HomeMy WebLinkAbout2020-04-07 AppointmentItem Number: 16.a.
CITY OIF IOWA CITY
www.icgov.org
April 7, 2020
Civil Service Commission - One vacancy to fill an unexpired term. Upon
appointment - April 4, 2022. (Stephanie Houser resigned)
Iji I_Ta:I Lvi I N TI&V
Description
Vacancy Notice/Coversheet
Board Demographics/Attendance
Mohammed, Wifag -Application
Nichols, Amanda - Application
NOTICE
THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION:
CIVIL SERVICE COMMISSION
One Vacancy: Unexpired Term
Upon appointment — April 4, 2022
• Duties: Approve all entrance and promotional examinations used by the City of Iowa City for
civil service positions;
• Holds appeal hearings involving the suspension, demotion, or discharge of employees holding
civil service rights. Ascertains to the best of its ability the facts of the case to determine
matters involving the rights of civil service employees and may affirm, modify, or reverse any
case on its merits per Chapter 400 of the Code of Iowa.
• The Commission meets when deemed necessary.
Iowa City -appointed members of boards and commissions must be at least 18 years of age and live in
Iowa City. The City Iowa City encourages diversity in the appointment of citizens to boards and
commissions.
Applications must be received by 5:00 p.m., Tuesday, March 31, 2020. An application can be
completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City
Clerk's office.
Questions about the Iowa City Civil Service Commission should be directed to Karen Jennings, Human
Resources Administrator at 356-5025.
Board/Commission Application Cover
Board/Commission: Civil Service Commission
One vacancy to fill an unexpired term
Upon appointment - 4/4/2022
It is hereby established, as a formal policy of the City Council of Iowa City, that each application for reappointment to
a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be
limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve.
Council Announcement Date: 2/18/2020
Application Deadline: 3/31/2020
Council Appointment Date: 4/7/2020
Date of Non -Gender Appointment: 5/18/2020
After date above Council may appoint without regard to gender
Gender Balance Requirement: None
Current Gender Balance: Female: 1 Male: 1
Gender Name and Address
Female Mohammed, Wifag
758 Westwinds Dr Ap4
Female Nichols, Amanda
2711 East Court ST
Civil Service Commission Demographic Report
Name
iTerm Type
Term
Number
Stop Term
Resident
Years
Occupation
Gender*
Age*
Country of
Origin*
Sexual
Orientation*
Religion* i Disability* 'Ethnicity*
Gender
Identity*
:a
Melissa Jensen
Full
1
4/5/2021 18 Senior Director
Emergency Services &
Campus Security
Female
58
US
F
United
Church of
ICh
No
Wh
VACANT
4/4/2022
Richard Wyss
(Full .2
4/1/2024
35 Retired Police Officer
Male
62 United
(States
Christian
No
Please note: The information provided is the information provided on the application at the time of submission.
* Information is voluntary
Board/Commission: Civil Service Commission
ATTENDANCE RECORD
YEAR 2020
(Meeting Date)
TERM
Name EXPIRES
217120 2/19/20
O =
Absent
Rick Wyss 414120
X X
NM w
No Meeting
Melissa Jensen 415121
X X
Stehanie Houser 414122
KEY: X =
Present
O =
Absent
O/E =
Absent/Excused
NM w
No Meeting
�- -
Not a Member
r Advisory Board/Commission Application Form
PAZsI; I+z This application is a public document and as such can be reproduced and distributed for
the public. This application will be considered for twelve months only and automatically
CITY OF IOWA CITY considered for any vacancy during that time.
UNESCO CITY OF LITERATURE
If appointed to a Board/Commission, all other applications will be removed from
consideration.
NOTE: Must be 18 years of age and live within city limits of Iowa City to apply
Date of Application
5/13/2019
First Name
Wifag
Last Name
Mohammed
Home Address*
758 Westwinds Dr Ap4
City
IOWA CITY
State
IA
Zip Code*
52246
Is your home address (listed above) within the corporate limits of Iowa City?*
Not Sure
Contact Phone Number*
9733937738
Email Address*
mohammedwifag@yahoo.com
Boards & Commissions
Select a Board or Commission you are interested in:*
Human Rights Commission
Select a Board or Commission you are interested in:
Civil Service Commission
Select a Board or Commission you are interested in:*
Housing and Community Development
Commission(HCDC)
Preference on first choice
If rrultiple boards are being applied for.
Human rights
How long have you been a resident of Iowa City?*
2 years
Occupation:*
Hospitality double tree hotel
Gender*
`This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray
be provided in the Demographics sectionof the application below.
F Male
V Female
Experience and/or activities which you feel qualifyyou for this position:*
Have workexperience for 10 years of activist of human rights in sudan
What is your present knowledge of each advisory board you are interested in?*
It's inter cultural and biolangular community as I used to live with and communicate during my life in the USA
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict
of interest. The following describe some but not all potential conflicts.
Potential Conflicts of Interest
The Housing and Community Development Commission makes recommendations to the City Council
regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or
have exercised any functions or responsibilities with respect to federally funded activities, or who are in a
position to participate in the decision-making process or gain inside information with regard to such activities,
may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any
contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the
proceeds of the federally -assisted activity, either for themselves or those with whom they have business or
immediate family ties, during their tenure or for one year thereafter.
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.
City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for
appointment to Boards and Commissions:
A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children
for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law,
mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law,
sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster
child, persons who are parents of the same child, and persons with whom the employee is in an intimate
relationship
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment
to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the same
time. You will be asked to resign from one if appointed to another.
Do you currently have a conflict of Interest?*
No
Do you currently serve on another Iowa City board or commission?*
No
Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on this page
provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the groups(s) which
it serves, please provide your information for the following:
Age
41
Country of Origin
Sudan
Sexual Orientation
Female
Religion
Muslim
Do you have a disability?
No
Ethnicity
Black
Race
African
Gender identity
Female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the community.
Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and
economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent, when
possible to have at least one person with expertise in construction, at least one person with expertise in
finance, and one person who receives rental assistance. (Resolution)
Signature of Applicant*
ila�
Misrepresentations on this application will constitute just cause for removal of an
appointee. If you fail to answer all the questions, except demographics, Council will not
consider your application.
You are encouraged to contact individual Council Members to express your interest in
serving.
I Advisory Board/Commission Application Form
PAZ�`_.--..®�,�, rY
s��' �+z This application is a public document and as such can be reproduced and distributed for
the public. This application will be considered for twelve months only and automatically
CITY OF IOWA CITY considered for any vacancy during that time.
UNESCO CITY OF LITERATURE
If appointed to a Board/Commission, all other applications will be removed from
consideration.
NOTE: Must be 18 years of age and live within city limits of Iowa City to apply
Date of Application
10/30/2019
First Name
Amanda
Last Name
Nichols
Home Address*
2711 East Court ST
City
IOWA CITY
State
IA
Zip Code
52245
Is your home address (listed above) within the corporate limits of Iowa City?*
Yes
Contact Phone Number*
3196771153
Email Address*
amanda-nichols@uiowa.edu
Boards & Commissions
Select a Board or Commission you are interested in:
Human Rights Commission
Select a Board or Commission you are interested in:*
Civil Service Commission
Select a Board or Commission you are interested in:
Housing and Community Development
Commission(HCDC)
Do you receive rental assistance? (?)
r Yes r No
Do you have expertise in construction?*(?)
r Yes r No
Do you have expertise in finance?*(?)
r Yes r No
Preference on first choice
If multiple boards are being applied for.
Human Rights Commission
How long have you been a resident of Iowa City?*
19 years
Occupation:*
Nursing Unity Clerk
Gender*
"This question is mandatory in order for the City to comply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" may
be provided in the Demmgraphics sectionof the application below.
F Male
V Female
Experience and/or activities which you feel qualifyyou for this position:*
I have been a resident of Iowa City for 17 years and a University employee for 13. 1 have a vested interest in
the community and I network local nonprofit and activist organizations.
What is your present knowledge of each advisory board you are interested in?*
I have thoroughly read the descriptions of each board's responsibilities that are available on the City of Iowa
City government web site.
Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict
of interest. The following describe some but not all potential conflicts.
Potential Conflicts of Interest
The Housing and Community Development Commission makes recommendations to the City Council
regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or
have exercised any functions or responsibilities with respect to federally funded activities, or who are in a
position to participate in the decision-making process or gain inside information with regard to such activities,
may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any
contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the
proceeds of the federally -assisted activity, either for themselves or those with whom they have business or
immediate family ties, during their tenure or for one year thereafter.
Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City
Board or Commission from having an interest in a City contract.
City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for
appointment to Boards and Commissions:
A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children
for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law,
mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law,
sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster
child, persons who are parents of the same child, and persons with whom the employee is in an intimate
relationship
Res. #15-300 states that each application for reappointment to a City Board or Commission will be
considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment
to a full term in order to increase the opportunities for new applicants to serve.
Council policy is not to permit an individual to serve on two Boards or Commissions at the same
time. You will be asked to resign from one if appointed to another.
Do you currently have a conflict of Interest?*
No
Do you currently serve on another Iowa City board or commission?*
No
Demographic Information
The City Council values all types of diversity on its Boards and Commissions. Your responses on this page
provide valuable information to the Council in achieving that goal.
In order to ensure that the Board and Commission is representative of the community and the groups(s) which
it serves, please provide your information for the following:
Age
36
Country of Origin
USA
Sexual Orientation
Bi/Pan sexual
Religion
NA
Do you have a disability?
No
Ethnicity
White
Race
Caucasion
Gender identity
Female
*NOTE:
The Human Rights Commission strives to ensure the Commission is representative of the community.
Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and
economic groups in the city. (Ordinance)
The Housing and Community Development Commission strives to satisfy its purpose and intent, when
possible to have at least one person with expertise in construction, at least one person with expertise in
finance, and one person who receives rental assistance. (Resolution)
Signature of Applicant*
-��1� 04 14
Misrepresentations on this application will constitute just cause for removal of an
appointee. If you fail to answer all the questions, except demographics, Council will not
consider your application.
You are encouraged to contact individual Council Members to express your interest in
serving.
Chris Olney
From: Conaway, Samuel <samuel-conaway@uiowa.edu>
Sent: Tuesday, March 24, 2020 9:46 AM
To: Chris Olney
Cc: Galpin, Monique A
Subject: resignation from CPRB
Attachments: CDS letterhead.doc
apologize for the delay in response. My work schedule had changed and I kept forgetting about getting to this sooner
will attach my resignation letter to this. Again, I apologize for the delay. I hope all is well with you right now while this
virus is going on!
Be safe and healthy!
Best,
Sam
Sam Conaway, BSW
Behavioral Health Consultant, Co -MAT -IA
Work Cell: 319-359-9072; Pager 9114
Social Worker II, Crisis Stabilization Unit, CSU
Department of Psychiatry
University of Iowa Health Care
samuel-conaway@uiowa.edu
Notice: This UI Health Care e-mail (including attachments) is covered by the Electronic Communications Privacy Act, 18
U.S.C. 2510-2521 and is intended only for the use of the individual or entity to which it is addressed, and may contain
information that is privileged, confidential, and exempt from disclosure under applicable law. If you are not the intended
recipient, any dissemination, distribution or copying of this communication is strictly prohibited. If you have received
this communication in error, please notify the sender immediately and delete or destroy all copies of the original
message and attachments thereto. Email sent to or from UI Health Care may be retained as required by law or
regulation. Thank you.
7TIVERSITY5'IOWA
HOSPITALS &CLINICS
University of Iowa Health Care
To whom it may concern,
University of Iowa Hospitals and Clinics
Chemical Dependency Services
200 Hawkins Drive, 5 Boyd Tower
Iowa City, IA 52242
319-384-8765 Tel
319-384-9362 Fax
www.uihealthcare.com
I Samuel A. Conaway will be resigning from the Community Police Review Board. My work
schedule at the University of Iowa: Hospitals and Clinics has changed. At this junction I am
unable to continue my commitment to the Community Police Review Board with the City of
Iowa City.
Please contact me with any questions or concerns.
Sincerely,
Samuel A. Conaway
Sam Conaway, BSW
Behavioral Health Consultant, Co -MAT -IA
Work Cell: 319-359-9072; Pager 9114
Social Worker II, Crisis Stabilization Unit, CSU
Department of Psychiatry
University of Iowa Health Care
samuel-conaway@uiowa.edu