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Boards and Commissions Appointments 1 7 08VACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE BOARDS AND COMMISSIONS For Council Meeting of Monday, January 7, 2008 6:30 p.m., Historic Federal Building, 350 W. 6th Street APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL ON THEIR POSSIBLE APPOINTMENT Mediacom Charitable Foundation 2 expired, one-year terms expiring December 31, 2008 (Terms of Hall and Chavenelle) Applicant: Gail Chavenelle, 155 Kelly Lane APPOINTMENTS TO THE FOLLOWING COMMISSIONS TO BE MADE AT THIS MEETING. Housing Code Appeals Board Ryan Killburg, 14096 Kathleen Ct. (ineligible because of County residency) Human Rights Commission 3 expired, three-year terms expiring.January 1, 2011 (Terms of Rubinstien, Foster, and Ross) Applicants: Colin Scott, 1207 Adeline Street Dan Chatfield, 838 '/z Air Hill Street Marcos Rubinstien, 663 Fenelon Place Transit Board of Trustees 1 vacant, three-year term expiring July 30, 2009 (Term of Kies) Applicants: Don Stedman, 2092 Grant Street Harry Bemis, 2530 Crissy Drive CITY OF DUBUQUE, IOWA BOARDS AND COMMISSIONS • -Denotes chairperson; For information: 5as-at2o AIRPORT COMMISSION - 4 Yr. Term Meets 4th Monday 4 p.m. - AirpoR Sue Czeshinski 09-14-08 Douglas Brotherton 09.14-08 Michael A. Santillo 09-14-09 Charles Daoud 09-14-10 `Steven R. Accinelli 09-14-10 AIRPORT ZONING COMMISSION 6 Yr. Term - A td. 1996, Meets on Call Steve Horsfield (Appt) 01-03-02 Jeffery S. Gabor (City) 01-03.02 Jeff Stiles (City) 01-03.02 Marianne Krause (County) 12-31-08 Vacant Count 12-31-08 AIRPORT ZONING BOARD OF ADJUSTMENT 5 Year Term, Meets on Call Vacant (Apptd.) James Bauerly (City) 02-15-01 Vicki Bechen (City) 02-15-01 Darlene Burds (County) 02-15-11 Ron Koppes (Coun 02-15-11 ARTS AND CULTURAL AFFAIRS ADVISORY COMM. 3 Yr Term Meets 4°i Tues., 4:30, Library Brd Rm. Ellen H Henkels (BuslProf) 06-30-08 "Amy Weber (BuslProf Dist) 06-30-09 Geri Shafer (At Large) 06.30-09 Louise Kames (Arts) 06-30-10 Paul Kohl (Arts) 06.30.10 Susan Riedel (Arts) 06-30-10 Paul Hemmer (Arts) 06-30-10 BOARD OF APPEALS • BUILDING CODE Appt. 3 Yr. Term, Meets on Call Ronald Jahns (At Lrg) 08-01-OS Chuck Carr (Gen. Cont.) OS-01.09 Richard G. Luchsinger (At Lrg) 08-01-08 John Schwendinger (Jrny.Carp)OS-01-10 `F. James Kolf Arch/En r. OS-01.10 CITY BOARD OF REVIEW (w/County) Appt. 6 Yr. Term, Meets May 1-30 John F. Ganshirt (consul 01-01-08 Ruth Ann Hanson (Reanor) 01-01-08 Donald Lochner 01-01-10 Robert Schaub 01.01.11 Gre Hutchinson 01.01-11 CIVIC CENTER COMMISSION 3 Yr. Term -Meet 4:30 p.m. 4th Monde at Five Fla s Cynthia A. Fuller 06.29-09 `Bryce Parks 06-29-09 Rod Bakke 06.29.10 Vacant (Termorerdnnon) 06-29-10 VBCant (Term of Nauman) 06.29-10 CIVIL SERVICE COMMISSION 4 Yr. Term, Meets on Call Paula Gieseman 04-06-08 'Merle J. Duehr, Jr. 04-06-09 Loras Kluesner 04-06-10 COMMUNITY DEVEL ADV. COMMISSION 3 Yr. Term, Meets 2n° Wednesday, 5:30 .m. at Libra Auditorium David Oliver (LowIM Inc Area) 02-15-08 David Shaw (LowIM Inc Area) 02-15-OS Janice Craddieth (At. Large) 02-15-08 Thomas Wainwright (At Large) 02-15-09 Hillary A. Stubben (LowIM Inc A) 02-15.08 Paula Maloy, SVM (At Large) 02.15-10 Theresa Caldwell (At Large) 02-15-10 "Michael Gukeisen (LowIM Inc A)02-15-10 Vacant Housin Re 02-15-10 ELECTRICAL CODE BOARD 3 Yr. Term; Meets 4°i Monday -2 Months Ronald Mueller (At Lg) OS-21-08 James Dixon (Elec. Con.) 05.21-08 Dan Hammel (JourlMaint) 05-21-08 Elaine L. Reiss (Elec. Engr.) 05-21-08 'Kevin Pfohl (Jour/Main) 05-21-08 Bob Schmidt (Elec. Bkground) OS-21-08 Paul J. Uhlrich (Elec. Bkgrnd) 05-21-09 ENTERPRISE ZONE COMMISSION 3 Year Term, Meets on Call Mike Van Milligan (Council Rep) 2-15-OS Danlel White (NICC) 2-15-08 Doug Buswell (At Large) 2-15-09 Dan LoBianco (At Large) 2-15-09 Doug Stillings (At Large) 2-15-09 'Rick Stein (Long Range Comm ) 2-15-10 Kelley Deutmeyer (IDED) 2-15-10 Eileen LeMay (IA Workforce Dev) 2-15-10 Dave Baker Intl Labor 2.15-10 ENVIRONMENTAL STEWARDSHIP ADVISORY COMMISSION - 3 Yr. Term Meets 1't Tues. 4 p.m. City Hall Annex 'Michael J. Buelow 10-01-07 John Nemmers 10-01-07 Sr. Mary Clare O'Toole 10-01-08 Wayne Klostermann 10-01-08 Gayle Gross 10-01-09 Joseph Suarez 10-01.10 Vacant -Youth (Term or Miiisrl 06-01-10 HISTORIC PRESERVATION COMM. Appt. 3 Yr. Term, Meets 3rtl Thursda , 5:30 .m., Libra Christopher J. Wand (ArchiAt Lg) 07-01-08 Vacant (OIdMWInRep) 07-01-08 Keisha Wainwright (Langwonnyi 07-01-08 MichaelCoty (CathedrelDis.) 07-01-09 Mary Loney Bichell (At Large) 07-01-09 MatthewLundh (AtLarga) 07-01-09 'Christine Olson (At Large! 07-01-09 John E. Whalen, MD (w. tttnl 07-01-10 Robert McDonell (Jackson Pkl 07-01.10 HOUSING COMMISSION 3 Yr. Term, Meats 4d' Tues. 4 .m., 1805 Central William D. Rolling 08.17-08 Linda Frommelt 08-17-08 Angela Mozena 08-17-08 'David J. Kepler 08-17-09 Dorothy Culbertson 08-17.08 Jim Holz 08.17-09 John J. Plain (Sec. 8) OS-17-09 Char Eddy 08-17-10 Judie Root OS-17-10 Doroth Schwendin er, OSF 08-17-10 HOUSING ADVISORY TRUST FUND COMMITTEE 3 Yr. Term, Meets 6x/Year 'Jim Holz (Frm. Hsg.) 08-17-09 Doris M. Hingtgen (At Large) 09-08-09 Dorothy Culbertson(Frm Hsg.) 09-08.09 Char Eddy (Frm. Hsg.) OS-17.10 John V. Walsh At Lar a 09-08-10 HOUSING CODE APPEALS BOARD 3 Yr. Term, Meets 3r0 Tuesda , Hs Ofc Thomas G. Swift 01-11-06 Sandra Moore 01.11-OS David Young 01-11-08 `Robert Schaub 01-11-10 William J. Kinsella 01.11-10 James Matheos 01-11-10 Vacant Term of Dude 01-11-09 HUMAN RIGHTS COMMISSION 3 Yr. Term Meets 2n° Mon. 4:15 Annex Marcos Rubenstein 01-01.08 Patricia Foster 01-01-08 Bill Ross 01.01-08 Anthony Allen 01-01-09 Katrina Wilberding 01-01-08 Vincent J. Vanden Heuvel 01-01-09 Mary Coan 01-01-10 `Shane Oswald 01-01-10 Gretel Winterwood 01-01.10 INVESTMENT OVERSIGHT ADVISORY COMMISSION - 3 Yr. Term, Meets Qtrly; 4d' Wednesda 3 .m. C' Hall "A" Virgil Blocker 07-01-08 'PaulLassance 07-01-09 Hiram Melendez 07.01-09 Gary Ruden 07-01-10 Stephen V. Reisdorf 07.01-10 01107!08 Council meeting LIBRARY BOARD OF TRUSTEES 4 Yr Term, Meets 4d' Thurs. 4 p.m.Library Diann Guns 07-01-09 Beverly Kolz 07-01-09 Becky Hauder 07-01-09 Susan Lindsay 07-01-11 'Alan Avery 07-01.11 Michael Shubatt 07-01-11 Kristen L. Smith 07-01-11 LONG RANGE PLAN'G ADV COMM. 3 Yr Term Meets 3r0 Wed. 7 .m. Libra Patricia Cline (Council Rep) 01-01-OS Otto Krueger 07.01-08 Lou Oswald 07-01-08 Vacant(•rarmorNa~marsrer) 07-01-09 Richard Stein 07-01-09 "Charles Winterwood, MD 07-01-10 James F. Prochaska 07-01.10 MECHANICAL CODE BOARD 3 Yr. Term • Meets on C all Todd Geisler 03-16-08 David W. Grothe 03.16-08 'Tom W. Giese 03-16-08 Harlan J. Willenborg 03-16-09 Michael P. Kelly 03-16-10 Paul J. Pepin 03-16.10 Chuck Bandy 03.16.10 ~MEDIACOM CHARITABLE FOU NDATION 1 Yr. Term -Council Appt'd Rep. Vacant (Term of Hall) 12/31108 Vacant arm ofChavenelle 12131108 PARK AND RECREATION ADV. COMM. 3 Year Term Meets 2ntl Tues. 4:30 .m. Bunker Hill Tom Blocklinger 06-30-08 Kim Daykin 06-30.08 Evelyn Nadeau 06.30-08 Chuck Duggan 06.30-09 Karen C. Lyness 06-30-10 Gary L. Harjehausen 06-30-10 'Paul Hoffmann, D.D.S. 06-30-10 PLUMBING BOARD 3 Yr. Term, Meets on Call Stanley G. Gonner (Master) 11-02-08 `Harlan J. Willenborg (Master) 11-02-08 Michael Swift (B.S.Degree) 11.02-09 Dan Harris (At Large) 11-02.09 Paul Pa in Jrn /man 11-02-09 TRANSIT BOARD OF TRUSTEES 3 yr. Term, Meet Bimonthly, 2nd Thurs. L. George Enderson 07-30-08 'Joel Lightcap 07.30-08 Sarah Davidson 07-30-08 Vacant (Term of Kies) 07-30-09 Ruth Scharnau 07-30-10 TV CABLE REGULATORY COM MISSION 3 Yr. Term, Meets 2ntl Wed. 5:30 Annex Ronald Tigges 06-30-08 Wafter Webster 06-30-08 `Charlie Ellis 06-30-08 Kevin R. Stevens 06-30-10 Vacant (Term or Praty 06-30-10 TV CABLE COMMUNITY TELEPROGRAMMING COMM ISSION 3 Yr. Term, Meets 1't Tues. 5:30 Annex Pauline J. Maloney 06.30-OS George P. Herrig 06-30-08 Sr. Carol Hoverman 06-30-08 Jennifer L. Tigges 06.30-09 Vacant 06-30-09 Vacan! 06-30-09 Burton Everist 06-30.10 ZONING ADVISORY COMMISSION 3 Yr. Term, Meets 1"Wed. 6:30 Library Martha E. Christ 07-01-08 Richard J. Schilfz 07-01-OB Ron Smith 07-01-08 Charles Miller 07-01-09 Stephen Hardie 07-01-09 `Eugene J. Bird, Jr. 07.01-10 Jeff Stiles 07-01-10 ZONING BOARD OF ADJUSTMENT 5 Yr. Term; Meet 4°i Thurs. Library Jim Urell 03-25-OS William M. Gasper 03-25-09 `Michael A. Ruden 03-25-10 Randall J. Klauer 03-25-11 William J. Gibbs 03-25-12 175TH ANNIVERSARY CELEBRATION COMMITTEE AD HOC Wallace Brown Citizen Rep Susan Farber Citizen Rep Michael Gibson Citizen Rep Ralph Scharnau Citizen Rep Jennifer Tigges Citizen Rep Katie Wiedemann Citizen Rep Stephanie Tranmer High School Rep Shelby Duggan High School Rep Christin Meyer High School Rep Lindsey McNeeleyMoeler Young Prof Christopher Wand Young Prof Meg Wall-Wild Historical Society Rep Sue Czeshinski Chamber of Commerce Amy Weber Arts Commission Rep Diane Mohr Telegraph Herald Rep Gary Olsen Education Rep ~'~~r11/Ff~ 07 DEC 20 A~ ! t ~ 37 ~..ica r. City ` ,.~ Uiiice bubu~~~, iA Enter Keywords DUBUQUE, I OWA 41 :1 ~ ~ 1- .. ~ ~ ` ~ - ~ .1I, 1. I. ~i IPI~1:: 1+h:•IC~i~,l I':~~~!. H0rt1a gaga : DaWrtrnents: Human Rights :Human Rights Commission :Human RlglltS O Commission Application Form ~ Human Rights ,~ Cn S d fl f Ci H ll A 300 M i 0 S ~ econ oor o ty a nnex, 1 a n treet - O C `' r-~ Phone: (563) 588-4190 ~ r Phone: TDD (563) 589-4193 ~ '-' -- Fax: (563) 589-4299 ~ ~? W ~-.n Hours: 8 a.m. to 5 p.m. Monday through Friday " p Email: humanrgt~cityofdubuque.org ~ U7 _ C' ~ 1~ CITY OF DUBUQUE, IOWA 7y -~+; ' ;- BOARD/COMMISSION APPLICATION FORM C'i ~ Individuals serving on Boards and Commissions play and important rde in advising the Council on matters of interest to our community and its future. The City Gerk's Office, Cky Hall, 50 W. 13a' St., Dubuque, IA accepts application for any Board and/or Commissan at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applicatans will be submitted to the City Councl for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants wiN then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as bng as the application is active (unless the applicant advises they are no longer interested) DATE: '~ /' J /' ADVISORY BOARD/COMMISSION APPLYING FOR: /~M~ ~^/lf~//J 'lf'-Mr'fJ~~ NAME: ~~ C-L~' ADDRESS: ~~ CJK A~ l~,! ~/' /~Nbw`'~'-4~/~v~,Jv, BUSINESS: yV / FI ADDRESS: S%~ c~~ j OCCUPATION: t~-~ fly /I.~M POSITION W~ITH~pCOpM~PANY: HOME PHONE f'.~ (r3'5~,3'~~0~ I ~ BUSINESS PFtONE: ~ ~~ ~~~~~ 7 uS" ~`p WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~ jf,~i tL, n.~_ ~ !" i i A i , _ LIST TWO (r 4 !,rte i//)!~%LV2 IEtS~~~ ,~/l~t;..e L`2s~ G~-~~~ / ,,p x%1,1-~L lf/ t1!'/ ~°i ~ ~ E~IJ~ N,~J dl~"t,~ ~ C~~ hlhV ~ ' - ~Idles ~ CP So t ~c~ ~e~1~f~vt ~f w~d~ r~s~tc~- avl mf r2g ,1~ . NAME:/S~ Fr Z~e~ „~^~ Yt~.`lc+ Specific atterdion should be direct arises, contact the appropriate S or~~t Are you currently serving on a City Board or ADDRESS:/(~~~ SSA y~~ 6r' ('J~ I~_,~~~I~n ADDRESS[9SoZ~ '~.~ '~70F'D °~EZM4_ lfC~Gfa^~ S-eCsr/I~fi~ / conflict of interest. Forfurther darification, if a situat~~~j ~'l ed+'D ~~~ i rff. S li i ~R 1 D~ ~ (mission: ~/~r~,Nt1~ ~ I ~r~ ~~~~ Corr missi~iAMf dint EX/PERIENCE,EDSU~CATION WHICH QUALIFIES YOU FOR THISBOARD/COMMISSION: Human Rights Commission Application Form ~, Q O N ~ U Li ~ ~ ~~ --~ - = = _ ~;: ~, - ~s ' ~u ~ Lli f--- J ~ L~ o .~0 ~'` 0 U http: //www. cityofdubuque. org/index. cfin?pageid=3 03 Home Paae : Departments :Human Rights :Human Rights Commission : Human RlghtS (/OmmiSSion Application Form Human Rights Dubuque ~. Second floor of City Hall Annex, 1300 Main Street ~_~_~ Phone: (563) 589-4190 ~ Phone: TDD (563) 589-4193 ~ ~ I Fax: (563)589-4299 Hours: 8 a.m. to 5 p.m. Monday through Friday 24p7 Email: humanrgtCc~citvofdubuaue.ora CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: ~/r~t7 /ra~bb7 ADVISORY BOARD/COMM(IISSIOIN APPLYING FOR: ~uyYwi ft i qy~-~S (; l~W1ls5, /~-. NAME: L'lA ~~i'~ ~ f~ ADDRESS: ~ ~ ~ 2 /-~ ~ r^ ~~ S ~ BUSINESS: I~ItIC~/~~ I~t~Y LPSADDRESS: OCCUPATION: ~(,iU` UU~~(C~e~ POSITION WITH COMPANY: SC(',~~, ~ ~~/I11/~9Qs~ HOME PHONE ~~/Q3~ ~~'~~~1 BUSINESS PHONE: S~ EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: CnhLt` ~ 15 S'Ll.~ . LIST TWO REFE ENCE~~ G UYt~) `~~ NAM NAM t ~~ ' LR. 1 W1 a/L~ ,~~. Wls~av.s,n. ~~~.~,,1,I~o. 1 of 2 9/26/2007 6:24 PM _1.... Ceti by ; ~~ (k.~ Px~:le,Vl~ tCPS « G S DC, ~,/ ~.y u/1(.e~ Human Rights Commission Application Form http: //www. cityofdubuque. org/index. cfin?pageid=303 Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. ~ /~ Are you currently SIGNATURE: If questions, contact the City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. Home Paae : Deoartments :Human Rights :Human Rights Commission : Fitaman RlghtS COmmlSSion Application Form Tinter friends a e VYeb Site Disclaimer Privacy Staterrtent Linkinci Policy, Not sure of who to contacts click here City Hall, 50 West 13th Street, Dubuque, Iowa 52001 2 of 2 9/26/2007 6:24 PM CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stavs active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: C_=~ ~~b~@, r ~ zv~o~- ADVISORY BOARD/COMMISSION APPLYING FOR: ~~'~-~-~. ~ ~ ~~ NAME: ~IgR~vs ~y ~ ~~-- ~~w ADDRESS: ~ ~° -3 ~~- l.~t.~ ~ I ~.~ E1~9 ~) E ~ ~ ~- S z~m BUSINESS: Cam- 5y ~~ e..c.'~' ADDRESS: OCCUPATION: POSITION WITH COMPANY: ~ ~ HOME PHONE: 313 -~~~ ~~ ~~ BUSINESS PHONE: ~G3 ~~o o ,3 ~ EMAIL ADDRESS: MAR~•~5 ~L-PA C-c7N~ EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: R-ds rJ~ `Zl ~ ~~S ~~ ~ -t Jct~ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~o~ ~ ~ ~ a T~ LIST TWO REFER NCES: ~ NAME: ~t~ i-} ~G(~1~-Yl, ,~c.3 ~~~ ~~~ ~ 1~-~-~o~ ~ ~ ~J ' ,-` v ADDRESS: Z~ fl S W ~ ~C~Q,C-vet.., NAME: Ar~'L~.c9~- ~}~ _ - ADDRESS: ~~"R-~~ t-~65~ ~./ Q Id ~.`~'~`.~c~ v c~ ~9 ~ ~l Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. Are you currently s` a%yj,p~~n a Cit~ Boar~or Commission: ` ~`J -- ~( ~C.. SIGNATURE: -~~ ~~ If questions, contact the City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. ~~~,F1~1F'~ o~ o~.c -~ pr ~ ~ a9 v#fic~ City ~,;'~G~ ~ `'P 1A D`_~ u~~.., , Application Page 1 of 1 C7 ° Individuals serving on Boards and Commissions play an important role in advising the City Cour~q~'rnatte(S. of interst to our community and its future. ~ ~ r. ~ The City Clerk's Office, City Hall, 50 West 13th Street, Dubuque, IA accepts applications for anya~ andl~ Commission at any time, and the application stays active for one year from the date of receipt i eL~lerk's !~ Office. cD . s' `~ ~' ~ ITl At the appropriate regularly scheduled meeting, applications will be submitted to the City Councip[br~ir review and applicants are encouraged to address the Council stating their reasons for wanting to se~ on tip particular Board or Commission. Applicants will be advised when the application is being presented. DO Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Counal's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (un-ess the applicant advises they are no longer interested) ` DATE: U V Iy ~aZ, a1~07 ADVISORY BOARD/COMMISSION APPLYING FOR: TRAN52T QDARn aF fiRUSTE~-.S NAME: DeN ADDRESS: $TEDMA.//y~~ BUSINESS:_~~R n ADDRESS: ~/CJ~,~Z ~-1~,i~d?~~~ ~~~ OCCUPATION: ~ 1CC-{':+r~ c~ POSITION WITH COMPANY: ~~ L~ f11E1/ C H /~R y/f'~~Q~ £ R , • HOME PHONE: S$~~943g BUSINESSPHONE:~e~~ NgS--001(p EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARDlCOMMISSION: Q_ A . ~ReM UNSvER52T~ of ,UoRTH ER nl S o w,~ S,AZ-8 usT iU ESS_ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~~} d2~-3 c.~-~' ccslY2 Pc.~T E p Iv1 Y ,~,-r u . yE f3~Z one '~~r.~Pk(~flaP 2 wou~fl MKS- -ro _S~ tcM~ eF BUR PLAIJS T~fI~~Lt(~~'i'~ T}~~'jzj~ CoNCLL/~,2c~N,S. LIST TWO REFERENCES: NAME:~eGI ~.iat~"~ZD ADDRESS: 10185 R 1-t-Z 1~i5~'~ ~bC~. Jrit00~ NAME: So r. R o dcx ~Ce r ADDRESS: Z K o l CGvrl•~a„~I Specific attention should be directed to possible conflict of interest. For further clari€~catjon, if a si~stion arises contact the appropriate staff person or to the City's legal staff. Are you currently serving on a City Board or Commission: ,~VS~' ee„nfllE~"~rd ~ ,ors, pri 'phi S boaP.~ SIGNATURE: ~e~- ~~~~,,~.•~. If questions, contact the City Clerk's OFHce, City Hall, 50 W. 13t'' St., Dubuque, IA 52001. Phone 583!589 4120. All names will be dropped from the list after a one year period. http://www.cityofdubuque.org/printer_friendly.cfm?eid=148 7/11 /2007 ~~ CITY OF DUBUQUE, IOWA • BOARDlCOMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play an important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, accepts applications for any Board andlor Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment(s) will be made at a later meeting. Applicants will be notified as to the outcome of the Council's action. If not appointed at that time, this application will continue to be resubmitted, as needed, as long as the application is active lunless the applicant advises they are no longer interested). DATE: .~.Z =T .,,~. - d2aac ~'~ ~~~~ ADVISORY BOARD/COMMISSION APPLYING FOR: "7~,,y.vs~T ~.-~~~ ~'~ ~~,2,.s~~ess _ NAME: ~.~a~y ~3: ~--~~s ADDRESS: ~s...~ o ~~,ssy `~.2~~~ BUSINESS: s~~.~~«s s .° . .« ADDRESS: .-~-~+...+~-a~c~ ~i 3 ',~ Z~ OCCUPATION: s': Tc, S~/~~.s•-`- POSITION WITH COMPANY: .'t '' HOME PHONE: / - 3 ~s ~-s~-L - ~- ~~~~ BUSINESS PHONE: E E,~ERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR THIS BOARD/ MISSION : ...~. [~ ~ ~ -- ,.,~- ,, ~...~~ -~ L.s WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE.,. REASON FOR APPLYING) ~~T ~x~P~..e ~.~` ~~» ~~-~z ~ s~ ~- ~~~~ ~,,5 ~~2 ysCu c•w C:''7r LIST TWO REFERENCES: NAME: vQ.s[.~"~ G' c c .~..-..•;~' ADDRESS: ~ `f -Z 7 C_.;.'?c_s'?r~3es~i ~7'`sS~~.,~. NAME: ' ~" r~ ~ ~~1rf LG.-~ ADDRESS: ~' L ~? ~r/`2o- l~.is. ~ ~~~~ Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff personnel or Legal Staff. Are you currently serving on a City Board or Commission: c~ uestions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 one: 589-4120; ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. SIGNATURE