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HomeMy WebLinkAbout2021-04-06 AppointmentItem Number: 16.a. �r A�� CITY OE IOWA CITY www.iogov.org April 6, 2021 Ad Hoc Truth and Reconciliation Commission - Four vacancies to fill unexpired terms, upon appointment - June 30, 2022. (Johnson County residency is required. Iowa City residency is preferred but not required if an applicant offers expertise or representation not available from applicants who reside in Iowa City. Members of other City boards and commissions are eligible to serve on the TRC.) (Anthony Currin, Royceann Porter, T'Shailyn Harrington and Raneem Hamad resigned) Correspondence included in Council packet. ATTACHMENTS: Description Raneem Hamad Resignation Vacancy Notice/Coversheet Board Demographics/Attendance Alexakis, I oannis -Application Ali, Nada -Application Aron, Arianna - Application Beining, Kaleb -Application Biancheri, Theresa -Application Borger Germann, David -Application Buckley, Jennifer -Application Burrell, Nicholas -Application Carroll, James -Application Culp, Priscilla -Application Daly, Daniel -Application Daniel, Daphney -Application Dillard, Chasity -Application Dirks, Sarah -Application Erwin, Heather -Application Garrison, William -Application Gathua, Wangui -Application Greer, Sarah -Application Johnson, Clifton -Application Jones, Nikesha -Application Matharu, Wangui -Application Melvin, Tineke -Application Nelson, Erik -Application Nichols, Amanda - Application Nobiss, Sikowis (Christine) Ramseyer, Amy - Application Taylor, Angel - Application Kellie Fruehling From: Geoff Fruin Sent: Thursday, March 25, 2021 10:05 AM To: *Council Members Cc: Eleanor M. Dilkes; Ashley Monroe; Rachel Kilburg; Kellie Fruehling Subject: FW: TRC Resignation Letter Attachments: Letter of Resignation.docx.pdf Council, Please see below and attached from TRC Commissioner Hamad. Geoff From: Stefanie Bowers Sent: Thursday, March 25, 20219:52 AM To: Geoff Fruin <Geoff - Fru in@iowa-city.org>; Eleanor M. Dilkes <Eleanor-Dilkes@iowa-city.org> Subject: Fwd: TRC Resignation Letter Begin forwarded message: From: Raneem Hamad <raneemhamad @Rmail.com> Date: March 25, 2021 at 9:38:30 AM CDT To: Stefanie Bowers <Stefanie-Bowers@iowa-city.org> Subject: TRC Resignation Letter Your attachments have been security checked by Mimecast Attachment Protection. Files where no threat or malware was detected are attached. Hi Stefanie, attached below is my resignation letter. Thank you. Raneem Hamad Pronouns: She/Her/Hers BA Candidate 2021, Human Rights & Public Health Columbia University in the City of New York Delta Sigma Theta Sorority, Inc., Rho Chapter PLEASE NOTE: THIS EMAIL IS SENT TO PROVIDE THE COUNCIL WITH TIME -SENSITIVE INFORMATION. TO AVOID AN UNINTENDED "MEETING' IN VIOLATION OF THE IOWA OPEN MEETINGS ACT, PLEASE DO NOT "REPLY TO ALL." IF YOU HAVE A QUESTION, PLEASE CALL THE CITY MANAGERS OFFICE AT (319) 356-5010. Resignation Statement of Raneem Hamad As the Iowa Freedom Riders explained in an earlier stated (attached below), the City Council's decision on March 16 to reprimand the Truth and Reconciliation Commission (TRC) with a month-long suspension in response to the TRC's procedurally valid and substantively grounded decision to elect new leadership demonstrated that the Council controls the TRC like a hand puppet and is prepared to shamelessly use its power to get the results it wants from the TRC, even in the face of overwhelming public pressure to the contrary. The sad but unavoidable fact is that the TRC is limited to telling truths that the Council wants to hear. These are not the truths that I and others from IFR wanted to focus on when we originally demanded a TRC in June 2020. The Council, after all, has plenty of opportunities to hear its own voice and pat itself on the back through commissions like the TRC and other forums, events, spokespersons, etc. We wanted to focus on precisely those voices and truths that the Council desperately does NOT want to hear. Truths that the Council continues to ignore, sideline, shut out, gaslight, and delegitimize in countless ways. The TRC, for me, is not only a waste of time, it is draining and counterproductive. I am a Black, Muslim woman and a young activist focused on a true struggle for Black liberation. I know that entrenched systems of white supremacy will gladly sap the energies of Black women before ever giving up power. I was willing to negotiate with Iowa City's neoliberal establishment to "assimilate" last summer's revolutionary energy on strategic terms that could have enhanced and institutionalized that energy without suppressing or distorting it. The Council has made a mockery of that agreement. Effective immediately, I resign from the TRC. There is no longer any IFR representation or participation with the TRC and the Council can breathe a sigh of relief. This is a difficult decision for me. I have been fighting for racial justice, truth, and reconciliation in Iowa City since childhood. I have spent hundreds of hours trying to bring the real vision of the TRC to life. I literally worked on TRC matters from a hospital bed. I have faced a constant deluge of disrespect, personal attacks, and emotional abuse — a fact acknowledged by a wide range of current TRC members and members of the observing public. But this decision isn't about me. While the abuse I faced was intolerable, I have borne it and would continue to do so if there was still a chance of achieving anything like IFR's vision of an independent, BIPOC community -led, transformative justice process through the current TRC. Council's actions on March 16 made clear that there is not. Raneem Hamad March 25, 2021 NOTICE THE CITY COUNCIL OF IOWA CITY IS CONSIDERING APPOINTMENT TO THE FOLLOWING COMMISSION: AD HOC TRUTH AND RECONCILIATION COMMISSION Four Vacancies: Unexpired Term Upon appointment — June 30, 2022 • The City Council has established the Truth and Reconciliation Commission (TRC) to bear witness to the truth of racial injustice in Iowa City and to carry out restorative justice, through the collection of testimony and public hearings, with such work to include a recommendation to the Council of a plan for dedicating and/or renaming public spaces and/or rights of way in honor of the Black Lives Matter movement; The charges of the TRC are as follows: A. Fact -Finding The TRC shall collect evidence, including first-hand testimony, of discrimination and racial injustice in multiple settings and compile a complete record of racial injustices that will inform and support the fundamental institutional and policy reforms necessary to address systemic racism. B. Truth -Telling The TRC shall: 1) Provide multiple fora and creative opportunities for persons impacted and traumatized by racial injustice to share their stories of racial injustice and experience to be heard by: (a) fellow communities of color; (b) a broad cross section of the entire Iowa City community; and (c) key decision -makers in city government, the business community and the University; 2) Explore ways to provide such opportunities through art, music, theater, workshops, rallies and other forms of congregation, multimedia and listening designed to reveal truths that cannot be fully expressed in traditional fora; and, 3) Create a repository for community stories expressed in multiple media (written, video, audio, art) that can be catalogued and used to educate and inform members of the community. C. Reconciliation The TRC shall: 1) Provide opportunity for and facilitate direct conversation among and between community members of color, white community members and representatives of various sectors in which people of color experience discrimination and injustice (e.g. police and protesters, landlords and tenants, students and teachers, patients and health care providers, business owners and staff); 2) Create a replicable model that provides a structure for enabling these conversations throughout the city; 3) Make available opportunities for a broad cross section of the community to learn about discrimination and racial injustice in our community; and, 4) Identify and recommend to the City Council institutional and policy reforms, new social practices, expectations, protocols, habits, rituals, conversations and celebrations that will move Iowa City toward a shared experience of race and difference, justice and equity and community and harmony. The TRC shall have members who are representative of the City's BIPOC communities and organizations, including those who have direct lived experience with systemic racism, as well as experts who support those communities. To the extent possible, as determined by the City Council, the TRC shall include representation from groups such as the Iowa Freedom Riders, the Black Voices Project, the South District Neighborhood Association, the Iowa City Human Rights Commission, and the Community Police Review Board. Johnson County residency is required. Iowa City residency is preferred but not required if an applicant offers expertise or representation not available from applicants who reside in Iowa City. Members of other City boards and commissions are eligible to serve on the TRC; • The TRC will have an organizational meeting within 30 days of appointment of all its members by the City Council and will determine the frequency and conduct of its meetings. Applications must be received by 5:00 p.m., Tuesday, March 30, 2020. An application can be completed and submitted on the City of Iowa City website at www.icgov.org or by contacting the City Clerk's office. Questions about the TRC appointment process should be directed to Stefanie Bowers at 356-5022. Board/Commission Application Cover Board/Commission: Ad Hoc Truth and Reconciliation Commission Four vacancies to fill unexpired term Upon appointment - 6/30/2022 It is hereby established, as a formal policy of the City Council of Iowa City, that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council Announcement Date: 3/16/2021 Application Deadline: 3/30/2021 Council Appointment Date: 4/6/2021 Date of Non -Gender Appointment: 6/14/2021 After date above Council may appoint without regard to gender Gender Balance Requirement: 2 -Female, 1 -Male, 1 -None Current Gender Balance: Female: 2 Male: 3 Gender Name and Address Male Alexakis, loannis 1017 E Burlington St Female Ali, Nada 2534 Bartelt Road Female Aron, Arianna 2203 1/2 Apt B Muscatine Ave Male Beining, Kaleb 540 Westside Drive Female Biancheri, Theresa 1162 E Jefferson St Male Borger Germann, David 108 Colchester Dr. Female Buckley, Jennifer 192 Columbia Dr Male Burrell, Nicholas 1483 Westview Dr, Coralville Male Carroll, James 1121 Gilbert Court c/o crisis center Female Culp, Priscilla 1815 Sara Court, North Liberty Male Daly, Daniel 2325 Mayfield Road Female Daniel, Daphney 1121 Carver St. Female Dillard, Chastity 203 5th St., Apt. 4, Coralville Female Dirks, Sarah 3300 Muscatine Avenue Female Erwin, Heather 43 Green Mountain Dr Male Garrison, William 527 E College St., Apt. 3 Female Gathua, Wangui 1700 S 1st Ave Female Greer, Sarah 35 Juniper Ct, North Liberty Male Johnson, Clifton 1710 Flatiron Ave. Female Jones, Nikesha 917 20th Avenue Place, Coralville Female Matharu, Wangui 172 Hawkeye Court Apt 218 Female Melvin, Tineke 711 Blue Jay Ct, Tiffin Male Nelson, Erik North Liberty Female Nichols, Amanda 2713 East Court St Female Nobiss, Sikowis (Christine) 412 Kimball Road Female Ramseyer, Amy 308 N. Linn Female j Taylor, Angel 1 32 Jaro Way, North Liberty Ad Hoc Truth and Reconciliation Commission Demographic Re ort p Name Term Term Stop Resident Occupation Gender" Age* Countryof Sexual Religion* Disability* Ethnicity" Gender Rat;L Type Number Term Years Origin* Orientation* Identity* Amel Ali 6/30/2022 20 years Student Female 25 Sudan Bisexual N/A No African Female Black American VACANT Unexpired 6/30/2022 VACANT Unexpired 6/30/2022 Kevin John 6/30/2022 6 years Resident Physician Male 30 United States Queer Christian/My No Filipino- Agender Asian Rivera $tic American Mohamed Traore 6/30/2022 Since 1999 Web Designer Male 25 United States Straight/Heterose Muslim Yes Non -Hispanic Male Black/African- xual American VACANT Unexpired 6/30/2022 Eric Harris 6/30/2022 1.5 Years Cook/Community Male 41 United States Straight Christian No African Male Black Liason American Layana Navarre- 6/30/2022 more than College Instructor & Female 46 United States Heterosexual Christian No African- Female Black Jackson 10 years Other Laborer of America American VACANT Unexpired 6/30/2022 Please note: The information provided is the information provided on the application at the time of submission. * Information is voluntary AD HOC TRUTH & RECONCILIATION COMMISSION ATTENDANCE RECORD YEAR 2021 (Meeting Date) NAME TERM EXP. 12/21/20 1/7/21 1/21/21 2/4/21 2/18/ 21 3/4/ 21 3/18/21 4/1/21 4/15/ 21 4/29/ 21 5/13/ 21 5/27/ 21 6/10/ 21 6/24/ 21 ALI 6/22 X X X X X CURRIN 6/22 X X X X X HARRINGTON 6/22 X X X X X NAVARRE- JACKSON 6/22 X X X X X PORTER 6/22 X X X X X HAMAD 6/22 X O/E X X X HARRIS 6/22 X X X X X RIVERA 6/22 X X X X X TRAORE 6/22 X X X X X KEY: X = Present 0 = Absent r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/17/2021 First Name loannis Last Name Alexakis Home Address* 1017 E Burlington St City* Iowa City State IA Zip Code* 52240-3207 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3195417419 Email Address* Samalexion@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? 20 Years Occupation: Production/Technical Supervisor for the Englert Theatre Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* Long time resident in Iowa City, well-known in the are, consciously aware of many issues facing the various communities. Live by progressive and anti -fascist ideologies, committed to the redirection of police funding to better serve community services, such as mental health and rehabilitation prospects What is your present knowledge of each advisory board you are interested in?* My knowledge is the the work of the Truth & Reconciliation Commission is necessary to restructuring the underside of society Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 29 Country of Origin Greece Sexual Orientation Straight Religion Jewish Descent Do you have a disability? No Ethnicity Greek Race Other Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/20/2020 First Name Nada Last Name Ali Home Address* 2534 Bartelt Road City IOWA CITY State IA Zip Code 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3195128783 Email Address* aliaaanada@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. Ad Hoc and Reconciliation Commission How long have you been a resident of Iowa City?* 6 years Occupation:* Unemployed Gender* "This question is mandatory in order for the City to corrply with the state's gender balance requirerrant, which treats gender as binary. "Gender Identity" may be provided in the Derrographics sectionof the application below. F Male I7 Female Experience and/or activities which you feel qualifyyou for this position:* As a person who experienced racial injustice and saw others experience it as well. There was always a hope that one day I will be able to play apart in resolving the issue, this newly formed commission to address racial injustice just became the hope that I was looking for. As a board member, I know I will do my best to bring justice and peace to families and persons who have experienced discrimination solely based on their appearance and skin color. Some of the activates and experiences that worth to mention; I'm a member of the Sudanese Community Center here in Iowa City, I also did few internships, one of them was in Congress, another one was for the United Nations and the other was for the presidential elections 2020. 1 have also obtained my B.S in Political Science - major: International Relations from the University of Iowa. I hope these information provides you with a brief introduction about myself, gives you an idea about my capabilities and skills and I hope it would lead you to consider me for the position. Looking to hear back from you. What is your present knowledge of each advisory board you are interested in?* I know the Ad Hoc and Reconciliation Commission is established to promote and honor the Black Lives Matter Movement. Where the Commission members are appointed to conduct meetings, collect witnesses and testimonies, and draft plans for the City Council to carry out the restorative justice in Iowa City. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 29 Country of Origin Sudan Sexual Orientation Heterosexual Religion Islam Do you have a disability? No Ethnicity Arabs Race Black or African American Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* A49010 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/1/2020 First Name arianna Last Name Aron Home Address* 2203 1/2 Apt B Muscatine Ave City IOWA CITY State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3193609091 Email Address* arianna.aronl4@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 28 years Occupation: * Youth & Family Advocate Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* Working as a crisis advocate at UAY with youth and families. Being an Iowa City native, a parent to two black boys who are growing up here. Experience with topics close to this, spent time on Human Rights Commission. What is your present knowledge of each advisory board you are interested in?* Was in touch with lisa Burgess about applying on this board. Its to assist wit BLM related topics, gather community members stories and share with the larger community. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 28 Country of Origin United States Sexual Orientation Heterosexual Religion Christian Do you have a disability? No Ethnicity African American Race Black Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/24/2020 First Name Kaleb Last Name Beining Home Address* 540 Westside Drive City IOWA CITY State IA Zip Code 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3195309249 Email Address* kalebbeining@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Do you receive rental assistance? (?) r Yes r No Do you have expertise in construction?*(?) r Yes r No Do you have expertise in finance?*(?) r Yes r No Select a Board or Commission you are interested in:* Planning and Zoning Commission (P&Z) Select a Board or Commission you are interested in: Human Rights Commission Preference on first choice If rrultiple boards are being applied for. Housing and Community Development Commission How long have you been a resident of Iowa City?* 23 years Occupation:* Property Manager, Construction, Property Investor Gender* `This question is rrandatory in order for the oty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the tkrrographics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* Through my professional life, I have extensive experience in both housing and construction. I specialize in affordable housing; everyday I strive to operate property in a way that curates a positive community impact-- it is a deep rooted passion of mine. What is your present knowledge of each advisory board you are interested in?* I have a moderate -high understanding. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 23 Country of Origin USA Sexual Orientation Straight Religion None Do you have a disability? No Ethnicity Zimbabwean/German Race African American Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* *fxe 3 � xww Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/13/2020 First Name Theresa Last Name Biancheri Home Address* 1162 E Jefferson St City IOWA CITY State IA Zip Code* 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-541-7239 Email Address* theresa.biancheri@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Select a Board or Commission you are interested in: Community Police Review Board (CPRB) I Select a Board or Commission you are interested in:* Housing and Community Development Commission(HCDC) Do you receive rental assistance? (?) r Yes r No Do you have expertise in construction?*(?) r Yes r No Do you have expertise in finance?*(?) r Yes r No Select a Board or Commission you are interested in: Human Rights Commission Preference on first choice If rrultiple boards are being applied for. Ad Hoc Truth and Reconciliation How long have you been a resident of Iowa City?* 14 years Occupation:* Director ELA, Literacy at the College Board Gender* `This question is rrandatory in order for the oty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. r Male V Female Experience and/or activities which you feel qualifyyou for this position:* Iowa Youth Writing Project advisory council member and treasurer NARAL Chicago board members ACT diversity committee American Association of University Presses Diversity committee Field Museum exhibit developer What is your present knowledge of each advisory board you are interested in?* I am only generally familiar with most of them, but I know more about the Truth and Reconciliation Commission because I sat in on one of the city council meetings that discussed it and have read a description of what this commission intends to do. I think it's vital that we start this process on a local level so that we can eventually do this at a national level. As a white woman, I know that I'm not ideal as a member, but many of my jobs have been about making sure that things comply with fairness and sensitivity guidelines. I want to be of service in this endeavor because I work hard and have an eye for detail. If I'm chosen for any commission, I would check any white savior inclinations at the door and do my best to serve this community. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 53 Country of Origin USA Sexual Orientation Straight Religion Atheist Do you have a disability? No Ethnicity None Race White Gender identity Cis female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. CITY OF IOWA CTI' uNEscoarroF urca,uuR Advisory Baer-d/Commission/Cornmittee .application This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically considered for any vacancy during that time. NOTE: Must be 18 years of Age and live within city limits of Iowa City to apply Date of Application October 22, 2020 Which Board or Commission(s) are you interested in: Truth and Reconciliation Commission Which one do you prefer? Truth and Reconciliation Commission A licanl In - First Name David Last Name Borger Germann Home Address 108 Colchester Dr. City Iowa City State IA Zip Code 52245 Contact phone number 319-333-2380 Email Address david(&sanctuaryic.org f k 1. Is your home address (listed above) within the corporate limits of Iowa City? YES= ..NO'-: 2. How longhaveyoubeen aresident ofIowaCity? 24 years 3. Occupation: Clergy t , 4. Gender* CA 'This question is mandatory in order for the City to comply with the State's gender balance requirement which treats gender as binary "Gender Identity" may be provided in the demographics section of the application below. ❑✓ Male ❑ Female 5. Experiences and/or activities which you feel qualify you for this position: I have been a pastor for 10 years at a church that emphasizes justice, service, and social action through collaboration. I helped many within our church join the BLM protests in Iowa City this past summer, and I highlighted the demands of IFR during Sunday worship. I also serve as the VP of the Consultation of Religious Communities, and I will be President in 2021. CRC voted to apply for a role on the TRC with me as representative. As pastor and CRC President, I can serve as a bridge to predominantly white faith communities committed to advancing racial justice and equity. Finally, racial justice is personal to me as I am a parent to two Black and Latino children. 6. What is your present knowledge of each advisory board you are interested in? I participated in the nonviolent BLM protests this summer, attended community listening posts, and paid close attention to the Iowa Freedom Riders demands, so I'm well aware of the origin and goals of the TRC. Mayor Bruce Teague was the guest at a CRC meeting in Sept., and he shared about the formation and goals of the TRC. A couple years ago I served as a co-chair for the Iowa Poor People's Campaign. We held events and trainings that matched the goals of the TRC. We provided a platform where those most impacted by racial and societal injustice could have their voices heard, and we made policy recommendations as a result of those hearings. Please contact the city attorney at 319-356-5030 to discuss questions or concerns regarding a potentia; conflict of interest. The following describe some but not all potential conflicts. Dote: `'ai L-onfliC.1% af tgrest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally -assisted activity, or have a financial interest in any contract, subcontract, agreement with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a city Board or Commission from having an interest in a city contract. Section 362.5 City Council Resolution #15-300 established a policy that the following persons shall not be eligible for appointments to Boards and Commissions. r .., A council member's spouse, domestic partner or partner in cohabitation, children, step childj,! ra, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, Vdughterrin- law, sister-in-law, grandparents, and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, poster child, persons who are parents of the same child, and persons whom the employee is iR n intimate relationship. .-., e Res. #15-300 states that each application for reappointment to a City Board or Commisk e1n will be considered without regard to incumbency. If reappointed, an individual would be limifed to one reappointment to a full term in order to increase the opportunities for new applicants to serve. 7. Do you currently have a conflict of interest? YES_ NO X Please identify any potential conflicts between membership on the advisory board and your personal interests, including financial iriterests and your Jutes to an employer/ List all businesses in which you or your spouse/domestic partner, have an ownership interest (for example, sole proprietor, partner, 5% or more of corporation's stockholdings). List potential conflicts of interest (See above for information regarding conflict of interest) Please indicate if there are none. BUSINESS NAME I BUSINESS ADDRESS Council poiicy is not to permit an inuividua, to serve on two Boards or Commissions at t re same time. You will be asked to resign from one if appointed to another. 8. Do you currently serve on another Iowa City board or commission? YES_ NO X The City Council values all types of diversity on its boards and commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the board and commission is representative of the community and the groups(s) which it serves, please provide your information for the following: De POP r.a-ahictnforraaa±io : 9. Age 43 10. CountryofOrigin United Uniteates___. 11. Sexual Orientation Heterosexual 12. Religion -Christian ------------------------------------------------------ 13. Do you have a disability? YES_ NO X 14. Ethnicity 15. Race -white ---------------------------------------------------- 16. Gender Identity.._male-------- _____, Note: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) _ The Housing and Community Development Commission strives to satisfy its purpose and.,-Ttent, when possible to have at least one person with expertise in construction, at least one person with expertise finance and one person who receives rental assistance. (Resolution) Signature of Applicant* A__C� _ _ C�0� Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Contact information is attached. (rev. 11/27/18) r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/10/2020 First Name Jennifer Last Name Buckley Home Address* 192 Columbi Dr City IOWA CITY State IA Zip Code* 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 6467043565 Email Address* jen.ann.buckley@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 11 years Occupation: * educator Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* Education Committee co-chair, NAACP Iowa City Adult Branch What is your present knowledge of each advisory board you are interested in?* A Truth and Reconciliation committee's charge is to create the essential conditions for justice and healing by bringing to public consciousness the histories of oppression in a given community. I am aware that Iowa City has a great deal of work to do in this regard, and it would be an honor to serve as a member of this committee, which will gather testimonies and information about racist policies, events, and behaviors of the past and present for the purposes of creating a new and more equitable community. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 44 Country of Origin USA Sexual Orientation Religion Do you have a disability? No Ethnicity Race White Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* PAN If- W11 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/9/2021 First Name Nicholas Last Name Burrell Home Address* 1483 Westview Dr City* North Liberty State IA Zip Code* 52241 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 5155544719 Email Address* nburrell.versafitness@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? Occupation: * self employed Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* On other boards, minority business owner What is your present knowledge of each advisory board you are interested in?* Reading the press, and all meeting notes etc Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 28 Country of Origin USA Sexual Orientation male Religion Do you have a disability? No Ethnicity Mixed Race Mixed Gender identity male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* IWMI AV -?4W1 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/30/2021 First Name James Last Name Carroll Home Address* 1121 Gilbert Court c/o crisis center City* Iowa City State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3195123126 Email Address* jccdalejrno1 @gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice IF multiple boards are being applied for. How long have you been a resident of Iowa City? 5 years Occupation: * SSI Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* It's a simple as this. This is a country built on checks and balances. With this city so far left it should be in California. I am a fiscal and non-progressive conservative by nature. I am clearly out numbered being this and I will make it clear, that I am a straight homeless conservative white Caucasian over the ago of 40. Whose peer group is now the target of systematic destruction, with extremely biased hatred toward my gender, race, and my god based political views. The tools to achieve this objective are based on slimy lawyer based gray area legal garbage language, media control and flat out lies. I'm coming to drain the swamp. What is your present knowledge of each advisory board you are interested in?* Job description Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 56 Country of Origin USA Sexual Orientation Heterosexual Religion Non denominational Do you have a disability? Yes Please explain: Hippa Ethnicity Irish Race White Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/10/2020 First Name Priscilla Last Name Culp Home Address* 1815 Sara Court City IOWA CITY State IA Zip Code* 52317 Is your home address (listed above) within the corporate limits of Iowa City?* Not Sure Contact Phone Number* 3195042123 Email Address* pculpskillz1 @gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 4 years Occupation: * Educator Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* Problem solving with employees, mediator, and public speaking. Utilizing Restorative Justice strategies in solving peer conflict. What is your present knowledge of each advisory board you are interested in?* The Truth & Reconciliation Advisory Board is responsible for addressing the perceived wrongdoing by a city employee of an alleged victim. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 49 Country of Origin United States Sexual Orientation Female Religion Christian Do you have a disability? No Ethnicity African American Race Black Gender identity Woman *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/1/2020 First Name Daniel Last Name Daly Home Address* 2325 Mayfield Road City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319 338 4399 Email Address* dan-daly@uiowa.edu Boards & Commissions Select a Board or Commission you are interested in: Human Rights Commission Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If rrultiple boards are being applied for. Human Rights Commission How long have you been a resident of Iowa City?* 67 years Occupation:* Retired Gender* *This question is rrandatory in order for the City to comply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Demographics sectionof the application below. V Male F Female Experience and/or activities which you feel qualifyyou for this position:* Active with the Center for Worker Justice of Eastern Iowa, the Iowa City Federation of Labor, and St.Patrick Parish. Over some decades, occasional writer, speaker, and protester on behalf worker, minority, civil, and human rights. What is your present knowledge of each advisory board you are interested in?* The HRC meets monthly to consider if circumstances, practices, actions, or events that may sink to the level of discrimination against individuals or groups based on specific legally defined criteria. The HRC makes determinations and recommendations to council. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 67 Country of Origin USA Sexual Orientation Heterosexual Religion Roman Catholic Do you have a disability? No Ethnicity Irish/Czech Race Caucasian Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* PAVIi,L - PALY Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/23/2020 First Name Daphney Last Name Daniel Home Address* 1121 Carver St. City IOWA CITY State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 4012615987 Email Address* daniel.daphney@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* Seven years Occupation: * Attorney Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* I may be uniquely qualified to assist the committee in its it first charge: fact-finding. In college, I had to complete two theses in order to complete my dual major. One thesis required more conventional modes of fact-finding (reading books, reviewing newspaper articles, etc). My other thesis forced me to get out of the library (and my comfort zone). My work lead me into deciphering centuries old military rolls, exploring the gravestones of long overgrown cemeteries, and to exploring a long forgotten green space between two busy sections of interstate. As a college student I learned that to get the facts, a person had to be creative enough to think beyond the traditional fact -find methods, then brave enough to follow-through and get the job done. Law school and my work experience as an attorney have only helped expand my fact-finding abilities. I believe my contributions to the commission can make it stronger and more effective. What is your present knowledge of each advisory board you are interested in?* My knowledge of Iowa City's Truth and Reconciliation Commission is limited to what is published on the city's website. I am familiar with the Truth and Reconciliation Commission of South Africa, established after the fall of the apartheid regime and with TRC commissions in general. I believe I understand the role of the Iowa City commission and the goals set forth for it. I hope to learn more whether or not I join the commission. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 30 Country of Origin USA Sexual Orientation Heterosexual Religion Catholic Do you have a disability? Yes Please explain: My disability does not require any special accommodation. Ethnicity Haitian -American Race Black Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/10/2020 First Name Chastity Last Name Dillard Home Address* 203 5th St., Apt. 4 City IOWA CITY State IA Zip Code 52241 Is your home address (listed above) within the corporate limits of Iowa City?* Not Sure Contact Phone Number* 5635059248 Email Address* chastity.dillard@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 10 Occupation:* Nonprofit Admin Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* Black woman born and raised in Iowa 6 years of experience working with marginalized minority populations throughout Johnson County Huge passion to help more stories be shared about racial trauma and negative experiences in our community What is your present knowledge of each advisory board you are interested in?* The TRC was created out of the Iowa Freedom Riders' 2020 summer demands. The commission aims to give people of color a voice and space to talk about and express feelings/issues involving racism in Johnson County. This commission will focus on Fact -Finding, Truth -Telling and Reconciliation within our communities. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 31 Country of Origin USA Sexual Orientation Straight Religion Christian Do you have a disability? No Ethnicity Black Race Black Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* C' xzaw Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/17/2021 First Name Sarah Last Name Dirks Home Address* 3300 Muscatine Avenue City* Iowa City State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3193339942 Email Address* sarahpdirks@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? 28 years, lifelong resident. Occupation: * Adolescent & Women's Health Services Coordinator at Johnson County Public Health Gender* *This question is mandatory in order for the City to corrply with the State's gender balance requirerrant, which treats gender as binary. "Gender Identity" may be provided in the Derrographics sectionof the application below. F Male rJ Female Experience and/or activities which you feel qualifyyou for this position:* I was born and raised in Iowa City and have been involved in advocacy in Iowa City since 2013, working with local organizations such as the Emma Goldman Clinic, Shelter House, and the Rape Victim Advocacy Program. I am involved in local organizations such as IC Mutual Aid Collective and most recently the Iowa City Tenants Union. I have a strong understanding of the functionality of social services in Iowa City and the unbalanced allocation of resources which are meant to support the needs of all people. I have both experienced and witnessed the harmful, violent practices of groups such as the Iowa City Police Department, housing leaders, and the University of Iowa, actions which always most harshly effect historically marginalized populations including Black and Indigenous people, trans and non -binary people, and poor folks. In my role with JCPH I am dedicated to creating a safe and equitable environment for all people in the community, and improving the relationship between the local government and community members who have experienced violence at the hands of that very same local government, by creating transparent and trauma informed practices and centering the needs of those harmed in order to foster a safer, more accountable environment. What is your present knowledge of each advisory board you are interested in?* The purpose of the Truth and Reconciliation Committee is to bear witness to and address the racial disparities in our community by acknowledging the violence experienced by people of color in Iowa City. This discussion is long over due, and I hope to use my power within the community to uplift the voices of those most directly impacted by these practices in order to address them truthfully and directly. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 28 Country of Origin USA Sexual Orientation Bisexual Religion Do you have a disability? Ethnicity Race White Gender identity Cis -Woman *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute iust cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/27/2020 First Name Heather Last Name Erwin Home Address* 43 Green Mountain Dr City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3196215738 Email Address* heather-erwin@uiowa.edu Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 43 years Occupation:* Director, Liberal Arts Beyond Bars College in Prison Program Gender* *This question is mandatory in order for the City to corrply with the state's gender balance requirerrant, which treats gender as binary. "Gender Identity" may be provided in the Derrographics sectionof the application below. F Male rJ Female Experience and/or activities which you feel qualifyyou for this position:* I currently serve as the Director of the University of Iowa's Liberal Arts Beyond Bars college in prison program. Prison serves as a microcosmic representation of the broader issues of social justice across society. Within this context I have been tasked with navigating those challenging systems and issues and have developed strengths as both an advocate and a diplomat. I am a law graduate from the University of Iowa's School of Law. During the summer after my first year of law school, in 1997, 1 traveled as part of a study abroad program in partnership with Howard University to Cape Town, South Africa, where I spent six weeks in school at the University of the Southern Cape and as an international intern for the South African Truth and Reconciliation Commission. While my duties were tangental to the process, the experience was transformative and I wholly believe in the power of speaking truth in order to reconcile harm within a community. Furthermore, as a Senior Program Associate for the Vera Institute for Justice I worked with college in prison programs across the country to develop and support programs, which required an understanding of systems reform and the importance of amplifying the voices and experiences of people directly impacted by systems of oppression. I also worked on the Re -imagining Prisons project, in which we strove to envision restorative alternatives to current punitive systems of punishment. As a white woman I am working to critically examine my privilege and continue to work toward anti -racism in thought and practice, both personally and professionally. I believe my background and experience position me well to meaningfully contribute to the process of finding truth and reconciliation for the Iowa City community. What is your present knowledge of each advisory board you are interested in?* I have read and digested Resolution 20-228, establishing the Ad Hoc Truth and Reconciliation Commission in response to the Black Lives Matter Movement and systemic racism after the unjust deaths of George Floyd and other Black men and women across the country. Further, I have examined the charges and duties of the TRC as set forth on the ic.gov website. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 51 Country of Origin USA Sexual Orientation Heterosexual Religion Do you have a disability? No Ethnicity Race White Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* f Utxa j- rbvr L Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/5/2020 First Name william Last Name garrison Home Address* 527 E College St., Apt. 3 City IOWA CITY State IA Zip Code* 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 5155569413 Email Address* wgarrison@unitedactionforyouth.org Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 4 years Occupation: * Youth Development Outreach Specialist Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" may be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* I have a social justice degree from the University of Iowa and also studied a semester in South Africa studying the original TRC and the pros and cons that came with the commission. Since I moved here 4 years ago I have been as involved in the community as I can be and even more now with my job at a nonprofit here in IC work with youth development. What is your present knowledge of each advisory board you are interested in?* I know about the TRC and the purpose of what it is supposed to be and how it is supposed to be used for good and as a healing process for those that have been affected by the intersectional inequalities that the system has imposed on certain people. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 21 Country of Origin United States Sexual Orientation queer Religion NA Do you have a disability? No Ethnicity European Race Mite Gender identity gender fluid *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* �U'r.1.lr.�r,�r �rrr.•�•ir.t Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/25/2020 First Name Wangui Last Name Gathua Home Address* 1700 S 1st Ave City IOWA CITY State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3193332453 Email Address* wanguigathua@nisaa-afs.org Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 18 years Occupation: University Faculty Gender* *This question is rrandatory in order for the 0ty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* I am a teacher, counselor, and a researcher in the areas of social justice. I have also served as Human Rights Commissioner in Iowa City. Currently, I coordinate Nisaa African Family Services. This position allows me to work with African Immigrants/Refugees, who would benefit from this commissions work. What is your present knowledge of each advisory board you are interested in?* I have been following closely, the Council's work and given my input as the Council has been listening to the Iowa City communities as they work on improving the communities using the communities feedback. I also followed closely as the idea and fruition of this Commission were discussed. This is how I knew I am able tocontribute positively to this Commission. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 55 Country of Origin Kenya Sexual Orientation Female Religion Roman Catholic Do you have a disability? No Ethnicity African Race African Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/8/2020 First Name Sarah Last Name Greer Home Address* 35 Juniper Ct City IOWA CITY State IA Zip Code 52317 Is your home address (listed above) within the corporate limits of Iowa City?* Not Sure Contact Phone Number* 319-621-5785 Email Address* Sarahgreer02@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 20 years Occupation:* Medical Technician Gender* *This question is rrandatory in order for the 0ty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male rJ Female Experience and/or activities which you feel qualifyyou for this position:* I have worked with the under -served community and mentored a diverse group of teens for the past 10 years. What is your present knowledge of each advisory board you are interested in?* To help find real solutions for issues of inequality facing our community. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 42 Country of Origin United States Sexual Orientation Female Religion Christian Do you have a disability? No Ethnicity American Race Black Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* )� 1z P Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/29/2021 First Name Clifton Last Name Johnson Home Address* 1710 Flatiron Ave. City* Iowa City State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 2159703743 Email Address* icorboxing@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice IF multiple boards are being applied for. How long have you been a resident of Iowa City? 7 years Occupation: * Gym owner and boxing coach Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* I am an African-American 8 -year veteran of the US Marine Corps. I am also a boxing coach and own and operate a gym in Iowa City since 2013. What is your present knowledge of each advisory board you are interested in?* My understanding is that there has been conflict within the truth and reconciliation committee and 4 board members have recently resigned. I know the TRC is intended to shed light on racial injustice that POC have experienced and currently experience in Iowa City and to make recommendations to the city council to make our city more inclusive and just for our minority citizens. My goal is to help bring people together for a positive outcome. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 39 Country of Origin United States Sexual Orientation Straight Religion Not religious Do you have a disability? No Ethnicity Black Race Black/African American Gender identity Male *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* a — ....... .............................. Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/10/2020 First Name Nikesha Last Name Jones Home Address* 917 20th Avenue Place City IOWA CITY State IA Zip Code 52241 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3193252195 Email Address* jonesacademyic@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 21 years Occupation:* ESC Case Manager and Van driver Gender* *This question is rrandatory in order for the oty to corrply with the State's gender balance requirement, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male rJ Female Experience and/or activities which you feel qualifyyou for this position:* The Director of the Jones Academy of Performing Arts and Program Director at the Dream Center What is your present knowledge of each advisory board you are interested in?* A committee tasked to hear the community on racial Justice. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 46 Country of Origin Us Sexual Orientation Female Religion Non Do you have a disability? No Ethnicity African American Race Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/10/2020 First Name Wangui Last Name Matharu Home Address* 172 Hawkeye Court Apt 218 City IOWA CITY State IA Zip Code 52246 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 571-502-5403 Email Address* matharuw@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. Truth and Reconciliation Commission How long have you been a resident of Iowa City?* 1 year Occupation:* Scrum Master Gender* "This question is mandatory in order for the City to corrply with the state's gender balance requirerrant, which treats gender as binary. "Gender Identity" may be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualify you for this position:* I have over 8 years experience coaching and facilitating teams. I am a certified Life coach that has facilitated groups and coached individuals with emotional and heart issues. • Identified process changes required to remove impediments and accelerate development. In eight weeks, reduced time to ship by 30%. • Leading two scrum teams consisting of 17+ on-site and remote team members and one off -shore team. • Applying Agile best practices such as time -boxing, transparency, accountability, empowerment, self- management, and role training resulting in realized velocity improvement of more than 25%. • Collaborated with the Product Owner, and the Scrum teams on backlog refinement and product planning to maximize value for the business stakeholders. • Encouraged improvement in team commitment and capacity planning for sprints by identifying tasks that increased delivery time. • Facilitated team and cross -team retrospectives to build good working relationships among the 12 agile teams across three release trains. • Utilized Kanban principles that resulted in a reduction of cycle time by 20%, consequently increasing the team's throughput in less than four sprints. • Coached new Scrum Master, which reduced process waste caused by a lack of common understanding. • Provided team members with weekly/biweekly Ion 1's fostering in coaching opportunities and building relationships. • Supporting the teams in preparing for the Agile Release Train (ART) activities, such as Program Increment (PI) Planning, Inspect and Adapt and system demos. What is your present knowledge of each advisory board you are interested in?* The Truth and Reconciliation group is responsible for bringing healing and reconciliation to the community. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age Country of Origin Sexual Orientation Religion Do you have a disability? Ethnicity Race Gender identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/8/2020 First Name Tineke Last Name Melvin Home Address* 711 blue Jay Ct City IOWA CITY State IA Zip Code* 52340 Is your home address (listed above) within the corporate limits of Iowa City?* Not Sure Contact Phone Number* 3198558559 Email Address* tnkrenee@gmail.com Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 8 years Occupation: * Management Gender* *This question is rrandatory in order for the City to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male rJ Female Experience and/or activities which you feel qualifyyou for this position:* I have worked with underprivileged and underserved for over 10 years. What is your present knowledge of each advisory board you are interested in?* To compose and help resolve issues of bias and inequality Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 53 Country of Origin USA Sexual Orientation Female Religion Christian Do you have a disability? No Ethnicity American Race Black Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* 0 Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/10/2020 First Name Erik Last Name Nelson Home Address* North Libert City IOWA CITY State IA Zip Code* 52317 Is your home address (listed above) within the corporate limits of Iowa City?* Not Sure Contact Phone Number* 402 601 3915 Email Address* erik-nelson@ncjc.org Boards & Commissions Select a Board or Commission you are interested in:* Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 5 Occupation: * Director of After School Program NCJC at Alexander Elemetnary Gender* *This question is mandatory in order for the City to corrply with the State's gender balance requirerrant, which treats gender as binary. "Gender Identity" may be provided in the Derrographics sectionof the application below. V Male r Female Experience and/or activities which you feel qualifyyou for this position:* Neighborhood Centers of Johnson County and Four Oaks What is your present knowledge of each advisory board you are interested in?* High interest, would like to learn more Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 36 Country of Origin United States Sexual Orientation Religion Do you have a disability? Ethnicity Race Black Gender identity *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 10/16/2020 First Name Amanda Last Name Nichols Home Address* 2713 East Court St City IOWA CITY State IA Zip Code 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3196771153 Email Address* director@corridorcan.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. How long have you been a resident of Iowa City?* 20 years Occupation:* Clerk III, UIHC Gender* *This question is rrandatory in order for the 0ty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* At yesterday's Community Police Review Board meeting we were told that there was a specific request for a CPRB member to join. I am a member of the CPRB and as the director of Corridor Community Action Network, I have established communication channels with many organizations that could assist the Truth and Reconciliation Commission with ensuring that we hear and amplify the voices of community members affected by the recommendations we will be making. What is your present knowledge of each advisory board you are interested in?* I have read news articles, the resolution, and the description on the city website. Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* Yes Board current serving on* Community Police Review Board (CPRB) Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 37 Country of Origin United States Sexual Orientation bisexual Religion Agnostic Do you have a disability? No Ethnicity White Race Not Hispanic/Latino Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* �JCltsl�l'r2.����is"FBt<! Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/22/2021 First Name Sikowis (Christine) Last Name Nobiss Home Address* 412 Kimball Road City* Iowa City State IA Zip Code* 52245 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3193318034 Email Address* sikoWs@greatplainsaction.org Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice IF multiple boards are being applied for. How long have you been a resident of Iowa City? 16 years Occupation: * Executive Director of non-profit Gender* *This question is rrandatory in order for the Oty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* Sikowis (Christine Nobiss) is Plains Cree/Saulteaux of the George Gordon First Nation in Saskatchewan, Canada and grew up in Winnipeg, Manitoba, Canada. At 19 she began her life's work of uplifting Indigenous voices when she got her first job at the New Brunswick Aboriginal Peoples Council in Fredericton, Canada. In 2015, she founded Great Plains Action Society as a way to increase Indigenous solidarity in Iowa City. It turned into a full-fledged organization during the fight against the Dakota Access Pipeline, which led her to start Little Creek Camp in February 2017. From August 2017 to September 2020, she worked for Seeding Sovereignty where she organized at a national level. As her heart is with her people and the land Sikowis is back with Great Plains Action Society where she can work at a grassroots level and a fully Indigenous -led organization. Sikowis is also a speaker, writer, and artist. She believes that environmental and social justice work are inextricably linked and change will only happen when we dismantle corrupt colonial -capitalist systems and rebuild them with a decolonized worldview. She graduated from the University of Iowa in 2008 with a Masters Degree in Religious Studies (with a focus on Native American Religion and Culture) and a Graduate Minor in American Indian Native Studies. She fights for a better future for her two young children. What is your present knowledge of each advisory board you are interested in?* I've been following the development and fall out of this board and have noticed there has never been Indigenous leadership on it, which makes me want to apply Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate familyties, during their tenure orfor one yearthereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 44 Country of Origin Canada Sexual Orientation I'm Plains Cree/Saulteaux and I relate accordingly. And within that I have some sexual practices that settlers might think are queer but aren't queer to me! Religion Native American Do you have a disability? No Ethnicity Plains Cree/Saulteaux Race Plains Cree/Saulteaux and Roma Hungarian Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* 50�vIz; chf )sn7 r h t56) Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. r Advisory Board/Commission Application Form PAZsI; I+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Applicants must reside in Iowa City and be 18 years of age unless specific qualifications are stated. Date of Application 3/30/2021 First Name Amy Last Name Ramseyer Home Address* 308 N. Linn City* Iowa City State IA Zip Code* 52240 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 3193216207 Email Address* ajramseyer@gmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If multiple boards are being applied for. How long have you been a resident of Iowa City? 1984 Occupation: * Housekeeping, raki/energy consultant Gender* *This question is rrandatory in order for the 0ty to corrply with the State's gender balance requirerrent, which treats gender as binary. "Gender Identity" rray be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* Lived in Iowa City for most of my adult life, being indigent most of the time. I have been systematically discriminated for my income level and a bonafide easy target for would be revenue makers in this municipality. From the boys in blue, to utility entities, to the court system. Where the truth and facts fall way down in the fiscal feeding frenzy conglomerate pecking order. I know my self truth, the truth of the land and it is beyond reproach. It is not for sale, nor compromisable for no one. The income gouging that has been commenced upon me in the form of fines to wages being garnished, to having my credit destroyed due to paper pushing ordinances that has left a lifetime long scar. I keep my perspective rational however, due to personal traumad highlighted by the well known death of my only brother. It has seated in a permanent empathy with only the truth moral code that will fight any form of discrimination or any form of racism. What is your present knowledge of each advisory board you are interested in?* Minimal besides committee description Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of Iowa generally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 49 Country of Origin USA Sexual Orientation Iffy Religion Non denominational Do you have a disability? Yes Please explain: Ethnicity Caucasian Race White Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* VN-17 ........................................................................................................................................................................................................................................................................................................................................................................................... Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. I Advisory Board/Commission Application Form PAZ�`_.--..®�,�, rY s��' �+z This application is a public document and as such can be reproduced and distributed for the public. This application will be considered for twelve months only and automatically CITY OF IOWA CITY considered for any vacancy during that time. UNESCO CITY OF LITERATURE If appointed to a Board/Commission, all other applications will be removed from consideration. NOTE: Must be 18 years of age and live within city limits of Iowa City to apply Date of Application 11/9/2020 First Name Angel Last Name Taylor Home Address* 32 Jaro Way City IOWA CITY State IA Zip Code 52317 Is your home address (listed above) within the corporate limits of Iowa City?* Yes Contact Phone Number* 319-594-1403 Email Address* angeltaylor99@hotmail.com Boards & Commissions Select a Board or Commission you are interested in: Ad Hoc Truth and Reconciliation Commission Preference on first choice If Tultiple boards are being applied for. Truth and Reconciliation How long have you been a resident of Iowa City?* All my life Occupation:* Realtor Gender* "This question is mandatory in order for the City to corrply with the State's gender balance requirerrant, which treats gender as binary. "Gender Identity" may be provided in the Derrographics sectionof the application below. F Male fJ Female Experience and/or activities which you feel qualifyyou for this position:* Very active in the community What is your present knowledge of each advisory board you are interested in?* Community racial/social justice Please contact the City Attorney at 356-5030 to discuss questions or concerns regarding a potential conflict of interest. The following describe some but not all potential conflicts. Potential Conflicts of Interest The Housing and Community Development Commission makes recommendations to the City Council regarding the distribution of federal CBDG/HOME funds. The general rule is that no persons who exercise or have exercised any functions or responsibilities with respect to federally funded activities, or who are in a position to participate in the decision-making process or gain inside information with regard to such activities, may obtain a financial interest or benefit from a federally—assisted activity, or have a financial interest in any contract, subcontract, or agreement with respect to a federally -assisted activity, or with respect to the proceeds of the federally -assisted activity, either for themselves or those with whom they have business or immediate family ties, during their tenure or for one year thereafter. Section 362.5 of the Code of lowagenerally prohibits, with certain important exceptions, a member of a City Board or Commission from having an interest in a City contract. City Council Resolution # 15-300 established a policy that the following persons shall not be eligible for appointment to Boards and Commissions: A Council Member's spouse, domestic partner or partner by cohabitation, children, step -children, children for whom the Council Member assumes parental responsibility, mother, father, son-in-law, daughter-in-law, mother-in-law, father-in-law, step-parent, brother, sister, step -siblings and half -siblings, brother-in-law, sister-in-law, grandparents and grandchildren, aunt, uncle, niece, nephew, first cousin, foster parent, foster child, persons who are parents of the same child, and persons with whom the employee is in an intimate relationship Res. #15-300 states that each application for reappointment to a City Board or Commission will be considered without regard to incumbency. If reappointed, an individual would be limited to one reappointment to a full term in order to increase the opportunities for new applicants to serve. Council policy is not to permit an individual to serve on two Boards or Commissions at the same time. You will be asked to resign from one if appointed to another. Do you currently have a conflict of Interest?* No Do you currently serve on another Iowa City board or commission?* No Demographic Information The City Council values all types of diversity on its Boards and Commissions. Your responses on this page provide valuable information to the Council in achieving that goal. In order to ensure that the Board and Commission is representative of the community and the groups(s) which it serves, please provide your information for the following: Age 47 Country of Origin Usa Sexual Orientation Straight Religion Do you have a disability? No Ethnicity Race Black Gender identity Female *NOTE: The Human Rights Commission strives to ensure the Commission is representative of the community. Therefore, appointment shall take into consideration persons of various racial, religious, cultural, social and economic groups in the city. (Ordinance) The Housing and Community Development Commission strives to satisfy its purpose and intent, when possible to have at least one person with expertise in construction, at least one person with expertise in finance, and one person who receives rental assistance. (Resolution) Signature of Applicant* CL*� f1'r Misrepresentations on this application will constitute just cause for removal of an appointee. If you fail to answer all the questions, except demographics, Council will not consider your application. You are encouraged to contact individual Council Members to express your interest in serving. Item Number: r � � + at1Mw��al +•ate_ CITY OF IOWA CITY www.icgov.org April 6, 2021 Airport Commission - One vacancy to fill a four-year term, July 1, 2021 - June 30, 2025. (Term expires for Christopher Lawerence) Community Police Review Board (At -Large) - One vacancy to fill a four-year term, July 1, 2021 - June 30, 2025. (Term expires for Latisha McDaniel) Community Police Review Board (Current or former "peace officer)- One vacancy to fill a four-year term, July 1, 2021 - June 30, 2025. (Term expires for David Selmer) Historic Preservation Commission (At -Large) - One vacancy to fill a three-year term, July 1, 2021 - June 30, 2024. (Term expires for Quentin Pitzen) Historic Preservation Commission (College Green) - One vacancy to fill a three-year term, July 1, 2021 - June 30, 2024. (Term expires for Helen Burford) Historic Preservation Commission (East College St) - One vacancy to fill an unexpired plus a three-year term, Effective upon appointment - June 30, 2024. (Formerly advertised) Historic Preservation Commission (WoodlawnOne vacancy to fill an unexpired plus a three-year term, Effective upon appointment - June 30, 2024. (Formerly advertised) Housing & Community Development Commission -Three vacancies to fill a three-year term, July 1, 2021 - June 30, 2024. (Term expires for Megan Alter, Peggy Aguilar and Maria Padron) Library Board of Trustees -Three vacancies to fill a six-year term, July 1, 2021 - June 30, 2027. (Term expires for John Beasley, Monique Washington and Wesley Beary) Parks and Recreation Commission - One vacancy to fill an unexpired term Upon appointment - December 31, 2022. (Timothy Shea resigned) Correspondence included in Council packet. Planning & Zoning Commission -Two vacancies to fill a five-year term, July 1, 2021 - June 30, 2026. (Term expires for Mark Signs, Maggie Elliott) Telecommunications Commission - Two vacancies to fill a three-year term, July 1, 2021 - June 30, 2024. (Term expires for Gina Reyes, Adam Stockman) Applications must be received by 5:00 P.M., Tuesday, May 11, 2021. ATTACHMENTS: Description Timothy Shea Resignation Kellie Fruehling From: Tammy Neumann Sent: Monday, March 22, 2021 8:10 AM To: Juli Seydell Johnson; Kellie Fruehling Subject: FW: Packet for tonight's Commission Meeting Please see below IIS IOWA CITY A UNESCO CIF r OF 11fEtArURE Tammy Neumann Administrative Secretary/ Farmers Market Coordinator office: 319-356-5210 220 S. Gilbert St. Iowa City, IA 52240 WWW.I000V.ORG/PR From: Timmy Shea [mailto:timmynshea@gmail.com] Sent: Friday, March 19, 20217:48 PM To: Tammy Neumann <Tammy-Neumann@iowa-city.org> Subject: Re: Packet for tonight's Commission Meeting I ftIK Due to conflicting schedules I have to withdraw from commission. Good luck with everything going forward!!! Sent from my Whone