Boards and Commission Application ReviewVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE
BOARDS AND COMMISSIONS
For Council Meeting of
Monday, June 6, 2011
6:30 p.m., Historic Federal Building, 350 W. 6 Street
APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL
ON THEIR POSSIBLE APPOINTMENT
Human Rights Commission
Two 3 -year terms through January 1, 2012 (vacant terms of Apel and Sutton)
Applicants:
Regine Ronek, 2282 White Street
Judie Root, 364 Hill Street
Ms. Ronek and Ms. Root both currently serve on the Housing Commission
This commission is subject the State of Iowa Gender Balance Law effective January 1, 2012.
CITY OF DUBUQUE, IOWA - BOARDS AND COMMISSIONS
* - Denotes Chairperson; For Information: 589 -4120
AIRPORT COMMISSION - 4 Yr. Term
Meets 4th Monday 4 p.m. - Airport
Amy Wagner 09 -14 -12
Douglas Brotherton
*Michael A. Santillo
Charles Daoud
Steven R. Accinelli
Ellen H Henkels
Julie Steffen
*Geri Shafer
Louise Kames
Marina O'Rourke Rosenow
Susan Riedel
Paul Hemmer
Ruth Ann Hanson
John F. Ganshirt
Donald Lochner
Robert Schaub
Greg Hutchinson
Cynthia A. Fuller
'Bryce Parks
Rod Bakke
Vacant (Term of Field)
Barb Kurt
Elizabeth Takes
*Daniel White
James Schilling
09 -14 -13
09 -14 -13
09 -14 -14
09 -14 -14
AIRPORT ZONING COMMISSION
6 Yr. Term - Apptd. 1996, Meets on Call
'Steve Horsfield (By Board Vote) 01 -03 -02
Linda Lucy (County) 12 -31 -02
Marianne Krause (County) 12 -31 -08
Tom Henschel (City ZAC) 01 -03 -14
Jeff Stiles (City SAC) 01 -03 -14
AIRPORT ZONING BOARD OF
ADJUSTMENT
5 Year Term, Meets on Call
*Vacant (By Board Vote)
Randall J. Klauer (City ZBA) 02 -15 -11
Michael A. Ruden (CityZBA) 02 -15 -11
Darlene Burds (County) 02 -15 -11
Ron Koppes (County) 02 -15 -11
ARTS AND CULTURAL AFFAIRS
ADVISORY COMM. 3 Yr Term
Meets 4"' Tues., 4:30, Library Brd Rm.
(Bus/Prof) 06 - -
(Bus /Prof Dist) 06 - -
(At Large) 06 - -
(Arts) 06 -30 -13
(Arts) 06 -30 -13
(Arts) 06 -30 -13
(Arts) 06 -30 -13
BOARD OF APPEALS - BUILDING CODE
Appt. 3 Yr. Term, Meets on Call
Vacant (Term of Anglese) (At Lrg) 08 - -
Marla Cruise (ADA Rep) 08-01 -12
Chuck Carr (Gen. Cont.) 08 -01 -12
Richard G. Luchsinger (At Lrg) 08 -01 -12
John Schwendinger (Jrny.Carp) 08 -01 -13
*F. James Kolf (Arch/Engr.) 08 -01 -13
1 (ADA new position awaiting applicants) TBD
CITY BOARD OF REVIEW (w/County)
Appt. 6 Yr. Term, Meets May 1 -30
(Realtor) 01 - 01 - 14
(consul 01 -01 -14
01 -01 -16
01 -01 -17
01 -01 -17
CIVIC CENTER ADV COMMISSION
3 Yr. Term - Meet 4:30 p.m.
4th Monday at Five Flags
06 -29 -12
06 -29 -12
06 -29 -13
06 -29 -13
06 -29 -13
CIVIL SERVICE COMMISSION
4 Yr. Term, Meets on Call
04 -06 -12
04 -06 -13
04 -06 -14
COMMUNITY DEVEL ADV. COMMISSION
3 Yr. Term, Meets 3 Wednesday,
5:30 p.m. at Federal BIdgJHousing
Thomas Wainwright (At Large) 02 -15 -12
*Hilary A. Stubben (Low /M Inc A) 02 -15 -12
Paula Maloy, SVM (At Large) 02 -15 -13
Theresa Caldwell (Low/M Inc A) 02 -15 -13
Peter Koshakji (At Large) 02 -15 -13
Ricardo Woods (Housing Rep) 08 -15 -13
Ann Michalski (At- Large) 02 -15 -14
David Shaw (Low/M Inc Area) 02 -15 -14
Vacant (t/o Craddieth) (Low/M Inc Area) 02 - -
ELECTRICAL CODE BOARD
3 Yr. Term; Meets Bi- Monthly
Bob Schmidt
Paul J. Uhlrich
James Dixon
Dan Hammel
Ronald Mueller
Elaine L. Reiss
*Kevin Pfohl
ENTERPRISE ZONE COMMISSION
3 Year Term, Meets on Call
*Rick Stein
Dan LoBianco
Doug Stillings
Richard Van Iten
Kelley Deutmeyer
Dave Baker
Peggy Murray
Mike Van Milligen
Daniel White
*Wayne Klostermann
Edward Cawley
Gayle Walter
Aditi Sinha
Vacant - Youth (Term of Miller)
Michael J. Buelow
Chad Oberdoerster
(Elec. Bkground) 05 - -
(Elec. Bkground) 05 - -
(Elec. Con.) 05 - -
(Jour /Main) 05 - -
(At Large) 05 - 21 - 14
(Elec. Engr.) 05 - -
(Jour /Maint) 05 - -
(At Large) 2 - -
(At Large) 2 - -
(At Large) 2 - -
(from LRP) 2 - -
(IDED) 2 - 15 - 13
(Intl Labor) 2 - -
(IA workforce Den) 2 - -
(Council Rep) 2 - 1544
(NICC) 2-15-14
ENVIRONMENTAL STEWARDSHIP
ADVISORY COMMISSION - 3 Yr. Term
Meets 1" Tues. 5 p.m. City Hall Annex
10 -01 -11
10 -01 -11
10 -01 -12
10 -01 -13
06 -01 -13
10 -01 -13
10 -01 -13
HISTORIC PRESERVATION COMM.
Appt. 3 Yr. Term, Meets 3
Thursday, 5:30 p.m., Federal Bldg
D. Joseph Rapp (Old Main Interim) 07 -01 -11
Christopher J. Wand (Arch /At Lg) 07 -01 -11
*David Klavitter (Langworthy) 07 -01 -11
Mary Loney Bichell (At Large) 07 -01 -12
Michael Knight (At Large) 07 -01 -12
Christine Olson (At Large) 07 -01 -12
Vacant (Term of Stover) (Cathedral) 07 - -
Robert McDonell (Jackson Pk) 07 -01 -13
John E. Whalen, MD (w.11th) 07 -01 -13
HOUSING COMMISSION
3 Yr. Term, 4"' Tues. 4:30 p.m., Fed Bldg
Amy Eudaley 08 -17 -11
Patricia Rogaskie 08 -17 -11
Regine Ronek 08 -17 -11
*David J. Kepler 08 -17 -12
Dorothy Culbertson(rrust Fund Rep)08 - 17 - 12
Jim Holz (Trust Fund Rep)08 - 17 - 12
Lisa McAllister (Sec. 8 Area) 08 -17 -12
Judie Root 08 -17 -13
Dorothy Schwendinger, OSF 08 -17 -13
Ricardo Woods (coac Rep) 08 -17 -13
HOUSING TRUST FUND ADVISORY
COMMITTEE 3 Yr. Term, Meets 6x/Year
*Jim Holz
Dorothy Culbertson
Doris M. Hingtgen
Vacant (Term of Eddy)
John V. Walsh
HOUSING CODE APPEALS BOARD
3 Yr. Term, 3 Tues. 4:30 p.m. Fed Bldg.
Fred Miller
Paul Newman
*Robert Schaub
William J. Kinsella
Vacant (Term of Matheos)
David Young
Vacant (Term of Moore)
*Anthony Allen
Kurt Hansen
R.R.S. Stewart
Vacant (Term of Apel)
Frederick Davis, Jr.
Vacant (Term of Sutton)
Andrea Beacham
Michael Elliot
Megan Gloss
(From Hsg) 08
(From Hsg) 09 - -
(At Large) 09 - -
(From. Hsg.) 08 - -
(At Large) 09 - -
01 -11 -12
01 -11 -12
01 -11 -13
01 -11 -13
01 -11 -13
01 -11 -14
01 -11 -14
HUMAN RIGHTS COMMISSION
3 Yr. Term, Meets 2 " Mon. 4:30 Annex
01 -01 -12
01 -01 -12
01 -01 -12
01 -01 -13
01 -01 -13
01 -01 -13
01 -01 -14
01 -01 -14
01 -01 -14
As prepared for the 6/6/11 Council meeting
INVESTMENT OVERSIGHT ADVISORY
COMMISSION - 3 Yr. Term, Meets Qtrly;
4"' Wednesday 3 p.m. City Hall "A"
Virgil Blocker
Brad Chalmers
Hiram Melendez
*Gary Ruden
Stephen V. Reisdorf
07 -01 -11
07 -01 -12
07 -01 -12
07 -01 -13
07 -01 -13
LIBRARY BOARD OF TRUSTEES
4 Yr Term, Meets 4 Thurs. 4 p.m.Library
Paula Connors
Elizabeth Leeper
David Hammer
Kristen L. Smith
Mike Willis
*Diann Guns
Fred Miller
(12) 07 -01 -11
(12) 07 -01 -11
(15) 07 -01 -11
(15) 07 -01 -11
07 -01 -13
07 -01 -14
07 -01 -14
LONG RANGE PLAN'G ADV COMM.
3 Yr Term Meets 3" Wed. 7p.m. Fed Bldg
Vacant (Term of Braig) 07 -01 -11
Richard Van Iten (Ent Zone Rep) 07 -01 -11
Alan Vincent 07 -01 -11
John Pregler 07 -01 -12
Chad Darter 07 -01 -12
Charles Winterwood, MD 07 -01 -13
*James F. Prochaska 07 -01 -13
MECHANICAL CODE BOARD
3 Yr. Term - Meets Qrtly, City Hall
Gary Hillard
*Tom W. Giese
Corey Valaskey
David Grothe
Michael P. Kelly
Paul J. Papin
Ronald Billmeyer
MEDIACOM CHARITABLE FOUNDATION
1 Yr. Term, On -Call, CC Appt'd Reps.
Gail Chavenelle
Connie Twining
Tom Blocklinger
Vacant (Term of Noble)
Evelyn Nadeau
Robert Blocker
Karen C. Lyness
David Schlueter
Paul Hoffmann
Anthony Allen
Mary Rae Bragg
Diane Callahan
Jonathan Cheatham
Rachel Daack
Ann Ernst
Doug Stillings
SusanStork
Amanda Elkins
03 -16 -14
03 -16 -14
03 -16 -12
03 -16 -12
03 -16 -13
03 -16 -13
03 -16 -13
12/31/11
12/31/11
MISSISSIPPI RIVER PARTNERSHIP
Council Apptd. Rep - 3 Year Term
Edward Cawley (Apptd Citizen Rep) 12 -31 -12
PARK AND RECREATION ADV. COMM.
3 Year Term
Meets 2 " Tues. 4:30 p.m. Bunker Hill
06 -30 -11
06 -30 -11
06 -30 -11
06 -30 -12
06 -30 -13
06 -30 -13
06 -30 -13
PLUMBING CODE BOARD
3 Yr. Term, Meets Quarterly, City Hall
Stanley G. Gonner (Master) 11 -02 -11
*Harlan J. Willenborg (Master) 11 -02 -11
Vacant (Term of Swift) (At Large) 11 - -
Dan Harris (At Large) 11 - 02 - 12
Paul Pepin (at will) (Journeyman) 11 - -
SAFE COMMUNITY ADVISORY CMTE
1 Yr Terms, Terms, Meets Quarterly
12/31/11
12/31/11
12/31/11
12/31/11
12/31/11
12/31/11
12/31/11
12/31/11
12/31/11
SISTER CITY RELATIONSHIPS ADV CMS
3 Yr Terms, Meets Quarterly
Kevin Lynch
Joyce Connors
Jeffrey Jochum
William Mclntee
Pat McNamara
Michael Coty
Betty Phillips
Louise Thurn
Larissa Filimonenko
Sheila Castenada
Dick Landis
Jill Connors
Annalee Ward
TRANSIT ADVISORY BOARD
3 yr. Term, Meet Monthly, 2" Thurs. Lib
R.R.S. Stewart
George Enderson
*Joel Lightcap
Matthew Esser
Rhonda Knight
Vacant (Term of Bellings)
Ronald Tigges
Walter Webster
*Charlie Ellis
Kevin R. Stevens
Pauline J. Maloney
George P. Herrig
Sr. Carol Hoverman
Jennifer L. Tigges
Alan Vincent
Vacant (Term of McDonough)
Vacant (Term of Everist)
Martha E. Christ
Thomas Henschel
Ron Smith
Charles Miller
Stephen Hardie
Patrick Norton
*Jeff Stiles
William J. Gibbs
Jeff Cremer
Heath Hutchinson
*Michael A. Ruden
Randall J. Klauer
(Council Rep)
(Council Rep)
2/1/12
2/1/12
2/1/12
2/1/13
2/1/13
2/1/13
2/1/14
2/1/14
2/1/14
2/1/14
2/1/14
07 -30 -11
07 -30 -11
07 -30 -11
07 -30 -12
07 -30 -13
TV CABLE REGULATORY COMMISSION
3 Yr. Term, Meets 2 Wed OC. 5:30 Annex
06 -30 -10
06 -30 -11
06 -30 -11
06 -30 -12
06 -30 -13
TV CABLE COMMUNITY
TELEPROGRAMMING COMMISSION
3 Yr. Term, Meets 1 Tues. 5:30 Annex
06-30-11
06 -30 -11
06 -30 -11
06 -30 -12
06 -30 -12
06 -30 -12
06 -30 -13
ZONING ADVISORY COMMISSION
3 Yr. Term, Meets 1 Wed. 6:30 Fed Bldg
07 -01 -11
(Airport ZC) 07 - -
07 -01 -11
07 -01 -12
07 -01 -12
07 -01 -13
(Airport ZC) 07 - -
ZONING BOARD OF ADJUSTMENT
5 Yr Term; Meets 4 Thurs. 4 pm Fed Bldg
03 -25 -12
03 -25 -13
03 -25 -14
(Airport ZBA) 03 - -
(Airport ZBA) 03 - -
Chapter 2
HUMAN RIGHTS COMMISSION
8 -2 -1: CREATED:
There is hereby created a human rights commission. (Ord. 18 -09, 4 -6 -2009)
8 -2 -2: COMPOSITION:
The human rights commission created by this chapter shall consist of nine (9) members. (Ord.
18 -09, 4 -6 -2009)
8 -2 -3: APPOINTMENT; TERMS; FILLING OF VACANCIES:
The human rights commission members shall be appointed by the city council for terms of
three (3) years each and shall serve thereafter until a successor has been appointed.
Vacancies shall be filled for the remainder of the unexpired term. Appointments shall take into
consideration the various racial, religious, cultural and social groups of the city. (Ord. 18 -09, 4-
6 -2009)
8 -2-4: OFFICERS:
The human rights commission created by this chapter shall elect from its own membership, at
its regular March meeting, its chairperson and vice chairperson, each to serve a term of one
year. The chairperson shall appoint a secretary, who need not be a member of the
commission. The commission shall fill vacancies among its officers for the remainder of the
unexpired term. (Ord. 18 -09, 4 -6 -2009)
8 -2 -5: COMPENSATION:
The members of the human rights commission created by this chapter shall serve without
compensation; provided, that they may receive reimbursement for necessary travel and other
expenses while on official commission business and such shall be within the limits established
in the city budget. (Ord. 18 -09, 4 -6 -2009)
8 -2 -6: REMOVAL OF MEMBERS FOR UNEXCUSED ABSENCES:
In the event a member of the human rights commission created by this chapter has been
absent for three (3) or more consecutive meetings without being excused by the chairperson,
the commission by majority vote may certify such fact to the city council and petition the city
council to declare a vacancy by reason of such unexcused absence and appoint a successor
to fill such vacancy. (Ord. 18 -09, 4 -6 -2009)
8 -2 -7: RULES:
The human rights commission created by this chapter may adopt, amend, or rescind such
rules as may be necessary for the conduct of its business. (Ord. 18 -09, 4 -6 -2009)
8 -2 -8: MEETINGS:
A. Regular Meetings: The human rights commission shall meet not less than monthly on a
regular basis.
B. Special Meetings; Notice: The chairperson, the vice chairperson, or any three (3) members
of the human rights commission may call a special meeting by giving at least twenty four
(24) hours' notice to every other member of the commission. The call for a special meeting
shall include an agenda and only matters included in that agenda may be acted on at the
meeting.
C. Conformance With Open Meetings Law: All meetings of the human rights commission shall
be held in conformance with the Iowa open meetings law'.
D. Attendance: Members of the human rights commission shall attend at least two- thirds ( of
all regularly scheduled meetings within any twelve (12) month period. If any member does
not attend such prescribed number of meetings, it shall constitute grounds for the
commission to recommend to the city council that said member be replaced. Attendance of
all members shall be entered on the minutes. (Ord. 18 -09, 4 -6 -2009)
8 -2 -9: QUORUM:
A quorum of the human rights commission shall be five (5) members. A majority of the
members present and voting shall be necessary for the passage of any motion. The
chairperson shall vote as a member of the commission. (Ord. 18 -09, 4 -6 -2009)
8 -2 -10: RECORDS TO BE PUBLIC; EXCEPTIONS:
All records of the human rights commission shall be public except charges, complaints, reports
of investigations, statements, and other documents or records obtained in investigation of any
charges shall be closed records. (Ord. 18 -09, 4 -6 -2009)
8 -2 -11: CONFIDENTIALITY OF COMPLAINTS:
No member of the human rights commission or its staff shall disclose the filing of a charge, the
information gathered during the investigation, or the endeavors to eliminate such
discriminatory or unfair practice by conference, conciliation, or persuasion unless such
disclosure is made in connection with the conduct of such investigation or after the commission
has held a public hearing upon a complaint filed in connection with such charge. This section
does not prevent any complainant, witness, or other person from publicizing the filing of a
charge or complaint or the matter therein complained of. (Ord. 18 -09, 4 -6 -2009)
8 -2 -12: POWERS AND DUTIES:
The human rights commission created by this chapter shall have the following powers and
duties:
A. To receive, investigate, and finally determine the merits of complaints alleging unfair or
discriminatory practices.
B. To investigate and study the existence, character, causes, and extent of discrimination in
public accommodations, employment, apprenticeship programs, on the job training
programs, vocational schools, other educational institutions, and housing in the city and to
attempt the elimination of such discrimination by education and conciliation.
C. To hold hearings upon any complaint made against a person, an employer, an employment
agency, a labor organization, or the employees or members thereof, to subpoena
witnesses and compel their attendance at such hearings, to administer oaths and take the
testimony of any person under oath and to compel such person, employer, employment
agency, labor organization, or employees or members thereof, to produce for examination
any books and papers relating to any matter involved in such complaint. The commission
shall issue subpoenas for witnesses in the same manner and for the same purpose on
behalf of the respondent upon the respondent's request. Such hearings may be held by the
commission, by any commissioner, or by any hearing examiner appointed by the
commission. If a witness either fails or refuses to obey a subpoena issued by the
commission, the commission may petition the district court having jurisdiction for issuance
of a subpoena and the court shall, in a proper case, issue the subpoena. Refusal to obey
such subpoena shall be subject to punishment for contempt.
D. To issue such publication and reports of investigations and research as in the judgment of
the commission shall promote civil and respectful behavior which shall tend to eliminate
discrimination.
E. To prepare and transmit to the mayor and city council from time to time, but not less often
than once each year, reports describing its proceedings, investigations, hearings
conducted, and the outcome thereof, decisions rendered, and the other work performed by
the commission.
F. To make recommendations to the city council concerning discrimination.
G. To cooperate, within the limits of any appropriations made for its operation, with other
agencies or organizations, both public and private, whose purposes are consistent with
those of this chapter, in the planning and conducting of programs designed to eliminate
discrimination or cultural and intergroup tensions.
H. To adopt, publish, amend and rescind regulations consistent with and necessary for the
enforcement of this chapter.
I. To delegate any of its functions, duties and powers to its staff including functions, duties and
powers with respect to investigating, conciliating, determining, certifying, reporting, or
otherwise acting as to any work, business, or matter under this title.
J. To receive, administer, dispense, and account for any restricted funds that may be
voluntarily contributed to the commission and any grants that may be awarded the
commission for furthering the purposes of this title. No disbursements will be made of any
restricted funds without authority from the city council. (Ord. 18 -09, 4 -6 -2009)
8 -2 -13: CITY POLICIES APPLICABLE TO COMMISSION OPERATIONS:
All administrative, personnel, accounting, budgetary and procurement policies of the city shall
govern the human rights commission in all its operations. (Ord. 18 -09, 4 -6 -2009)
8 -2 -14: SUBPOENAS:
The human rights commission may issue subpoenas and order discovery in aid of
investigations under this title. Such subpoenas and discovery may be ordered to the same
extent and subject to the same limitations as would apply for county attorney subpoenas. (Ord.
18 -09, 4 -6 -2009)
4
Masterpiece on the Mississippi
Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of
interest to our community and its future.
The City Clerk's Office, City Hall, 50 West 13 Street, Dubuque, IA accepts applications for any Board and /or
Commission at any time, and the application stays active for one year from the date of receipt in the Clerk's Office.
At the appropriate regularly scheduled 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 Board or
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: ` ` i ■
ADVISORY BOARD /COMMISSION APPLYING FOR: � C"` I;11I ` - c'�Y1
(Some boards commis i s require ate of Iowa Gender Balance compliance)
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NAME: �� 1_. ADDRESS: �� IZ� ��' )�
` ity o Dubuque residency required)
BUSINESS:
OCCUPATION: / N-10 N E
HOME PHONE: I (L. 3 �� .j 1
E -MAIL ADDRESS(ES): ; csk. [ ) \--(c C -
EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD /COMMISSION:
WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING:
t \c e_ ILL )c
LIST TWO REFERENCES.:
NAME: , >>k_d,
Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact
the appropriate staff person or the City's legal staff.
Are you currently serving on a City Board or Comm'ssion:
SIGNATURE:
CITY OF DUBUQUE, IOWA
BOARD /COMMISSION APPLICATION
ADDRESS:
POSITION WITH COMPANY:
BUSINESS PHONE:
ADDRESS: ,'$ 5 (c '`)DC JO
ADDRESS: , Ep Lk j (( �j � I
Dubuque
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Name: ( )19l`� I ul C I /.'' In I S CJl
If questions, contact the City Clerk's Office, City Hall, 50 W. 13 St., Dubuque, IA 52001. Phone 563/589 -4120. Fax
563 / 589 -0890, www.cityofdubuque.org. All names will be dropped from the list after a one -year period.
RECEIVED
11 MAY 26 AM 32
City Cia Office
Dubuque, IA
H
THE CITY OF
DUB E
Masterpiece on the Mississippi
Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of
interest to our community and its future.
The City Clerk's Office, City Hall, 50 West 13 Street, Dubuque, IA accepts applications for any Board and /or
Commission at any time, and the application stays active for one year from the date of receipt in the Clerk's Office.
At the appropriate regularly scheduled 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 Board or
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). 1��� j J
DATE: </ /
ADVISORY BOARD /COMMLSSION APPLYING FOR:
�um( . l �� - hs o 11
(Some boards /commissions rrep Stat of Iowa Gender Balance compliance)
NAME: e ) � d/ e ...) ( J U o * ADDRESS: 3/el / / // 6`'11r e _
(City of Dubuque residency required)
ADDRESS: Al/fr OA POSITION WITH COMPANY:
HOME PHONE: „fie 53Z ' BUSINESS PHONE: /1!//*
E- MAILADDRESS(ES): 1m r) ()OF 9 -mil iri r-p 1T!
v
BUSINESS:
OCCUPATION: 7Df$Qh/e 'J
EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD /COMMISSION:
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'Thin) c Qmku m &zif (5 n , 725/n 5/ PP ,Q.0()
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WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING:
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NAME: 6 6,r 1" /�yf L1JS ADDRESS: t7f)ili /7CcC.) C'_ 6(.4+ /5 /5 "34' ?/-
NAME:- /,', /(/ y rr/ s ADDRESS: �.� C /() >L-6
Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact
the appropriate staff person or the City's legal staff.
Are you currently sere,
on a City Board or Commission:
CITY OF DUBUQUE, IOWA
BOARD /COMMISSION APPLICATION
SIGNATURE: /(e
Name: / y//G(,St
tact the City Clerk's Office, City Hall, 50 W. 13 St., Dubuque, IA 52001. Phone 563/589 -4120. Fax
If questions,
563 / 589 -0890; www.cityofdubuque.org. All names will be dropped from the list after a one -year period.
Dubuque
bittal
'T
I�
2007
RECEIVED
11 MAY 26 PM 1: 08
City C,erk`s' Office
Dubuque, IA