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Boards_Commissions 4 2 07VACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE BOARDS AND COMMISSIONS For Council Meeting of Monday, April 2, 2007 6:30 P.M. Public Library Auditorium APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL ON THEIR POSSIBLE APPOINTMENT AIRPORT COMMISSION One unexpired term through September 14, 2008 (Term of Goodmann) Applicants: Sue Czeshinski, 2285 Samantha Drive Terry Mozena, 1036 W. 3~d Street Eric Savage, 2015 Washington Street Timothy Rink, 30 Devon Drive MEDIACOM CULTURAL FOUNDATION Two, expired, one-year terms through December 31, 2007. (Terms of Hall and Fabricius) (Council-Appointed Representatives) Applicants: Gail Chavenelle, 155 Kelly Lane Tom Goodman, 3055 Powers Court Rich Hall 1834 Vizaleea Drive Michele McKinlay, 1860 Loras Blvd. Gene Perry, 1510 Kehl Court Edwin Ritts, 570 W. 7th Street John Tilton, 260 York Street Vince Williams, 3965 Creston Street John Woodin, 725 Laurel Street APPOINTMENTS TO THE FOLLOWING COMMISSIONS TO BE MADE AT THIS MEETING. MECHANICAL CODE BOARD Two expired three-year terms through March 16, 2009 (Terms of Geisler &Willenborg) Three expired three year terms through March 16, 2010 (Terms of Bandy, Kelly, &Papin) Applicants: Chuck Bandy, 1009 Mela Drive Michael Kelly, 2875 Timber Line Drive Paul Papin, 2955 Jackson Street Harlan Willenborg, 3254 Lake Ridge Drive CITY OF DUBUQUE, IOWA BOARDS AND COMMISSIONS ` -Denotes Chairperson; For Information: 589-4120 Revised 3/21/07 AIRPORT COMMISSION - 4 Yr. Term Meet 4th Monday 4:00 p.m. -Airport 09-14-08 Douglas Brotherton 09-14-09 Michael A Santillo 09-14-09 Charles Daoud 09-14-10 *Steven R. Accinelli 09-14-10 AIRPORT ZONING COMMISSION 6 Yr. Term - td. 1996 Steve Horsfield (Appt) 01.03-02 Jeffery S. Gaber (City) 01-03-02 Jeff Stiles (City) 01-03-02 Marianne Krause (County) 12-31-OS Count 12-31-08 AIRPORT ZONING BOARD OF ADJUSTMENT 5 Year Term -Meet on Call (Apptd.) James Bauerly (City) 02.15-01 Vicki Bechen (City) 02.15-01 Darlene Burds (County) 02-15-11 Ron Ko es Count 02.15-11 ARTS AND CULTURAL AFFAIRS ADVISORY COMMISSION 4"' Tuesday, 4:30, Library Board Room Louise Kames (Arts) OB-30-07 Paul Kohl (Arts) OB-30-07 'Susan Riedel (Arts) 06-30-07 Mark Wahlert (Arts) 06-30-07 Ellen H Henkels (Bus/Prof) 06-30-09 Amy Weber (BuslProf Dist) 06-30-09 Geri Shafer At Lar a 06-30-09 BOARD OF APPEALS -BUILDING CODE Appt. 3 Yr. Term -Meet on Call Ronald D. Jahns (Jrny.Carp.) 08-01-01 F. James Kolf (Arch/Engr.) OS-01-01 Steven J. Gudenkauf (At Lrg) OS-01-02 Chuck Carr (Gen. Cont.) 08-01-03 Richard G. Luchsin er At Lr 08-01-03 BOARD OF REVIEW Appt. 6 Yr. Term -Meet May 1-30 Robert Schaub 01-01-05 Greg Hutchinson 01-01-05 John F. Ganshirt 01-01-OS Ruth Ann Hanson 01-01-08 Donald Lochner 01-01-10 CIVIC CENTER COMMISSION Appt. 3 Yr. Term -Meet 4:30 p.m. 4th Monday at Five Flags 'Mark M. Nauman 06-29-07 Michael Brannon 08-29-07 Rod Bakke 06-29-07 Cynthia A Fuller 06-29-09 B ce Parks 06-29-09 CIVIL SERVICE COMMISSION t. 4 Yr. Term -Meet on Call Richard Wertzberger 04-06-08 'Merle J. Duehr, Jr. 04-06.09 Loral Kluesner 04-06-10 COMMUNITY DEVEL ADV. COMMISSION Appt. 3 Yr. Term -Meet 2ntl Wednesday, 7 P.M. at Library Auditorium (Housing Rep) 02-15.07 David Oliver (Low/M Inc Area) 02-15.08 David Shaw (Low/M Inc Area) 02-15-08 Janice Craddieth (A1.Large) 02-15-08 Thomas Wainwright (At Large) 02-15-09 Hillary A Stubben (Low/M Inc A) 02-15-09 Paula Maloy, SVM (At Large) 02-15.10 Theresa Caldwell (At Large) 02-15.10 `Michael Gukeisen LowlM Inc A 02-15-10 ELECTRICAL CODE BOARD 3 Year Term; Meet 4'" Monda -2 Months Ronald Mueller (At Lg) 05-21-08 `James Dixon (Elec. Con.) OS-21-08 Dan Hammel (JourlMaint) 05-21-08 Elaine L. Reiss (Elec. Engr.) 05-21-OB Kevin Pfohl (Jour/Main) OS-21-OS Bob Schmidt (Elec. Bkground) 05-21-09 Paul J. Uhlrich (Elec. Bkgrnd) OS-21-09 ENTERPRISE ZONE COMMISSION 3 Year Term -Meet On Call Eileen LeMay (Workforce Ctr.) 2-15-07 Mike Van Milligan (Council Rep) 2.15-08 Daniel White (NICC) 2-15-08 Doug Buswell (At Large) 2.15-09 Dan LoBianco (At Large) 2-15-08 Doug St111ings (At Large) 2-15-09 `Rick Stein (Long Range Comm) 2-15-10 Kelley Deutmeyer (IDED) 2-15-10 Dave Baker Intl Labor 2-15-10 ENVIRONMENTAL STEWARDSHIP ADVISORY COMMISSION - 3 Yr. Term Meet 1st Tues. 4:00 p.m. City Hatl Annex Claire Miller (Youth) 08-01-07 '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 Casel 10-01-09 Jose h Suarez 10-01-10 HISTORIC PRESERVATION COMM. Appt. 3 Yr. Term, Meet 3rd 7hursda , 5:30 .m., Libra John E. Whalen, MD (W. 11th) 07-01-07 David C. Stuart (Jackson Pk) 07-01-07 Christopher J. Wand(Arch/At Lg)07-01-08 (Ofd Main Rep) 07-01-08 Keisha Wainwright(Langworthy) 07-01-08 Michael Coty (Cathedral Dis.) 07-01-09 Mary Loney Bichell (At Large) 07-01-09 Matthew Lundh (At Large) 07-01-09 'Christine Olson At Lar a 07-01-09 HOUSING COMMISSION 3 Yr. Term, Meet 4th Tues. 4:00 p.m. 1805 Central Char Eddy 08-17-07 'David J. Kapler 08-17-07 Dorothy Schwendinger, OSF 08-17-07 William D. Hailing OS-17-08 Linda Frommelt 08-17-08 Angela Mozena 08-17-08 Dorothy Culbertson 08-17-09 Jim Holz 08-17-09 John J. Plain (Sec. 8) 08-17-09 Rachel M. Sava a OS-17-09 HOUSING ADVISORY TRUST FUND COMMITTEE 3 Yr. Term -Meet 6x a Year Char Eddy (Frm. Hsg.) 09-08-07 `Jim Holz (Frm. Hsg.) 09-08-07 John V. Walsh (At Large) 09-08-07 Doris M. Hingtgen (At Large) 09-08-09 Doroth Culbertson Frm Hs 09-08-09 HOUSING CODE APPEALS BOARD 3 Yr. Tenn -Meets 3rd Tuesday, Hsg Ofc Ben Durley 01-11-06 Thomas G. Swift 01-11-08 Sandra Moore 01-11-08 David Young 01-11-08 `Robert Schaub 01-11-10 William J. Kinsella 01-11-10 James Matheos 01-11-10 HUMAN RIGHTS COMMISSION 3 Yr. Term Meets 2nd 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 01-01-09 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. Tenn, Meet Qtrly; 4'^ Wednesda 3:00 P.M. Cit Hall "A" Gary Ruden 07-01-07 Stephen V. Reisdort 07-01-07 Virgil Blocker 07-01-08 `Paul Lassance 07-01-09 Hiram Melendez 07-01-09 LIBRARY BOARD OF TRUSTEES 4 Yr. Term, Meets 4th Thurs. 4:00 Library Susan Lindsay 07-01-07 'Alan Avery 07-01-07 Michael Shubatt 07-01-0T Kristen L. Smith 07-01-07 Diann Guns 07-01-08 Beverly Kolz 07-01-09 Beck Hauder 07-01-09 LONG RANGE PLANNING ADVISORY COMMISSION -Meets 3rd Wed. 7 -Lib. 'Charles Winterwood, MD 07-01-07 James F. Prochaska 07-01-07 Patricia Cline (Council Member) 01-01-0$ Otto Krueger 07-01-08 Lou Oswald 07-01-08 Richard Stein 07-01-09 Ma L nn Neumeister 07-01-09 MECHANICAL CODE BOARD 3 Yr. Term -Meet on Call Harlan J. Willenborg 03-f8-06 Todd Geisler 03.18-08 Michael P. Kelly 03-18-07 Paul J. Papin 03.18-07 Chuck Bandy 03.16-07 Tom W. Giese 03-18-08 David W. Grothe 03.18-08 MEDIACOM CHARITABLE FOUNDATION 1 Yr. Term -Council Appt. Rep 12/31!07 12l31I07 PARK AND RECREATION ADV. COMM, 3 Year Term Meets 2nd Tues. 4:30 Bunker Hill Karen C.Lyness 08-30-07 Gary L. Harjehausen 06-30-07 'Paul Hoffmann, D.D.S. 06-30-07 Tom Blocklinger 08-30-08 Kim Daykin 08.30-08 Evelyn Nadeau 08-30-08 Chuck Du an 08-30-09 PLUMBING BOARD 3 Yr. Term - Meet 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 Y, Term Meet Bimortthl 2nd Thurs. L. Don Stedman 07-30-07 George Enderson 07-30-08 'Joel Lightcap 07-30-08 Sarah Davidson 07-30-08 Peter V. Kies 07-30-09 TV CABLE REGULATORY COMMISSION 3 Yr. Terrrt, Meets 2nd Wed. 5:30 Annex Michael W. Pratt 06-30-07 Kevin R. Stevens 06-30-07 Ronald Tigges 08-30-OB Walter Webster 06-30-08 'Charlie Ellis 06-30-09 TV CABLE COMMUNITY TELEPROGRAMMING COMMISSION 3 Yr. Term Meet 1st Tues. 5:30 Annex Burton Everist 06-30-07 Pauline J. Maloney 08-30-08 George P. Herrig 08-30.08 Sr. Carol Hovemtan 06-30-08 Jennifer L. Tigges 08-30.09 06-30.09 08-30-09 ZONING ADVISORY COMMISSION 3 Yr. Term, Meets 1st Wed. 8:30 Library `Eugene J. Bird, Jr. 07-01.07 Jeff Stiles 07-01-07 Martha E. Christ 07-01-08 Richard J. Schiltz 07-01-08 Ron Smith 07-01.08 Stephen Hardie 07-01-09 Kenneth Bichell 07-01-09 ZONING BOARD OF ADJUSTMENT 5 Yr. Term; Meet 4th Thurs. Libra Jim Urell 03.25-08 William M. Gasper 03-25-09 'Michael A. Ruden 03-25-10 Randall J. Klauer 03-25-11 William J. Gibbs 03-25-12 Application Page 1 of 1 CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interst to our community and its future. The City Cleric's Office, City Hall, 50 West 13v' 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: 3I a ~~ OCCUPATION:I~IY11~.0//'VI~~U . ~ VLSt'~i SITION WITH COMP//A~~NY: =,www- HOME PHONE:~/!'~'IX!'~~I BUSINESS PHONE: ''.JI!!~ -~ ~g2ot) If questions, contact the City Clerk's Offic ity Hall, 50 W. 13~' St., Dubuque, IA 52001. Phone 563/589 4120. All names will be dropped from the list after a one year period. Are you currently servin n a City Board or Commission: ~b SIGNATURE: L ~A. S ZOt1Z ~~« p Specific attention should be directed to possible conflict of interest, For further clarification, if a situation arises contact the appropriate staff person or to the City's legal staff. print this page ~.., O Q`'~ ~, s ~ c~ ~ --. %~_ ^~ `a I ~l ~ o ~ sr• ~ ,.- n ~ ~ ~ o ~ http://www.cityofdubuque.org/printer_friendly.cfm?pageid=148 3/27/2007 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: ra~C i ui i Jeanne Schneider From: "Molly Grover" To: ,,,,,,,, Date: 04/02/2007 9:58 AM CC: "Sue Czeshinski" Dear Mayor Buol and Dubuque City Council Members, The Dubuque Area Chamber of Commerce fully supports and recommends Ms. Sue Czeshinski, Executive Director of the Conventions and Visitors Bureau for the vacant Airport Commission seat. Ms. Czeshinski understands the importance of economic development and has proven success in promoting our region as the ultimate tourism destination for Iowa, resulting in significant economic impact and investment for our community. The best interests of the Airport Commission would be well served by her local, state and regionally respected knowledge and expertise, Together the Chamber and the CVB are the foremost advocates for the business community, promoting our region as the best place to live, work, play, and do business. It is the responsibility of our organizations to not only sustain our area for business viability but to enhance and ensure future growth and development for our community. As the potential appointee, Ms. Czeshinski will harness her regional clout in addition to the advocacy of our over 1000 area business members in moving our Dubuque Regional Airport forward. Ms. Czeshinski would be an asset to the Airport Commission as we encourage your consideration of her application. Sincerey, Molly Grover President & CEO Dubuque Area Chamber of Commerce www.dubuquechamber.com n ~ 563.557.9200 ~ Phone 563.557.1591 ~ Fax ~`~= ~ m 563.581.3119 ~ Cell ~- ~ i ,.~ Leading BaNneeaes. Leadi~ Communitles. C ~ ~ N ~ ~ ~ CD ~ ~ rn o _ D_" ° O N file://C:\Documents and Settings\jschneid\Local Settings\Temp\XPgrpwise\4610D3AED... 0~4/U2/2007 CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM dividuals serving on Boards and Commissions play and important role in advising the Council matters of interest to our community and its future. he 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: February 12, 2007 ADVISORY BOARD/COMMISSION APPLYING FOR: Airport Commission NAME: Terry L. Mozena BUSINESS: Premier Bank OCCUPATION: Banker ~ME PHONE:563-584-0282 ADDRESS: 1036 W. 3rd Street ADDRESS: 1975 JFK Road POSITION WITH COMPANY: Business Development Officer BUSINESS PHONE: 563-588-1000 ext 726 EMAIL ADDRESS: Tmozena@premierbanking.com EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: Nearly 20 years experience in the aviation industry working for American Airlines/American Eagle most recently as the General Manager in Dubuque. Broad understanding of the workings of the airport and the contributions that it makes to the local economy. WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: I feel that I can bring some insight to the commission with my background in commercial aviation. I want to assist the community prow the airport, increase enplanements and expand travel options. Additionally, I want to see the airport increase and improve services to the private aviation community. LIST TWO REFERENCES: NAME:_Steve Accinelli ADDRESS: 3007 Huntington Dr. NAME:_Bert Tower ADDRESS: 3092 Eagle Point Drive Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. ~re you currently serving on a City Board or Commission: NO aIGNATURE:_Terry Mozena If questions, contact the City Clerk's Office, City Hall, 50 W. 13 St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD . , CITY OF DUBUQUE, IOWA BOARDICOMMISSION 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 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. Appointmentls) 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 (unless the applicant advises they are no longer interested/. c DATE: ~~ Au4 2l6i<5~ ,.., - ADVISORY BOARD/COMMISSION APPLYING FOR: /itt2-Pc~z Co r~.~ts5~c+~1 NAME: kiL~C RoaE~'~ ~RVAGE ADDRESS: ~..G15 ~ "V~aS~li~J6 ~ot~ BUSINESS: ~ ti~rCas~~Y o~ Dy8~3v~ ADDRESS: 2~at5 Jt~:uEas-F~ ~.tcwu~ _ _i OCCUPATION: ~.fl:;ca'~~cIJ POSITION WITH COMPANY: T~ea.e~iER;,, HOME PHONE:..5-63-~4~5 ~D462 BUSINESS PHONE: x"63 -3d 9-3R~3 ~PERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR THIS BOARD/ MISSION: t3 S Av+AT^\~cr~ Aarn,N s-rza-troCL A. S, t1tR~~Pr•iic.~c,~iPOt.., I(h~.S. ~r~.n;~[ai.~ec..t~c::c_CG~7 ~ M~tc~ c~ ~ NHS., itDMl-:STR~tT(e ~ 1'F~ ~ C.Atu ~,DA~ \ 1\P ~\wL CL-.~Or N`{ "CGisT0.AGTS (iZ'Giiyb QNALtisT ~ ZSQr'r M+~Iiow ~.~z P_:~GT'S 1~s5~0~.L~t~s2.T-, :inisc-R~;rtea~; Gw: •~+D ~.ays,R.a,Ct~R ilnet~w.~n;tiC.cr.dst~.r~~y~U Erv~~NCE~'~~fl-~~; F-i5~ Av~B. ~-4~;T3~j ~ -.,srA.+' ~Ca.fax ° ~~ ther2rr :111itr s l)~ vEtzs ~ - iEAt-it Mt~tlA~K c~t~--S ~~ frl`SCAI AS~tTS c~ A~~ATrs~ti> r'N1Gr1~T ,• WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYINGi,~ ^~~•'~ N.CzM,T~~~LOrT\ENC~„~ I/+JCa:\ii~Il'~ cx~ERieNc:E , t2csotANACrss\s ExpERt~'WtE: VEND",~ ~ i.CC,.ST-t5 Sti='Ji1I~I ME.,ntiT ExuE~ WEui~~ JAittRivCE Ak:At~t~~s ~^r'F4C~•ar~li.+b •L-cs>~~r=cL EXD EiZiENfC . '-'i~i~i r~ n r ~~n, ~ l ~ R N'r9 l~Ar'c ,/~<D L £ O t ~, ANC ~-NEIL' S~ fYt Er/1' ~t r -d7C .~ 1 r2 ~f29, rs~h "7 .~ 0' 's': ~Y A S u'~14 AS ,A~Tr_, yFe~~,~rrCfDA~,~c gar c:,;i~ st•'LF-(-s•.VErQii.'A~tJC~ Mils 8F A VEoY /~E-u.iARt~irl.`6 ~X~~~'IE.v~E uloE6 art': Ce.'~+wyw~~;' iogJLy ~ /SAVE AJ:> PctrtY A/a:i~ ps2otEpc,'r2E-SfTl'r~.+b Cq~Atr}y .aT~l iJ~OAYrAtrGrv Air)?~r?t~'.dE LIST TWO REFERENCES: ~;,; C.CNrfrC'T rT >,v~2~r „,;ra ~,~sc.vAZ A~r±<iRAfE usAE~ .¢~r 1hE Arj9ore.f, NAME: S~~a~ Fa.~s~ti. ADDRESS: 9~U rf. 9`'', ,t~~~;~.'.;..~~ :rt NAME: iC.=utu ~oleY ADDRESS: loco Ua:sv~2s;~^I ~~e,~,,•E~ t~r3~~C.yE~,~A 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: ISO. questions, hone: 589-~ SIGNATURE contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM ividuals serving on Boards and Commissions play and important role in advising the Council 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 near 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 ~ the~'application is active (unless the applicant advises they are no longer interested) ~~ s ~. / ~ ~'~ ~' DATE: ~rh ~ GI'c~o7 ~ m -~ '~ c ~,:_ °T3 :1a ~' -v ADVISORY BOA~,D/COMMISSION APPLYING FOR: ~ ~ a ~ -- ,ice NAME: ,//~a~~i/ ~~.~,,, ~;;,r.~ ADDRESS: ~Q ~~~a,v ~O~ o~ BUSINESS: ~l1a~,`r~..,i ~Krf r~ }~.~,: ;ss g~,~ADDRESS: ~y~~G ~~ S~ OCCUPATION: L h~~ ~' 6~r~ 7~ POSITION WITH COMPANY: ~/!~'~ ~ ~~~ ~ME PHONE: S~~ ~85~ ~£'9~' BUSINESS PHONE: ~~S'~S'G ~6s`~ EMAIL ADDRESS: ~.3f~G Q/y1~~s~- ~,~ EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: ~~~ 0 /,v'~o /!~ o~i~~'tly~ f~~: per, r ~ f' ~ {~'Q s ~ ~ . ~ ~'.< < to a ,fr./ . < WHAT C NTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~~~ c. 7CNa~, r ~ Q ~r~la a~~ f~ ~~o~ ~ ~~z¢ ~ n~ snr~P /YI iYf•/i~oe ~ /7+~r~cr rSrt Div C~GC Yo ~ G~o~f ~srY~Q/~r:vs• r ~ a H ~c•r L:W / ' '•a ~[ l o~ti, aSl r ra /' I sr~. is i~f- o:~ G/~ // LIST REFERENCES: Q~~ ~~ ~~ NAME: ll~i',~~ ~~rH~ ADDRESS: O i-~. NAME: ~ ~"P i~~~dr.~, /~ ADDRESS: ~~ ~i~~ ~ e.,~ // ~Q~/ Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises, contact the a propriate Staff or Legal Staff. Are you currently se n Ci oard mmission: ~~ NATURE: - 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. CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM ~~ c e ~ a~ ~,t~ 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, !A accepts application for any Board and/or Commission at any time, and that a lication sta s active for one ear from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be su bmitted 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: ~f. tC~ ~ c`J ~ ADVISORY BOARD/COMMISSION APPLYINGG FOR: Arts and Cultural Affairs Commissiot~ Position: . Arts Representative (4 Positions) Business and Professional Community (2 Positions -One must work/live v~~ithin Cultural Arts District) - ~ At-Large (One Position) NAME: ~i*-!l t--- ~r10.\1 ~°VI~II ~ ADDRESS: ~,~ SS ~,Z~~ L~~~ ~ 5 aC~~ Cl~-v~r~lt~ St c~ t ~ BUSINESS: _ ~Yl ~-~'c~ 1 t~D C'~S ADDRESS: `~~Y~?, ~ ~(~~-~(Q,S~i.UdA U ~~ OCCUPATION: 1~``~~~C~il~ POSITION WITH COMPANY: U~~~~ HOME PHONE `~Cv 3 ~ S`53` 2-"~.l~c~ BUSINESS PHONE: ~C),.~C„ S(o3 - ~~3- 3~~ EMAIL ~.II.~S~-~tU ~ ~m EXPERIENCE, EDUCATION THAT QUALIFIES YOU FOR IS BOARD/COMMISSION: lr~ LIST TWO REFERENCES: WHAT. CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~- l r~ r ~~rr~ b t nQ. 0. ~~~ (`~"~ ~0.~St c~~~ fc~~'t-h,~ 0.r-{-~ (,~.l~h Itjl.j~l t1~ ~S ~C,ut; t~ o. rn ~r t~ ~:. r~AP~~E: c~t~~c~r~ ~~n~.Yi~~ - ~~re.~tz~ ADDRESS: i~.~~, L~ ~ ~oc~1 ,NAME: C~..~i'~n t Q.. ~iy(nl~ - ~t«Q..~" ~~~`" ADDRESS: ~~~,c~ th.~., ~~~ ~ ~~t`~:C~Lek u~ c „~- 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 serving on a City Board or Commission: ~'~~ SIGNATURE: If questions, contact the City Clerk's Office, City Hall, 50 West 13th St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PEf210f~. c; ~~ ,,~ :; _ ~ ! 1 ~_-- rrl ~ _ ti _ ~_ r" ( _ ~ ~ ^ t ' ..~~ ~ J_ `' Chavenelle Studio ~ m e t a I w o r k s EXPERIENCE BusnvESs • Owner/Artist Metal Sculpture business- over 10 years • Member Dubuque Area Chamber of Commerce • BuyIowaArt.com and Iowa Artist Directory Participant PUBLIC COLLECTION INCLUSION • Grand River Center • Carnegie Stout Public Library • Women's Center -University of Wisconsin- Platteville • Dubuque Greyhound Park and Casino Renovation PAST BOARD MEMBER • Dubuque Symphony Orchestra . • Dubuque County Fine Arts Society • Dubuque Museum of Art CITY BOARDS AND COMMISSIONS • Long Range Planning Commission • Art Advisory Sub-Committee -Carnegie Stout Public Library* • Citizen Advisory Committee- Zoning Ordinance Update* * Current one piece sheet metal sculpture for office, home and garden 1155 Kelly Lane • Dubuque, IA 52003 • Voice 563.583.2218 • Fax 563.583.3566 www.chavenellestudio.com • gail@chavenellestudio.com y' ~ v G'I~;~-~' CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM ~dividuals 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 su bmitted 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) I DATE: `~ , ~ L~ Z~/~ C~~~C~s~~ ! U G ~c y C~l.~, ~ ~r'~~n~ I ~~ I ~ ~ ,~- ~ ~~~~~~~ ~ ~~ ~ ~ ADVISORY BOARD/COMMISSION APPLYING FOR: Arts and Cultural Affairs Commissio~~ Position: Arts Representative (4 Positions) f' Business and Professional Corr munity (2 Positions -One must worklli~e w ithin Culture! Arts District) X.: At-Large (One Position) NAME: ~~-!l i.._ (~1C~\1 ~.ltl~ L` ~ ADDRESS: ~` S ~ ~ ¢ ~~ tom. ~Vl~ '' `~ ~~ BUSINESS: 1M ~~' 11 LUC9C~S ADDRESS: ~~~'- ~ C~.~/1,G~~ls2~r~L~S\u C7 +~~ OCCUPATION: (~~C-"~~~U POSITION WITH COMPANY: Ul9~d'~1~~- HOME PHONE `~(0 3 T ~3_ ~-~-1~ BUSINESS PHONE: ~-~C~x, S(o3- X553- 3S EMAI (~o r v0.V~-1 ~ I.eS~'U~r (U ~ ~U~YI EXPERIENCE, EDUCATION THAT QUALIFIES YOU FOR HIS BOARD/COMMISSION: ,~ r ht,~ihe55 Gt,~~Y ~ hC~i c~ 1'~'x'.~r~n(9~-~- ~0.1f~c~ ~c~~rn~-~ ~i~.0. Gt2 ~ `-t, j~ _ _ t~ T CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: .i ~ ~,"n h ~ tl o Q C{ e c~.l (~._:Ct.~,~ ~L~SI c~Yl f"O~'~'Y~- 0.r ~~ (,L•1-~ 4~ ~jlJc~l 1~ ~ LIST TWO REFERENCES: ~ ~ G'1 C ~~ ~ ~,~ E; C~i.1~~1~ ~z~n~ YtL ~,< - ~i rec, '~- ADDRESS:.. l~c~~~~~ , ~- ~ '~c~1 TAME: ~~~`ln 1 Q-Tu.~t nl~ ', ~ I~" ~ ADDRESS: ~~ z r~i~~ t-~ 1.sUhUca1 ~ ~L-~ S ~~ specific attention should be directed to possible conflict of interest. For further clarification, if a ituation arises, contact the appropriate Staff or Legal Staff. -re you currently serving on a City Board or Commission: ~'<~ SIGNATURE: F questions, contact the City Clerk's Office, City Hall, 50 West 13th St., Dubuque, IA 52001. phone {563) 589 4120. 4LL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. ~ Chavenelle Studio m e t a I w o r k s EXPERIENCE BUSINESS • Owner/Artist Metal Sculpture business- over 10 years • Member Dubuque Area Chamber of Commerce • BuyIowaArt.com and Iowa Artist Directory Participant PUBLIC COLLECTION INCLUSION • Grand River Center • Carnegie Stout Public Library • Women's Center -University of Wisconsin- Platteville • Dubuque Greyhound Park and Casino Renovation PAST BOARD MEMBER • • Dubuque Symphony Orchestra • Dubuque County Fine Arts Society • Dubuque Museum of Art CITY BOARDS AND COMMISSIONS • Long Range Planning Commission • Art Advisory Sub~Committee -Carnegie Stout Public Library* • Citizen Advisory Committee- Zoning Ordinance Update* * Current • one piece sheet metal sculpture for office, home and garden 1155 Kelly Lane • Dubuque, IA 52003 • Voice 563.583.2218 • Fax 563.583.3566 www.chavenellestudio.com • gait@chavenellestudio.com CITY OF DUBUQUE, IOWA )Z ~2% ~ ~ s~~~ BOARD/COMMISSION APPLICATION FORM I ~~ Pal h~ ~ ~ ~Zo[ °1~ dividuals servin on Boards and Commissions la and im rtant role in~ dvisin the Counc~ 9 P Y Po 9 on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13"' 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: f ;-S -._ ~-c_- o C;, L ~~~~.~ ~ ('7 ~D ~ ~.__. ADVISORY BOARD/COMMISSION APPLYING FOR: Arts and Cultural Affairs Commission Position: .~ v~u,~ ~ ~~ -t~Z vw. ~ u~w. C o ~-,,d~.-~v~-~~ ~w ~; °~ ~~--, a--,-, ~ ~~l,~tik ~~U s, ~1~~'15 . l,r~ ~ ~; Arts Representative (4 Positions) Business and Professional Community (2 Positions -One must work/live within Cultural Arts District) At-Large (One Position) ~ S l~~s~P~ ~f - ~'L~'s":~~ ~' NAME: Vi,;~'~G,-t,i ~~ ~ ~ CTVV ti~w~.._..~: ADDRESS: ~S ~h~(< < 5~-, ~u-~-L: ID~ ~ ~-~c.~ 3 BUSINESS: ~~~ ~ S~ c~~-, ~-e ADDRESS: , ~ <; , s h (i~.:v.~ 4~u~_ ~ ~~~ J OCCUPATION: r,.r~,re,tih 5~~ ~ az~.,nlnic ~f~ POSITION WITH COMPANY: Uw •~,n_._ HOME PHONE ~ (~ 3 . S 5 ~ . a~ (c s BUSINESS PHONE: S~~ 3 . SS:~ ~ 4 1 e ~i EMAI EXPERIENCE, EDUCATION THAT QUALIFIES YOU FOR THIS BOARD/COMMISSION: . _ ~ _ -~ < T CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: .. LIST TWO REFERENCES: AME: l~v , ~, ,F,- 2 ~ 5 ~lz:.~~ I ADDRESS: Sa 5 C~~%4 ~~~ uk ~+ ~ $~~v NAME: ~k~-~,~.,;, ~1c.oo~~f~ ADDRESS: ~-t~~ li~~ ~/~ . .~G~U.It,(5 ~~~~:~. (,~1" S 358,E 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 serving on a City Board or Commission: ,~r~ SIGNATURE: If questions, conta t the City Clerk's Office, City Hall, 50 West 13"' St., Dubuque, IA 52001. Phone (563) 58 ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. Experience/Education: With a Masters in Communication and a B.A. with double majors in Public Relations and Writing, the arts peppered my academic pursuits and continue to season my career choices and hobbies. Being lucky enough to grow up in a culturalh~ nurturing environment, exposure to the arts was prenatal; I come from a long line of accomplished musicians and artists. Having appeared on stage in well over SO theatrical productions, I fell in love with the spotlight at age seven. An adept vocalist, I played piano, saxophone, and violin in grade school, and continued with strings-adding cello to the mix-in high school. In college I joyously labored over four years of voice lessons, concert choir, and art classes. I still paint with several exhibited and purchased works to my credit. After graduat- ing from college, I found the world of advertising where the written word exists in harmony with its artistic presentation. As a graphic designer known for bold color choices and creative uses of typography, I am in continual demand to jury graphic arts competitions. My own work has garnered numerous awards for both copy and design. In addition to owning and running big fish creative since 2002, I currently teach composition as an adjunct through NICC and doubled my career responsibilities as a full-time graphics arts Instructor at the University of Dubuque (2002-2003). Contributions/Reason for Applying: Of the stated areas for which the City of Dubuque is looking for arts experience/knowledge as outlined in Section 8-18 b of the Arts and Cultural Ordinance, I luckily possess exposure to each of these areas (music, dance, literature, visual arts, theater, folk arts, media arts, design, and arts education) with vast participation and expertise in most. I view the arts as a reflection of our community. The Dubuque area possesses an incredible amount of talent. It is my hope that this com- mission serves as an interactive gateway to bring the arts to people of all ages by promoting our local offerings first and rounding out the community's overall arts exposure with national and international artists second. In short, I want to give back to the community that helped foster my own talents and passions. 1 Application • http://www.crtyotdubuque.org/pnnter_tr~endly.cm-'!pagetd=148 ~~3- ~ ~~ ~~~ CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interst 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: rt/'G~j 3~ .1.0~ ADVISORY BOARD/COMMI,~SION APPLYING FOR: >rlr.i~.~ en.~/ C~..l~r rw ~4~Km:r.r .~.~,.issru C NAME: ~~ •w ~e a T (~ 1~-re ADDRESS: 3055 /~~~.1e8~!S' C~ BUSINESS: S~irft- ~i.1~`G OC,~ta~ADDRESS: ~Q~.~_~f ra i~t. !r~'~ OCCUPATION: ~{/~ POSITION WITH COMPANY: P~l/,~ D~c~e~wl.~-,~ HOME RHONE: 6L3 ~ ~ 4~ ~ _ BUSINESS PHONE: S"C3 ~g'2 O Zf'4 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: sas- ~, f-~~.~..i WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: - _~ .~eG ~~itc~~ - `~ i. ~~_. ~~, -- LIST TWO REFERENCES: wtsf' 1'~~ • Are you currently serving on a C' Board or Commission: ~IO 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. 1 of 2 3/2/2006 8:32 PM Specific attention should be directed to possible conflict of interest_ For further clarification, if a situation arises contact the appropriate staff person or to the City's legal staff. Thomas J. Goodman 3055 Powers Ct. Dubuque, Iowa 52001 (563) 588-4347 Experience/ Education: Grand Opera House-Actor, Singer, Dancer, Set Design, Set Construction, Usher, Volunteer. Just Voices A Cappella Group-Singer, Director, Business Manager. Big Band Express-Trombone Player, Singer. Contributions/Reason for Applying: • I have been involved in the arts since grade school. Music and the theater have been a huge part of my life. In addition to the areas mentioned above, I have numerous friends and acquaintances in many other areas of the arts, including visual, folk arts, dance and literature. I see Dubuque as a very vibrant and burgeoning arts community. I want to help foster the continued growth in all of the azeas of the arts. One reason that I would like to be on this commission is because there does not appear to be a concerted effort to avoid conflicts and overlaps in the scheduling of events. Often there aze several competing events on the same weekend, which reduces patronage at all venues, and forces arts patrons to make choices as to which event(s) to skip. As a commissioner, I would hope to encourage cooperation among the arts providers to avoid conflicts in the scheduling of events. Hopefully that would help existing arts concerns to continue to thrive, and encourage participation from new artists. • ~~~ ,~ _ . • ~ CITY OF DUBU UE, IOWA '' BOARDlCOMMISSION APPLICATION FORM ; `~~ ndividuals serving on Boards and Commissions play and important role in advising the Councifi` on matters of interest to our community and its future. The City Clerk's Office, City. Hall, 50 W. 13~' St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stave active for one near from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled tcouncil 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: November 1, 2004 ~ ~~~, ~ 1 `-~~~ ~ fv b~ i ~ C ~.-~ ADVISORY BOARD/COMMISSION APPLYING FOR: Arts and Cultural Advisory Commission NAME: Richard Hall 'JSINESS: The Grand Opera House CCUPATION: Manager HOME PHONE 563-583-6116 EMAIL RichgohCcaaol.com ADDRESS: 1834 Vizaleea Drive cb ADDRESS: 135 West 8~' Street POSITION WITH COMPANY: Executive Director BUSINESS PHONE: 563-588-4356 __ , -~ EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: I have worked at the Grand Opera House for over 9 years. Prior to that I have been involved with many different theater aspects in the Dubuque community, from the one act plays competition to being a member if the Die Laughing Mystery Players and many more. 1 studied drama at the University of Northern Iowa 1975 -1979. WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: As manager of a major arts organization I am very aware of the day to day activities including staffing, budgets, strategic plans, marketing, and all public relation functions. I bring knowledge not only from. a managers point of view, but also as a performer, director and technical person. LIST TWO REFERENCES: NAME: Mike Brannon ADDRESS: 489 South Grandview NAME: Scott Motto ADDRESS: 1765 Eden Lane ,.ecific attention should be directed to possible conflict of interest. For further clarification, if a tuation arises, contact the appropriate Staff or Legal Staff. Are you currently ~agring on a City Boat or Commission: NO ,r SIGNATURE: ~~~~~I ~-~~ ~ ~~' ~ ~~~^' t ~ ., _;. ~~ ~. The Grand Opera Hou --- ? e 11 se 135 8th Street • P.O. Box 632 - O S Dubuque, Iowa 52004-0632 www thegrandoperahouse.com RICHARD HALL Theatre Manager/ Business Office (563) 58e-4356 Box Office (583) 588-1305 Artistic Director Fax (563) 5889497 Email richgoh~aol .com - i CITY OF DUBUQUE, IOWA ~~ ~ ~~~~ ~~ BOARD/COMMISSION APPLICATION FORM ~`yt~;r=; ~~'~~ `~ ~,~; Individuals servin on Boards and Commissions la and im ' ~~ g p y portant role m adv Ong the Counc~~ on matters of interest to our community and its future. The City Clerk's Office, City Haii, 50 W. 13~' 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 ~e 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 inte1restle;- d,~/) ~/ DATE • o~ b o~ O (~ `t< _ ~ ij ~ ~ l Cc~~.r~vL ~ " ~X~~ ~ coo (~-~ l ,~ . ADVISORY BOARD/COMMISSION APPLYING FOR: Arts and Cultural Affairs commission Position: ,___ -_ _ ~- Arts Representative 4 Positions - ( ) Business and Professional Community (2 Positions -One must~erorlr~tive within Cultural Arts District) -- `~ At-Large (One Position) NAME: /~ J c., n c. 6 e„ l "~ C~~ I n l c~ ~_ ADDRESS: ~ ~d 6 (7 ~ p r u 5 ~' ~ c~ BUSINESS:_~hlyer5~~~ y~ ~~(pv~„e, ADDRESS: r~U~~ ~'11111e--~~~-I 1~V~nye. OCCUPATION: ~ ~ u ~.~i ~ (~ POSITION WITH COMPANY• ~ h 5`-(-~' y c.~`~t~ ~/~' - ~ ,~ h K HOME PHONE 5 6 3 ' ~~' 3 - a ~ 3 ~ BUSINESS PHONE: ~ c6 U - ~ ~ ~ (~ Nt C,t~ ! n ~ H ~ A. a EXPERIENCE, EDUCATION THAT QUALIFIES YOU Fi ~ ~~` e,~n ~hyolu4~ In Cammvnt,~ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE C ~ m ~. V ~ 5 ~ h ~. VY1.~ m ~ r~ v--Q m I~~.~.d~ R THIS BOARD/COMMISSION: ,~ ' ASON FOR APPLYING: ,~'~5 ~ a m rvrv v~ -~ ~ i 1~ v. ~ tom., . V h+ tom- r ~ ~ r a ~ ~ a ~. c v ~n v s~ J w r ~-~' + n~ ~ ~" a d. v~o ~.u~~- -~(a' ,~ n ~ h L v~-a 5 ~-cQ a p P ti r`~v r- tQ S ^`f' u ~. ~ ~ ~ y i ~"L rote f L . ~ ~{. ~ 5 D T ~-C. ~ J ~ v ~ ~J~- ~ a. 5 ~ 6 v' D Q UL (r Gt r ~ ~ C.._~ -~, m ~ n , ~--t -~'~-~t-("r~. o ,p P a ,~ -~~ v~ ~-~-t~5 -Far all 4 ~-5 - ~q r -~'+ 5-~-+- e r~~tv v ~' LIST TWO REFERENCES: R, - NAME: `PGt v ~.~. ~~ ~( l5 ~'1 ADDRESS: C ~J o1 `~ I Q -'h a ~ ~ W CC , 5 a Oo ~j NAME: ~ ~"~ ~ O ~-Vle.-- ADDRESS: .S`~ 5 L VY~~t.c~-ow C-~' ~'c~0~~ 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 serving on a City Board or Commission: (U d SIGNATURE: If questions, contact the City Clerk's Office, City Hall, 50 West 13"' St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. • • ~~ ~ CITY OF DUBUQUE, IOWA `~~~ BOARD/COMMISSION APPLICATION FORM ~~~~~ ~ /cv~e~~ ~ ~~~~ 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 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(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 (unless the applicant advises they are no longer interested). DATE: /b - ~D ' y~ ~~~ ~ ~P ~~ ~~ Cw~ ~~.~ ~ ti Jn /~~ ADVISORY~~BOARD/COMM/~IS~SION APPLYING FOR: J~5 ~ C~:uc~ct~~EL ft~-FA>J2s (.~~~,JS~ss~d-tr NAME: (.-7~NE f~Gi2~,/ ADDRESS: !5/t~ ~Ehrc. eT, Z~BQ ~, lP~ SZyd ~ BUSINESS:I~~ I0~.~1Pt Ct~,,nr~nwv-,r~( Cp~G-c~~ ADDRESS:_/OZS~ .~cc.•napt~J.J I~j, PE~sTq, /~f 5zCi6~ OCCUPATION:L~lST2ue7y/~.~~~~i+unuuiim s~Ao~OSITION WITH COMPANY: HOME PHONE: 6l~3 ` 583 - 873c~ BUSINESS PHONE: ~/O3 ' SSb - S //~ xZ9L EXPERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR THIS BOARD/ ~MMISSION:_ l1~ ACr'/JE 1 r,~ `o c:g-t. TNFa¢7-ErC ,4nD A-ae~s o,2c~~t,,,~T,t~, C`2~ ~EJiousc ~ 6F.2c)~J owl CL mrnu~-rrry ~~~c~dDr+'~~ i ~C®~*3c.caC.e C~4,r~ X1,~ ~ i= ~v~ fit-&6 ~ ~ ~ ' ~nT~fZ ' `ry-v~n l SSA 3~ I O (~Jf~ I~-JZT5 C..y~tM c ~ ~ / N ,~~ t1 i DN ~,~. !~2?J ST Gi,~2tt» ~ R,~cr ~P~~ i C i c~3 iC.~ ) WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD IOR STATE REASON FOR APPLYING) ~7~DYJC~ BAe/~c;~u~n 1 ~/~ j ~`l~ f~~S ~~l) r'fLN'rlA7~lT~ES /g5 i.~ ~-C., fi5 ~ ~ .Qi ~I'J c..J02K~ aJC~ t.~ iTtf' C~"7''I J~~-~ /4~1~ ~~ rnrrJi55~~5 LIST TWO REFERENCES: NAME:t~P~E~~~~, ~ICC., ~f}~ ADDRESS: IoZSc~ Sw.-~~w~ ~~, ~sr~F 52DbK NAME:.,~~~(C,s/ ~ Cis ~ CCU l,JSsn.ucrc~ 2 ADDRESS: 1 o25e Swn lc; i., ~ ~,~$,~ ~~ ~~ S~(o~ Specific attention should be directed to possible conflict of interest. For further clarific~tion=t'f a s1_toation arises, contact the appropriate Staff personnel or Legal Staff. - --• --. -- -- Are you currently serving on a City Board or Commission:_ 1t1d f questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 5?s#~01 ~`' one: 589- SIGNATURE rage i or ~ t . Jeanne Schneider From: "Gene Perry" <Perryg@nicc.edu> To: <jschneid@cityofdubuque.org> Sent: Monday, October 25, 2004 12:52 PM Subject: Arts 8~ C.A. Commission Application Please attach the following resume to my previously submitted application for the Arts and Cultural Affairs Advisory Commission. Thank you. E. Eugene Perry 1510 Kehl Court #3 Dubuque, Iowa 52003 563/583-8730 (home) 563/556-5110 (office) { HYPERLINK "malto:perryg@nicc.edu" }perryg@ncc.edu EMPLOYMENT Instructor, Communication and Humanities Departments Northeast Iowa Community College, Peosta, Iowa 1989-present • Courses Currently Taught: Fundamentals of Speech, Introduction to Religion (on- line course) Courses Previously Taught:. American Cinema (on- line course), Introduction to Philosophy, Creative Writing (drama module) EDUCATIONAL BACKGROUND Master of Arts in Communication, University of Dubuque (2000) Thesis: Post-Secondary Public Speaking Curriculum Design and Development Master of Divinity, University of Dubuque Theological Seminary (1982) Bachelor of Science in Education, Ohio University (1979) PUBLICATIONS Articulate: A Practical Handbook for Public Speakers (textbook} KendalUHunt Publishing (2000) • Once Upon a Beginning (one-act comedy) Baker's Plays (1994) Just a High School Play (age-appropriate full-length drama) Baker's Plays (1992) 10/25/2004 ra~r~v~~ • E. Eugene Perry Communications & Humanities Departments NE Iowa Community College Peosta, IA 52068 perryg(cr~,ncc,edu 10/25/2004 w • Application C 6 Page 1 of 2 ~~~~~~ ~~ l2~ ,~~ CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interst 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: f z O> ~ f~ I ob j /J t ADVISA~O_`~R.Y~ BOP~RD/COMMISSION APPLYING FOR: /'nc1 g, } C.CI.l.T1.UtJk - !~'~+~ fL C P-Q~ (riSrC7Z.« • • NAME:~tN 't~~'iCs , ~' ADDRESS: S'7o W ' ~ S.E~+c~k L ~~+-~--- BUSINESS: qufc ~w cLtitwt C~ I~~C ADDRESS: 7~( C.DC-t~ f C ~ S~t~sL~~-~1~~ OCCUPATIcION: ~ ~t-'Ets~- POSITION WITH COMPANY: HOME~~ONE: ~1~ r' cl^I'flS BUSINESS PHONE: SS? ^ tg'SI EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: ht.i~ ~4-u.i;- chs ~! -~ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: 'gRt>+kTJ Cs14~t E' -~~- '~ tns u~o.c.. ~ti~; ~t't~-t~~ n rti-r~C tK.si ~ - C~v vt~tut~~ Crst~.u~-cSS c ~S' ~ ~ KuC. A~~ ~ M•~~T A-~ ~.wvt~ Sc-~~ ova . LIST TWO REFERENCES: ,l -. NAME: ~' ~~ SeK~.c~~ ADDRESS: Slot'' l4^L•t ~~ NAME: ~R • ~«.- SGt:,~~ ADDRESS: ~~~ '' x'1'6 Q Specific attention should be directed to possible conflict of interest_ For further clarification, if a situation arises contact the appropriate staff person or to the City's legal staff. • Are you currently serving on a Ci oard or Co fission: K~2~ • SIGNATURE: If questions, contact the C' 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. httn://www.cityofdubuque.org/printer_friendiy.cfm?PageID=148 8/11/2005 Applicati~ f?%:w~~- CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Page 1 of ~~~~~ Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interst 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 interest~~edpp) DATE: / ~ ~~ / / ~ l D~ ~ustit,t ~ ~+-C.~ Y tltl l1 ADV S RY BOA~2D/COMMISSION PPLYIN FOR: ~~T'S ~ CDvc,-ru~2~~. ~t ~Q~iZs aA J~ co iz~ wMt~t~sSi~ .v • NAME: c~ D F} ~ L.l) . T l l~T'O N ADDRESS: Z!o ~ ~ (' l~ ~- BUSINESS: ADDRESS: OCCUPATION: POSITION WITH COMPANY: ~~ HOME PHONE: 5S (o - S ~ S.3 BUSINESS PHONE: $~ 3 -' O 8,5 3 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: S ~ r= ~1~T',d~ c.{-L~-1J WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: S E ~ /~'T"T'i4 G~-I~~ LIST TWO REFERENCES: NAME: ~E ~ .~7Ti4C.F-4 ~~1~ ADDRESS: NAME: SEE ~TT~ (-}~8~ADDRESS: Specific attention should be directed to possible conflict of interest. For further clarification, if a situation arises contact the appropriate staff person or to the City's legal staff. Are you currently serving on a City Board or Commission: ~ 1 D SIGNATURE: If questi s, contact the Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA 52001. Phone 563/589 4120. A names will be dro ped from the list after a one year period. Drint this page http://www.cityofdubuque.org/printer_friendiy.cfm?PageID=148 10/25/2044 . Jac Tilton 260 York Dubuque, Iowa 52003 Home Phone 556-8053 REASON FOR APPLYING: I believe that my experience as an educator, creative professional and business manager will provide a valuable addition to the perspectives of the commission. QUALIFICATIONS Twelve years experience as an art educator. Twenty-three years experience in graphic arts, advertising and marketing management with local companies including, Woodward Communications, Inc., T'+mes Mirror Higher Education, Wm. C. Brown, The Telegraph Herald and Frommelt Industries. Currently general manager of Mission Creative, aDubuque-based graphic design and advertising agency. • Thirty-five years experience as a professional artist. Founding member of the Galena Artist's Guild. Current member of National Watercolor Society, Transparent Watercolor Society of America and the Iowa Watercolor Society. EDUCATION B.S. in Art Education REFERENCES Geri Shafer, Executive Director of the Dubuque Museum, 70i Locust St. Dr. Walter Peterson, 510 Woodland Ridge C1, T - ~- ~~ _.. . ~~ } I. ..~ ~ 1 • C~ ~~ /~~~ /~ y page 1 ~'~ ""' CITY OF DUBUQUE, IOWA - -~~~ ~ • ~ BOARD/COMMISSION APPLICATION FORM ~~~~ ~~~~~ ~iividuals 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, 50 W. 13~n St., Dubuque, IA accepts application for any Board and/ or Commission at any time, and that application stave 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) u~~ DATE: November 2. 2004 ~~ ~ ~ ~ ~ v~ ~'~ ~ ~~ r, r- - -~ _. ADVISORY BOARD/COMMISSION APPLYING FOR: Arts and Cultural Affairs Commission _._ Position: ~- = Theater and Fine Arts Arts Representative (4 Positions) _ -- . - c Business and Professional Community (2 Positions -One must work/live within Cultural Arts District) At-Large (One Position) NAME: Vincent Williams ADDRESS: 3965 Creston Street, Dubuque, la 52002 BUSINESS: Dubuque Community Schools ADDRESS: 2300 Chaney Road, Dubuque, IA OCCUPATION:. speech and theater POSITION WITH COMPANY: TEACHER (RETIRED) HOME PHONE (563) 556-4720 BUSINESS PHONE: SAME EMAIL vincewms(c~earthlink.net EXPERIENCE, EDUCATION THAT QUALIFIES YOU FOR THIS BOARD/COMMISSION: EDUCATION: Master of Arts degree in speech and theater_arts; taught in college and high school for 31 nears: speech and drama. EXPERIENCE including PROFESSIONAL THEATER: TOURING ARTIST for the IOW ARTS 000N- CIL; speaking role in UNITED ARTISTS feature film "F.I.S.T." scene with Melinda Dillon; speaking role (CORONOR) in scene with Ralph Waite in CBS (WARNER) series episode: "MISSISSIPPI, THE ~ALOF BEN WALKER"; Guthrie Theater, Minneapolis 1963 (Jessica Tandy and Hume Cronyn); (continued on page 2) WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: I can bring a long background in both theater and fine art (painting) from professional and educa- tional points of view. 1 also have some background in music. I can supply a breadth and depth ** (continued on page 2) page 2 .... .. , LIST TWO RE.FEREIVCES: ~ME: Doug Donald, Assoc. Professor of Theater and Communications at Loras College ADDRESS: 2920 Arbor Oaks Ct. Dubuque, IA 52001 NAME: Sue Riedel, Artistic Director of Bell Tower Theater. and board member of Iowa Arts Council ADDRESS: 282 Kelly's Bluff Dubuaue, IA 52001 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 serving on a City Bard or Commission: no SIGNATURE: If questions, contact the City Clerk's Office, City Hall, 50 West 13cn St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. [EXPERIENCE, EDUCATION AND PROPOSED CONTRIBUTIONS, continued from page 1] ~ General Slocum Disaster", aired June 16, 2004; wrote and directed Dubuque's sesguicenten- nial musical performed at Five Flags Theater 1983 "THE MAGIC OF DUBUQUE"; acted andlor di- rected MANY SHOWS at Five Flags Theater and Biiou Room, Grand Opera House, Bell Tower Thea- ter, Clarke College, Loras College and miscellaneous other venues around the TRI-STATE area. Have written and acted for 17 vears (MORE THAN 1400 PERFORMANCES-AN IOWA RECORD) personages of William Hawg Ryan in an original vignette, "FOR cRYAN OUT LOUD", and Charles Dickens in an original plan, "A CHRISTMAS DICKENS", for the Dubuaue County Historical Soci- 350 performances in the TRI-STATE area. Prior to coming to Dubuaue, I also was WRITER, DIREC TOR and ACTOR for Dudley Riggs BRAVE NEW WORKSHOP in Minneapolis, ACTOR for the TENT THEATER in Springfield, Missouri, THE OLD LOG THEATER in Excelsior, Minnesota, and others. I TAUGHT IN THE DUBUQUE SCHOOLS FOR 29 YEARS ... at Hempstead where I was DI- RECTOR OF THEATER... directing nearly 100 plans, and coaching and fudging speech contests. AS A VISUAL ARTIST: I was employed by MFA INSURANCE COMPANIES in Columbia, Mis- souri, by the MID-MISSOURI MEDICAL CENTER. and I was an artist for MINNEAPOLIS HONEY- WELL in Minneapolis. Currently I am a graphic artist and an oil-paint artist having had two shows of my 9-painting series based on the Biblical Beatitudes. I was a cartoonist for the TH. I have drawn and painted professionally for many vears. I am also a published poet and script writer. ** of theater and fine arts understanding of DUBUQUE, the cultural and arts scenes _in terms of COMMUNITY, EDUCATIONAL and PROFESSIONAL theater. As an additional artistic experience, 1 Jt~ve toured with the Dubuaue Chorale Chamber Sinners throu4h the UK. North Wales. Scandina- and will loin them again in the summer of 2005 in their tour of Australia and New Zealand. In con- nection with these tours, 1 acted the personage of Charles Dickens in Bristol, UK and in North Wales. This has provided me with a COSMOPOLITAN dimension of understanding useful in mak- ing contributions to enhance Dubuque's arts and cultural interests and future prosperity. \pplication ~/~~-/Q ~ 02/28/200608:55 AM ., f .. • CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORS M~~, Individuals serving on Boards and Commissions play an important role in advising the City Council on matters of interst to our community and its future. The City Cleric'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: ~~~JZ-~H I J ~'~~' ADVISORY BOARD/COMMISSION APPLYING FOR: ,4Rrs E eu~r-~r~9~ .~}-~'~.~~n~ _/~-il'v~s~a~y ~r,~~missio,•J NAME: -~ c~.o (i(~Uo p ~~/ ADDRESS: 7 ~ 5` L.9-c~tf~ ~ ~ra2EE.T- BUSINESS: ~u~t%;u~ ~~^~ - Sc.foo zs ADDRESS: a'3°° L~'~'~ >' ~%!~n OCCUPATION: ~~~tc•4i 1~~y9~ /~-0rrr~aJ POSITION WITH COMPANY: (~i;etcTSZ ~~ ~- F/~t-~ ..~2rS • HOME PHONE: 5(0~. 5~~, ~ / j~ BUSINESS PHONE: 5•(r~3. SSA, ~/ 3 S- EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: (~ivE.S ~D~. ~ (7U-3w ~: u ~ L~Nt,rh,~-/}~ /~ ~~ r.9~•t ~ ~~91 i l~t-z5 i J~ E ti7 G,~e,7~ C~i:.y i3~,~-rc-r~ ~ f~~c~o.,en ~'1~~3~~~ of 7~ti~t~t; ~rE />12rs C~y.~t.c:i~ ~ 3 •~a.'.4.~l~ri ~cD+,.yc~L Cn2A-~//'S ~~4~~5 '. ///NS~~ 1~F(~Y2~~. ~ f]~~~ve'.rnClL C'c)/~lJGtCjT~~~ Ct~Jrr/f'~~.s E/~ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: J- ~>,~!< W i Tl9 /~ ~ S ~' ,91zT'.S G~R-O G1G~-5 i' ~ ICJ y 2 CJ~I /J7 N,(J l I~'~ ,, (.fn/O f 2 S ~ .¢n~ T-f£/ R ~2t) Cn~~'''~s ~-'y0 /J/E f,0 S ~" ~ ny FiF M ~ t. J A 2 it) / of ~" l~ CK; m /~ ti l T / /F C.~~2/.~-Ni ,'fn" t/2~~C E ~ S - '. - LIST TWO REFERENCES: NAME: ^~~'~~'~ ~~;/2 ~ ~/ZT ADDRESS: ~~ c7v G~,r,~ y ~,4~ ~- NAME: ~~~>' Cif}-,~c..g-~tp ADDRESS: i /~1~1 ~?'I.4 / ~ - -.-. ~~? .-.- Specific attention should be directed to possible conflict of interest For further clarification, if a situation-- arises contact the appropriate staff person or to the City's legal staff. • Are you currently serving on a City Board or Commission: -~ http:/ /www.cityofdu buque.org/ printer_friendly.cfm?pageid=148 ._.: Page 1 of 2 Application SIGNATURE: ~ c. If questions, contact the City Clerk's Office, City Hall, 50 W. 13ti' St., Dubuque, IA 52001. Phone 563/589 4120. All names will be dropped from the list after a one year period. print this page 02/28J2006 08:55 AM ~. .-, _,' • • http:J Jwww.cityofdubuque.orgJprinter_friendly.cfm?pageid=148 Page 2 of 2 ~ ~~ ~~ CITY OF DUBUQUE, IOWA BOARD/COMMISSION 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 receiat 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 (unless the applicant advises they are no longer interested). DATE: ' A~ u 6 y r ADVISORY B AR /COMMISSION APPLYING FOR: ~ ~ c, ~ ~h < <.o- ~-- NAME: ' /C ADDRESS: ~ C~ G ~' Jyl ~~ Q}~: BUSINESS: .Q~!-u~ ~~~. ADDRESS: OCCUPATION: ~~u.~ er"C;~ .~~rv" POSITION WITH COMPANY: HOME PHONE: ~L 3 S"r~ (o /`~Q ~ BUSINESS PHONE: ~~~ ~ ~~ ~ EXPERIENCE, EDUCATION AND TRAINING VlIHICH YOU FEEL QUALIFY YOU FOR THIS BOARD/ COlM~ MISSION: , /~/rJ ~ e.r, ~ c-e /~-~+ /-E~/•~ c ~c F / J- /~I l~o~ L ~ C~{t~~iL/ lr e' ci~wv /2~ 4 ~~"' ~L.3._S~~ c cv- ~ ~. L WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BDARD (OR STATE REASON FOR APPLYING)_ ~~n fir? e!~ .-L ~a,~t~~r~ Q ~~ ~-z ff'~~ ~_=~_L• _e__C~i LIST TWO REFERENCES: NAME: {~,s~f~- ~~ e~- ADDRESS: /d c S' C <<.I ,~v C~--ri~ >~. NAME: c%(n.~n L~w/c~~ ; ~/ ADDRESS: /~ )`G ~S,c ~'~,d-a-4 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 ie / ~~~^~ If questions, contact the City Clerk's Office, City Halt, 13th & Central, Dubuque, IA 52001 Phone: 589-~ SIGNATURE 1~~. N t w A ~._ ~ ~`-]° CITY OF DUBUQUE, IOWA BOARD/COMMISSION 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 (unless the applicant advises they are no longer interested). DATE: I -d3~~ ~~ ADVISORY BOARD/COMMISSION APPLYING FOR:_ t'VIF.~UArr..~..AL- NAME: /"~. <<~ce ( ~~(~ ADDRESS: a.c~1'S ~~m6~RL„ti~ BUSINESS: /'(c,v ~z.h/«. C..~ ~ ADDRESS: 31`'t5 Ny6~~ ~a~'~ Wi^1G ~SL~i-E la,~Tfi,4~,p~ OCCUPATION: c~ POSITION WITH COMPANY: ~~ati.`W ~'I`l1at~~rl6t-~' HOME PHONE: 5l~ ~~ ~S~ 3 ~ I~"1 BUSINESS PHONE: S s~3~ j S~' S i 8S(, EXPERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR THIS BOARD/ COMMISSION: 33 iCARS ~1Vi~~ TJcS,(7'/`~ ~~ i~a`-'Uu~" ~XPE(~lf~+~-t .j3 `I Lfit4.'.S lam- CFLi r4~- w i ~ ~ ~'-~~~,C, }- Ly,v~u . ~y14 CC.;~J 1 (?+~C-~'U~~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING) ~~LF i Nt ~- ~ t ~ ~t~},,LSNC: ~ o`- ~ t k ~ (Y1 ~ C~Ar~~~L LIST TWO REFERENCES: f /~ NAME: C ~Rf~LES ~~Ati~~.? CCU Y rtt ~( /Jill a 'ct ~ ~ S~ao~J ,~ ADDRESS. NAME: ~~,cs~. ~ A~'y (~ ADDRESS: ~ ~.~5 J~C. j S ~J`r U~'f ~ ~~ t Specific attention should be directed to aossible 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: ~ ~~,.~~ ~a6l~~ dc-~ /- If questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 Phone: 589-4120; ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. SIGNATURE ~ ~1'G°ut-~-r~ ,~'r ~ ..~ f'. _.~ r ~ ~ ~ ~C~ t,~'~ ~ ~ ~~ CITY OF DUBUQUE, IOWA BOARD/COMMISSION 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 .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(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 (unless the applicant advises they are no longer interested). DATE• / ~~ a'7 c~j ADVISORY BOARD/COMMISSION APPLYING FOR: o c NAME: ~a ~ I ~~ ~ ~~ ~ ADDRESS: ~ ! J S ~~ C ~ ~~N 'S7 BUSINESS: ~l v~!°'L3~`1~C ~ ~~'~~~~~~Gy- nADDRESS: `5~1~1T;' OCCUPATION:/~L ~~~~~ /pl~~~y,'` ~y" POSITION WITH COMPANY: ~~y~~~' ~~ HOME PHONE: -S`3 SsL-- S7~ ~ BUSINESS PHONE: S94 ` ~~~~~ EXPERIENCE, EDUCATION AND TRAINING WHICH YQU FEEL QUALIFY YOU FOR THIS BOARD/ COMMISSION:- •.T ~ `~ LIST TWO REFERENCES: NAME: ~ ADDRESS: NAME: cY"J"~ ADDRESS: 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: ,f ~ If questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 Phone: 589-4120; ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD- SIGNATURE WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE f ~C,y1 L4t1 ~ ~ ~~/~~~~ CITY OF DUBUaU~, IOWA BOARD/COMMISSION 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 (unless the applicant advises they are no longer interested). DATE: 1'~a ~ "' ADVISORY BOARD/COMMISSION APPLYING FOR: ;~e,a' v ~ l a-~ r .~ ~--- /~ ~ ~l NAME: cw- ~ I~Gn of- ADDRESS: ~,~~ ~ C ~ --P BUSINESS: ~ ~/ . /~-O /' ~V~ /~ e d'~ATDDRESS: U! U t~ ~ ~ ~ -`3 OCCUPATION: ~/ JL-? /.tm ~ n~~c r POSITION WITH COMPANY: ~~~~ HOME PHONE: SJ`^7,, 7;~~' BUSINESS PHONE: . S~S~ ~~~ EXPERIENCE, EDUCATIO AND TRAINING WHICH YOU EEL QUA~FY YOU FOR/THIS COMMISSION: lv ~C WHAT CONTRIBUTIONS DO Y U FEEL YOU AN KE TO HIS ADVISORY BOARCI (OR STATE REASON FOR APPLYING) vvt 6-~-Piz /3~l~fly LIST TWO REFERENCES: s ----, NAME: ADDRESS: NAME: ADDRESS: Specific attention should be di~ted 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: If questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 Phone: 589-~ SIGNATURE