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Boards and Commissions Review and AppointmentsVACANCIES AND APPLICATIONS FOR CITY OF DUBUQUE BOARDS AND COMMISSIONS For Council Meeting of Monday, August 20, 2007 6:30 PM Public Library Auditorium APPLICANTS ARE INVITED TO ADDRESS THE COUNCIL ON THEIR POSSIBLE APPOINTMENT Civil Service Commission One 4-year vacant term through April 6, 2008 (Term of Wertzberger) Applicants: John Stevens, 2215 Graham Circle Paula Gieseman, 670 Levi Street Zoning Advisory Commission One 3-year vacant term through July 1, 2009 (Term of Bichell) Applicants Charles Miller, 7010 Asbury Road APPOINTMENTS TO THE FOLLOWING COMMISSIONS TO BE MADE AT THIS MEETING. Board of Appeals -Building Code One 3-year expired term through August 1, 2010 One 3-year expired term through August 2, 2010 One 3-year expired term through August 1, 2008 One 3-year expired term through August 1, 2009 One 3-year expired term through August 1, 2009 Applicants: John Schwendinger, 800 Kelly Lane James Kolf, 2342 Matthew John Drive No applicant Chuck Carr, 1705 Kathy Drive Richard Luchsinger, 2875 Broeck Road (Term of Jahns, Journeyman/Carpenter) (Term of Kolf, Architect/Engineer) (Term of Gudenkauf, At Large) (Term of Carr, General Contractor) (Term of Luchsinger, At Large) (Journeyman/Carpenter) (Arch itect/Engineer) (At-Large) (General Contractor) (At-Large) Housing Commission Two 3-year expired terms through August 17, 2010 (Terms of Eddy, Schwendinger, and Kapler) One 3-year vacant term through August 17, 2009 (Term of Savage) Two of these positions are representatives on the Housing Advisory Trust Fund Committee Applicants: Char Eddy, 565 Sunset Ridge Erica Johnson, 1900 White Street, #4 Judie Root, 1248 Jackson Street Dorothy Schwendinger, OSF, 3525 Windsor, #105 David Kapler, 827 Patricia Ann Drive (Additional Applicant) Transit Board of Trustees One 3-year expired term through July 30, 2010 (Term of Stedman) Applicants: Harry Bemis, 2530 Crissy Drive Ruth Scharnau, 2905 Wilderness Drive Don Stedman, 2092 Grant Street CITY OF DUBUQUE, IOWA BOARDS AND COMMISSIONS ` -Denotes Chairperson; For Information: 589120 Updated from the 8/8107 Council meeting AIRPORT COMMISSION - 4 Yr. Term Meets 4th Monday 4 p.m. -Airport Sue Czeshinski 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 - A td. 1996, Meets on Call Steve Horsfield (Appt) 01-03-02 Jeffery S. Gaber (City) 01-03-02 Jeff Stiles (City) 01-03-02 Marianne Krause (County) 12-31-08 Coun 12-31-08 AIRPORT ZONING BOARD OF ADJUSTMENT 5 Year Terrn, Meets on Call Vacant (Apptd.) James Bauerly (City) 02-15-01 Vicki Bechen (City) 02-15-01 Darlene Burds (County) 02-15-11 Ron Ko es Coun 02-15-11 ARTS AND CULTURAL AFFAIRS ADVISORY COMM. 3 Yr Term Meets 4°i Tues., 4:30, Library Brd Rm. Ellen H Henkels (BuslProf) 06-30-09 Amy Weber (BuslProf Dist) 06-30-09 Geri Shafer (At Large) 06-30-09 Louise Kames (Arts) 06-30-10 Paul Kohl (Arts) 06-30.10 'Susan Riedel (Arts) 06-30-10 Paul Hemmer Arts 06-30.10 BOARD OF APPEALS -BUILDING CODE Appt. 3 Yr. Term, Meets on Call Ronald D. Jahns (Jrny.Carp.) 08-01.01 F. James Kolf (Arch/Engr.) 08-01-01 'Vacant Gudenkauf term (At Lrg) 08-01.02 Chuck Carr (Gen. Cont.) OS-01-03 Richard G.Luchsin er AtLr OS-01-03 BOARD OF REVIEW A t. 6 Yr. Term Meets Ma 1.30 RobeR Schaub 01-01.05 Greg Hutchinson 01-01.05 John F. Ganshirt 01-01-08 Ruth Ann Hanson 01.01.08 Donald Lochner 01-01-10 CIVIC CENTER COMMISSION 3 Yr. Term -Meet 4:30 p.m. 4th Monda at Five Fla s Mark M. Nauman 06-29.07 Michael Brannon 06-29-07 Rod Bakke 06-29-07 Cynthia A. Fuller 06-29-09 'B ce Parks 06-29-09 CIVIL SERVICE COMMISSION 4 Yr. Term, Meets on Call 'Vacanf(Term of Wertzberger) 04-06-08 Merle J. Duehr, Jr. 04-06-09 Loras Kluesner 04-08-10 COMMUNITY DEVEL ADV. COMMISSION 3 Yr. Term, Meets 2n° Wednesday, 5:30 p.m. at Library Auditorium Vacant (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 (At. 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 Low/M Inc A 02-15.10 ELECTRICAL CODE BOARD 3 Yr. Term; Meets 4°i Monday -2 Months Ronald Mueller (At Lg) 05-21-08 James Dixon (Elec. Con.) 05-21-08 Dan Hammel (Jour/Maint) OS-21-08 Elaine L. Reiss (Elec. Engr.) OS-21-08 'Kevin Pfohl (Jour/Main) 05-21-08 Bob Schmidt (Elec. Bkground) 05-21-09 Paul J. Uhlrich (Elec. Bkgrnd) OS-21-09 ENTERPRISE ZONE COMMISSION 3 Year Term, Meets on Call 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) 2-15-09 Doug Stillings (At Large) 2.15-09 'Rick Stein (Long Range Comm) 2-15-10 Kelley Deutmeyer (IDED) 2.15.10 Eileen LeMay (IA Workforce Dev) 2-15-10 Dave Baker Intl Labor 2-15-10 ENVIRONMENTAL STEWARDSHIP ADVISORY COMMISSION - 3 Yr. Term Meets 1`~ Tues. 4 p.m. City Hall Annex Vacant (Term of Miller) (Youth) 06.01-07 `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 Gross 10-01-09 Jose h Suarez 10.01-10 HISTORIC PRESERVATION COMM. Appt. 3 Yr. Term, Meets 3rd Thursda , 5:30 .m., Libra Christopher J. Wand(Arch/At Lg)07-01-08 (Old 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 Large) 07-01-09 ' John E. Whalen, MD (W. 11th) 07.01-10 Robert McDonell Jackson Pk 07-01-10 HOUSING COMMISSION 3 Yr. Term, Meets 4°' Tues. 4 .m., 1805 Central Char Eddy 08-17-07 'David J. Kapler 08.17-07 Dorothy Schwendinger, OSF 08.17-07 Vacant (term of Savage) OS-17-09 William D. Helling 08-17-08 Linda Frommelt OS-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 HOUSING ADVISORY TRUST FUND COMMITTEE 3 Yr. Term, Meets 6x/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. Term, 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 2"d 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. Term, Meets Otrly; 4°i Wednesda 3 .m. C' Hall "A" Virgil Blocker 07-01-OS 'PaulLassance 07-01-09 Hiram Melendez 07-01-09 Gary Ruden 07-01-10 Stephen V. Reisdort 07-01-10 LIBRARY BOARD OF TRUSTEES 4 Yr Term, Meets 4d' Thurs. 4 p.m.Library Diann Guns 07-01.09 Beverly Kolz 07-01-09 Becky Hauder 07-01-09 Susan Lindsay 07-01.11 'Alan Avery 07-01-11 Michael Shubatt 07-01-11 Kristen L. Smith 07-01-11 LONG RANGE PLAN'G ADV COMM. 3 Yr Term Meets 3rtl Wed. 7 .m. Libra Patricia Cline (Council Member) 01-01-08 Otto Krueger 07-01-08 Lou Oswald 07-01-08 Vacant (Term of Neumefster) 07-01-09 Richard Stein 07-01-09 'Charles Winterwood, MD 07-01-10 James F. Prochaska 07-01-10 MECHANICAL CODE BOARD 3 Yr. Term -Meets on Call Todd Geisler 03-16-09 David W. Grothe 03-16-08 'Tom W. Giese 03-16-08 Harlan J. Willenborg 03-16-09 Michael P. Kelly 03-16-10 Paul J. Papin 03-16-10 Chuck Band 03-16-10 MEDIACOM CHARITABLE FOU NDATION 1 Yr. Term -Council Appt'd Rep. Richard Hall 12131/07 Gail Chavenelle 12131!07 PARK AND RECREATION ADV. COMM. 3 Year Terrn Meets 2n0 Tues. 4:30 .m. Bunker Hill Tom Blocklinger 08-30-OS Kim Daykin 08-30-08 Evetyn Nadeau 06-30-08 Chuck Duggan 08-30-09 Karen C. Lyness OB-30-10 Gary L. Harjehausen 08-30-10 'Paul Hoffmann, D.D.S. 08-30-10 PLUMBING BOARD 3 Yr. Term, Meets on Call Stanley G. Gonner (Master) 11-02-08 'Harlan J. Willenborg (Master) 11-02-08 Michael Swift (B.S.Degree) 11-02-09 Dan Harris (At Large) 11-02-09 Paul Pa in Jrn man 11-02-09 TRANSIT BOARD OF TRUSTEES 3 r. Term Meet Bimonthl 2n° 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. Term, Meets 2n° Wed. 5:30 Annex Ronald Tigges 06.30-OS Wager Webster 06-30-OS 'Charlie Ellis 06.30.09 Kevin R. Stevens 08.30-10 Vacant -term of Pratt 08.30-10 TV CABLE COMMUNITY TELEPROGRAMMING COMMISSION 3 Yr. Term, Meets 1" Tues. 5:30 Annex Pauline J. Maloney 08-30-08 George P. Herrig 06-30-08 Sr. Carol Hoverman 08-30-08 Jennifer L. Tigges OB-30-09 Vacant 06-30.09 Vacant 06-30.09 Burton Everist 06-30.10 ZONING ADVISORY COMMISSIO N 3 Yr. Term, Meets 1"Wed. 6:30 Library Martha E. Christ 07-01.08 Richard J. Schiltz 07-01-08 Ron Smith 07-01.08 Vacant (Term of Bichell) 07-01-09 Stephen Hardie 07-01-09 'Eugene J. Bird, Jr. 07-01-10 Jeff Stiles 07-01-10 ZONING BOARD OF ADJUSTMENT 5 Yr. Term' Meet 4°i Thurs. Libra Jim Urell 03-25-OS William M. Gasper 03-25-09 'Michael A. Ruden 03-25-10 Randall J. Klauer 03.25-11 William J. Gibbs 03-25-12 a CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating.. their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: ,~/ ~ / ~.b ~ `7 ADVISORY BOARD/COMMISSION APPLYING FOR: ~ t V ~ L ~. ~Z V' I C-c~ NAME: ~o~ ~ ~ {~ , ~ ~ V ~ S ADDRESS:~~ / S^~Z.~ ~-~.~vt ~ BUSINESS: ADDRESS: OCCUPATION: ~P_~t ~ £'_ ~. POSITION WITH COMPANY: HOME PHONE: i7 ~~- 1 / l ~ B ~ L~ HONE: S~ ~f --~ S~ Y EMAIL ADDRESS: Wit) ~ % //(~ ~ ~ ~ S J C a ~ EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: .~c~.~-i~- :~iUV`t:L 1/~ ~.~ ~ I '1~ Size ~ .~ , ~s ~ G~-~k~l ~t ~ R- ~ ~/J2o ~ s S fs~ ~-~;~oJ ~ L' S~~ yc ~~ ~ ~ p~~ y~-~ ~s LIST TWO REFERENCES: NAME: ~. o /~ ~ c~% mac, P.2 ADDRESS: _ /~.~ ~ ~o ~Z ~ CAS ~~~ ~~ / , NAME:_ !~ ~f ~ ,I~ ~ C~ GYZ .4 /L~~U ADDRESS: 77y ~,yi ~~rsi%7 ~/~ r 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 servfg~n a C~~1~t-B~~lr or Commission: ~t~e 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. I~ErElliFf~ 07 AUG 14 AP910~ 04 City ~l~r~~'s Office Dubuque, is CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating, their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: ~,y ~~- ~~ ADVISORY BOARD/COMMISSION APPLYING FOR: ~ ;////G. ~~~///~~ (~D/Y,'/N/, - -- NAME: AC~~ ~/~~~~~/~,~ ADDRESS: /~ i'~ ~~~1// .~~ BUSINESS:~~ ~~, ~~ei~s ,~~~-DDRESS: % %~ ~~} OCCUPATION: s ~ POSITION WITH COMPANY: ~~ ,~ ~ ~~ ~6~~~ HOME PHONE: ~ ~~~ ~ ~ ~~ BUSINESS PHONE: ~ ~~~ ~~ EMAIL ADDRESS: EXPERIENCE, EDUCATION lM5l~ - C~~l ICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: ~~ ~ ~ _ - -~ ~-~ yes ~'le~~,~~~"~~l~~~.~~ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~/~/r~-~71®E~~ ~~ ~ 1,/r'/7~i~/ s- ,~~/(/~~ ~/l/1i~~ O~~ LIST TWO REFERENCES: NAME:_ ~~',~) Llij~(~, ~`~' ADDRESS: /S/.~ ~~.~/~,~~ NAME: ~E.U ~E'Cl/i/,~ ADDRESS: ~ %(~ S6zr/A ~~~ ~' ~ 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: ~J (~ 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. 0~ RUG 13 A~ { 1 ~ 16 City Lic,i~ ~ Office Dubuau~, IA S P.01 Pa~;c 1 of 2 li~~'~.~~,~:~:~t:,r-::r:~~ :~i~~~a:~s.s° i.~'s t' e ~ ~ ;:cs.~;i.~xy~ ~+n~i~=iii Nome. Paoe : t)eoartmerrta : City Clerk :Boards aad'Comn;issions : Appllc~lon ', .~ City Clerk - Frst floor of City Hall, 9o w. ~ nth Straat - Phone: (563) dt39-4120 Fax: (563) 989-0890 __- ' Hours: 8 a.m. to 5 p.m. Monday through Friday ~ ` '~ Ema~: - CITY OF DUBUQUE, IQWA BOARD/CQMMISSION APPi~t~~~-~"ION F~ Individuals carving on Boards and Commissions play an important role in advisi3ig the City Coin interst to our oommuniry and ha future. • • • 1 JUN-02-2006 1909 CHARLES MILLER Applicat;on The City Clerk's Office, City Hall, 50 West 13ei Street, Dubuque, IA accepts appilcatiptis for arty Commission et any time, and the application stays active for one year from the i~4ate of rc~eipt it OHic~. At the appropriate regularly scheduled meeting, applications will'be submitted•ty the City t,our-c and appficante are encouraged to address the Council stating their reasons foa!xvantirt~ to serve particular Board or Commistilen. Applicants will be advised when the applicatic+t is berryg pneser Appeirttment to the Board or COmmiaslOn will be made at ~ later meeting. App~i~,ants•17i1f then tN the outcome of the Council's action. If riot appointed'at th8t time. this application wi11 !$s restabmi as long as the application ie actNe (unless the applicant advisee they era no lociaer.irrt9reated) DATE• ~ 6 0~.~0 ~o (~'iL. ~ /~ /~~ FOR: ~~ LL~ OCCUPATION:~i~A<wo+K.¢ F~r~POSITIQN WITH'COMPANY:_~_~ "'• _,_; ~f: HOME PhiONtc:1~~ ~S~~.C'~BUSiNESS PMONE: ~ ~~ ~~~"''.~~ .~ WWICH QUADS YOU FOR TH•IS~O~R~bM(j lS#al~ r r~n.r . I ~ l VV~D,.te,. Ira v e.k ((`~• ~~, {,t ~~ ~~ . htt~;Nw~vw.pityo~~gbugtte;org/i~icCex.cfm`Tpageid-l48 , ' ~b~•~l2QQb WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOA APPLutNC3: s JUN-02-2006 19 10 Application Specific attention should be directed to posii<Wo conflict of rriterest, For further ~:iarifeoatiun, it a wntad the ~approprtate staff person or to the Gity's tegel stlntf. Are you curve g~o a City Board or Cnmr~lseion: _,~„_ ............._._...__...,...._ SIGNATUR If questions, contact the City Clerk's Office, City Hatl, 50 W 13~` St., Dubuque, iA S~O~J1. Phone All names will be dropped from the list after a one year period, Nome itroe : Deoartmenta :City Clerk : t3vards and Commissions : Apptici~t4on prinxer,hieodty page s Web Site t)isclaimer Privacy Statement linking P..oliry Nvt ser~e..ot who, to. tort~ttT nick h qre S8~ o89a >,ttn•1/ivurar rtirvnfrlrhnana r-rarnAPY nfm'h~aaaira_1dR .~,^ar.>.nn~. TOTAL P.02 CHARLES MILLER P.02 . Piii;e 2 of 2 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. 13t" 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 applica°cion will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: % ' / Q - ~ C~ C~ 7 ~'~'c' ,j",~~~ r;?~~/s' y/~~i~'~1~ l ADVISORY BOARD/COMMISSION APPLYING FOR: `'"`~~'`~ ~~ '~~``~-"~`~'" ~~I~~.~ NAME: ~o h nr ;1~. S <r h ~v ~>. ,.~ ~-~ ~ ~., ~ r :q. ADDRESS: g C4 Cl ~+( ~L L ~ ' t~ `'T "' ,~ ,~ a r:rY ~ E'_ ~ ~ ° '"~ d , ~ ~' f'~ BUSINESS: `y~ha ~Ghw~NCJ+`~~•~ ;, C~~ti~ ~7,ADDRESS: _~ ~~_/. OCCUPATION:G~.,~~G_~~1`e~; /Cu.t'r~2e,. ~~-~„~: POSITION WITH COMPANY: ~<<~~% ~' r{ HOME PHONE: 5 (~~ ,5-~5 ~ ~~ Y s~ BUSINESS PHONE: ~~.~'G. - ~'~ ;5-~.~"`~'`l~:t S `~3 EMAIL ADDRESS: "- EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: ~~~?-~-..~7~-s~.cc.tJc2~'-~ t,-'-t~ C~-C~` ~ CP ~dr'r ,c.- ~ -~ C« NAME: ~~s~~/c~c~~~-~.~.1~ ~ ADDRESS:~~,~~ .L/,~-. ,~-.-~'~ "~.J Specific attention should be directed to possible conflict of interest. For fu her clarific~ situation arises, contact the appropriate Staff or Legal Staff. Are you currently serving on a City Board or Commission: ~- SIGNATURE: C'Gru.,... If questiay~s~contact the City Clerk's Office, City Hall, 50 W. 13t" St., Dubuque, IA 52001. Phone (563) 589 4120. ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. ~WrHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~ f--.,~ , -ZLC.-uc-t'.r~ rC-t~... ,.~y-r_ G1c~,ts-c.-G4.! [.J~-2-L'~ ~ ~~-~~ !tl-s---~_...+_, '-t..s.~ ..~..~L ~i ~~ Csc 07 JUL 24 AM I I ~ 33 City C:%!vtl~~~ Uffice D«buq~~, 1A CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: 6.15', 07 ADVISORY BOARD/COMMISSION APPLYING FOR: NAME: F -,'4NIEt ~01/~ ADDRESS: Z3~/Z Mgf,y~rt,J JD~1iy Q,Q,/E BUSINESS: ~/RRga/7 ADDRESS: ?ao ~o~df~ f> , ~/,~F 9~Z OCCUPATION: CO~/!r/I~~~/aJ i't~~~/~G~/1 POSITION WITH COMPANY: /J/li•~~/~dL HOME PHONE: SG3- 5-~3- ~y~3 BUSINESS PHONE: S63- 5~3- 9i31 EMAIL ADDRESS: -~~~~ e ~~R~~~7 ~~'1 EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: 30 ~LIQiI ~e;'~/~~ t C'O~Jl1rI/G7/p~/ ~~/Q~tr~~/ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: LL7 1 ~ wu trtKtNCtS: NAME: e /.~v E7pi.ttE ADDRESS: 7~ LdGJrI, f,~, 3aa NAME: ~~~~/~y ~~~roP ADDRESS: 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 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 Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: ~ ~ '~ ;~'r~l - ~ C~C~' ~~~ " ~ ADVISORY BOARD/COMMISSION APPLYING FOR: NAME: - ~ - ~~:~~' ADDRESS: % 7~> BUSINESS: G ~' ~4. ~~~ C~~ ~ , ,c. ~',~~ ADDRESS:_ /~ ~ .:- ~r~f~• ,,,-. OCCUPATION: ('v,z ~'~' ~/~-.. POSITION WITH COMPANY:_. ~-~~ . HOME PHONE: ~"G.~ I 1"~F - ~t Y- ,~. y BUSINESS PHONE: 1'~G~- .Jy""~ ' ~~ ~'~t'~ EMAIL ADDRESS: EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: C, tG 'L'am _ i Z .~7/L /C= WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ,- t i ,~ LIST TWO REFERENCES: NAME: ~ ~~:~~ ;..,-.h.ti w ADDRESS: ~r< << ..~ f,/~/J NAME: ~<~-~., ~~~.= h E.<-/~ ADDRESS: /-~iz~~~: /~~~~c. ~ /., ~.,G~l,- ~ ~U Specific atten ion should be directed to possible conflict of interes . 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:~~z,~ ~.. G~--t 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 Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: ~It~N~ L ~J~ 20D'~ ADVISOR,Y--ABOARD/COMMISSION APPLYING FOR: ~Utf_~f~,; ` x 1,, ,;~ ~~~ s NAME: 1<i~a.~ ~-~~~,~ ~~i,~s-, ADDRESS:__~75 (~, `~ BUSINESS: ~,u~u ADDRESS: ~~vc~ t~.LtL~i,,c..~ ~i,,~ OCCUPATION: ,ref-~ POSITION WITH COMPANY: t~tz~,~r~,- ~,c,~,~~-, HOME PHONE: ~~ - S9'8 BUSINESS PHONE: sg _ ~.~ ~ EMAIL ADDRESS: EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: LIST TWO REFERENCES: NAME: ADDRESS: NAME: ADDRESS: 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 serv~ijng' on a Citjy Board or Commission:__ y ~ s SIGNATURE: ~i~~i~~~G-~ ~~~~_ ~_ 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 Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) 7 a~~ ADVIS RY BOARDICOMMISSION APPLYING FOR: ~ ~~ NAME: .1~~ ~ ADDRESS: ~' ~ ~`'' F- ~: BUSINESS: ~ ~?~- ADDRESS: ~ ~ _ ~ ~ OCCUPATION:, _ `' - ~< ~ RO , ITI N WITH COMPA Y: _ HOME PHONE: ~ -~- -~-- ~ BU (NESS PHONE:-~~;/e~~-- EMAIL ADDRESS: EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR~THI~S~BOARD/COMMISSION: WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~~~~~~~~ Specific¢attention should be directed to possible conflict of interest. ror runner clanric~ 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 W. 13th St., Dubuque, IA 52001. Phone l~>iZ! RfLQ d49A QI I AFQ1HFFf~ IA/lJ I RIr f?If2ADB>rf~ >=1?f11411 T41F 1 ICT d~TFR ~ r1All= Y.GdR QI=!?!f1[3 R~~FIVFD Q7 JUL 3 I AM 8~ 3 ! City Cferi~'~ Ctiice Dubuque, IA 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 Halt, 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. 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, a long as ~e application is active (unless the applicant advises they are no longer interested). ADVISORY BOARD/COMMISSION APPLYING FOR: v~l I ~ n NAME: ~ ~I ~ CJ ~ ~,~~1 ADDRESS: ' Cj ~ V ~Ur '~ ~ .~ ~--. BUSINESS: ADDRESS: ~q OCCUPATION: __ _ _ POSITION WITH COMPANY: ~ ~l~ S HOME PHONE: ~J(C'~ ~ L- ~- / ~ " ~ rT'~BUSINESS PHONE: EXPERIENCE, EDUCATION AND TRAINING WHICH~OU ~MMISSION: ,• T- YOU FOR THIS BOARD/ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN I)dIAKE TO THIS ADVISORY BOARD (OR STATE REASON FOR APPLYING) (( LIST TWO REFERENCES: NAME: NAME DDRESS: DRESS: Specific attention should be directed to possible conflict of interest. For furth t clarification, if a situation arises, contact the appropriate Staff personnel or Legal Staff. Are ou currently serving on a City Board or Commission: ~ I ~/ Y questions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 hone: 589-4~2Q; ALL NAMES WI L BE BOPPED FROM THE LIST AFTER A ONE'YEAR~P ~, ~ l;/~ (~ ~: , ;~ SIGNATURE ~' .~ ~,~' "~...`- ~ f- r CITY OF DUBUQUE BOARDS AND COMMISSIONS Citizen boards and commissions play important roles in governing the City of Dubuque. Membership. is not to be taken lightly but should be considered as a contribution to maintaining and improving the quality of life in the community.. Benefits derived by the community as a result of citizens serving on boards and commissions include: • Members provide a valuable link to the community and to the various interests that make up the community; • Members sometimes possess expertise in specialized .areas; • Members assist in the .development of policy recommendations to the City Council; and • Members promote the City and its programs and provide positive support to City staff. In addition, serving in a "volunteer" capacity as a member of a public board or commission. is a personal achievement and provides a sound basis for further public service. Such service also lays the foundation for being an effective citizen even after commission membership has ceased. In establishing commissions, the City Council does not surrender its overall leadership, legislative, and/or fiscal responsibilities. Rather, boards and commissions exist to assist the City Council in performing its duties. Boards and commissions in the City of Dubuque function in one or more of four ways: 1. Serve as an advisory body to the City Council and charged with the responsibility of providing advice and recommendations on matters within their functional area; 2. Serve as aquasi-judicial body to hear appeals thus providing a function which City Council cannot effectively perform.; 3. Serve in a technical capacity with responsibility over a specialized technical area with .regulatory authority .over professional licensing; 4. Perform policy. and oversight function as delegated by the City Council. The establishment of administrative agencies known as Boards and Commissions is governed by Section 392.1 of the Code of Iowa. These bodies are created by City ordinance and codified in the Code of Ordinances of the City. Each ordinance will state the body's title, powers, duties, method of appointment, qualifications, terms of office, and other appropriate information. The City Council may not delegate to a commission any of the powers, authorities, or duties prescribed in Chapter 384 of the Code of Iowa pertaining to revenue financing or in Chapter 388 pertaining to City utilities,. except the City Council may delegate the power to establish and collect fees and disburse the monies received for the use of a City facility. The City Council may also delegate rule making authority to a commission for matters within the scope of the body's powers and duties and may prescribe penalties for violation of commission rules which have been adopted by ordinance. A commission may not pledge the credit or taxing power of the City unless otherwise provided in the ordinance CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: r~'ll t ~a' ADVISORY BOARD/COMMISSION APPLYING FOR: ~fo~~t.~ a Cv ~M iss"~~ ti NAME: L~. zyi~~~~~D I~,~ ADDRESS: ~~ ~~ ~~c~fr is is .A~`N ~r. BUSINESS: ~urf/u.ti~j ~-tti.~.~c,~~.k' U.i~4,~~v~~.~ ADDRESS: l3~~' C~tio~i-~.~,~.,,.,.t,,~ OCCUPATION: ~f}~-itiry POSITION WITH COMPANY: (,~,vN~~ (~, u;~-~ HOME PHONE: ~e'~ - ie~<~v BUSINESS PHONE: S'~'q- Y~,2~ EMAIL ADDRESS: Dk.~F~r2 ~v, /arc. F~ coM EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/COMMISSION: .tit l~sJ1"ev~ 1. U -^~` i`t f tt lcM Gi11/;~ ~ ~";'r .~~ ~st~~ lvt-+z' ,~'-•.~ y'~c'Li7 r ~~° ~~r ~,.y . WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: LIST TWO REFERENCES: ' ~' NAME: .~4 _ ~~'tt~r ADDRESS: ~ia~r' il.~~,~Lt NAME: SY'- /~~~Ures U//~^rGl, ADDRESS:_~t- ~}. ~~~,~Lif 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: ~~s _ ~h~;(w>, 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. 07 AUG 14 PM 4~ 00 City ~1er~1 s office D«bu ~~!e, IA Application Ai[port ~ " • ~UB~QT,~, I~~I.A r3~-sT~>rryt>ci: ~:~~ rrtf_ ~.tl~l~,~l~l~: Page 1 of 2 ~'~~ `.~ Enter Key ~:r_tct: r:_7€z r•~t*sr~Fl Home Paae : Departments : CiiV Clerk : Boards and Cammi~io~ : AppllCat1011 City Clerk First Roor of City Hall, 50 W. 13th Street Phone: (563) 589-4120 Fax: (563) 589-0830 Hours: 8 a.m. to 5 p.m. Monday through Friday Email: ~sch_neid cityofdubuc~ue.Ofg CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION Ft Individuals serving on Boards and Commissions play an important role in advising the City Cour interst to our community and its future. The City Clerk's Office, City Hall, 50 West 13g'' Street, Dubuque, IA accepts appligtions for any Commission at any time, and the application stays active for one year from the date of receipt it N "' ~ Office. a t'v ~ ~ ' At the appropriate regularly scheduled meeting, applications will be submitted to the City Counc • > ~ ~ , and applicants are encouraged to address the Counal staling their reasons for wanting to serve o.. v~ cU particular Board or Commission. Applicants will be advised when the application is being. preser LL; ~~- ~- Appointment to the Board or Commission will be made at a later meeting. Applicants will then b~ ~,; ~ cv •y ~ the outcome of the Council's action. if not appointed at thantirne; this application wiN be resubrei ~ J -~ as long as the application is active (unless the applicant advises they are no longer interested) {~ ~ p ,~ D V DATE:~i~~ (~nc ra'()~ ADVISORY BOA D/COMMISSION APPLYING FOR: /~ ~/~., BUSINESS: L~15U~~ ADDRESS: OCCUPATION: POSITION WITH COMPANY: HOME PHONE; -~ ~ -503 BUSINESS PHONE: EXPERIENCE, EDUCAT'ILON WHICH QUALIFIES YOU FOR THIS BOARD/COMItiI+SSION: c~ -NIY. °~T~1P -pf r~,n ~ ~,rjh~ j~es~ eD},c,. ~~ra~,lLl f r[~~~['~ the- r~~~_e. ~-~ t~~e~lPn+ o r~c1. ~~-}- n~ ~ ~r-r~c~l. W1HAT CONTRIBUlTIONS CAN YOU MAKE OR STATE REASON. FOR APPLYING l (1P Y~'.5nn~-FC~r• mr, (~~o~~-f-iDn~ rS ~~~1~~Z ,~j1~~ ot~ ~ec~+iary$ T- '1" C C~-buses ~ ~t- ate c~ lof v-F ~Ple c~.a ref- del i ~x~/~ ~~~s s~zeu lc1 !r~ ~ http://www.cityofdubuque.org/index.cfm?pageid=148 3/16/2007 C~ ~'CL'{~ ~~p t n l i fie, l~o~- ~e ea~~ cam. ~,~ ~~ c-rC- l '~ ~'~ • ~ ~v S hnu 1G{ O~~Ar~.tcz.~e.~~1-h~e. he\p o~~ca mot- i~X~ c~.duc3~~~zc;~;®c n^~~,e~ .-- Appl~ tion Page 2 of 2 • LIST TWO REFERENCES: ~i~~ u e, 5 ~~ ~ y~~~ Specific attention should be directed to possible conflict of interest, For further clarification, if a contact the appropriate staff person or to the City's legal staff.'' Are you currently se 'ng on a Ci rd or Commission: ~/r7 SIGNATURE: if questions, con ac# the City Clerk's. O€€ice, City Hall, 50 W, 13~' St., Dutwgee, lA 520U1, Rhone All names will be dropped from the list after a one year period. Homa Page :Departments :City Clerk :Boards and Commissions : APp~ICat1Of1 printer friendly page • Web Site Disclaimer Privacy Statement Linking Policy Not sure of who to contact? click here City Hall, 50 West 13th Street, Dubuque, Iowa 52001 • http://www. cityofdubuQue. org/i ndex. cfm?pagei d=148 3/16/2007 CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM ~Q ~_ e in advisin the Council Individuals serving on Boards and Commissions play and important rol g on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stays active for one year from the date of receipt in the Clerk's Office. At the appropriate regularly scheduled council meeting, applications will be submitted to the City Council for their review and applicants are encouraged to address the Council stating their reasons for wanting to serve on this particular commission. Applicants will be advised when the application is being presented. Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Council's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application i5 active (unless the applicant advises they are no longer interested) D!~T~: / o~ ADVISORY BOARD/COMMISSION APPLYING FOR: NAME: ADDRESS: ~~ ~~~`~ BUSINESS: ~y ADDRESS: '~~ ~ POSITION WITH COMPAN ~ ~ } OCCUPATION: HOME PHONE: J~l.~ J~cJ~ ~~-Y BUSINESS PHONE: i'~~J EMAIL ADDRESS: CZ07.5~C/~'L!/~.4~ (% ~slfl.~iC, EXPERIENCE, EDUCATION WHICH QUALIFIES YOU NAME: :~ THIS BOARD/COMMISSION: NAME: ~~~~,L~ ~~ ADDRESS: `~~~ r ls~/ Specific attention should be directed to possible conflict of nterest. For further clarification, if a situation arises, contact the appropriate Staff or Legal Staff. Are you currently serving on a City Board or Commission: t '' • /. -~- / L / / ~-' o SIGNATU If questions, contact the City Clerk's Office, c~'ty Hall, 50 W. 13th St., Dubuque, IA 52001. Phone l~ZZ ~s:o a~J~n aJ J hldlUtF~ UUIJ ! F2F F!i?ApDCP! CQE111A Tt.t~ 1 1CT ~kTGR .D f1t~1F YFdI? D~RlA!'1 WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~ Ol .lUL -2 P~ 2' S t `:^ City Cicr~ :~ uf~ics pu~u~~!c, IA ~. Application Page 1 of 1 ~ o Individuals serving on Boards and Commissions play an important role in advising the City Cour~r~tinatt ~ of interst to our community and its future. ~ ~,.~ ~. m The City Clerk's Office, City Hall, 50 West 13th Street, Dubuque, IA accepts applications for any a~ and/~ Commission at any time, and the application stays active for one year from the date of receipt ineL~lerk's 1~ Office. rp c.'~ ~ C' j ~'1 At the appropriate regularly scheduled meeting, applications will be submitted to the City Counciptbr~ir ~ review and applicants are encouraged to address the Council stating their reasons for wanting to se~ on tt~ particular Board or Commission. Applicants will be advised when the application is being presented. OD Appointment to the Board or Commission will be made at a later meeting. Applicants will then be notified as to the outcome of the Counal's action. If not appointed at that time, this application will be resubmitted, as needed, as long as the application is active (unless the applicant advises they are no longer interested) DATE: J V I ~ '~ ADVISORY BOARD/COMMISSION APPLYING FOR: TRANS2T BDAR~ ~F fi RUSTE~.S NAME: DeN ADDRESS: STEDMAAI BUSINESS:-- 11lIA ADDRESS: oC/~,~ ~~.~a?~~J ,~~~~ OCCUPATION: ~ R~''E':~e d POSITION WITH COMPANY:_~. Q }~!? E>G C H ~~ ti,~/f}~QM £ R , HOME PHONE:. S$4"CI43g BUSINESS PHONE: Ce ~ I yg5'--001(p EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARDlCOMMISSION: Q_ A . ~Renn UNSdER52TY of ~JnRTN ER nl S o w,~_ S,-~8 L3 s t ~ E ss _ WHAT CONTRIBUTIONS CAN YOU MAKE OR STATE REASON FOR APPLYING: ~f~ ~'*~ ~~ ~ ~ S'T ~es~re P ~- _-c a nrt Y < -r H y E qR one "~kls~5 p~,.,(~R2'(1 2 GcJOU~fl 1,.~KS TD _KF_L~ SeM>° ef` OUR PLAIJS ?~I~~~t(~(~T'~ T}~~f~ CoNCLL/~,2c~N~S LIST TWO REFERENCES: NAME:~etl Lta ~~o ADDRESS: l°18S R I'~"~ 1~;Sa'i1 ~bq. $~00~ NAME: So r. R o abc ke r ADDRESS: 14 01 CGv~krp,~ Specific attention should be directed to possible conflict of interest- For further Garl~i~jon, if a sitya6on arises contact the appropriate staff person or to the City's legal staff. Are you currently serving on a City Board or Commission:.~VS-f' eennole-}"td ~e..yrs. Ori ~}hi S boah.~ . SIGNATURE: ~e~- ,~~~~,~~ If questions, contact the City Clerk's OFFce, 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. http://www.cityofdubuque.org/printer_friendly.cfm?pa~eid=148 7/11 /2007 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: Xz °T ^'~ - .1aoL ADVISORY BOARD/COMMISSION APPLYING FOR: `T.,~.~Ws,T ~~~~ O~ •~j2ys~Gess NAME• _.Q~ _T ~t-ns ADDRESS• ~~`-30' C`/~rssy ~.~-~~~ S ~ c ~ _. ~!'..:. S.La...+~ a r~ic+~.~s 3 ''. ~ h BUSINESS: ~~~~~~~ - ADDRESS: OCCUPATION: $i TG S~~u,,.,~.v POSITION WITH COMPANY: -'t ~' r HOME PHONE: / - j ~s ~-s~-t - ~ ~~~~v BUSINESS PHONE: ~ E~ERIENCE, EDUCATION AND TRAINING WHICH YOU FEEL QUALIFY YOU FOR THIS BOARDI MISS 1 O N : ...~. ,,,~, OGr i ~! ... ,..~. s«,! ~..rc ~... rLs ~~ WHAT CONTRIBUTIONS DO YOU FEEL YOU CAN MAKE TO THIS ADVISORY BOARD (OR STATE..,, REASON FOR APPLYING) ,~~7 ~3c,P~..~ e..r/c._.. ,e~» w~e.~7 '>• sue. ~ ~~~~ LIST TWO REFERENCES: NAME: ~sG~~ G'~c.~.-f~+° ADDRESS: ~`tta7 G'.2~~~~ ~7<s3c,~,.~ NAME: ' ~ ~•-r ~ ~~1~ LG-~ ADDRESS: .~ L i7 mew 1~,9/s w ~~~'~ 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:_~ cs uestions, contact the City Clerk's Office, City Hall, 13th & Central, Dubuque, IA 52001 one: 589-4120; ALL NAMES WILL BE DROPPED FROM THE LIST AFTER A ONE YEAR PERIOD. SIGNATURE CITY OF DUBUQUE, IOWA BOARD/COMMISSION APPLICATION FORM Individuals serving on Boards and Commissions play and important role in advising the Council on matters of interest to our community and its future. The City Clerk's Office, City Hall, 50 W. 13th St., Dubuque, IA accepts application for any Board and/or Commission at any time, and that application stave active for one vear 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 (untless the applicant advises they are no longer interested) DATE: ~./ li_ ~y ~~~~ a D 0 '~ ADVISORY BOARD/COMMISSION APPLYING FOR: ~ ~a ~'- S ~' ~ ~o ~ r~ NAME: ~rt < ~I ~~~1 c~ ~^!~ C~ l~ ADDRESS: Z-`~~ ~ ~~ ~ (~e r~-t ~e s s fir. BUSINESS: `- ~,~~ her ADDRESS: OCCUPATION: rP POSITION WITH COMPANY: "-- HOME PHONE: Cs~ ~ ~ S~ ~ 3 ~ g5 BUSINESS PHONE: EMAIL ADDRESS: r uJf'd~ b 1` Ke s o~ , c~ ~ Co vr~ EXPERIENCE, EDUCATION WHICH QUALIFIES YOU FOR THIS BOARD/C/OMMISSION: Z ~ ~V ~ ~~ e<,6 r' G~.i' n ~ 1' h 7L~2 r.e ST ~~,-, ~Ortl~ (r ' c ~"i^a..yi sT~c~r' J'~f ~< a~ Vr ~n ~a vi/ Gt 1 t vt ~ C r `~~ s r ,~ ~ ~~ o~ r T'® ~~ r~ ~ -e rtJ h e Y'.e ~ . (JSe~ ~~` buS.e r~'9~~ar/ ~ 0..d,1 e5 ~~ l SCo vt Sr~h, WHAT CONTRIBUTIONS CAN Y6U MAKE OR STATE REASON FOR APPLYING: ~ ~ Concerv~e~Q a~,6o r.~t~ ~ (o ~ ate. ~ (,./ r,~ rv» ~' n ~, ~/Y1'! I/~ tom' ,`h to re5 fe~ ~~n u[~ 1, `c ~rAh s a ~--7G~7Li'oh . 1 0~2~-, t,c s,e /~e (~~i--, e LIST TWO REFERENCE u s ~, NAME: c~-ro/ Su/oZ ADDRESS: 13~s~v6~rh~~~~~u9ue S"~iaj --r NAME: .J a h ~ S w' ~-~ ~ ADDRESS: ~~"~ ~ ~0.e''kvva ~b k ue ~ ~ ~~ Specific attention should be directed to possible conflict of interest. For furt er clarification, if a situation arises, contact the appropriate Staff or Legal Staff. AA // Are you currently serving on a City Board or Commission: /Ue SIGNATURE: ~a, 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.