Boards and Commission AppointmentsVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE
BOARDS AND COMMISSIONS
For Council Meeting of
Monday, February 6, 2012
6:30 p.m., Historic Federal Building, 350 W. 6th Street
APPOINTMENTS TO THE FOLLOWING COMMISSIONS
TO BE MADE AT THIS MEETING.
Community Development Advisory Commission
Three 3 -year terms:
• One low /moderate - income area term (vacant term of Stubben) through February 15,
2015
• One low /moderate - income area term (vacant term of Craddieth) through February 15,
2014
• One at -large term (expired term of Wainwright) through February 15, 2015
Applicants:
Abagail Smith, 1780 Central Avenue 2A (Low /Moderate - Income Area) Additional Applicant
Adam Rathje, 299 Main St., Apt. #45 (Low /Moderate - Income Area) Additional Applicant
Thomas Wainwright, 1788 Lori Street (At- Large)
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
Linda Lucy
Marianne Krause
Tom Henschel
Vacant (Term of Stiles)
(By Board Vote) 01 -03 -02
(County) 12 -31 -02
(County) 12 -31 -08
(CityZAC) 01 -03 -14
(CityZAC) 01 -03 -14
AIRPORT ZONING BOARD OF
ADJUSTMENT
5 Year Term, Meets on Call
*Vacant
Randall J. Klauer
Michael A. Ruden
Darlene Burds
Ron Koppes
(By Board Vote)
(City ZBA) 02 -15 -11
(CityZBA) 02 -15 -11
(County) 02 -15 -11
(County) 02 -15 -11
ARTS AND CULTURAL AFFAIRS
ADVISORY COMM. 3 Yr Term
Meets 4th Tues., 4:30, Library Brd Rm.
Ellen H Henkels
Julie Steffen
*Geri Shafer
Louise Kames
Marina O'Rourke Rosenow
Susan Riedel
Paul Hemmer
(Bus /Prof) 06 -30 -12
(Bus /Prof Dist) 06 -30 -12
(At Large) 06 -30 -12
(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 -01 -11
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
I (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 Bldg. /Housing
Thomas Wainwright (At Large) 02 -15 -12
Vacant (Term of Stubben) (LowIM 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 (tlo 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
(JouriMaint) 05 -21 -14
(At Large) 05 -21 -14
(Elec. Engr.) 05 -21 -14
(JouriMaint) 05 -21 -14
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
(At Large) 2 -15 -12
(At Large) 2 -15 -12
(At Large) 2 -15 -12
(from LRP) 2 -15 -13
(IDED) 2 -15 -13
(Intl Labor) 2 -15 -13
(IA Workforce Dev) 2 -15 -14
(Council Rep) 2 -15 -14
(NICC) 2 -15 -14
ENVIRONMENTAL STEWARDSHIP
ADVISORY COMMISSION - 3 Yr. Term
Meets 15t Tues. 5 p.m. City Hall Annex
Gayle Walter
Aditi Sinha
Vacant - Youth (Term of Miller)
Michael J. Buelow
Chad Oberdoerster
Wayne Klostermann
Stacey Splittstoesser
10 -01 -12
10 -01 -13
06 -01 -13
10 -01 -13
10 -01 -13
10 -01 -14
10 -01 -14
HISTORIC PRESERVATION COMM.
Appt. 3 Yr. Term, Meets 3rd
Thursday, 5:30 p.m., Federal Bldg
D. Joseph Rapp (old Main Interim) 07 -01 -12
Mary Loney Bichell (At Large) 07 -01 -12
Vacant (Term of Knight) (At Large) 07 -01 -12
Christine Olson (At Large) 07 -01 -12
Robert McDoneli (Jackson Pk) 07 -01 -13
John E. Whalen, MD (mint]) 07 -01 -13
Christopher J. Wand (ArchlAt Lg) 07 -01 -14
*David Klavitter (Langworthy) 07 -01 -14
Mitzi Krey (Cathedral) 07 -01 -14
HOUSING COMMISSION
3 Yr. Term, 4th Tues. 4:00 p.m., Fed Bldg
Amy Eudaley 08 -17 -11
Regine Ronek 08 -17 -11
*David J. Kapler 08 -17 -12
Dorothy Culbertson(Trust 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 (CDAC Rep) 08 -17 -13
Mitzi Krey 08 -17 -14
HOUSING TRUST FUND ADVISORY
COMMITTEE 3 Yr. Term, Meets 6x/Year
*Jim Holz (From Hsg) 08 -17 -12
Dorothy Culbertson (From Hsg) 09 -08 -12
Doris M. Hingtgen (At Large) 09 -08 -12
Dorothy Schwendinger (From Hsg) 08 -17 -13
John V. Walsh (At Large) 09 -08 -13
HOUSING CODE APPEALS BOARD
3 Yr. Term, 3rd Tues. 4:00 p.m. Fed Bldg.
Paul Newman
*Robert Schaub
Vacant (Term of Kinsella)
Vacant (Term of Matheos)
David Young
Vacant (Term of Moore)
Fred Miller
01 -11 -12
01 -11 -13
01 -11 -13
01 -11 -13
01 -11 -14
01 -11 -14
01 -11 -15
HUMAN RIGHTS COMMISSION
3 Yr. Term, Meets 2 "d Mon. 4:30 Annex
Regine Ronek
Mitzi Krey
Judie Root
Andrea Beacham
Michael Elliot
Miguel Jackson
*Anthony Allen
Kurt Hansen
R.R.S. Stewart
01 -01 -13
01 -01 -13
01 -01 -13
01 -01 -14
01 -01 -14
01 -01 -14
01 -01 -15
01 -01 -15
01 -01 -15
As prepared for the 2/6/12 Council meeting
INVESTMENT OVERSIGHT ADVISORY
COMMISSION - 3 Yr. Term, Meets Qtrly;
4th Wednesday 3 p.m. City Hall "A"
Brad Chalmers
Ashlie Simonson
*Gary Ruden
Stephen V. Reisdort
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 4th Thurs. 4 p. m. Library
Paula Connors
John Anderson - Bricker
Mike Willis
*Diann Guns
Fred Miller
David Hammer
Jenny Leigh Harris
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
Chad Darter
Charles Winterwood, MD
*James F. Prochaska
Craig Beytien
Richard Van Iten
Alan Vincent
07 -01 -12
07 -01 -12
07 -01 -13
07 -01 -13
07 -01 -14
(Ent Zone Rep) 07 -01 -14
07 -01 -14
MECHANICAL CODE BOARD
3 Yr. Term - Meets Qrtly, City Hall
Corey Valaskey
David Grothe
Michael P. Kelly
Paul J. Papin
Ronald Billmeyer
Gary Hillard
*Tom W. Giese
03 -16 -12
03 -16 -12
03 -16 -13
03 -16 -13
03 -16 -13
03 -16 -14
03 -16 -14
MEDIACOM CHARITABLE FOUNDATION
1 Yr. Term, On -Call, CC Appt'd Reps.
Gail Chavenelle
Connie Twining
12/31/12
12/31/12
MISSISSIPPI RIVER PARTNERSHIP
Council Apptd. Rep - 3 Year Term
Edward Cawley (Apptd Citizen Rep) 12 -31 -12
PARK AND RECREATION
3 Year Term
Meets 2 "d Tues. 4:30 p.m
ADV. COMM.
. 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
Vacant (Term of Swift) (At- Large) 11 -02 -12
Dan Harris (At Large) 11 -02 -12
Paul Papin (at will) (Journeyman) 11 -02 -12
*Harlan J. Willenborg (Master) 11 -02 -14
SAFE COMMUNITY ADVISORY CMTE
1 Yr Terms, Terms, Meets Quarterly
Anthony Allen
Mary Rae Bragg
Diane Callahan
Jonathan Cheatham
Rachel Daack
Ann Ernst
Doug Stillings
Susan Stork
Amanda Elkins
12131111
12/31/11
12/31/11
12/31/11
12131111
12131111
12131111
12/31/11
12/31/11
SISTER CITY RELATIONSHIPS ADV CMS
3 Yr Terms, Meets Quarterly
Kevin Lynch
Joyce Connors
Michael Coty
Betty Phillips
Louise Thurn
Larissa Filimonenko
Sheila Castenada
Dick Landis
Jill Connors
Annalee Ward
Jeffrey Jochum
Phyllis Lee
Pat McNamara
(Council Rep)
(Council Rep)
211113
2/1/13
2/1/13
2/1/14
2/1/14
2/1/14
2/1/14
2/1/14
2/1/15
2/1/15
211115
TRANSIT ADVISORY BOARD
3 yr. Term, Meet Monthly, 2 "d Thurs. Fed Bldg
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 2 "d 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 1st 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 1st Wed. 6:30 Fed Bldg
Charles Miller
Stephen Hardie
Patrick Norton
Eugene Bird Jr.
Martha E. Christ
Thomas Henschel
Ron Smith
07 -01 -12
07 -01 -12
07 -01 -13
(Airport ZC) 07 -01 -13
07 -01 -14
(Airport ZC) 07 -01 -14
07 -01 -14
ZONING BOARD OF ADJUSTMENT
5 Yr Term; Meets 4th Thurs. 4 pm Fed Bldg
William J. Gibbs
Jeff Cremer
Heath Hutchinson
Michael A. Ruden
Randall J. Klauer
03 -25 -12
03 -25 -13
03 -25 -14
(Airport ZBA) 03 -25 -15
(Airport zBA) 03 -25 -16
❑ = Indicates State - mandated
board /commission subject to 2012
Gender Balance Law.
ITY DEVELO MENU A DVVSO Y CO BSI
2 -6C -1: CONINIISSION CREATED; COMPOSITION:
A. Creation: There is hereby created a community development advisory commission
whose primary purpose shall be to provide for citizen participation in the
development and evaluation of the city of Dubuque's community development block
grant (CDBG) program.
B. Membership: The commission shall comprise nine (9) members; four (4) members
shall be residents of census tracts and block groups where at least fifty one percent
(51%) of the residents are low /moderate income persons as determined by the
United States department of commerce, bureau of the census; four (4) members
shall be residents of the community at large; and one member shall be that member
of the housing commission designated by the housing commission. (2007 Code
§ 15 -46)
2.5C -2: TERM; FILLING OF VACANCIES; COMPENSATION:
A. Term: The term of office for a commission member shall be three (3) years.
B. Removal Of Member: A commission member may be removed at any time with or
without cause by a vote of two - thirds (2/3) of all members of the city council.
C. Filling Vacancies: A vacancy occurring on the commission caused by resignation or
otherwise shall be filled by appointment of the city council for the remainder of the
unexpired term.
D. Compensation: Members of the commission shall serve without compensation
except for actual expenses, which shall be subject to approval by the city council.
(2007 Code § 15 -48)
2 -5C-3: ORGANIZATION:
The commission shall choose annually, at its first regular meeting of the fiscal year, one
of its members to act as chairperson, and another of its members to act as vice
chairperson, to perform all of the duties of the chairperson during the chairperson's
absence or disability. The commission shall adopt such rules and regulations governing
its organization and procedures as it may be deemed necessary, consistent with the
following:
A. Meetings: The commission shall meet as necessary to fulfill the purposes for which
the commis ion was created.
..4,� - _.,e k(� -j i?t[,., t� r.es- - `- -.If =f.a - - -' �.a, l ._� =.F_A� Via• ,-[-��m..�sc
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-.86 -'d, `r, !!` 4 €- :R =��?`' - s_!c-h pr, �' cnbe d number of mer 'tuf(g`ro, ft'i9t °:i'k
failure shall constitute grounds for the commission to recommend to the city council
that said member be replaced. Attendance of all members shall be entered in the
minutes.
C. Minutes Filed With Clerk: The 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 such meeting. (2007 Code § 15 -51)
2 -5C-4: GENERAL DUTIES AND RESPONSIBILITIES:
The commission shall have the following duties and responsibilities:
A. To conduct public hearings in accordance with the minimum standards established in
the CDBG program's citizen participation plan to ensure meaningful citizen input in
the planning, implementation and assessment of the city's CDBG program;
B. To provide for and encourage the participation of low and moderate income persons
who reside in designated areas of slum and blight and residents of low and
moderate income neighborhoods, as defined by the city council, in the planning,
implementation and assessment of the CDBG program;
C. To identify community development needs, particularly the needs of persons of low
and moderate income;
D. To serve in an advisory role upon the request of the city council in policy decisions
regarding funding priorities and program development and implementation;
E. To monitor and evaluate program activities to advise whether identified community
development objectives have been met;
F. To undertake public information efforts to educate the citizenry of the availability of
CDBG funded programs and to provide for a greater understanding of the city's
community development efforts;
G. To assist in the preparation of the statement of community development objectives
and projected use of funds, amendments thereto and required reports including, but
not limited to, the annual grantee performance report (GPR) and the annual
comprehensive housing assistance strategy (CHAS);
H. To serve in an advisory role to the city manager in the review of complaints and
grievances received in accordance with the procedures established in section 2-5C-
5 of this article; and
To support, upon request, the shorts of the city council and other city
commissions Ire the asses:'.
ne:l it of the general development needs r
The grievance procedure for the community development block grant program shall be
as follows:
A. Right To File: Any aggrieved person may file a grievance with the city manager.
B. Contents: Grievances shall contain a concise statement of the grievance and an
explanation of the action desired.
C. Forwarding To Commission: The city manager shall forward the grievance to the
commission within seven (7) working days of its receipt.
D. Setting Date For Hearing; Notice To Complainant: The commission shall, within
fifteen (15) working days of the receipt of the grievance, set a time for a hearing. The
complainant shall be notified in writing of the time and place of the hearing. If a
grievance is resolved prior to the date of the hearing, the aggrieved party shall
request in writing that the grievance be withdrawn.
E. Hearing Procedure: The commission shall conduct a hearing to review the grievance.
The grievant may appear in person, by agent, or by attorney. All persons wishing to
appear before the commission shall have an opportunity to be heard regarding the
grievance. Minutes shall be kept of the proceedings of the hearing.
F. Recommendations Of Commission: The commission shall forward its
recommendation, in writing, to the city manager within ten (10) working days
following the hearing.
G. Action By City Manager: The city manager shall receive and review the
recommendation of the commission and shall respond to the grievant within ten (10)
working days of the receipt of the recommendation. The commission shall be
advised of the action of the city manager.
H. Compliance With Federal Regulations: The recommendations of the commission
shall comply with the regulations established by the U.S. department of housing and
urban development for the community development block grant program under title
of the housing and community development act of 1974, as amended, and this code.
I. Appeal To Council By Grievant: If the grievant is unsatisfied with the response of the
city manager, an appeal may be made filed with the city clerk. The appeal shall be
forwarded by the city clerk to the city council. The city council may, at its discretion,
hold a hearing to consider the concerns of the grievant.
Council Action; Appeal To HUD: Upon review of the appeal, the city council shall: 1)
accept the response of the city manager; 2) modify the response of the city
manager; or 3) return the grievance to the city manager for further review. If the
outcome of such appeal is unsatisfactory the complainant may the _ written apnoal
with gg �. p a
e r �� hp
15-50)
)
_zi ci va_r €op east ( _ ._!�. 2007
2-5C-6: PROCEDURES FOR OPERATIONS:
The commission shall operate in accordance with the standards and procedures set
forth in the city's community development block grant (CDBG) program's citizen
participation plan. All administrative, personnel, accounting, budgetary and procurement
policies of the city shall govern the commission in all its operations. (2007 Code § 15-
52)
(1/30/2012) Kevin Firnstahl - Online Form Submittal: Board /Commission Page 1
From: "support @civicplus.com" < support @civicplus.com>
To: <kfirnsta @cityofdubuque.org >, <atauke @cityofdubuque.org >, <dharris @cityo...
Date: 1/30/2012 12:49 PM
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:: Community Development Advisory
Commission
Name:: Abagail Smith
Home Address:: 1780 Central Ave 2A
Home Phone Number:: 563 -663 -3000
Business Name and Address:: Dubuque Bank & Trust
1398 Central Ave
Dubuque, IA 52001
Business Phone Number:: 563 - 589 -2053
Occupation:: Assistant Director, Excursions
Email Address:: asmith @dubuquebank.com
Experience or education which qualifies you for this board or commission:: I am a young professional that
works and has choosen to live in the downtown area for the past 5 years. I have experience within the
buisiness community and have had the pleasure of serving on a Main Street Dubuque committiee for two
years. I also have business experience and will be graduating in May with my Masters of Communication
degree from the University of Dubuque.
What contributions can you make or state reason for applying ?: As I have spent the past 5 years in the
downtown area I believe that I can bring a young professional's perspective to the board. As a resident of
downtown, I have a desire to help aid change and be an active member of the future of downtown.
List two reference with names and addresses:: Hilary Stuben
1398 Central Ave
Dubuque, IA 52001
563 -598 -2000
Steve Juergens
151 W 8th Street
Dubuque, IA 52001
563 - 556 -4011
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
ign riur :: Abagail ft Smitii
(1/30/2012) Kevin Firnstahl - Online Form Submittal: Board /Commission Page 2
Date:: 1/30/12
Additional Information:
Form submitted on: 1/30/2012 12:49:00 PM
Submitted from IP Address: 65.125.110.141
Referrer Page: No Referrer - Direct Link
Form Address: http:// www. cityofdubuque .org /Forms.aspx ?FID =75
(1/26/2012) Kevin Firnstahl - Online Form Submittal: Board /Commission Page 1
From: "support @civicplus.com" <support @civicplus.com>
To: <kfirnsta @cityofdubuque.org >, <atauke @cityofdubuque.org >, <dharris @cityo...
Date: 1/26/2012 2:28 PM
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:: Community Development Advisory
Commission
Name:: Adam J Rathje
Home Address:: 299 Main St. Apt # 45
Home Phone Number:: 319 - 350 -3202
Business Name and Address:: Heartland Financial USA, Inc.
1398 Central Ave.
Dubuque, IA 52001
Business Phone Number:: 563 - 587 -4232
Occupation:: Management Trainee - Operations
Email Address:: arathje @htlf.com
Experience or education which qualifies you for this board or commission:: I have been in living in
Dubuque for 5 years now, beginning when I was a Freshman at Loras College. Throughout my time in
Dubuque, I have lived in several areas and have been a part of the Dubuque community. I worked
towards recieving a double major in IT Management in Business Management from Loras College in four
years. I also was an intern at Heartland beginning my junior year at Loras working 25 -30 hours a week
and going to school full time.
What contributions can you make or state reason for applying ?: I can make many contributions to the
community by bringing in my diverse background. I grew up on a farm outside of Cedar Rapids and have
now been living in the City of Dubuque for 5 years. I can contribute knowledge from living in several areas
of Dubuque and provide the commission with ideas that I have gained through work, school, and
volunteer experiences. I was made aware of an open position through Hilary Stubben who is stepping
down from the commission.
List two reference with names and addresses:: Hilary Stubben
2433 Broadway Street
Dubuque, IA 52001
Work - 563 -589 -1932
Cell - 563 - 451 -6960
Brian Fox
1682 Radford Road Apt. 6
Dubuque, IA 52002
Phone - 704 -905 -5888
Are you currently serving on other Boards, Commissions, or Committees ?: No
If yes, which?: Select One
Have
)L! er
a Huai(
i'f�I�C;ICIii
iliiee lJertOre
(1/26/2012) Kevin Firnstahl - Online Form Submittal: Board/Commission Page 2
If yes, which?: Selec One
Signature:: Adam Rathje
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Date:: 01/26/2012 /
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Additional Information: cb ��
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Form submitted on: 1/26/2012 2:28:07 PM [ U
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Submitted from |P Address: 65.125.110.141
Referrer Page: No Referrer - Direct Link
FormAddnass:http:0wvmm.oityofdubuque.org/Forma.aapx?F|D=75
THE CITY OF
Masterpiece on the Mississippi
CITY •F DUI MUM, IOWA
OA /COMMISSI • APPUCAT
Dubuque
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 131h 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:
ADV!SORY BOARD /COMMISSION APPLYING FOR:=
NAME: .
P f M
g ' I1 I !— ) C H r d j''—' f i r t. 'Li ii
(Some boards /commissiohs require State of to ya Gender Balance compliance)
ADDRESS: / _ _ ,__
BUSINESS:
OCCUPATION:.` { ( _
HOME PHONE:
ADDRESS:
(City of Dubuque residency required)
POSITION WITH COMPANY:
BUSINESS PHONE:
E -MAIL ADDRESS(ES):
EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD /COMMISSION:
WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING:
LIST TWO REFERENCES:
NAME:
NAME:
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.
Are you currently serving on a City Board or Commission: Name:
SIGNATURE:
If qu-`stio nc coniva tlic I y Cler '. s Off `" City Hell, 50 W. 13' Si., Dub ugLl , I,F 5200 i Shone t,;(:32:/5&)-4120.
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