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HomeMy WebLinkAbout2014-12-16 Appointment9a NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING BOARD: BOARD OF ADJUSTMENT One Vacancy — Five — year term January 1, 2015 — Ending January 1, 2020 Duties: In appropriate cases and subject to appropriate conditions and safeguards, the Board may make special exceptions to the terms of the Zoning Chapter in harmony with the general purpose and intent of the ordinance and in accordance with general or specific rules contained therein. The Board may grant variances to the Zoning Chapter only in the case of "unnecessary hardship." The hardship must be substantial, serious, real, and of compelling force, as distinguished from reasons of convenience, maximization of profit or caprice. The Board may also hear and decide appeals where it is alleged there is an error in any order, requirement, decision, or determination made by a City official in the enforcement of the Zoning Chapter. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Board meets the second Wednesday of each month at 5:00 p.m. Applications must be received by 5:00 p.m., Wednesday December 10, 2014. 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 Adjustment Commission should be directed to Sarah Walz, Associate Planner at 356-5239. 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: Council Announcement Date: November 4, 2014 Application Deadline: Wednesday, 5:00 p.m., December 10, 2014 Council Appointment Date: December 16, 2014 After 12/15/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. BOARD OF ADJUSTMENT One vacancy — Five Year Term January 1, 2015 - January 1, 2020 Term expires for Constance Goeb Gender Balance Requirement: 1 Female (F) Constance Goeb O(Currently serving an unexpired term) 145 Oakridge Ave. 0 Denotes applicant completed tOhe Confidential page of the application. City of Iowa City Advisory Board/Commission/Committee Application 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 Board of Adjustment Term 1/1 /15-12/30/2 NAME Constance Goeb HOME ADDRESS 145 Oakridge ave Is your home address (listed above) within the corporate limits of Iowa City? ✓❑ Yes n No How long have you been a resident of Iowa City? 51/2 years Gender: Male ❑ Female OCCUPATION Retired Human Resources/Labor Relations PHONE NUMBER: HOME 310-938-0395 EMPLOYER none BUSINESS none EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I served 16 months on BOA to fill an unexpired term and we met about 8 different times. I became familar with some of the typical land/homeowners issues in Iowa City and the processes of the BOA. My previous experience is simply being a homeowner in 5 different communities in the country and having an interest in land use issues and in the city of Iowa City. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? As above, served 16 months of an unexpired term. `.<s f w� WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? With the added knowledge of serving on the Board for a short time, I will be able to understand the issues and the Board processes immediately. I have varied life experience, common sense and an interest in serving the City. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest None. Although the guidelines stipulate that no reappointment is allowed for BOA,was invited to reapply. If you find someone else eager to join, I understand. IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ✓0 Yes F] 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 may not consider your application. General Application May 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Board of Adjustment Name Constance Goeb I t 1 =Vn� --- 1.®4� CITY OF IOWA CITY Date 12/4/14 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, or your spouse/domestic partner, 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 one NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature. Address 145 Oakridge ave 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 May 2014 Page 3 of 7 W U o z M LL 0 p Z N o m Q 0 x X x C3 a x x x X x .t x x x x x x x X x x N x x x x x t° x x x x X x x x x x r C x x x x x r ti W) m 0) 430 •- r- T- r- '- W W G ~ W Qz m w U m cc Z V 0 -T-- rn- 9b NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: HUMAN RIGHTS COMMISSION One Vacancy - Unexpired Term Effective Upon Appointment -January 1, 2016 Duties of the Commission include: 1) disseminating information to educate the public on illegal discrimination and civil rights, such as organizing and facilitating educational public forums that address one or more of the broad range of topics included within the rubric of human rights; 2) making recommendations to the City Council for such further legislation concerning discrimination as it may deem necessary and desirable; 3) cooperating within the limits of any appropriations made for its operation with other agencies or organizations both public and private whose purposes are not inconsistent with those of Title 2,of the City Code (Human Rights Ordinance) and; 4) planning programs and activities designed to eliminate racial, religious, cultural and other intergroup tensions including but not limited to sex, color, creed, disability, gender identity, sexual orientation, marital status, age, and national origin. Iowa City -appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Human Rights Commission meets the third Tuesday of each month at 6:00 p.m. in the Lobby Conference Room at City Hall, 410 E. Washington Street. Applications must be received by 5:00 p.m., Wednesday, December 10, 2014. 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 Human Rights Commission should be directed to Stefanie Bowers, Human Rights Coordinator at 356-5022. 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: 5 Females: 3 Council Announcement Date: November 4, 2014 Application Deadline: Wednesday, 5:00 p.m., December 10, 2014 Council Appointment Date: December 16, 2014 After 02/02/2015 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. HUMAN RIGHTS COMMISSION One Vacancy - Unexpired Term Effective Upon Appointment — December 1, 2016 Andrea Cohen resigned Gender Balance Requirement: 1 Female (M) Richard Bartlett 0 228 Raven St. (F) Latisha Nichole McDaniel F-1 331 Willow Wind Place (M) Douglas Korty El 250 Morgan Court (F) Megan Schwalm 0 2834 Whispering Meadow Dr. (F) Sarah Witry rXi 816 Dover St. (F) Elizabeth Marilla Pusack I] 20 S. Lucas (M) Henri Harper 0 1232 Esther Ct. (F) Edie Pierce -Thomas D 631 Stuart Court (F) Ann Snodgrass 0 Previously 400 S. Dubuque moving to Prentiss(general delivery to Iowa City) 27 Denotes applicant completed the Confidential page of the application. City of Iowa City r i Advisory Board/Commission/Committee t VIII IR , I ' ''moi Application Form -�-�- CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC DOCUMENT AND AS SUCH CAN BE REPRODUCED AND DISTRIBUTED FOR THE PUBLI 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 Human Rights Commission Term NAME Richard Bartlett HOME ADDRESS 228 Raven Street, Iowa City, IA 52245 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? 4year 9months Gender: Male F -/]Female ❑ OCCUPATION IT EMPLOYER Codesta Tech PHONE NUMBER: HOME 319-431-2902 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: - I have worked with international organizations such as the Uganda Orphans Rural Development Programme, which is dedicated to aiding children orphaned due to AIDS, as well as other humanitarian organzations througout Africa and the Middle East. -1 offer experience working with the Vermont Refugee Rescue Association working with Somali -refugees, as well as experience dealing with Human Rights violations among my own Bedouin tribal family in Morocco and Egypt who I -e been/are persecuted based on their cultural beliefs and ethicity. - As stated within the Experience section of this application, I contribute experience, knowledge of Human Rights violations and how it affects its citizens, as well as a desire to stand for those very Human Rights being violated. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Q Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? n 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 to answer all the questions, Council may not consider your application. Human Rights Commission Application January 2014 Page 2 of 8 WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? - Simply, my understanding is exactly as the Commission's mission states: I 1) Educate, 2) Recommend, 3) Cooperate, and 4) Plan o WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? - As stated within the Experience section of this application, I contribute experience, knowledge of Human Rights violations and how it affects its citizens, as well as a desire to stand for those very Human Rights being violated. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Q Yes ❑ No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? n 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 to answer all the questions, Council may not consider your application. Human Rights Commission Application January 2014 Page 2 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March -15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30,250 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. Age Gender Income (see table) Sexual Orientation Other (Please explain below) Human Rights Commission Application January 2014 page 4 of 8 Religion Disability Race, color or ethnic group National origin -7 c � BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Human Rights Commission Name Richard Bartlett � r "mom `t CITY OF IOWA CITY Date 09/22/2014 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 8). List all businesses in which you or your spouse/domestic partner 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 Codesta, LLC 228 Raven Street, Iowa City, IA 52245 } i NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature, Address 228 Raven Street, Iowa City, IA 52245 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. Human Rights Commission Application January 2014 Page 3 of 8 10/16/2014 09:46 FAX 3193533003 UIHC Ia 003/007 City of Iowa City Advisory Board/Commission/Committee #;w` ° r ti Application 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 R- M1IPt &bLS (0m fY1jLJSnTerm NAME I q '1 QC he_ft1CQ' ni e.lHOMEADDRESS 331 Wj LOW Wir� Ci? 5)2yU-9`7fit) Is your home address (listed above) within the Corporate limits of Iowa City? 2Yes ❑ No How long have you been a resident of Iowa City? 2. ue QtCS Gender: Male ❑ Female OCCUPATION P\0C ri h WV Lb of . EMPLOYER PHONE NUMBER: HOME I_ BUSINESSq—c3--�1�� _ EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: J nave. bekp a aOrnmurtI -k-) 0rq)Qlg(?U Sj n CL Z0v 5 _WorN 115 ) n JX 1k45 a-5 art ad vc-Cale Q r a ha -e C>ri mot ViCA vri w ho uA S +ar WRd -fir bei' n9 c�ct. Snc-e �-hcri I hGue dr5o.rl i ca around is X-eS &Uch c.s mart'fa V gekld" i ►r►r>,.(,9 ra on fekrra, WAat 'Z -Z( -Mk -PI,� - abor-f on r �5hfs and rococo ( ' u i CR - T hnad The o -10 yr � t�rQr�C�h, Mf)1�e ����. e rlo�rinc, `The wev.kvnd o rA"QAIC-. PVoYI-b. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? itio pfQ-seM knookdy- d 4e tfC Covn(hi.sMc) n WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? TG LOW -r+ -k0 --a[�e- o L I O� 44-e�X Uex1�nC� P tom- T'\Ie- VIOd 04h or9Q h ii -,f j ar-d W (nO\J-ed n a ci-f-9 (eve, l , -1 ,rny Q�li0a c�lcxc (� b r n� rnr AC l- i— r) Ao c� c-'(:ertrr- 12a peokye 4o 44"? e, Coti'I r►� M(:0 r1 for IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 'Yes No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSIO Isme Yes"°'lo (It has been Council policy not to permit an individual to serve on two Boards or CommissionjA-fhe throe,) Misrepresentations on this application will constitute just cause for removal of an4apTfintee. If ku�fall to answer all the questions, Council may not consider your application. 1U1 I,gn r`iy,IL* vv,,u,usswn nF F lUOLIv,, January 2014 Page 2 of 8 10/16/2014 09:46 FAX 3193533003 UIHC 0 004/007 r 1 1'�"a'c BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission/Committee Na Date11-4- Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a memt)er of a city Board or Commission from having an interest in a city contract. A copy of Section 362.11 is attached (see page 8). List all businesses in which you or your spouse/domestic partner 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 n NOTE: A new form must be completed if the above information changes or an --'6-% ;ershp inteWdt is acquired in an additional business. Signature CDa:i� Address �3i �N I so \jgmd ?I . Tf)wG —Q -4u H r.... U -Q 50 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, Human Rights Commission Application January 2014 Page 3 of 8 10/16/2014 09:46 FAX 3193533003 UIHC IaOO5/007 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CIS Effective March 15, 2013 CR a Household 30% Median Income 50% Median 60% Median 80% Median Income Meq ``" Size (Poverty Level) Income Income (low income► Income' 1 $16,060 $26,750 $32.100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34.350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76 300 5 24,750 41,250 49,500 65,950 82,500 6 26.600 44,300 53,160 70,850 88,600 7 28,400 1 47,350 56,820 75,750 94,700 8 30,250 1 50,400 60,480 80,600 100.800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups In the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. Age�5-��1 (;,-- Religion Gender 1q0 4 06 Income (see table) m Sexual Orientation Other (Please explain below) Human Rights Commission Application January 2014 page 4 of 8 L. Disability [=C,L Race, color or ethnic group 4M -Cr 1 National origin City of Iowa City_ r 1 Advisory Board/Commission/Committee AAffit Application 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 Human Rights Term NAME Douglas Korty HOME ADDRESS 250 Morgan Court Is your home address (listed above) within the corporate limits of Iowa City? 7 Yes ❑ No How long have you been a resident of Iowa City? 11 Months Gender: Male 0✓ Female El OCCUPATION Research EMPLOYER Self Employed PHONE NUMBER: HOME 319-333-1488 BUSINESS 319-333-1488 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: worked in the civil rights movement in 1964 and 1965 in Mississippi and Tennessee. I have supported civil rights nd cvil liberties organizations. I have worked in government at local, state and federal levels. I once worked for a ongressional commission headed by Neslon Rockefeller and Edmund Muskie. I have done research on health care olicy for government agencies and nonprofits. I have done research during my career on many related issues and ave created educational websites. For example, I have websites on Race, Humanism, Affordable Housing, ;orruption, Equal Opportunity, Labor Movement, Social Democracy, Eldercare, Mental Health, Human Rights, tefugees, Womens Rights, Finding Work, Abortion Debate, Democracy, Indigenous Americans, Law, Non Profit )rganizations, Progressives, Sociology and Violence. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYIIw)? I have expertise in research and statistical analysis and a great deal of experience in related ---§k bje . I haVq,I een interested in and committed to civil rights and human rights throughout my life. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Confliic6f li telt None IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 0✓ Yes U No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? D Yes QNo (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 may not consider your application. Human Rights Commission Application January 2014 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Human Rights Name Douglas Korty � r � W 74� CITY OF IOWA CITY Date 10/20/2014 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 8). List all businesses in which you or your spouse/domestic partner 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 e ! C) F NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature Address 250 Morgan Court, IowWCity, IA 52240 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. Human Rights Commission Application January 2014 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 1 56,820 175,750 94,700 8 30,250 50,400 1 60,480 1 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) np-rinium PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. 71 Age male Gender 1 -3] Income (see table) �- hetero Sexual Orientation F1Other (Please explain below) Human Rights Commission Application January 2014 page 4 of 8 Ino formai religion Religion none Disability white Race, color or ethnic group US National origin A City of Iowa City _ r i AdvisoryBoard/Commission/Committee k -ft lt - Application 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 NAME Megan Schwalm Human Rights Commission Term 1/15-1/18 HOME ADDRESS 2834 Whispering Meadow Drive Is your home address (listed above) within the corporate limits of Iowa City? How long have you been a resident of Iowa City? OCCUPATION Diversity Consultant and Trainer 5 years EMPLOYER ❑✓ Yes ❑ No Gender: Male ❑ Female 0 Self -Employed PHONE NUMBER: HOME 319-936-8656 BUSINESS 319-936-8656 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: The majority of my work experience has focused on human rights and social justice, including my work as Diversity Coordinator for the University of Iowa. I currently provide independent consulting and training relating to diversity and cultural competency. I was Chair of the Coalition for Racial Justice and am heavily involved in the community, specifically relating to issues of social justice. I have a great deal of experience facilitating educational forums that address human rights issues, both at the University and in the community. Much of my work experience has icluded planning programs and activities designed to eliminate racial, religious, cultural and other intergroup -nsions. In addition, I am a single mother of a child with special needs. Parenting a child with special needs has increased my awareness and advocacy skills around issues of ability. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I am very familiar with the Commission as I have done community work with Stefanie Bowers and other members of the commission. I read the monthly meeting minutes from the Commission so I am aware of issues they are currently addressing, including amending the Human Rights ordinance, planning of the Human Rights Breakfast, and representing the Commission at a plethora of local events. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? Through my PhD coursework and research, my community work, and my professional work, I have gained a great deal of knowlege about discrimination and human rights and have also had the opportunity to hone my public speaking skills. I am an experienced trainer and educator and can use those skills to enhance the current work of the Commission. In addition, I will bring a younger perspective to the Commission. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest None :rj;— -+ IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? ❑ Yes DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISS-[I?N? `E 491 ❑� No (It has been Council policy not to permit an individual to serve on two Boards or Commissions;:_bt t♦h-e same-tme.) 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. Human Rights Commission Application January 2014 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Human Rights Commission Name Megan Schwalm � r ft Al I � CITY OF IOWA CITY Date 9/29/2014 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 8). List all businesses in which you or your spouse/domestic partner 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 r<.. � a i NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature r Address le 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. Human Rights Commission Application January 2014 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30,250 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) naTInIUAI PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. 34 Age None Religion r� Woman Gender \' None Y C:) • 1 �isabihlg 30% Median Inc. Income (see table) White r, WRace�-r;olor -r ethnic group Heterosexual Sexual Orientation us National origin Other (Please explain below) I am a single parent of children of color, one of whom has disabilities. Parenting children of color, especially one with disabilites, certainly shapes my experience as I move in the world. I acutely aware of discrimination and its impact on people in our communtiy.. Human Rights Commission Application January 2014 page 4 of 8 City of Iowa City r i Advisory Board/Commission/Committee'�' .� Application 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 Human Rights Commission Term Jan 2015 NAME Sarah Witry HOME ADDRESS 816 Dover Street 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? 11 years Gender: Male ❑ Female ❑✓ OCCUPATION Food Bank & Emergency Assistance Director EMPLOYER The Crisis Center of Johnson County PHONE NUMBER: HOME (cell) 319-936-2232 BUSINESS 319-351-2726 ext. 118 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have my Master's in Social Work and my coursework included several courses on diversity, oppression, and social justice. The Food Bank program serves a diverse population, and in my six years as the program's Director I have come to a deeper realization of the many ways that different groups are oppressed, ostracized, and otherwise excluded from the opportunities afforded to privileged groups. I am also part of the Local Homeless Coordinating ,loard and serving on the Advocacy Committee, which is tasked with understanding how the community views persons experiencing homelessness and developing an advocacy campaign to help our efforts to improve the lives of persons experiencing homelessness. It is clear to me that the people I serve in these roles are often in vulnerable and impoverished situations because of the disadvantages they face as a result of oppression. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have not interacted with the Human Rights Commission in the past, but I understand the role of engaging the public in advocacy and awareness activities and collaborating with other organizations with the goal of eft' iffiinating discrimination. `=T ` ci WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON F0R)ARPL4Y Q)r= My connection to the social service community will allow me to network with other organio'ns that can partner with the Commission on projects; my background in Social Work has provided me training in grd# fac litatict'nmd'nd community organizing, which I am excited to put to use. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of In-erest If the Commission ever had an opportunity to make a recommendation that would impact the funding of social service agencies, then my work at The Crisis Center would pose a 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 QNo (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 may not consider your application. Human Rights Commission Application January 2014 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Human Rights Commission Name Sarah Witry � r "m Al -W-W CITY OF IOWA CITY Date 10/21/2014 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 8). List all businesses in which you or your spouse/domestic partner 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 1.2 e -- -- — -. y^.7 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature Address 816 Dover Street, Iowa City, IA 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. Human Rights Commission Application January 2014 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 1 28,400 47,350 1 56,820 75,750 94,700 8 1 30,250 50,400 1 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: 4r? PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CON R $gHE NP= CHOOSING AN APPLICANT. ro 30 Age �-=�= RgjWionY .l y r.� Female Gender >100% median Income (see table) Sexual Orientation F-10ther (Please explain below) Human Rights Commission Application January 2014 page 4 of 8 Disability white Race, color or ethnic group National origin City of Iowa City _ I r i7� t��Y V /M AdvisoryBoard/Commission/Committee, Application 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 HVMAN 916HTS COMM ISS/a/V Term Y NAME WWW "t"A WA(r HOMEADDRESS 20 SOM OW APAIttMW C ICIIA Is your home address (listed above) within the corporate limits of Iowa City? `' Yes F� No Q 1 `o How long have you been a resident of I a City? 18 W rS, oFF AIVD ON i Gender: Male ❑ Female E OCCUPATION P dcntial Coordinafatr PoGtty l'F �t ttaCherEMPLOYER SA(INr House Huse f /OWa U�Ij'1�`Crsl �/0/�CSf PHONE NUMBER: HOME � I9-32 1 , Z-aaS BUSINESS —" EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFYYOU FOR THIS POSITION: ayn u�11� �y A I'M idWiat su-vi(ef Coaidihatar apt shtfer Houi-e :h ,(o wA G{ . �t Zen, worts* y wt;d ui W oh a dui' 6as�s /V 6u -ad 4.�, .�; ym i4t y doer ve def fl-te .Fie aWat (c, W0641tfet- � sf � WOt-Ned am .(4t-tf1rf and a�w wa SOlncef a e16vQr for Ike pa sl Ge�terf for Hsu/ �,'/st fes end a�a deEs, p�ioo�r 9oa� JWV%uaf a�`e�n- (o y ars v cowts. �( so, J Glt�t�► A�vflit Aed .Cove fi uzWi-x� aid Dare At/ loitefl WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? a�uteu'�t a&6� /V aPFOMO 401(09, aid ,fat -it MW A/1 " n UII.NI�iI l�) �hA'P'I.UI N/ 6 �uVIVIV,p �/'iK^ W� "/'"""'/''•"� ��/ 'n %7 .T�'lC W,• "I,! u�"!� WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYING ? ,c ami A4&ivj iiew, d 40 got rivide {or - tow J�d�s � �rJ�.cvitid 1WV � s. � �` �° eke r" �� a eAaF �aCe .to li'Yo for peoOltOF afl 41"colnc lere& / racer, rur�-� ,Gti. LIST POTENTIAL CONFLICTS OF INTEREST. See page 1 for information regarding Conflict`of Inter f m o •l Wow For, �/��,1 �i* � Ouse d for � uwt vr� IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes L J! ;�Vo DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSIOR s:—.r—]No (It has been Council policy not to permit an individual to serve on two Boards or Commissions att Mme time.) Misrepresentations on this application will constitute just cause for removal of a ppointee. If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application January 2014 Page 2 of 8 )0a&e tt is Qoo-V endo -o� &e. 2,o `f r i *4anp-��� =�ia�� A% io BOARD, COMMISSION, & COMMITTEES-•t.a�_ ` BUSINESS LISTING CITY OF IOWA CITY Name of City 9 U MA'N 9167 'i'S WAIM I sSI6 N Board/Commission/Committee Date il 13 12o 9. Name rV L1?;A qMf}kILG USA G r 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 8). List all businesses in which you or your spouse/domestic partner 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 z w_•� UJ t ` i t F I (DOTE: A new form must be completed if the above information changes or an ownership interest is acq d ' an addition b iness. Signature Address Lo SoUTK GUGf+s APT C I c / 1A q 2Z 4 o 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. Human Rights Commission Application January 2014 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 1 56,820 1 75,750 94,700 8 1 30,250 50,400 1 60,480 1 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. F RIKALC lGender 0 % M101 A /V 1 Income (see table) n31 S C, X U A L I Sexual Orientation FlOther (Please explain below) N0 N E IReligion [-Al 0n/f, Disability cRvcf)'srAN Race, color or ethnic group F70-37- National origin r-:� x - CA) 16 s7.'a Human Rights Commission Application sti_ January 2014 page 4 of 8 November 3, 2014 Dear Stefanie Bowers, I talked to you today on the telephone! Included is my application for the Human Rights Commission! I'm really excited about the possibility of serving. I'd love to answer any questions you might have about me, and to hear about more about the commission if you think I might be a good fit. I am currently serving on the city's Public Art Advisory Committee, but my term ends at the end of this year. Thanks so much for your work, Elizabeth Pusack (Betsy) • rte"" ^ a' Y , 319-321-2008 elizabeth-pusack@uiowa.edu City of Iowa City t i Advisory Board/Commission/Committee' Application 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 Human Rights Commision Term NAME Henri Harper HOME ADDRESS 1232 Esther Ct Iowa City Iowa 52240 Is your home address (listed above) within the corporate limits of Iowa City? ❑✓ Yes El No How long have you been a resident of Iowa City? 17 Years Gender. Male 0 Female ❑ OCCUPATION Acivist EMPLOYER N/A PHONE NUMBER: HOME 3199366611 BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I have lived and worked in Iowa City for over 17 years, I have owned a business, and been a community activist. I have been involved in comminity discussion and issues within the Iowa City community. 1 have worked with families community programs and local agencies to address concerns of all its citizens. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? t" ` To discuss and address human rights issues within The Iowa City community N,= WHAT CONTRIBUT11ONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? A differnt outlook and a subjective over all view. LIST POTENTIAL CONFLICTS OF INTEREST- See page 1 for information regarding Conflict of Interest None IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? a Yes No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? F]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 may not consider your application. Human Rights Commission Application January 2014 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Human Rights Commision Name Henri Harper 1 1! 1 CITY OF IOWA CITY Date 11/18/2014 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 8). List all businesses in which you or your spouse/domestic partner 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 Keydaw 2929 Esther Ct Iowa City 52240 r.a NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Signature , Address 2929 Esther ct City Iowa 52240 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.11 Human Rights Commission Application January 2014 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Sae 30% Median Income (Poverty Level) 50% Medan Income 60% Medan Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30250 1 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. 58 Age Christian Religion Male Gender 00 Income (see table) Sexual Orientation FlOther (Please explain below) Human Rights Commission Application January 2014 page 4 of 8 Disability Black Race, color or ethnic group «a Nah-6nal origin City of Iowa City r , Advisory Board/Commission/Committee -IIIA ,.pplication Form -�.��w �•� 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 IC Human Rights Commission Term ends 1/1/2016 NAME Edie Pierce -Thomas HOME ADDRESS 631 Stuart Court 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? 3 yrs + 3 yrs Gender: Male ❑ Female ❑✓ OCCUPATION Administrative Services Coordinator PHONE NUMBER: HOME 765-414-4407 EMPLOYER UI BUSINESS 319-335-2112 EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Vice Chair and member, Tippecanoe County Human Relations Commission - including hearing complaints Gender Spectrum Forum, volunteer and representative of Human Relations Commission Local Emergency Food and Shelter Program Chair Member of the community Diversity Round Table - volunteer at OutoberFest - a LGBTQI festival. ''epresentative to the community Homeless Prevention and Intervention Network xecutive Director of Lafayette Housing Authority I have a passion for human rights and embracing diversity. My work has always included further human rights issues and the list of some of my work above shows how I have worked for human rights in the past. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I understand the mission of the commission is to disseminate information and educate the public on civil and human rights and make recommendations to the city council. This is basically the same as when I served on the Tippecanoe County HR Commission. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FORAPPLYING ? I have served as a hearing officer for both the HR Commission and for the housing authority in Lafayette, IN. I have experience putting together public forums and working collaboratively with government officials. us I FU I M TIAL GVNFLIGTS OF INTEREST: See page 1 for information regarding Conflict ofilnt st None IF IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? [7Yes DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? Ye—s QNo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at thb same time.) 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. Human Rights Commission Application January 2014 Page 2 of 8 BOARD, COMMISSION, & COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Iowa City Human Rights Commission Name Edie Pierce -Thomas � r ��.. P +''MZww CITY OF IOWA CITY Date 11/21/2014 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 8). List all businesses in which you or your spouse/domestic partner 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 i r a F'J Ti"'sv-"i NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an ay{ditiQnal business. Signature Address 631 Stuart Court Iowa City IA 52245 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. Human Rights Commission Application January 2014 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective March 15, 2013 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income (low income) Median Income 1 $16,060 $26,750 $32,100 $42,750 $53,500 2 18,350 30,550 36,660 48,850 61,100 3 20,650 34,350 41,220 54,950 68,700 4 22,900 38,150 45,780 61,050 76,300 5 24,750 41,250 49,500 65,950 82,500 6 26,600 44,300 53,160 70,850 88,600 7 28,400 47,350 56,820 75,750 94,700 8 30,250 50,400 60,480 80,600 100,800 ATTACHMENT TO APPLICATION FOR THE , HUMAN RIGHTS COMMISSION rc.� C;t , N) - _ �s It is the mission of the Iowa City Human Rights Commission to protect reside ntsRf- the city frq discrimination as defined in the Human Rights Ordinance. In order tofurther fkiis° goi lA the ,c T strives to ensure that the Human Rights Commission is representative of'- h' 6' community. Therefore, "appointments shall take into consideration men and women of-- variQup racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) =' OPTIONAL: PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONSIDER WHEN CHOOSING AN APPLICANT. 61 Age Female Gender Income (see table) hetero Sexual Orientation F-1 Other (Please explain below) Human Rights Commission Application January 2014 page 4 of 8 UU Religion n/a Disability White Race, color or ethnic group USA National origin City :sof Iowa City _ I r 1 Advisory Board/Commission/Committee;" application Form CITY OF IOWA CITY THIS APPLICATION IS A PUBLIC-660AND 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 141 irn an �� L,s bg Term � ,j NAME Ahn rra�� HOME ADDRESS Y1 c a i q COS. D xD S Is your home address (listed above) within the corporate limits of Iowa City? Yes P* No How long have you been a resident of Iowa City? ks. 2.D26ya rs � A_ Gender: Male ❑ Female OCCUPATIONpYp4es'z�r IrOlnhew� EMPLOYER wf� 1APAIA , PHONE NUMBER: HOWE t!`�'� ?,� � Q�'���bR BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: • (�e.��9 a.u� mxp�u�c�..c�d .Q.¢�.�-�.�"p, as ��"€e� w•. (? IOt�.,a �-ac.8 Y�o�� *e% Ww-6 wig Cito"4 v► �6--J usficA euq. re' VfD W--i-AO•�a{��alQ��. A-tP�.mzv ecvx ¢�/i�.� tw�el�2s oAb$-Qcect:� R� Gwc�iu�¢� 3c^+C•,CO..V � aQ 'I'D �sc-f t`t.� CoZt�.iuc. f1hI1.�'�'.c2.�yt9 0.S L��Cas wain e�. hW1b 16 audiASf Lmuvo'�x�+bdt. ✓�vtfr ua RCSdv�1Aa����soL p xq- IS s YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? rJP9n[S trfilr css�pj .,i3vP 5i ""_ cft t UJl'6l �i �rtl.J i'wQ Asa . WHAT CONTRIBUTIONS_ CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FOR APPLYING)? T6 I,cKunuJ 4p I e of plx u� a, -Id vet ate tMI tt'Az_ v -h've a Vw(A�-060tk 0�`� i,;L tJ I;s a'^Q�_.� I� , I^ �1 � F-,-c�eSLvv%L.cwt , .-%�t �?�' fp�ovuo Cum l� c qn.. i LIST POTENTIAL CONFLICTS OF INTEREST: Seepage 1 for information regarding Conflictinterest None a+ a,QQ . r„ a 71 IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? Yes ED -No --- DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? f ]Yes J<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 may V....notconsider your application...._..._.._. ........... .. ..._ ,._ __ . ___ ._ .___................. _._. ...... __..� Human Rights Commission Application January 2014 Page 2 of 8 �. . P p BOARD, COMMISSION, & COMMITTEES-•t.a�_ BUSINESS LISTING CITY OF IOWA CITY Name of City Board/Commission/Committee JA UM c n UAdA�:Aisv_I DatePgxt&--Tn f4L Name k rn Section 362.5 of the CoTe 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 8). List all businesses in which you or your spouse/domestic partner 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 i_)' NOTE: Signature Address A nev form must be completed if the above information changes or an ownership interest is a.c�an additional business. Misrepresentations on this application will constitute just cause for removal of an appointee. �I If you fail to answer all the questions, Council may not consider your application. Human Rights Commission Application January 2014 Page 3 of 8 TABLE OF INCOME GUIDELINES AND DEFINITIONS FOR IOWA CITY Effective May 1, 2014 Household Size 30% Median Income (Poverty Level) 50% Median Income 60% Median Income 80% Median Income flow income) Median Income 1 $16,700 $27,850 $33,420 $44,550 $55,700 2 19,100 31,800 38,160 50,900 63,600 3 21,500 35,800 42,960 57,250 71,600 4 23,850 39,750 47,700 63,600 79,500 5 25,800 42,950 51,540 68,700 85,900 6 27,700 46,150 55,380 73,800 92,300 7 29,600 49,300 59,160 78,900 98,600 8 31,500 52,500 63,000 84,000 1 105,000 ATTACHMENT TO APPLICATION FOR THE HUMAN RIGHTS COMMISSION It is the mission of the Iowa City Human Rights Commission to protect residents of the city from discrimination as defined in the Human Rights Ordinance. In order to further this goal, the city strives to ensure that the Human Rights Commission is representative of the community. Therefore, "appointments shall take into consideration men and women of various racial, religious, cultural, social and economic groups in the city." (Ord. 94-3647, 11-8-94) z= OPTIONAL: t PLEASE PROVIDE ADDITIONAL INFORMATION FOR THE COUNCIL TO CONS1IPP 'A WHEN CHOOSING AN APPLICANT. r f Age = J Rel:dion Gender Income (see table) Sexual Orientation F-10ther (Please explain below) Human Rights Commission Application January 2014 page 4 of 8 I I Disability Race, color or ethnic group National origin `Is A .A. ,�aNODGRA S S it ir 1 .- '6a arlen@mit-eduf>, l t g [�° } •i L r3Mn Teaching osition nor Writmb Workshops or Literature,courses with an emphasis p f + b on gender and comparative '�Iterature. EDUCATION visiting Fellow (Post-Doctoral) Harvard University Cambridge, NIA Romance Languages and Literatures (Boylston Hall) . 1996-97 1.Ph.D. Unlyersity, of Utah Salt Lake, UT - 1907 English Department (Orson Spenser Hall) r Major: 20th C. British & American Literature Figure: T.S. Eliot i Minors; 17th C. Metaphysical Poetry Women Authors & Feminist Criticism M.A. Bal ore, MD Johns Hopmns University _ '0 'Writing 1931 Seftinars =. 1 w, IowO. city,_I B.A. University of Iowa _ Dtment (English-Philosophy ' Building) t' Englishepar 1900 _y ' , BOGS • - Fields Across Wkich NO -B ds tel'. dale-on-Hudson, l�]Y Sheep Nieadovv . Poetry Press, 2009. .dor tal. Lewiston, NY: Edwin Mellen, 2002. Chapbooks/'i ted Editions No Des tion of the World. (Tlational Open Chapbook Competition Finalist) Georgetown, ICY: Finishing Line Press, 2006. 'Translation aree,5'tatios. Toronto: Guernica Press, 2003 (Antonella Anedda's.Italian) ' I-Ile mms. Toronto: Guemica Press, 2003. (From Luciano Erba's Italian) Criticism:D3Nh a Noise: 2 �:e Eye fish Poems of'� .�%Q 3Rosselli. New YorklBern: Peter Lang, 2001. (italiaq Cultural Studies: Literature in History Series) AWARDS Poetry 2007 Arts, NeW York (Honorable Mention, National Ope_ Chapbook Center for Book r Competition) The Rella Lossy Poeb7j Award (San Francisco State University's Poet' Center 00 American Poetry Archives) , . 199 C.hester H. Jones oiinda d -1986 First Place im'Utnh. Arfs Co, -- f Liar L_ ; •tJ o Mo �q -. :-L"-' ' = +_1:]V 's A Me ia�an Dgnefj.g _�._� j-3.3'33--:j `t�."iG Mr- L'_., =Mr- 3 ' X JAT� 1 Ann A. Snodgrass Translation; 2005 1991 1987 1 1956 Criticism 2000, 2004 Residencies. ffnternatiornah) 2006 2005 Residencies (Domes -tic) 2007 .1997, 2007 1992-1994,1997-1995 2000,2004-200-7' 1992 1986 19002 Lecturer 1990,2001,20000-2009 Lectui-er 1993-2005 2003 (summer) 2007-2003 Associate Professor 1990-2008. MIA .Page 2 Academy of A.naercan Poets Ralziss de 3'alchi Translation Fellowship Massachusetts Arts Lottery Grant I''anlbr ,ht 'ravel Gran ; University of Rome PEN American renter's Reiiato Poggioli Award Arynerican A cadenny in Rome (Rome, Italy) Visiting Artist/Scholar Le Chdteau de Lwfigny, Ledig-Rowohlt F'ourndat, on (Lausanne, Switzerland) American Academy in Rayne (Rome, Italy) Vermont Studio Center (Johnsons, VT) Vir,- as Center for the Creative Arts (Sweet Briar, VA) Rag ale Founda-tion (Lake Forest IL)- CirIInmin on (Cummmgton, MA) l/Iay (Austerlila, Nib Vaddo (Saratoga. Springs, Ny) y^'a Al: IADENHC POSIT' oNS Boston University f—, Adaptation; Holocaust Literature; Literature & Memory; Essay aostoa, MAT Massachusetts Institute of Technology Cambridge Poetry Workshop; Approaches to Memory; Memoir'(Writing & Enperienc }; E s y; and The Fantastic in World Literature; Science and Technical Writing ' Pam Writers Worlohop: Memoir; Life on the Page Paris France Nmrthneastern IJyniversiiy: Science Writing (grzduate);Technical & Scientific Editing (graduate); Essay (3 levels) BOSTON-PRO-ARTS-CONSORTRTM Boston, MA Berhrlee College: Adaptation; Poetry Workshop; World Literature; Writing courses Bacton Ant & ArchitecturA Center: Essay Vastoan Conservatory: Non -Western Traditions; Culture & Imperialism Emerson College: (Boston Campps,19o0-91 & 1995-96) Courses: World Literature; American Women Writers; American Literature; Literary.Foundations, Homer -Freud; Multicultural Visions. (Maastricht,'The Netherlands Campus, 1991-1995) Courses: All levels of Creative Writing I,Vorkshops, Poe & Fly tion; International Fictions; World Literataire; British Liftgmre; .A erran Literatl„re; -.3k; il1:GFilati`vi1a1 Mfr^v.I:;L i�riLafs; s` m- el -.L ' 'Women Writers; Lfttrc of Mr adedons, Homer -Freud; ti-Gult,?tal issiJI3 ; Essay; coLii roizit�C�y" RR7 Um /Ann A. Snodgrass t Visitinev g Professor (summer) 1908-2005 Teaching Fellow 1983-07 Poetry Translation r Essays 2001 Page 3 Responsibilities: Monitoring and coordinating necessary Learning Assistance for all student writing and language problems; evaluation. of linguistic capabilities and levels; academic advising; advisor to student literary magazine; coordinating readings, lectures and conferences. Mass College of Ari: International Women Writers - , I • John Cabot University Rome, Italy WOnwestem Women Writers (Gender & Human Rights); Italian Women Writers; International Women Writers; Holocaust Literature; Poetry Workshop; Fiction Workshop; Composition University of Utah, English Department j�plt°.Lak6 City, - T Poetry Workshops; Creative Writing; Essay; Business Wlitin T i ellectuaI °' Traditions of the West, Homer -Freud JOURNAL PUBLICATIONS Agnl;American Letters and Commentary; APR; Antioch Revzerv;"+Black- ratrior Review; Chelsea; Harvard Review; The Literary Review; New Letters, New Pork Quarterly; The New Republic; .Orion; Paris Review; Partisan Review; Poetry; Ploughshares; Salamander; Sonora Review; Triquar•terly; verse, 1991 Anthology of the Chester H. Jones Foundation Ag 74, Chelsea; Field; Gradiva; Grand Street; Harvard Review; New Letters; Orion; Paris Review; Partisan -Review; Quarry Fest; Quarterly p7e3t; Salamander; - Translation (Columbia University); verse; Yale Italian Poetry Revista di Studi Italian!, "Repetition's A -Sameness: Avoiding Reproduction -ata fond de Pinconnu" 2000 Forum Aakcum, "'Emancipated Dissonance: New Music and Stefan George in 'Webern Opus 4"' 2000 Ouaderni di Yale, "Through the Lens of Modernism: 20th C. Dolce Stile and the Translation of Bilingual Intertext" 19900 L Anello Che Nan Tiene, "The Musical Biography of Amelia Rosselli" 1998 South Atlantic Review,• "Rosselli's Nouvelle Symphonic Litteraire: Erasure and IuterteA- 'Her Sense ofpistances"' 19900' Plattsburgh Studies in the Humanities, "Self -Consuming Authorship and the Invented Reader of RosselYs SLEEP" PROFESSIONAL YlEAMERSI'S Academy of Ameridan Poets; American Literary Translators Association; Modem Languages Association; PENT American Center, and Poetry Society of America FEE1 dCtS- AVAILABLE - SCHOOL OF HUN AMITIES, ARTS, AND SOCIAL SCIENCES MAY 12004 { ?FILLIP s. KaouRY B &[ADSS G CHUSETTS AVENUE ES I?55 J �' SABV DEAN •20 May 2004' 77 CAMBRIDGE, MA 02139 -?307 PROFESSOR OF HISTORY CAMBRID Re: Dr. ANN A. Sl tOD GRASS • h.3 • Dr. Ami Snodgrass has served as a Lecturer in. the MIT Program in Writing aud`. j Humanistic Studies since 1998. As Lecturer she teaches a wide variety of courses �j including the ' Poetry workshop, Approaches 'to memory, .Memoir •(Wtitln�a:;ands fterienee), the Essay, and The Fantastic in world literature. She hzs perforriedzi ev admirably in her teaching at MIT and is much .admired by hex students and faulty - Dr. Snodgrass is a prize-winning poet with numerous awards and residencies. She,is also cn an accomplished translator and critic of twentieth century American and BritishLiterature. -. She has a healthy list of publications to her name, including three volumes of -essays, original poetry, and translation that appeared in the Last three years. It is clear her pen - will not rite dry. At NT =,•she has been very successful in the competition for support from the Dean'.s Fund, which I oversee. I know Dr. Snodb ass to be active and a leader in the professional and learned societies to . which: she belongs. She was a major player, for instance, in the 2003 North East Modern Languages Association annual meeting in Boston, for which she served as local host and chair. I know the time and labor that goes into making such events a success, and I also know that Dr. Snodgrass deserves enounous credit for,her contributions to making the 2003 meeting shine. NET was proud to be associated with that meeting. To sum up: Dr. Ann Snodgrass is an accomplished teacher, poet and critic and leader in the literary guild. We have been most fortunate to have -her as a colleagiie:at MIT these past six years. I can recommend her with genuine enthusiasm for teaching positions in Writing programs and English departments at research universities and liberal arts colleges. 'She would be an asset to any top institution of higher, learning in North America. Sincerely,• Philip S. Khoury . 4� l f H A. iA R17A RD• UNIVERSITY F�cM. Y OF ARES AND SCrNCES A OFFICE OE CARERR SERVICES R DossrcxSEavtca ��1' z�0� It 54 DuNsTzR STaEET CAMBRIDGE, N1ASS.ICNUS2TTs 02x3a :(617) 495.2787 is establishing a dossier with this Offic' (Namc iu fun) _J Please return this recommendation to'the Dossier Service at the OIEce of Career Services. A Ierrer of recommendation will•be treat ed. as non -confidential, unless it is accompanied by the candidate's signed statement waiving his or her right of access to the letter (see Optional Waiver below). ffyou use your own letterhead, be cerain to attach this waiver to your letter when you return it to us. Thank you.. I am writing to recommend Ann Snodgrass for a teaching position in Modem Literature, Creative Writing (Poetry), and Translatibn: Ms. Snodgrass has a wonderfully rich background. With her translations of the poetry of Luciano Erba and Amelia Rosselli she.is establishing herself as a sig cant translator of Italian poetry, and her work has been recognized by a Fulbright grant, the PEN American Center's Renato Poggioli Award, support from the Academy of American Poets, and numerous publications in literary journals as well as the publication as a book of Erba's The Hippopotamus. Shes� making a name for herself in criticism as well, with her book on the -poetic bilingualism"= of Rosselli; Knowing Noise.. The English Poems of Amelia Rosselli is a subtle, -7; theoretically sophisticated, and learned book about this major experimental 20":ceIItur�� Italian poet. And Snodgrass is herself a poet of tact, grace, and intelligence, virtt=s-she brings of cot?rse to her translation of poetry. As a teacher/ scholar, Snodgrass has by'now ammsecf im ssive­breadtl3'of i J _ ecpeiaence. From her c.v. you will see that she has taught courses in a wide rant -of F - 'subjects (Memoir,. the Fantastic, World Liteiature; Internedonal•Literature,. Wo en's - Studies, Holocaust Iltdrature ... ),I have seen her in action and she is "a class act," to use-_-, the vernacular. The context in which I observed her was the Translation Seminar at Boston University, where I invited her to give a two-hour guest lecture last year. The students ---mostly graduate students—said it was one of their favorite presentations df. -616 seminar. Snodgrass was informative, clear, well organized, funny, energetic, precise... and very responsive to student questions. She ran the lecture/ seminar with a kind of �- iwing grace, establishing an atmosphere of total intellectual seriousness that shaped i ie.twc hours memorably for all of us who -witnessed it. With such stimulation, the students participated'witli gusto. On -the basis bf this expeiience, as mll'as her published work, I have no hesitation in recommending Ann Snodgrass for a teaching position in English, Comparative Literature, or Creative Writing. She is serious, hardworking, dependable, and inspiring. , r Name of.recom_niender I dJahuR ��rc�. Tide'_ rIj, �J j I H �.y`N-f"-�`� Department V41�v�tSi�JrOR_ fills f �` !� ^ I• �"� �� ' Insvti�tioa - City &State Signature - a Date t OPTIONAL WAIVER Under the terror of the Fa-cily Educational Rights and Privacy .Act of 1974,. al amended, l hereby waive MY right of accus f0'tIJTr Letter. of reco57 oagdatior:. _ Y' • �CGT.�.LLCKf floIIr1S171� (D¢K) ,•'�" ` Supreme Co -Q; f the Unite('I States ®ffi �e of the Clerk Washington, DC 20543-OU01 Scott S. Harris Cierk of the Court July 22, 2014 (202) 479-3011 Ms. Ann Snodgrass General Delivery Iowa City, IA 52240 Re: Ann Snodgrass _ - z v. B'erklee College of Music, et al. Application No. 14A88 Dear Ms. Snodgrass: The application for an extension of time within which to file a petition for a writ of certiorari 'in the above -entitled case has been presented to Justice Kagan, who on July 22, 2014, extended the time to and including September 15, 2014. This letter has been sent to those designated on the attached notification list. Sincerely, Scott S. Harris, Clerk by A/ Michael Duggan Case Analyst 4VSupreme 00 the Unite States Jo- Of )f the Clerk Washfi-d� DC 20543-0001 Scott S. Harris Clerk of the Court September 2, 2014 (202 . )479-3011 Ms. Ann Snodgrass General Delivery � Iowa City, 1A 52240 A Re: Ann Snodgrass v. Berklee College of Music, et al. Nd. 14-6060 Dear Ms. Snodgrass: The petition for a writ of certiorari in the above entitled case was filed on August. 25, 2014 and placed on the docket September 2, 2014 as No.. 14-6060. A form is enclosed for notifying opposing counsel that the case was docketed. Sincerely, Scott S. Harris, Clerk by Nfichael-Duggan Case Analyst Enclosures 15 Human Rights Commission ATTENDANCE RECORD YEAR 2013/2014 M"fina nstpl NAME TERM EXP. 9/17/ 13 101151 13 11/19/ 13 12/17/ 13 1/21/ 14 2/18/ 14 3/18/ 14 4/29/ 14 5120/ 14 6/17/ 14 7/15/ 14 8/19/ 14 9/16/ 14 All Ahmed 1/1/17 - - - - X X 0/E O/E O/E X X X O/E Orville Townsend, Sr. 1/1/17 X X X X X X X O/E X X X X X Paul Retish 1/1/17 - X X X X X O/E X X X O/E X O/E Kim Hanrahan 1/1/15 X X O/E X X X X X O/E O/E X X X Shams Ghoneim 111115 X X X X O/E X X X X X X X X Stella Hart 1/1/15 - - - - - - - - - X X X O/E Jewell Amos 111115 X X O/E X X X O/E R R R R R R Joe D. Coulter 1/1/16 X X X X X X X X X X O/E X X Harry Olmstead 1/1/16 X X X X X X X X X X X X X Andrea Cohen 1/1/16 X X X X X X O/E X X X X X O/E KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting — = No longer a member R = Resignation Marian Karr From: *!ELIZABETH!* <elizabeth.pusack@gmail.com> Sent: Monday, December 15, 2014 9:04 AM To: Council Subject: Human Rights Commission Application! Hi There, Elizabeth Pusack here. I just received an email from Stefanie Bowers at the Human Rights Commission, and she suggested I follow up with you guys about my application to the board. I'm happy to answer any questions about me you might have! I am an Iowa City native. I'm finishing my MFA at the Writers' Workshop right now, and working at Shelter House. I work directly with clients experiencing various obstacles as they seek housing, employment, education, health care, and access to other resources. I've been serving on the Public Arts Board for the past year, but my term just expired. I've loved being able to contribute to the decision making and development of programming in Iowa City. I am very excited about the possibility of continuing to help keep Iowa City a wonderful place to live for all its citizens. Thanks for your work, Elizabeth Pusack 12-16-14 9C NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: PARKS AND RECREATION COMMISSION Two Vacancies — Four -Year Terms January 1, 2015 - January 1, 2019 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, December 10, 2014. 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 Mike Moran, Parks & Recreation Director at 356-5110. 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: 4 Council Announcement Date: November 4, 2014 Application Deadline: Wednesday, 5:00 p.m., December 10, 2014 Council Appointment Date: December 16, 2014 After 12/15/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. PARKS AND RECREATION COMMISSION Two Vacancies — Four -Year Terms January 1, 2015 — January 1, 2019 Term expires for David Bourgeois and Lucie Laurian Gender Balance Requirement: 1 Male, 1 None (M) David Bourgeois 0(Currently serving 2nd 4 year term) 1477 Buckingham (F) Lucie Laurian (](Currently serving 2nd 4 year term) 918 E. Washington St 581 Denotes applicant completed the confidential page of the application. City of Iowa City Advisory Board/Commission/Committee .pplication 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 C00qERED FOR ANY ANCY DURING THAT TIME. Advisory B, ard%Z;ommi siommittee Name Term NAME �- Y`on Ift' t �V,5 HOME ADDRESS 1 177 Is your home address (listed above) within the corporate limits f Iowa City? How long have youkfeg�i a r sident of,I�wa City? OCCUPATION �j'E"' Gl EMPLOYER_ PHONE NUMBER: HOME l f BUSINESS - EMAIL ADDRESS: F]YesE]No Gender: Male Q Female EXPERIENCE AND/OR ACTIV�TI�S WHICH YOU FEEL QUALIFY YOU FOR THIS PO ) - r45�i / /*,i�" �� ( -C)- / - 1: -, -,/V , " / /(� � WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? t WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAR?LYllgp)? 71 LIST 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 FJNo 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.) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail j to answer all the questions, Council may not consider your application. General Application May 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Name _I r 1 4WEI M.W. alai CITY OF IOWA CITY Date 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, or your spouse/domestic partner, 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 --y C -n-.) r r M _..1 r f NOTE: A nem ed if the a acquired in an additional busir�e Applicant Signature. Address ation changes or an ownership interest is 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 May 2014 Page 3 of 7 City of Iowa City Advisory Board/Commission/Committee ,pplication 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. rr Advisory Board/ ommi ' /Committee Name ��tt a-41'�d �^S Term 3 �j NAME HOME ADDRESS I $ ( 10 s I„ !2!$ I ter. 7 I- 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? Gender: Male F-1 Female® OCCUPATION EMPLOYER U T� �� 1 i•�� It�+1v�� PHONE NUMBER: HOME 319 3 5- A 6 BUSINESS 319 35-3 Z9 SS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? �oN'"-'V b�Y �--�t.��.fiJ Y .�tc,l� lei .c.� j ✓L, V�i,n-� � Q,,,�,,,o-l�, fie„ � �.•-�j �--�1 e.�-�.-1� � ol.:.,G�..+� d�.-� . Y LIST 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 nLJ Nip- DO `p DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISVPN?" FJYes ®No (It has been Council policy not to permit an individual to serve on two Boards or Commiss+9r at #t'e saAMime.) Misrepresentations on this application will constitute just cause for removal of `an appf4ntee. If you fail to answer all the questions, Council may not consider your application. --- General Application May 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES'i BUSINESS LISTING CITY OF IOWA CITY Name of City 1i,-4 "'"y Board/Commission/Committee po"� 4_1�4 IAIIIAl� l Date Name moue cfvVA-ri 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, or your spouse/domestic partner, 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 A," du J, -e. U04- 4- k�� l , �� I -z � =a 7l 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 Address I g �� ►�Z� S 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 May 2014 Page 3 of 7 PARKS AND RECREATION COMMISSION September 10, 2014 Page 7 of 7 PARKS AND RECREATION COMMISSION ATTENDANCE RECORD NAME M M �_ v a a r- r •- TERM r' o N C.) A EXPIRES Suzanne 1/1/17 X X NM X X X O/E X X X X X X Bentler David 1/1/15 X X NM X X X X X X X X X X Bourgeois Larry 1/1/18 * * * X X O/E X X X X X X Brown Clay 1/1/14 X X NM X X X X X X X X X X Claussen Maggie 1/1/13 X X NM X X X O/E X X O/E X X X Elliott Allison 1/1/14 O/E X NM X Gnade Cara 1/1/16 X X NM X X X X X X X X X X Hamann Katie 1/1/18 * " * X X X X X X X X X Jones Lucie 1/1/15 XX NM X O/E X X X X O/E X O/E X Laurian John 1/1/14 X X NM X * * * X Westefeld Joe 1/1/16 X O/E NM X X O/E X X X O/E X X X Younker KEY: X = Present O = Absent O/E = Absent/Excused NM = No meeting LQ = No meeting due to lack of quorum * = Not a member at this time 12-16-14 9d NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMITTEE: PUBLIC ART ADVISORY COMMITTEE Two Vacancies — Three Year -Term January 1, 2015 — January 1, 2018 Duties of the Public Art Advisory Committee include developing by-laws and procedures for the Iowa City Public Art Program; administering the Public Art Program by determining the placement of public art, the type of art to be used in a specific project, and the artist to be engaged; overseeing the acceptance of gifts of art; overseeing the maintenance and disposition of public art; and overseeing expenditures of the Public Art Program budget. Iowa City appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Public Art Advisory Committee meets the first Thursday of each month at 3:30 p.m. Applications must be received by 5:00 p.m., Wednesday, December 10, 2014. 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 Public Art Advisory Committee should be directed to Marcia Klingaman, Neighborhood Services Planner at 356-5237. 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: November 4, 2014 Application Deadline: Wednesday, 5:00 p.m., December 10, 2014 Council Appointment Date: December 16, 2014 After 12/15/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. PUBLIC ART ADVISORY COMMITTEE Two Vacancies — Three Year Term January 1, 2015 - January 1, 2018 Term expires for Elizabeth Marilla Pusak and John Engelbrecht Gender Balance Requirement: 1 Female, 1 None (M) John Engelbrecht 0(Currently serving 1St 3 year term) 13172 nd Ave x❑Denotes applicant completed the Confidential page of the application. City of Iowa CityAmwwa Advisory Board/Commission/Committee 10 jm h �. A" 04 Application 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 Public Art Advisory Committee Term 2015-2017 NAME John Engelbrecht HOME ADDRESS 13172nd Ave 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? 11 years Gender: Male 0✓ OCCUPATION Artist/Arts Administrator PHONE NUMBER: HOME 319-331-8893 EMPLOYER Public Space One BUSINESS EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: Female I received my MFA from Iowa in 2009 and have been involved in arts administration via Public Space One (a community arts and performance venue) since then. This role has evolved to include other public art opportunities including working with the ICDD on public art projects (BenchMarks, Open City) and generally being involved in public arts through the City, the University, and independently. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? I have been an active member on this board for the last 3 years. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLYING)? I now offer a working knowledge of this board. I am interested in using this knowledge and experience to continue to promote and build the capacity of the iowa city public art program. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest Public Space One (and some of its subsets/programs, like Zenzic Press) occassionally look to the City for various program funding or support. 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? OYes [Z]No (It has been Council policy not to permit an individual to serve on two Boards or CommissiT3s at th�same time.) Misrepresentations on this application will constitute just cause for removal of arrappoh#ee. If 9du fail to answer all the questions, Council may not consider your application.""`" General Application a63 May 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Public Art Advisory Committee Name John Engelbrecht � r �..:.® "t �►►►+, CITY OF IOWA CITY Date 11/08/2014 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, or your spouse/domestic partner, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME I BUSINESS ADDRESS NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional busineks. Applicant Signature Address 1317 2nd Ave C r-, Misrepresentations on this application will constitute just cause for removal of aft dppoinYee. li- ycw fail to answer all the questions, Council may not consider your application. ` C) General Application May 2014 Page 3 of 7 Sayuri Sasaki Hemann 1720 G St. Iowa City, IA 503-421-7692 www.savurisworld.com sayuri@sayurisworld.com December 10, 2014 ATTN: Marcia Bollinger City of Iowa City 410 E Washington St. Iowa City, IA Dear Marcia Bollinger, My name is Sayuri Sasaki Hemann, and I was notified by Kahnia Strong regarding the opening position of Public Art Advisory Committee in 2015. I am a multidisciplinary artist living and working in Iowa City since 2012. I have a strong passion and interest in bringing engaging artwork to activate public space to create a vibrant community. This makes me a mighty candidate to fill the position. I have had a variety of experience working on creating art in public spaces, both temporary and permanent in Portland, OR and Iowa City. From this experience, I have also learned and dealt with many issues that regarding the role of public art and the context in which they reside. Every community has its own history, needs and issues, and I hope to bring to the table a valuable perspective from a placemaking standpoint. To see examples of my public work, visit www.sgyurisworld.com. Thank you for your time and consideration. Please feel free to contact me if you have any questions or concerns. I will be happy to answer. the best of my ability. I look forward to speaking with you about this opportunity. Sayuri Sasaki Hemann //REFERENCES// Michele Anderson, Rural Program Director, Springboard for the Arts Te1:218-770-3485 Email: michele&snring_boardforthearts.org Greta Blalock, Port Art Administrator, Port of Portland Tel: 503-415-6657 Email: Greta. Blalock(ce portofportland.com Joseph Patrick, Artist & Retired Art Professor, University of Iowa Tel: 319-351-2084 Email: joseph-Patrick&uiowa.edu (preferred) Ca,�;�, S�.s�•ki t—lQt41C,hVN C ria Ca,�;�, S�.s�•ki t—lQt41C,hVN City of Iowa City _ ► r 1 Advisory Board/Commission/Committee,.1"�' Application 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 Public Art Advisory Commission Term NAME Sayuri Sasaki Hemann HOME ADDRESS 1720 G St. Iowa City, IA 52240 USA Is your home address (listed above) within the corporate limits of Iowa City? ✓0 Yes [:] No How long have you been a resident of Iowa City? 3years Gender: Male 1:1 Femalez OCCUPATION Artist + substitute preschool teacher EMPLOYER Self-employed + Kinderfarm Preschool PHONE NUMBER: HOME 503-421-7692 (cell) BUSINESS n/a EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: I am first and foremost an multi -disciplinary artist currently living and working in Iowa City. I have been living here for 3 years now, in which time I have come to love this city and what it offers. I am passionate about the role of public art to create a healthy environment and the enrich the lives of people. I have experienced this through creating site-specific public art installations in Portland, OR 2009-2013. Since then, I have been more and more interested in the role of public art within different communities and its relationship with the public. My recent involvement with Public Space One and the People's Pyramid have furthered my interest in engaging the public through public art. WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? e Public Art Advisory Board meets once a month. It seeks to provide enrichment and improvement to the lives of citizens. The board is responsible for developing policies and procedures for the commissioning, procurement, iintenance, and deaccessioning of public art. The advisory board members have terms of 1-3 years. WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD REASON FOR APPLYING)? To the Public Art Advisory Board, I will bring my fine arts background and experience of creating public art. I have a vision of how public art can activate vibrant community spaces. My engagement with and passion for the art within this community provide a foundation for my dedication to the board. LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest N/A IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? 0✓ Yes [__J No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? nYes VNo (It has been Council policy not to permit an individual to serve on two Boards or Commissions at the%bme time.) Misrepresentations on this application will constitute just cause for removal of arxiappoirme. If yqu fail to answer all the questions, Council may not consider your application. veneral Hppucatlon May 2014 Page 2 of 7 BOARD, COMMISSION COMMITTEES BUSINESS LISTING Name of City Board/Commission/Committee Public Art Advisory Commission ::III M CITY OF IOWA CITY Date 12/09/2014 Name Sayuri Sasaki Hemann 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, or your spouse/domestic partner, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). Please indicate if there are none. BUSINESS NAME I BUSINESS ADDRESS ISavuri's World 11720 G St. Iowa City, IA 52240 1 NOTE: A new form must be acquired in an additional bu above information changes or an ownership interest is Applicant Signature __- Address 1720 G St. Iowa City, IA 52240 USA E "T >1:1 ;`7 sa,. f�_ Misrepresentations on this application will constitute just cause for removal of an appoint. If jc6fail to answer all the questions, Council may not consider your application. F General Application May 2014 Page 3 of 7 �i Eoo� 0 g Zcic wi 0 N M r O N d' X Q X X � X X T tiXX XOOXX T ti OXX OOXXX (D LLJ TW \ O X XXOWX O b- o -X XXXXX TWX XOXXX M0 x X 0 i x © M LC) ---0 XO XX T (DW) titin LE T r r r T- r 4) a. r 12 T c> T Q0!2 T T W \ r 1 r \ T \ r r O O O O O t fn UJ � 0 a C Y d - Law to t0 iA i zm°w-I ZfCLL2 XO4 i 12-;6-14 9e NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: SENIOR CENTER COMMISSION One Vacancy — Three -Year Term January 1, 2015 - December 31, 2018 The duties of members of the Senior Center Commission are to: Serve in an advisory role to the City Council with regard to needs of the Senior Center. Make recommendations with regard to policies and programs at the Senior Center. Join staff and other interested persons in seeking adequate financial resources for operation of the Senior Center. Encourage full participation by senior citizens in the programs of the Senior Center. Ensure that the Senior Center is effectively integrated into the community and cooperates with organizations with common goals in meeting the needs of senior citizens. Serves in an advocacy role with regard to the needs of senior citizens in Iowa City. Iowa City -appointed members of boards and commissions must be eligible electors of the City of Iowa City. The Senior Center Commission meets the third Tuesday of each month at 3:00 p.m. Applications must be received by 5:00 p.m., Wednesday, Dec 10, 2014. 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 Senior Center Commission should be directed to Linda Kopping, Senior Center Coordinator at 356-5225. 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: November 4, 2014 Application Deadline: Wednesday, December 10, 2014 Council Appointment Date: December 16, 2014 After 12/15/2014 (3 mo from the announcement date) Council may appoint any qualified applicant without regard to gender. SENIOR CENTER COMMISSION One Vacancy — Three Year Term January 1, 2015- December 31, 2018 Term expires for Mark A. Holbrook Gender Balance Requirement: 1 None (M) Mark A. Holbrook 0(Currently serving 1St 3 year term) 317 Fairview Ave. 0 Denotes applicant completed the Confidential page of the application. City of Iowa City 1 _r 1 Advisory Board/Commission/Committee popes application 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 Pn\CSC' Cc2n'C? r CprnMiSS'�Ot1 Termif NAME Mark A. "o kbrto HOME ADDRESS 3 V-7 Gat roe__Lu Ayer\tx 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? 6U Jnr. c-s� Gender: Male � FemaleEl OCCUPATION pec t 3ce_r EMPLOYER lrja A�, PHONE NUMBER: HOME (Zeck) �'- (Z5(v!J BUSINESS EMAIL ADDRESS: EXPERIENCE AND/OR ACTIVITIES WHICH YOU FEEL QUALIFY YOU FOR THIS POSITION: %a.d1n Ziokw Cf Ag%nc3 1�cc Ag ck c S Qaiez Progc Ot n ci Or0iPlvscty a't -raw L. Wo(—V,� � �y rs 'Four\d \(� rnm�ec �'��stbt� icy Ac \cn`leccm a* e- W A gtnc� oLt,d cavy zacks w t*\rN C"ev- WHAT IS YOUR PRESENT KNOWLEDGE OF THIS ADVISORY BOARD? Curt-enA1y On :oocxrd f G WHAT CONTRIBUTIONS CAN YOU MAKE TO THIS ADVISORY BOARD (REASON FORAPPLY`IVG)? W vsh -Vo cc'ani% nvt: e_R%r� 4G ex.Poand Stv1 Gervkers C t e -f = C se_kvcxl ars en cx �on� --c�.r•sgc oder, a� i�n GLn d race Ie�nkCkAyineCVi0-\0A ocL�in� LIST POTENTIAL CONFLICTS OF INTEREST: See page 1 for information regarding Conflict of Interest Nvc\e. V c\ ou o or cm*ci IXAM IF YOU ARE NOT SELECTED, DO YOU WANT TO BE NOTIFIED? R Yes r] No DO YOU CURRENTLY SERVE ON ANOTHER IOWA CITY BOARD OR COMMISSION? RYes �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 may not consider your application. General Application May 2014 Page 2 of 7 BOARD, COMMISSION AND COMMITTEES BUSINESS LISTING ,r CITY OF IOWA CITY Name of City ,^ _ - Board/Commission/Committee SC:C1 or �te.c Date 11 3 ( Name Mar,)< AlAol6roo)< 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, or your spouse/domestic partner, 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 7 _ � s 110 NOTE: A new form must be completed if the above information changes or an ownership interest is acquired in an additional business. Applicant Signature Address 1% Fai f V ti w .A if 2ilu(. Tn:.ua _ G4 --y '_ A 5A6145' — f 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 May 2014 Page 3 of 7 m �t d C) C N 8 pEp0 C� d � o N c0 sa r x X X x X X x 0 T x x x x x x x w x x X X x X cp X x X X X x X 0 x X X X X x X M X X x w X x x x X O X X X X X X x X X X 0 X x X x X X X T 0 X 0 X x x X X T rn C4 x x I x x x x T z z s z z z z T V- T- T- T- V- T- V a a a a a a a T T T T T T T F-- m co c o c = c h FA o °c 1° .13 I Z U m -9 4 r 12-16 10k Tracy Hightshoe From: ant: 10: Subject: December 1, 2014 Mayor Matt Hayek City of Iowa City 410 E. Washington St. Iowa City, IA 52240 - tatt-h avek(i� i owa-city. or dmhacker@gmail.com Monday, December 01, 2014 1:48 PM Matt Hayek; Tracy Hightshoe resignation Tra.cy-Hightshoe(�iowa-city. org Dear Mayor Hayek and Ms. Hightshoe: .ease accept my immediate resignation from the Housing and Community Development Commission. David A. Hacker F'V C� Ms. Tracy Hightshoe City of Iowa City 410 E. Washington St. Iowa City, IA 52240 Tra.cy-Hightshoe(�iowa-city. org Dear Mayor Hayek and Ms. Hightshoe: .ease accept my immediate resignation from the Housing and Community Development Commission. David A. Hacker