appointment is made at the next formal Council meeting. Appointees serve as unpaid volunteers. PLEASE USE A BLACK INK PEN. Return the application to City Clerk, 410 E. Washington St., Iowa City, Iowa. THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS 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 cor~rate limits of Iowa Ci~? ~es __ No How long have you been a resident of Iowa City? ~ ~ / EXPERIENCE AND/OR ACTIVITIES WHICH YOU EE~L QUALIFY YOU FOR THIS POSITION' Misrepresentations on this application will constitute just cause for removal of an a~o~n~ee. If you fail to answer all the questions, Council will not consider your application..7~... General Application (1) February 2004 WHAT CONTRIBUTIONS DO, YOU FEEL YOU CAN MAKE TO THIS ADVISORY I~OARD ((:JR,~TATE REASON FOR POTENTIAL CONFLICTS OF INTEREST Please identify any potential conflicts between membership on the advisory board and your personal interests, induding financial interests and your duties to an employer. In particular, if you are applying to be a member of a board or commission which makes recommendations to the City Council about the allocation of City funds, please list any present affiliations you have with agencies that apply for funding from the City. "Affiliation" includes being a board member or employee of the agency. Other types of affiliations must be examined on a case by case basis by the City Attorney's office. You should also know that Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. A copy of Section 362.5 is attached. If you are uncertain whether a potential conflict of interest exists or have questions about Section 362.5 of the Code ¢ ~wa, please contact the City Attorney's office at 356-5030. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~'YES NO DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? YES ~//NNO (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council will not consider your application. General Application (2) February 2004