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HomeMy WebLinkAbout2011-05-03 AppointmentUb-U:f-17 23a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy -Unexpired + 5-yr Term Effective Upon Appointment, ending December 31, 2011 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, April 27, 2011. 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 Michael Tharp, Airport Operations Specialist at 356-5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 1 Females: 1 Council Announcement Date: June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008; January 6, 2009; February 24, 2009; March 24, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011 Application Deadline: Wednesday, 5:OOp.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy -Unexpired + 5-yr Term Ending December 31, 2011 Carl Williams resigned Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., April 27, 2011 ODenotes applicant completed the Confidential page of the application. 23b NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING BOARD OF ADJUSTMENT One vacancy -Five-Year Term January 1, 2009 -December 31, 2013 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, April 27, 2011. 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 Michael Tharp, Airport Operations Specialist at 356-5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 1 Females: 1 Council Announcement Date: September 23, 2008; November 3, 2008; December 16, 2008; February 10, 2009; March 10, 2009; April 6, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011 Application Deadline: Wednesday, 5:OOp.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING BOARD OF ADJUSTMENT One Vacancy -Five-Year Term January 1, 2009 -December 31, 2013 Term expires for Dennis Keitel Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., April 27, 2011 ~ Denotes applicant completed the Confidential page of the application. 23c NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy -Six-Year Term January 1, 2006 -December 31, 2011 Duties of the Airport Zoning Commission are: 1. To recommend amendments to the current Iowa City Airport Zoning regulations, including the repeal thereof. 2. To recommend the adoption of new Airport Zoning regulations. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets as required. Applications must be received by 5:00 p.m., Wednesday, April 27, 2011. 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 Airport Zoning Commission should be directed to Michael Tharp, Airport Operations Specialist at 356-5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 1 Females: 1 Council Announcement Date: September 20, 2005; November 1, 2005; December 13, 2005; January 23, 2006; February 28, 2006; March 21, 2006; April 18, 2006; June 13, 2006; August 1, 2006; September 5, 2006; September 19, 2006; November 14, 2006; December 12, 2006; January 9, 2007; February 20, 2007; March 20, 2007; May 1, 2007; June 5, 2007; July 24, 2007; September 18, 2007; November 5, 2007; December 11, 2007; January 29, 2008; March 11, 2008; April 14, 2008; May 13, 2008; June 17, 2008; July 15, 2008; August 26, 2008; October 6, 2008; November 18, 2008; January 6, 2009; February 24, 2009; March 24, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011 Application Deadline: Wednesday, 5:OOp.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING COMMISSION One Vacancy -Six-year Term January 1, 2006 -December 31, 2011 Term expires for Mark Anderson Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., April 27, 2011 ~ Denotes applicant completed the Confidential page of the application. 05-03-11 23d NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: AIRPORT ZONING COMMISSION One vacancy -Six-yr Term January 1, 2010 -December 31, 2015 Duties of the Airport Zoning Commission are: 1. To recommend amendments to the current Iowa City Airport Zoning regulations, including the repeal thereof. 2. To recommend the adoption of new Airport Zoning regulations. Iowa City-appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets as required. Applications must be received by 5:00 p.m., Wednesday, April 27, 2011. 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 Airport Zoning Commission should be directed to Michael Tharp, Airport Operations Specialist at 356-5045. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 1 Females: 1 Council Announcement Date: September 15, 2009; November 2, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011 Application Deadline: Wednesday, S:OOp.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. AIRPORT ZONING COMMISSION One Vacancy -Six-year Term January 1, 2010 -December 31, 2015 Term expires for Brian Sponcil Gender Balance Requirement: None No applications as of Wednesday, 5:OOp.m., April 27, 2011 ~ Denotes applicant completed the Confidential page of the application. 23e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy- Five-Year Term January 1, 2009 -December 31, 2013 One (1) Mechanical Professional It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:00 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, April 27, 2011. 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 regarding the Board of Appeals should be directed to Tim Hennes, Sr Building Inspector at 356-5122. 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: Council Announcement Date: September 23, 2008; November 3, 2008; December 16, 2008; February 10, 2009; March 10, 2009; April 6, 2009; May 19, 2009; June 16, 2009; July 28, 2009; September 15, 2009; October 20, 2009; December 1, 2009; January 25, 2010; March 2, 2010; April 6, 2010; May 10, 2010; June 15, 2010; August 17, 2010 (Gender Balance in Effect); September 21, 2010; November 16, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011 Application Deadline: Wednesday, 5:OOp.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 11/15/10 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One vacancy -Five-Year Term (1) One Mechanical Professional January 1, 2009 -December 31, 2013 Term expires for Tim Fehr (Mechanical Professional) Gender Balance Requirement: Female No applications as of Wednesday, 5:OOp.m., April 27, 2011 ^D Denotes applicant completed the Confidential page of the application. 23f NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF APPEALS One Vacancy- Unexpired Term Effective Upon Appointment -December 31, 2014 One (1) Building Design Professional It is the duty of members of the Board of Appeals to hold appeal hearings on matters concerning the International Building Code, International Residential Code, Uniform Plumbing Code, National Electric Code, International Mechanical Code, International Fire Code, and the Iowa City Housing Code. Members must be qualified by experience and training to pass upon matters pertaining to building construction. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the first Monday of each month at 4:00 p.m. or at the call of the Building Official. Applications must be received by 5:00 p.m., Wednesday, April 27, 2011. 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 regarding the Board of Appeals should be directed to Tim Hennes, Sr Building Inspector at 356-5122. Spouses and relatives of City Council Members and members of comparable County Boards and certain 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: 1 Council Announcement Date: January 10, 2011; February 15, 2011; March 22, 2011 Application Deadline: Wednesday, 5:00 p.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 04/10/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF APPEALS One Vacancy -Unexpired Term Building Design Professional Effective Upon Appointment -December 31, 2014 (Unexpired term for Stephen Buckman) Gender Balance Requirement: Female No applications as of Wednesday, 5:OOp.m., April 27, 2011 ~ Denotes a completed application has been filed. 23 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF LIBRARY TRUSTEES Two Vacancies -Six-Year Terms July 1, 2011 -June 30, 2017 The Board of Library Trustees is asemi-autonomous body of nine persons empowered by State Law to plan, direct, and control all affairs of the Public Library. 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 members 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. Applications must be received by 5:00 p.m., Wednesday, April 27, 2011. 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 Board of Library Trustees should be directed to Susan Craig, Library Director at 356-5200. 3/23/2011 Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step- mother, step-child, aunt, or uncle. (Resolution 85-354) Males: 4 Females: 3 Council Announcement Date: March 22, 2011 Application Deadline: Wednesday, 5:00 p.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 06/20/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. LIBRARY, BRD OF TRUSTEES Two Vacancies -Six-year Terms July 1, 2011 -June 30, 2017 (Term expires for Meredith Rich-Chappell, Thomas Martin) Gender Balance Requirement: 1 Female, 1 None (M) Thomas Martin ~ (Currently serving 1 S' six-yr term) 167 Notting Hill Ln (F) Meredith Rich-Chappell 911 Rider St (M) Joshua Cochran ~ 2302 Miami Dr ~ (Currently serving 1 S` six-yr term) ~ ,Denotes applicant completed the Confidential page of the application. City of Iowa City _ ~ r 1 ~~~~®~ Advisory BoardlCom m fission/Committee ~;~'~~ ~`~plication Form ~-'~-- CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Library Board of Trustees Term 711to 6-2017 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Thomas S. Martin HOME ADDRESS 167 Notting Hill Ln 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? 6 5 kears Gender: Male ~ Female OCCUPATION prA~~~pnt EMPLOYER Willowwind Foundation PHONE NUMBER: HOME 319-351-1239 BUSINESS ~~a_~~n_~n~n_ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: N I ~-n completing 6 years of service on this Board and also completing 4 years as a membe~f the~wa Library ~ emission. =:5.c-a z~ t s-, rv WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? -:~ „~ i'~7 I have an excellent knowledge of how the Board functions and why it is so important in theiae ~,con.o is tilh'i to have an experienced and diligent Board. ~~ 0 WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? The environment in which libraries operate is rapidly changing. This presents many challenges which can become opportunities. I have seen this phenomenon from both the local and state level and been involved in the decision making process on both levels. Based on that experience, I can greatly contribute to the future decisions. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regardinq Conflict of Interest NONE IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ~ Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes aNo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) $ .___ ..___..~ .._ _._ ___ __ ____. _....~ _- .-_ _ . _._.__ -. _~..._ __w._._.~..~.______.__~___.~ _.._._~______~_.__.__.._._.__.____.~~.._.__.___..._._....._ Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail ~ ~o answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Library, Board of Trustees Name Thomas S. Martin 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 (see page 7). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS none N CJ O _~ "~~'~"~ ~ ~eea~r t -•~ aa. ~~ ~ _"" '~ NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature ~-.-~ ~!~~t~~ Signature of parent/guardian (Youth Advisory Commission only): Address 167 Notting Hill Ln. Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. ~ r 1 ,- - '~®,~'~ CITY OF IOWA CITY Date 03/26/2011 General Application June 2010 Page 3 of 8 City of Iowa City _ ~ r 1 Adviso Board/CommissionlCommittee ~'"= V~'~~ 0-~plication Form -~-~-- CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Library Board of Trustees Term 2011-2017 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Meredith Rich-ChaQpell HOME ADDRESS 911 Rider strPPt,~ a Cif Iowa o C':t z'' Is your home address (listed above) within the corporate limits of Iowa City? ~ Yes=~ ~ N `-~ ...~ How long have you been a resident of Iowa City? 18 years Gender ale ® F~male~ OCCUPATION Attnrnev EMPLOYER Johnson Co i~cAtte~ey'sice PHONE NUMBER: HOME 319-354-7073 / : ~ BUSINESS FxpFRiFNCF AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I ~ currently finishing asix-year term on the Library Board of Trustees. I can use this experience to continue to c~.., ibute to the current Library facility evaluation and the larger discussion of how to serve more people in our community. In my professional capacity I work colaboratively on amulti-disciplinary team and a state commission. wH,4T Is YouR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? During my term I have become very familiar with the Library's budget development process, including the changes necessitated by the recession. I was also involved in developing and approving a new strategic plan for the Library's continued growth. I have learned how the Library identifies and serves the changing needs of the Iowa City area. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I am applying for a second term becasue I am excited about the Library's current facility review process and want to assist in implementing the ideas generated by the review. Also, as a parent of a 3-year-old son, I value the Library's leadership in supporting early childhood literacy. I want to promote a continued emphasis on children's programming. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest None. r-, n IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Yes aNo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) isrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Library Board of Trustees r 1 ww®r~~ -~a.at._ CITY OF IOWA CITY Date 04/13/2011 Name Meredith Rich-Chappell 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 (see page 7). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS None N d p ~,.' ~ "~' T7 .=.~ ~ p ~; ~ v NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature ~-f Y Signature of parent/guardia (Youth Commission only): Address 911 Rider Street, Iowa City, Iowa Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail `o answer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 City of Iowa City i r i A~' 'isory Board/Commission/Committee ~;~r ~'~~ .~ ~~' Application Form ~~-~-- CITY OF IOWA C[TY 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/Committee Name Library, Board of Trustees Term 2011-2017 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Joshua Cochran HOME ADDRESS ?:~02 nniami Dr.,Jowa ity, IA 52240 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? 4 years Gender: Male ~ Female OCCUPATION ~ra~t~~atP Student EMPLOYER University of Iowa PHONE NUMBER: HOME319-331-8462 BUSINESS EXP'",~ENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Plea aee attached page ~.. ~~ ~'% .~~ :~ ~ ~ WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? c-~-. ~ Please see attached page --sue - r ~4r„ -v ~~ ~:~~ .. Y W WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING) r ? Please see attached page N%AT POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ^/ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes ~/ No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) i ,representations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 Joshua Cochran Library, Board of Trustees Application April 27, 2011 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I bring experience and knowledge of how a public facility can interface with a diverse public regarding access to information and use of space. I previously worked at the Gerald R. Ford Presidential Library (part of the National Archives and Records Administration, anon-partisan federal agency) in Ann Arbor, Michigan as an entry-level archivist. My job duties included processing document collections and providing reference service to researchers onsite, via e-mail, and by telephone. I also coordinated the Library's public events. This included organizing events sponsored by the Library as well as serving as a liaison with community groups that sought the Library as a space to host their events. This work provided excellent insight into the possibilities and problems that libraries can encounter in the area of community relations. This knowledge and experience would be beneficial for serving on the public board that helps craft policies for multiple users within the community. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? As I understand it, the Iowa City Public Library's Board of Trustees has two primary functions. First, it provides a forum for the citizens of Iowa City to voice their input and concerns about the library's policies and operation. The monthly meetings of the Board provide an opportunity for citizens to participate in discussions about the function and future of the library within the larger community. Second, with this public input the board "directs and controls all the affairs of the library." In deliberating and enacting library policies, the board is not only guided by public input, but also by library's stated mission of being "an innovative and responsive community center that supports lifelong learning, literacy, and access to the world of ideas," as well as a commitment to its values of "intellectual freedom, excellence in customer service, community building, working collaboratively, minimizing barriers to use, providing a welcoming environment, and awell-trained staff." From reading the minutes of recent board meetings, the library's annual report, its strategic plan for 2011, as well as coverage of the library in the local media, I have obtained an understanding about the issues the board regularly addresses. These include discussions of collection development, library programs, patron services, facility use, budgeting, issues of safety and security for staff and patrons, and possible expansion through branch libraries. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I am striving to be more involved in my community, and service on this Board will allow me to contribute to the intellectual and cultural development of my community which meaningful to me as a professional, a scholar, a parent, and a citizen. These multiple perspectives, I believe, would be an asset to the Board and its deliberations on library policy. As a historian, I appreciate the implications of decisions that influence what information will be made available to communities and how it will be accessed. As a university student I have enjoyed the unique offerings of the public library, and I understand the importance of interaction between the university community and Iowa City residents. As a father, I understand some of the needs of families who access the library as community space, educational events, and resources for children (e.g., storybooks, CD's, children's website). Finally, I appreciate the role of libraries in creates an informed citizenry, which is the foundation of a dynamic and engaged community. ~; a5 ~ 7 ~: N o~ - 1'x'1 --O ~~ •~ W i r ~~~ ~ ~r BOARD, COMMISSION AND COMMITTEES ~.~,~'~"'~ BUSINESS LISTING .~.,,__ CITY OF IOWA CITY Name of City Board/Commission/Committee Library, Board of Trustees Date April 27, 2011 Name Joshua Cochran 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 (see page 7). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS NONE N C1 Q ..,,,~, ~./~ ..r ~ was -~ N ~~ t, NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature___.~ Signature of parent/gua"rdian (Youth Advisory Commission only): Address 2302 Miami Dr., Iowa City, IA 52240 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail ,~swer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 23h NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: TELECOMMUNICATIONS COMMISSION Two Vacancies -Three Year Terms March 13, 2011 -March 13, 2014 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, April 27, 2011. 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 Bob Hardy, Cable Television Administrator at 356-5047. 3/23/2011 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 25, 2011; March 22, 2011 Application Deadline: Wednesday, 5:00 p.m., April 27, 2011 Council Appointment Date: May 3, 2011 After 04/25/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. TELECOMMUNICATIONS COMMISSION Two Vacancies -Three-year Terms March 13, 2011 -March 13, 2014 (Term expires for Nolan Klouda, Gary Hagen) Gender Balance Requirement: 1 Female (M) Gary Hagen ~ 2128 S Riverside Dr #125 (M) Nolan Klouda O 309 Finkbine Ln, Apt 9 (F) Alexa Homewood D 411 Peterson St #11 (Previously served two 3-yr terms) (Previously served unexpired term) D .Denotes applicant completed the Confidential page of the application. City of Iowa City ~ r i ~~ _ _ Advisory Board/Commission/Committee ~ =-'' ~'~~ '~-.~ ~~ p nplication Form -~-~-- CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Telecommunications Commission Term 2011-14 Youth Advisory Commission {shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: Signature of parent/guardian: NAME Gary Hagen HOME ADDRESS ~1~8 ~_ Riverside Dr.#1~5 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? 4o vears Gender: Male ~ Female OCCUPATION Mar~gg~r/~tor .s IHC _tir _ EMPLOYER U of Iowa Healthcare PHONE NUMBER: HOME 319-337-3545 BUSINESS Nia EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: 6 Pars on the commission and a communications degree from the UI. ~ a WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? ~ ~= am 6 years experience w ~ o ~ _ N ~` CT1 WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? I feel I have an excellent grasp of the issues and I speak my mind. LIST POTENTIAL CONFLICTS OF INTEREST: See a e 1 for information re ardin Conflict of Interest .None 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 QNo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) "~isrepresentations on this application will constitute just cause for removal of an appointee. If you fail answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Telecommunications Commission ~ ~ ,,s~~ war®M~ ~ ~ CITY OF IOWA CITY Date ~ -~7z ~~ Name Gary Hagen 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 (see page 7). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS None 0 ~- c.. z ,r ~ ,. :~: ;~ ,v ~;, -o ,r ^• x ^~ N ~= r NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signatu Signature of parent/guardian (Youth Advisory Commission only): Address 2128 S. Riverside Dr.#125 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer alt the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 City of Iowa City i,! r i Adviso Board/Commission/Committee ~';~-"~'~~ Application Form -'~-~-- CITY ol= [oWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Telecommunications Commission Term 2011 2014 Youth Advisory Commission (shall not be more than 18 years of age at the time of application) Name of Iowa City High School or high school equivalent: ~- o .,,~ Signature of parent/guardian: ~ a NAME Nolan Klouda HOME ADDRESS spa FinkhinP t n ~ 9 w ~ Is your home address (listed above) within the corporate limits of Iowa City? 0 ~~ How long have you been a resident of Iowa City? 1 year. 8 months Gendel~Vlale Female OCCUPATION S'{ ~~tr,-Y,ar S .rvi EMPLOYER ACT PHONE NUMBER: HOME 785 764 6658 BUSINESS NA EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have an education in local government administration and (have served on the Telecommunications Commission f~ 'gout three months. wHaT Is YouR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Having served on the board for about three months, I have gained some familiarity with the commission, its members, city staff, and the TV franchise. '~, I WHAT CONTRIBUTiON_S_CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYiNG)? i am highly iniea•ested in ciEy government and matters of infrastructure and technology policy. I offer a sense of inquisitiveness, knowledge of local government, and a fresh perspective. .. _ ................ LIST POTENTIAL CONFLICTS OF INTEREST: Seepage 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? /~ Yes ~ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? ~ Yes /~No (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the same time.) ^Aisrepresentations on this application will constitute just cause for removal of an appointee. If you fail ,answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Te ecommunications Can mission Name Na an K ouda Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commissian from having an interest in a city contract. A copy of Section 362.5 is attached (see page 7). NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature //rrt',A~'1 /~btRd~A1 Signature of parent/guardian (Youth Advisory Commission only): Address 309 Ffikbine Ln Apt 9 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer a!I the questions, Council may not consider your application. _t ? i ~~ '` 'Mw®~gi CITY aF towA Cllr Date ~- ~ General Application June 2010 Page 3 of 8 List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commissian applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Ptease indicate if there are none. City of Iowa City ~ r 1 ...__..=.®~r Advisory Board/Commission/Committee ~; -~"'~~'~~ , pplication Form -~-- l CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLIC, WITH THE EXCEPTION OF THE LAST PAGE MARKED "CONFIDENTIAL." THIS APPLICATION WILL BE CONSIDERED FOR THREE MONTHS ONLY AND AUTOMATICALLY CONSIDERED FOR ANY VACANCY DURING THAT TIME. Advisory Board/Commission/Committee Name Telecommunications Commission Term 3 Years Youth Advisory Commission (shall not be more than 18 years of age at the time of ap{~yl'cation) 0 Name of Iowa City High School or high school equivalent: -- Signature of parent/guardian: ~~ ~' v ~ --a ~' -- c ~ ~, - ~-- NAME Alexa Homewood HOME ADDRESS 411 PPtPrsnn St. #~1~ co ~ ~ -~ I~ Is your home address (listed above) within the corporate limits of Iowa City? ~ Y~~ ~ Nom ... ~, How long have you been a resident of Iowa City? 23 Years Gender: Male ~ Female OCCUPATION !'i ietnmar Caniira Associate EMPLOYER Mercer Health & Benefits LLC Administration PHONE NUMBER: HOME 319-430-7679 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: ~ ' eve lived in Iowa City all of my life and have experience dealing with the different companies that offer communication services in Iowa City. I have some electrical experience, therefore, I would understand issues relating to wiring and city codes involving wiring. WHAT IS YOUR PRESENT KNOWLEDGE OF TH15 Auy15yKY tiVAKU! This board coordinates between the telecommunications companies and the public. It handles disputes that cannot be handled elsewhere. It assists in deciding which companies/franchises should be contracted. It assists with public programming and making sure the programming is available to all members of the community. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I feel that my age group needs more representation in this area. It would be nice to have the opinion of a young adult who may experience issues that are different from what other adults in the community are experiencing. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest I do work in a call center, but I do not have any control over the telecommunications contracts that are signed with my employer. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? U Yes U 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 o answer all the questions, Council may not consider your application. General Application June 2010 Page 2 of 8 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Telecommunications Commission Name Alexa Homewood _, r +''~-Z'wir ®~ ~~~ -•t.a.~ CITY OF IOWA CITY Date 04/13/2011 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 (see page 7). List all businesses in which you, your spouse/domestic partner, or parent if Youth Advisory Commission applicant, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME BUSINESS ADDRESS 0 .~ C'y z:+ :' : ~...' f'r"_ra. .~-- y, N NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. /~ Applicant Signature, Signature of parent/guardialn'(Youth Advisory Commission only): Address 411 Peterson St. #11 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, Council may not consider your application. General Application June 2010 Page 3 of 8 ' Ub-US-71 23i NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: YOUTH ADVISORY COMMISSION One Vacancy -Two-Year Term January 1, 2011 -December 31, 2012 One (1) person -Tate High The mission of the Youth Advisory Commission is to promote understanding and awareness of Iowa City among Iowa City youth, allow a select group of youth to help make decisions concerning them and their peers, enable youth members to utilize and expand on their leadership abilities, to serve as a mechanism for communication between youth and adults in Iowa City and create a bridge whereon youth and adults can develop partnerships. Membership shall consist of seven [7] members appointed by the City Council currently enrolled in an Iowa City high school or high school equivalent. Four members shall represent City, Regina, Tate, and West high schools. The three remaining members shall be at large. All ages shall be calculated on the date of the filing of applications, and shall not be more than 18 years of age at the time of application. All members shall be residents of Iowa City. Applications must be received by 5:00 p.m., Wednesday, April 27, 2011. 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.orq. Questions about the Iowa City Youth Advisory Commission should be directed to Marian Karr, City Clerk at 356-5041. Spouses and relatives of City Council Members and members of comparable County Boards and Commissions are not eligible for appointment to City Boards and Commissions. This includes: spouse, child, mother, father, mother- in- law, father- in- law, brother, sister, brother- in- law, sister- in- law, step-father, step-mother, step- child, aunt, or uncle. (Resolution 85-354) Males: 3 Females: 3 Council Announcement Date: October 26, 2010; December 7, 2010; January 10, 2011; February 15, 2011; March 22, 2011 Application Deadline: Wednesday, 5:OOp.m., April 27, 2011 Council Appointment Date: May 3, 2011 (Recommendations to be made by Council liaison) After 01/24/11 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. YOUTH ADVISORY COMMISSION One Vacancy -Two Year Term January 1, 2011 -December 31, 2012 One (1) person -Tate High Gender Balance Requirement: None No applications as of Wednesday, S:OOp.m., April 27, 2011 O Denotes applicant completed the Confidential page of the application.