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Home My WebLink About2000-10-03 Appointment NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: ANIMAL CONTROL ADVISORY BOARD One vacancy - Unexpired Term + Three-Year Term October 3, 2000 - April 5, 2004 The Animal Control Advisory Board shall provide such recommendations and advice as are required by the 28E Agreement between the City of Iowa City and the City of Coralville, or as may be requested by the City Council or City Manager of Iowa City or by the City Council or City Administrator of Coralville. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. Appointment will be made at the October 3, 2000, meeting of the City Council at 7:00 p.m. in the Council Chambers. The City of Iowa City encourages diversity in the appointment of citizens to boards and commissions. Persons interested in being considered should contact the City Clerk at the Civic Center, 410 E. Washington Street. Application forms are available from the Clerk's Office upon request. 8/4/00 10-03-00 14a Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 1 Females: 3 Appointment Date: October 3, 2000 ANIMAL CONTROL ADVISORY BOARD One vacancy - Unexpired Term + Three-Year Term October 3, 2000 April E, 2004 Elizabeth Hospodarsky [] 1921 Morningside Drive Jean Walker [] 335 Lucon Drive [] Denotes applicant completed the Confidential page of the application. CIT'Y OF IOWA CITY ADVISORY BOARD/COMMISSION 7 ':: "'-' "'i'~ APPLICATION FORM Individuals serving on Boards/Commissions play an important role in advising the Coun~'~n 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 sere 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 ~ST 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 ~~Z ~~ ~~~ERM NAME ~E~ ~. ~Z~ HOMEADDRESS Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes __ No How long have you been a resident of Iowa City? ~ ~ ~ OCCUPATION ~~~ EMPLOYER PHONE NUMBER: HOME ~3 7 ' ~ D / BUSINESS WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? SPECIFIC ATTENTION SHOULD BE DIRECTED TO A POSSIBLE CONFLICT OF INTEREST. PLEASE LIST ANY PRESENT AFFILIATIONS YOU HAVE WITH AGENCIES WHICH MAY APPLY FOR FUNDING FROM THE CITY. AFFILIATION MEANS BEING A BOARD MEMBER OR EMPLOYEE OF THE AGENCY. OTHER TYPES OF AFFILIATION MUST BE EXAMINED ON A CASE-BY-CASE BASIS BY THE CITY ATTORNEY'S OFFICE. YOU SHOULD KNOW THAT SECTION 362.5 OF THE CODE OF IOWA GENERALLY PROHIBITS, WITH CERTAIN IMPORTANT EX._~.IONS, 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 HAVE ANY QUESTIONS, PLEASE CONTACT THE CITY ATTORNEY' S OFFICE AT 356-5030. IF YOU ARE UNCERTAIN WHETHER OR NOT A POTENTIAL CONFLICT OF INTEREST EXISTS, PLEASE LIST THE AGENCY AND THEN CONTACT THE CITY ATTORNEY'S OFFICE. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? /~ YES 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 questions on the application you may not be considered for appointment. cclerk~Comapp.doc ~ ['''~ ~ - - a~ 199~ {2)