Boards and Commissions Application ReviewVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE
BOARDS AND COMMISSIONS
For Council Meeting of
Monday, August 1, 2011
6:30 p.m., Historic Federal Building, 350 W. 6th Street
APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL
ON THEIR POSSIBLE APPOINTMENT
Housing Commission
Three 3 -year terms through August 17, 2014 (Expiring terms of Eudaley, Rogaskie, and
Ronek)
Applicants:
Amy Eudaley, 950 Wood Street
Patricia Rogaski, 1502 % Maple Street
Regine Ronek, 2282 White Street
Ms. Ronek also serves on the Human Rights Commission
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
Douglas Brotherton
*Michael A. Santillo
Charles Daoud
Steven R. Accinelli
09 -14 -12
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 zac) 01 -03 -14
AIRPORT ZONING BOARD OF
ADJUSTMENT
6 Year Tenn, Meets on Call
*Vacant (By Board Vote)
Randall J. Klauer (City ZBA) 02 -15 -11
Michael A. Ruden (City ZBA) 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 4ei Tues., 4:30, Library Brd Rm.
Ellen H Henkels (eus/Prof) 06 -30 -12
Julie Steffen (Bus /Prof Dist) 06 -30 -12
*Geri Shafer (At Large) 06 -30 -12
Louise Karnes (Arts) 06 -30 -13
Marina O'Rourke Rosenow (Arts) 06 -30 -13
Susan Riedel (Arts) 06 -30 -13
Paul Hemmer (Arts) 06 -30 -13
BOARD OF APPEALS - BUILDING CODE
Appt. 3 Yr. Term, Meets on Call
Vacant (Term of Anglese) (At Lrg) 08 -01 -11
Maria 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
Ruth Ann Hanson
John F. Ganshirt
Donald Lochner
Robert Schaub
Greg Hutchinson
(Realtor) 01 -01 -14
(Constr) 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
Cynthia A. Fuller
'Bryce Parks
Rod Bakke
Vacant (Term of Field)
Barb Kurt
06 -29 -12
06 -29 -12
06 -29 -13
06 -29 -13
06 -29 -13
CIVIL SERVICE COMMISSION
4 Yr. Term, Meets on Call
Elizabeth Takes
*Daniel White
James Schilling
04 -06 -12
04 -06 -13
04 -06 -14
COMMUNITY DEVEL ADV. COMMISSION
3 Yr. Term, Meets 3rd 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/in 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 (LO Craddieth) (Low /M Inc Area) 02 -15 -14
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
(Elec. Bkground) 05 -21 -12
(Elec. Bkground) 05 -21 -12
(Elec. Con.) 05 -21 -14
(JourlMaim) 05 -21 -14
(At Large) 05 -21 -14
(Elec. Engr.) 06 -21 -14
(Jour /Mainz) 05 -21 -14
ENTERPRISE ZONE COMMISSION
3 Year Term, Meets on Call
*Rick Stein (At Large) 2 -15 -12
Dan LoBianco (At Large) 2 -15 -12
Doug Stillings (At Large) 2 -15 -12
Richard Van hen (from LRP) 2 -15 -13
Kelley Deutmeyer (IDED) 2 -15 -13
Dave Baker (Intl Labor) 2 -15 -13
Peggy Murray (IA workforce Dev) 2 -15 -14
Mike Van Milligan (Council Rep) 2 -15 -14
Daniel White (NICC) 2-15-14
ENVIRONMENTAL STEWARDSHIP
ADVISORY COMMISSION - 3 Yr. Term
Meets 1 *t Tues. 5 p.m. City Hall Annex
*Wayne Klostermann
Edward Cawley
Gayle Walter
Aditi Sinha
Vacant - Youth (Term of Miller)
Michael J. Buelow
Chad Oberdoerster
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 3id
Thursday, 6:30 p.m., Federal Bldg
D. Joseph Rapp (old Main interim) 07 -01 -12
Mary Loney Bichell (At Large) 07 -01 -12
Michael Knight (At large) 07 -01 -12
Christine Olson (At Large) 07 -01 -12
Robert McDonell (Jackson Pk) 07 -01 -13
John E. Whalen, MD (w. 11th) 07 -01 -13
Christopher J. Wand (Arch /At Lg) 07 -01 -14
'David Klavitter (Langworthy) 07 -01 -14
Mitzi Krey (Cathedral) 07 -01 -14
HOUSING COMMISSION
3 Yr. Term, 4d' 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(Trust Fund Rep)08 -17 -12
Jim Holz (Trust Fund Rep)08 -17 -12
Lisa McAllister (Sec. s Area) 08 -17 -12
Judie Root 08 -17 -13
Dorothy Schwendinger, OSF 08 -17 -13
Ricardo Woods (CDAC Rep) 08 -17 -13
HOUSING TRUST FUND ADVISORY
COMMITTEE 3 Yr. Term, Meets 6x/Year
*Jim Holz
Dorothy Culbertson
Doris M. Hingtgen
Vacant (Tenn of Eddy)
John V. Walsh
(From Hug) 08 -17 -12
(From Hsg) 09 -08 -12
(At Large) 09 -08 -12
(From. Hag.) 08 -17 -13
(At Large) 09 -08 -13
HOUSING CODE APPEALS BOARD
3 Yr. Term, 3rd 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)
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 tad Mon. 4:30 Annex
'Anthony Allen
Kurt Hansen
R.R.S. Stewart
Regine Ronek
Mitzi Krey
Judie Root
Andrea Beacham
Michael Elliot
Megan Gloss
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 8 /1 /11 Council meeting
INVESTMENT OVERSIGHT ADVISORY
COMMISSION - 3 Yr. Term, Meets Qtrly;
4ui Wednesday 3 p.m. City Hall "A"
Brad Chalmers
Hiram Melendez
'Gary Ruden
Stephen V. Reisdorf
Paul Lassance
07 -01 -12
07 -01 -12
07 -01 -13
07 -01 -13
07 -01 -14
LIBRARY BOARD OF TRUSTEES
4 Yr Term, Meets 46 Thurs. 4 p.m.Llbrary
Paula Connors
John Anderson- Bricker
Mike Willis
*Diann Guns
Fred Miller
David Hammer
Jenny Leigh Hams
(07 -01 -12
(07 -01 -12
07 -01 -13
07 -01 -14
07 -01 -14
(07 -01 -15
(07 -01 -15
LONG RANGE PLAN'G ADV COMM.
3 Yr Term Meets 3rd Wed. 7p.m. Fed Bldg
John Pregler 07 -01 -12
Chad Darter 07 -01 -12
Charles Winterwood, MD 07 -01 -13
*James F. Prochaska 07 -01 -13
Vacant (Term of enlg) 07 -01 -14
Richard Van !ten (Ent Zone Rep) 07 -01 -14
Alan Vincent 07 -01 -14
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
03 -16 -14
03 -16 -14
03 -16 -12
03 -16 -12
03 -16 -13
03 -16 -13
03 -16 -13
MEDIACOM CHARITABLE FOUNDATION
1 Yr. Term, On -Call, CC Appt'd Reps.
Gail Chavenelle
Connie Twining
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"d Tues. 4:30 p.m. Bunker Hill
Robert Blocker
Karen C. Lyness
David Schlueter
Paul Hoffmann
Chuck Harris
Kenneth Klinge
Evelyn Nadeau
06 -30 -12
06 -30 -13
06 -30 -13
06 -30 -13
06 -30.14
06 -30 -14
06 -30 -14
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 -02 -12
Dan Harris (At Large) 11 -02 -12
Paul Pepin (at will) (Journeyman) 11-02-12
SAFE COMMUNITY ADVISORY CMTE
1 Yr Terms, Terms, Meets Quarterly
Anthony Allen
Mary Rae Bragg
Diane Callahan
Jonathan Cheatham
Rachel Daack
Ann Emst
Doug Stillings
SusanStork
Amanda Elkins
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
(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
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, rd Thurs. Lib
Matthew Esser
Rhonda Knight
R.R.S. Stewart
George Enderson
*Joel Lightcap
07 -30 -12
07 -30 -13
07 -30 -14
07 -30 -14
07 -30 -14
TV CABLE REGULATORY COMMISSION
3 Yr. Term, Meets 2nd Wed OC. 5:30 Annex
*Charlie Ellis
Kevin R. Stevens
Vacant (Term of Bellings)
Ronald Tigges
Walter Webster
06 -30 -12
06 -30 -13
06 -30 -13
06 -30 -14
06 -30 -14
TV CABLE COMMUNITY
TELEPROGRAMMING COMMISSION
3 Yr. Term, Meets 1 °` Tues. 5:30 Annex
Jennifer L. Tigges
Alan Vincent
Vacant (Term of McDonough)
Vacant (Term of Everist)
Pauline J. Maloney
George P. Herrig
Sr. Carol Hoverman
06 -30 -12
06 -30 -12
06 -30 -12
06 -30 -13
06 -30 -14
06 -30 -14
06 -30 -14
ZONING ADVISORY COMMISSION
3 Yr. Term, Meets 1" Wed. 6:30 Fed Bldg
Charles Miller 07 -01 -12
Stephen Hardie 07 -01 -12
Patrick Norton 07 -01 -13
*Jeff Stiles (Airport ZC) 07 -01 -13
Martha E. Christ 07 -01 -14
Thomas Henschel (Airport ZC) 07 -01 -14
Ron Smith 07 -01 -14
ZONING BOARD OF ADJUSTMENT
6 Yr,Tefm; Meets 4th Thurs. 4 pm Fad Bldg
William J. Gibbs 03 -25 -12
Jeff Cremer 03 -25 -13
Heath Hutchinson 03 -25 -14
*Michael A. Ruden (Airport ZBA) 03 -25 -15
Randall J. Klauer (Airport ZBA) 03 -25 -16
= Indicates State- mandated
board /commission subject to 2012
Gender Balance Law.
Title 2
Chapter 5
Housing Commission
2 -5B -1: COMMISSION CREATED:
There is hereby created a housing commission. (2007 Code § 15 -21)
2 -5B -2: PURPOSE; APPROVAL OF PROPOSALS:
A. Duties And Responsibilities: The housing commission shall monitor and evaluate city
housing needs and shall make recommendations to the city council as to how those
needs can be met. In furtherance of this mission, the housing commission's duties
and responsibilities shall include, but not be limited to, the following:
1. To contribute as appropriate in the planning, coordinating and review of housing
development;
2. To conduct public hearings to ensure meaningful citizen input in the planning,
implementation and assessment of the city's housing programs;
3. To provide for and encourage the participation of low and moderate income persons in
the planning, implementation and assessment of housing programs;
4. To provide input into the community planning process and to assist in accomplishing a
coordinated and consistent housing development program of the city in accordance with
present and future housing needs;
5. To request and review ongoing surveys assessing housing needs and identifying future
community housing needs, particularly the needs of persons of low and moderate
income;
6. To support the efforts of the city council and other city commissions in the assessment
of the general housing needs of the community;
7. To undertake from time to time other specific ongoing housing planning which may be
referred to it by the city council;
8. To research and recommend to the city council policies and programs facilitating the
development of affordable housing;
9. To undertake public information efforts to educate citizens of the availability of federal,
state and locally funded housing assistance programs;
10. To assist in the preparation of the housing element of the city comprehensive plan and
the annual consolidated plan;
11. To offer comment, as appropriate, on the consistency of proposed housing
development with the comprehensive plan, consolidated plan and existing city-housing
strategies.
B. Project Approval: Any proposed low rent housing project shall be subject to specific
approval by the city council and any project requiring a referendum as provided in
the code of Iowa shall be submitted to the voters of the city in accordance with the
code of Iowa.
C. Monitor Housing Program; Conduct Hearings On Grievances: The housing
commission shall monitor the city's housing program and conduct hearings on
grievances which arise out of the operation of such program except in the area of
housing code enforcement.
D. Additional Duties: The housing commission shall undertake such additional duties,
with regard to the housing trust fund, as are specified in this code. (2007 Code § 15-
22)
2 -5B -3: MEMBERSHIP; VACANCIES; QUALIFICATIONS:
A. Membership: The housing commission shall be comprised of ten (10) members.
B. Term Of Office: Appointments shall be for a term of three (3) years.
C. Vacancies: Vacancy caused by death, resignation or otherwise on the commission
shall be promptly filled by the city council for the unexpired term of office.
D. Manner Of Selection: At least three (3) members of the commission shall be selected
specifically on the basis of experience in real estate development, banking, finance,
accounting, funds management or other related areas of expertise.
E. Member Receiving Rental Assistance: One member of the commission shall be a
person who is a recipient of tenant based rental assistance under section 8 of the
United States housing act of 1937 (42 USC 1437f) whose name appears on a lease
of section 8 property and who is eighteen (18) years of age or older. If such member
ceases to be a recipient of rental assistance under section 8, the term of such
member shall be deemed terminated and a new member who meets the
requirements of this subsection shall be appointed for the remainder of the term.
(2007 Code § 15 -23)
2 -5B-4: MEETINGS:
A. Frequency Of Meetings: The housing commission shall meet not less than monthly.
B. Attendance Of Members: Members of the commission shall attend at least two- thirds
(2/3) of all regularly scheduled and held meetings within a 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 the member be
replaced. The attendance of all members shall be entered upon the minutes of all
meetings.
C. Minutes Filed With Clerk: The housing commission shall file with the city clerk a copy
of the minutes of each regular and special meeting of the commission within ten (10)
working days after each such meeting. (2007 Code § 15 -24)
2 -5B -5: COMPENSATION:
All members of the commission shall serve without compensation except for
reimbursement of necessary expenses. (2007 Code § 15 -25)
2 -5B -6: INTERNAL ORGANIZATION AND RULES:
The commission may adopt rules and regulations to govern its organizational
procedures as it may deem necessary and which are not in conflict with this article.
(2007 Code § 15 -26)
2 -5B -7: PROCEDURES FOR OPERATIONS:
All administrative personnel, accounting, budgetary and procurement policies of the city
shall govern the commission in all of its operations. (2007 Code § 15 -27)
Masterpiece on the Mississippi
CITY OF DUBUQUE, IOWA
BOARD /COMMISSION APPLICATION
Dubuque
�I �j►
II
2007
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 13th 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).
ADVISORY BOARD /COMMISSION APPLYING FOR:
NAME: 4hU
/ (�( tet
BUSINESS:
DATE() 7 ' % L(- ac/ I
tD L51 Ut L y1A F1& V S \ ou
(Some boards /comrrs ions require State of Iowa Gender Balance compliance)
ADDRESS: Q, b tip D 0(9. ti
((City of Dubuque residency required)
ADDRESS:
OCCUPATION: lnVr WV.I - ( d j ►1,QJc— POSITION WITH COMPANY: Po +- - �1
HOME PHONE: 6-6 3 - 55 --
BUSINESS PHONE: 54Z— 2, (3 5-3
E -MAIL ADDRESS(ES):
EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD /COMMISSION: rr
CAAji nQm ∎1 fAvioity,t1 r ex -t a ids
I� L-. [. Ii' La.. /_�.1 I /1 .'AL! _ mo_ iii/ 'AA • it
WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING:
dal) Calte-- 1g-eV.' 0 c
(0.1/1 1 J� , `'`� 44-
JC.Cit/"l. J/YV
LIST TWO REFERENCES:
NAME: J i/tl .vl R00±
NAME: i'\V\ Sckr"D1
ADDRESS:
ADDRESS:
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.
140 Are you currently i g n a ity - -rd •�,,;;�ssion: V�� Name: tr .,St C�l►�-
SIGNATURE:
If questions, cont he City Clerk's Offic4/6ity Hall, 50 W. 13th 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 JUL 25 AM 7: 59
City Clerk's Office
Dubuque, IA
(4/12/2_g11) Kevin Firnstahl - Online Form Submittal: Board /Commission _ Page 11
From: <support @civicplus.com>
To: <kfirnsta @cityofdubuque org >, <dharrjs @cityofdubuque.org >, <jawalker @cit...
Date: 4/11/2011 6:06 PM %1', )/ = 6//(
Subject: Online Form Submittal: Board /Commission Application Form
The following form was submitted via your website: Board /Commission Application Form
Select the Board, Commission, or Committee applying for:: Housing Commission
Name:: Patricia J Rogaskie
Home Address:: 1502 1/2 Maple St
Home Phone Number:: 563 -495 -2188
Business Name and Address:: N/A
Business Phone Number:: N/A
Occupation:: School Bus Driver
Email Address:: patriciadubuque @yahoo.in
Experience or education which qualifies you for this board or commission:: BA Management/Leadership
emphasis on Human Services. Worked in Group home as an Assistant learning state requirements and
policies.
PROFESSIONAL EXPERIENCE
Area Residential Care
Dubuque, IA
QMRP Assistant
12/2006 —11 /2008
• Managed client's personal accounts
• Organized and scheduled monthly outside activities
• Balanced group home grocery account and activity accounts
• Delegated and scheduled staff to individuals (maintaining individual to staff ratios)
• Reviewed prepared and collected monthly data
• Planned and coordinated in home activities
Administered medications
Work History
School Bus Driver
10/2008- Current Dubuque Community Schools Dubuque, IA
Bakers Helper Sara Lee Bakery Dubuque, IA
8/2006 - 8/2010
Sales Associate Health and Beauty/Customer Service Desk Dubuque, IA
12/2008 -4/2008 Wal -Mart
QMRP Assistant
12/ 2006- 10/2008 Area Residential Care Services
Pharmacy Technician
2001 -2004 OSF Saint Anthony Medical Center
UNITED STATES AIR FORCE
Dubuque, IA
Rockford
(4/12/2011) Kevin Firnstahl - Online Form Submittal: Board /Commission Page 2
Chanute Air Force Base /Sembach Air Base
Civil Engineering Squadron — Interior Electrician
EDUCATION AND TRAINING
• BA — Management and Leadership, Judson College, IL
• Interior Electrician course — Sheppard Air Force Base, TX
AWARDS AND COMMENDATIONS
• Small Arms Marksmanship Ribbon
• NCO Professional Military Education Ribbon
• Air Force Longevity Service Award Ribbon
• Air Force Good Conduct Medal
What contributions can you make or state reason for applying ?: I want to get involved in this community
and believe that I would be an asset to the Housing Commission because I want to understand what it
involves as wells as getting to know people in the community and work with builders, city officials,
landlords, home owners to help build a strong community.
List two reference with names and addresses:: Tom Budde
7258 Olde Davenport Road
LaMotte, IA 52054
1- 563 - 543 -5361
Mary Jane Mitchell
5721 Fairway Drive
South Beloit, Illinois
61080
815- 389 -6582
815 - 519 -1001
Are you currently serving on other Boards, Commissions, or Committees ?: No
If yes, which ?: Select One
Have you served on a Board, Commission, or Committee before ?: No
If yes, which ?: Select One
Signature:: Patricia J Rogaskie
Date:: 4/20/2011
Additional Information:
Form submitted on: 4/11/2011 6:06:17 PM
Submitted from IP Address: 173.27.45.200
Referrer Page: No referrer - Direct link
Form Address: http:// ■ww. cityofdubuque .org /forms.aspx ?FID =75
(4/12/2011) Kevin Firnstahl - Online Form Submittal: Board /Commission Page 2
Chanute Air Force Base /Sembach Air Base
Civil Engineering Squadron — Interior Electrician
EDUCATION AND TRAINING
BA — Management and Leadership, Judson College, IL
Interior Electrician course — Sheppard Air Force Base, TX
AWARDS AND COMMENDATIONS
Small Arms Marksmanship Ribbon
NCO Professional Military Education Ribbon
Air Force Longevity Service Award Ribbon
Air Force Good Conduct Medal
What contributions can you make or state reason for applying ?: I want to get involved in this community
and believe that I would be an asset to the Housing Commission because I want to understand what it
involves as wells as getting to know people in the community and work with builders, city officials,
landlords, home owners to help build a strong community.
List two reference with names and addresses:: Tom Budde
7258 Olde Davenport Road
LaMotte, IA 52054
1- 563 - 543 -5361
Mary Jane Mitchell
5721 Fairway Drive
South Beloit, Illinois
61080
815- 389 -6582
815- 519 -1001
Are you currently serving on other Boards, Commissions, or Committees ?: No
If yes, which ?: Select One
Have you served on a Board, Commission, or Committee before ?: No
If yes, which ?: Select One
Signature:: Patricia J Rogaskie
Date:: 4/20/2011
Additional Information:
Form submitted on: 4/11/2011 6:06:17 PM
Submitted from IP Address: 173.27.45.200
Referrer Page: No referrer - Direct link
Form Address: http:// www. cityofdubuque .org /forms.aspx ?FID =75
Masterpiece on the Mississippi
CITY OF DUBUQUE, IOWA
BOARD /COMMISSION APPLICATION
Dubuque
IICity
II
2007
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 13th 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: 1- 1,1', ;ry4 Gc y-Y"irr
(Some boards /commissions require State of Iowa Gender Balance, compliance)
NAME: Pi i r'1 r .
ADDRESS:
(
LL-41.1.41.5+-
ity of Dubuque residency require
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BUSINESS: ADDRESS:
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HOME PHONE: G.v:!j S / ?/ S BUSINESS PHONE:
E -MAIL ADDRESS(ES): (IL v's -4-n 1..0? CL 9 \ Y7\
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EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD /COMMISSION:
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WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING:
LIST TWO REFERENCES:
NAME: T", e_ rZoo+ ADDRESS: & -, R
NAME: �� � �(! - -` l ADDRESS: !J C cc,t)t ) 1 • b ��
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 Commission: z5 Name: ADO in/ CAYrN �S-S t <Ty� v--‹* I
SIGNATURE: ri,Q,(1)(k.,,v,tc •3'1l&_
If questions, contact they City Clerk's Office, City Hall, 50 W. 13th 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 JUL 12 API 10: 26
City Clerk's Office
Dubuque, IA