HomeMy WebLinkAboutCouncil Packet - 9/11/2017BOARD AND COMMISSIONS COMMITTEE
September 11, 2017
5:05 PM
Harold E. Getty Council Chambers
Members
Chairperson Jerome Amos, Jr.
Vice Chairperson Bruce Jacobs
Tom Powers
Roll Call:
Approval of Agenda, as proposed.
1. Precious Clark
Adjournment
Kelley F elchle
City Clerk
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CITY OF WATERLOO
Council Communication
Precious C lark
City Council Meeting: 9/11/2017
Prepared: 9/6/2017
REVIEWERS:
Department Reviewer Action Date
Mayor Office Westphal, Michelle Approved 9/6/2017 - 11:10 AM
Clerk Office Even, LeAnn Approved 9/6/2017 - 12:08 PM
ATTACHMENTS:
Description Type
D Application Clark Cover Memo
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CITY OF WATERLOO, IOWA RECEIVED JUN 0 5 2Q17
BOARDS & COMMISSIONS APPLICATION
Date: i0 /5/..20/ r/
i, -- rc ciovf s �I ark , request to be appointed to (state preference):
1. iYi'�mn�ld�� ga-[ l &0142.CsS1/12 2. �1� ONit/Mad CQ. W5 R --Oar
Horne Phone:
Cell Phone: 81(1-52°- 64222WorkPhone: 81(1.--t i 33-I 32,
Home Address (36-0 0/1m _1 A v Zip Code 6 `]J /
Employer Wale m/ ittu 1A/ ,3e_ioas Title ■ m ! 4
Employer Address /5J o Wash:cog w e.oJ
How long have you resided in Waterloo?L-) years/
List current membership in organizations and offices held: AiDrrZ
Zip Code 5070
I am available for meetings: I1] A.M. LI P.M. El Noon fiJ'Evenings
1 am available to serve on a Board/Commission the entire year: Ices [1 No If no, fist months
not able to serve:
Briefly explain your qualifications for appointment to a designated Board/Commission:
114.v / lied and YYYr 5 f -- CSA rnrnhJJl,i/ 7 ( in i years
1tjY,Q and enjoy Walerlo ar- e / wt M
Additional information and comments that may not be evident from information already on this form:
.,-' 1P.z p.opl.e a.d�uY h e./pe in gm/viaV 1 - •
Om .' i 0-1Eo ho fd a , A A. 01 i llama"? ,- .aoe
References (include phone numbers): 2 Y 4,3014411 31 q - L/8 `/906'
o ). nr) (3)c) -22/-5(c20/ ) ketmanJ- Muhammad ,..-
9(o1 -2,00
I understand this application does not bind me to accept an appointment should it be offered, nor does it
guarantee an appointment to a Board/Commission. if selected, I will be available to attend appropriate
training sessions. This application will remain valid and on file for on calendar year fro bda
d %-//-/7 t 171.4-1 I
g. e/ 9-1/ - ZO •
Signature
RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703
Rov041412014 FAX 291-4286; EMAIL: mayorRwaterloo-ia.orq; PHONE 291-4301
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