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HomeMy WebLinkAboutCouncil Packet - 11/6/2017BOARD AND COMMISSIONS COMMITTEE November 6, 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. Motion to receive and file Mayor Hart's recommendation of the following appointments: A. Ryan Vestal Board/Commission: Board of Electrical Examiners and Appeals Expiration Date: 11/1/20 Re -Appointment B. Richard Mott Board/Commission: Board of Electrical Examiners and Appeals Expiration Date: 11/10/20 Re -Appointment C. Matthew Chapman Board/Commission: Board of Electrical Examiners and Appeals Expiration Date: 11/10/20 Re -Appointment D. Mike Fereday Board/Commission: Heating, Ventilation & Air Conditioning Mechanical Board for Licensing & Appeals Expiration Date: 11/10/2020 Re -Appointment E. Julie Gardner Board/Commission: Heating, Ventilation & Air Conditioning Mechanical Board for Licensing & Appeals Expiration Date: 11/10/2020 Re -Appointment F. Travis Young Board/Commission: Heating, Ventilation & Air Conditioning Mechanical Board for Licensing & Appeals Expiration Date: 11/10/2020 Re -Appointment Page 1 of 28 G. Mike Mrzlak Board/Commission: Memorial Hall Commission Expiration Date: 12/31/2020 Re -Appointment H. Craig White Board/Commission: Memorial Hall Commission Expiration Date: 12/31/2020 Re -Appointment I. Denise Dermody Board/Commission: ADA Compliance Commission Expiration Date: 11/6/2020 New Appointment Adjournment Kelley F elchle City Clerk Page 2of28 CITY OF WATERLOO Council Communication Ryan Vestal City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:26 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 11:50 AM ATTACHMENTS: Description Type D Application Vestal Cover Memo Page 3 of 28 RECEIVE: SEP U 3 2014 CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION Date: Stili f 201E , request to be appointed to (state preference): (Name) 1. ,V f'fro r c.£c-rg_l R -i 2, Home Phone: ( s-15-)9 i ‘--,--J20. CeII Phone: ('5 S) Work Phone: I`''") 23S GAS Home Address 2 'ntrg-r Zip Code `36-10k Employer W c us E12 --r N(4 Employer Address Title 'NUqk-1�z 'k— How long have you resided in Waterloo? 1 years List current membership in organizations and offices held: \--)1 �: 1 Zip Code 5��cD3 am available for meetings: ❑ A.M. P.M. t1 Noon fq Evenings I am available to serve on a Board/Commission the entire year: El Yes ❑ No If no, list months not able to serve: Briefly explain your qualifications for appointment to a designated Board/Commission: ..„,,66;44,z_ tt r.3 -114 i '4_0,D A5 /A 7P+ e(*AA :v \ bed DCS 11146, /4-1 s inn- r:/x'vf'r-i [w +''S . CINitSr(+=1) A C.v►c.c,(?!; [)GGR, ,i !-Ir1-VE. �/DP- tz) $ ,AN C iO4 c.ek-+- 1 -ow klatf4c46 j EFS, c-,Nrj a- ` Nc-101/4' '2 i►(z• f H L,4C T r l "04+1--5 Additional information and comments that may not be evident from information already on this form: References (include phone numbers): /1/1 it 6_ 1gc24)L 4 (3 it) 23 c -a 4. s--0 DAN rica r'"7 I, 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 one calendar year from above date, Signature `.k;\ RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 Revo411412014 FAX 291-4286;/}EMAIL: mayor(rr�.waterlo/o-ia.orq;PHONE / 291-4301 //;sA �%U•-/'" •dpi- �.d. /r r t ^7 . /1 "/ /`f )` 1 �/1 i L_ij ,74//)-3' ht, 7`5 S' e0-�` /%.13 %S c� 7% /� "e x.e�.' /�• '-! Page 4 of 28 CITY OF WATERLOO Council Communication Richard Mott City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:29 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 11:51 AM ATTACHMENTS: Description Type D Application Mott Cover Memo Page 5 of 28 CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION Date: I 0 /3O by 1,J;,, -d M04- , request to be appointed to (state preference): (Name) 1.t_c7Lr'i e f Boo -ti cl 2. Home Phone: 7 i rj - cV_(c�r - Cell Phone: Sty 0-s 1,0,"e Work Phone: Home Address 172S- W. LP' A SI-, ('ed„- -i/ . Zip Code ,5 6 f3 Employer Ccs' a---\ fc'.cf r- c= 5 (-r,s-r c Employer Address d4 7:47,1,f- Ave_ S( - Title (),ie rr//4-- a.s Zip Code 5-c-'(2, r How long have you resided in Waterloo? 3 years - &a), s eL5 hC.f, ijt iJ A -71e List current membership in organizations and offices held: 1 ' M 266r 012 / 4 1 %nl,f rti�r L�t7 t� c-1, - /vi I am available for meetings: A.M. f P.M. Noon r� Evenings I am available to serve on a Board/Commission the entire year: Yes No if no, list months not able to serve: Briefly explain your qualifications for appointment to a designated Board/Commission: lA«vz •e \j 9c 1,\C -'C. / e/ //,1-,.5. (Id Additional information and comments that may not be evident from information already on this form: References (include phone numbers): dkob-y l� . <<i r 376) 1�fS, Co - 3 i% .7 St v� r 9.3 1 - ;)-9./ - 9 - 1 e uc A^ . ? �6 (7 cYJ..• 3 93-- /03. 6,71 Arc/s‹),. 3t _'7rd /-997 k`f 2 i(d24,h'.3i9 (I 7J C 1 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 one calendar year from above date. altd1/- v'4t, 154 P„11 ,e6+1. r1,ec- etexi eo1a p. „ p r ) j,c..L -e-RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 Signataree ___A Rev 04/1412014 FAX 291-4286; EMAIL: tea` or waterloca-ia.orq; PHONE 2914301 Page 6of28 CITY OF WATERLOO Council Communication Matthew Chapman City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:32 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 11:51 AM ATTACHMENTS: Description Type D Application Chapman Cover Memo Page 7 of 28 Sep 19 14 02:04p Chapman Electric Inc Dater 319 988-9146 p.1 CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION RECEIVED SEP 1 9 2014 1, AlA rn 40,41) c64Lip ek-1.4nB , request to be appointed to (state preference): (Name) 1. XL. cTr=c-r9ao+di4) 2. Home Phone: Cell Phone: Z.1,9 -21/0,54.c, Work Phone: Home Address3)Z ,elc 141> DA 441c Zip Code 5-06 1.1 Employer CH�,--94-16-4E41-Zn.&c Title ,g -s- z.enAratT 10ReVr reg v.4Geg Employer Address /13 dozoo-i1/4,6- Zip Code Sa How long have you resided in Waterloo? years List current membership in organizations and offices held: A)c>A.J€ . I am available for meetings: H A.M. :} P.M. 5 Noon W' Evenings I am available to serve on a Board/Commission the entire year: X lies D No If no, list months not able to serve: Briefly explain your qualifications for appointment to a designated Board/Commission: Z "0,1 A") eL. C -r -d c,03 eoKJTl4 s"eag +to :' Ag(.11a X HAut: A G-RF.Ar rno4 eiA_ dSkt=f7 &Jo+ALO 1-xo 'T P..j4? .4 . gge t. -T541+1 %?-414x'Q[r 1i�iyt SS fl' i FI.J A-rr,14-s pto-R J` ew c'1" WI¢'rf.4CLYa .a 1.7,U5 -Yo oaf( eriDs Age,,e2cs.roiw4L e..=oKef,w.+►nJ S1 Additional information and comments that may not be evident from InfcmiiiciLion already on this form: References (include phone numbers): .-,4sr,,,� 31- J Z 8 S 1)"."4-2z) 4 ,) -, xrr3 3 ! `1 -- ©s Fs' 9 -1 e"44.1,e.g 3,Q 969 - S64f3 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 one calendar year from above date. �� , ! i // o b. 7' //(/»-iE- etijiot 136dieci n(1)17/ Rev 04.0141 7D14 Signature 1� I1RN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 FAX 291-4286; EMAIL: rnayor@waterloo-ia.orq; PHONE 291-4301 Page 8 of 28 CITY OF WATERLOO Council Communication Mike F ereday City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:43 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 11:51 AM ATTACHMENTS: Description Type D Application Fereday Cover Memo Page 9 of 28 Date: '(r` 1 � mal (Name) 1, :.(,vim..®. CITY OF Vt4ATERLOO, IOWA BOARDS & COIVIRIIISSIONS APPLICATION R.ECEiV OSI 1 5 2014 , request to be appointed to (state preference): Home Phone: Y/ :2,,v er 'r-5 C©II Phone: 31 q' g-1;) Work phone: Home Address .07o shy,.' r) Employer lltrffe reep, ( 41e, Employer Address How long nave you resided in Waterloo? C ( years List current membership in organizations and offices held: Title Zip Code 6-0.7A/ (4t) PIC Zip Code .5-47.z eJi 4C i2 1 am available for meetings: l M. M. Goon ErEvenings 1 am available to serve on a Board/Commission the entire year: .9-zre-s C No if no, list months not able to serve: Briefly explain your qualifications for appointment to a designated Board/Commission: Additional information and comments that may not be evident from information already on this form: References (include phone numbers): 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 one calendar year from above date. 8 6,0,16,„4 -46,, ---(„,,,Signature-- ^�`t RETURN TO IVIAYO °S OFH10E, 716 MULBERRY ST„, WATERLOO, 1A 60703 Rov0414/2014 FAX 2914286; LSiMA1L. maor waterloonia.or ; PHONE 2914301 Page 10 of 28 CITY OF WATERLOO Council Communication Julie Gardner City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:46 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 11:51 AM ATTACHMENTS: Description Type D Application Gardner Cover Memo Page 11 of 28 CITY OF WATERLOO, IOWA BOARDS 8, COMMISSIONS APPLICATION RE date:t, ‘4,D0'4 1, lkQ12'� (Na 1. 0,0,00 m Qac, V OCT 2 2O 2 �1L. , request to be appointed to (state preference): Horne Phone: 3\Gq • 'c',13.P.-0.6s- Cell Phone: 4O4- S`13 1 Work Phone: -51'cl a. 3 -?404 Home Address 33241 aoSe.11Wi TenWait w -foo Zip Code 5010 Employer V' c i� Cc Title ()ter a io k s ti,rzeroy Employer Address %'6i e,or.et-c.ic S`i & \0 Zip Code soo_ How long have you resided in Waterloo? 4 years List current membership in organizations and offices held: iov LoyC Wiedoo - Cedar Fal1S — Member 7�Ic& Mai byecior e ° .cmi- kAmp 9 fl- b ndt e cAtel- -}r Me Mi' a ey 100 00 doM 'Jo - r coo'rdi o 1 am available for meetings: A.M. 6®'P.M. O°Noon evenings 1 am available to serve on a Board/Commission the entire year: Yes ❑ No If no, list months not able to serve: Briefly explain your qualifications for appointment to a designated Board/Commission: (Newt -kr. tci Y C.TwAivc4 \ndu-s k •)„ SOC1 0,o r 3 a r u \cie r Main v_a t 3"r -h- c 1 oim Additional information and comments that may not be evident from information already on this form: References (include phone numbers): adOin Gcdo60 ON. 2(.09-5-1000 1 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 one calendar year from above date. ,A USI 8(471. Pv/ittes Afe,i '.1SSignature .�,G and/mu) Br !c.n &Oar (3i ) a l'13I9 RETURN TO MAYOR'S OFFICE, 715 MUi! RERRST., WATERLOO, IA 50703 FAX 291-4286; EMAIL: mayor waterloo-ia.orq; PHONE 2914301 Rev 04)14/2014 Page 12 of 28 CITY OF WATERLOO Council Communication Travis Young City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:49 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 11:51 AM ATTACHMENTS: Description Type D Application Young Cover Memo Page 13 of 28 CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION Date: /G ._ / — f ! RECE VE rlvD OCT ?"201a 1, 7774 v "6 w q , request to be appointed to (state preference): (Name) � r��`°< is 1, / A j3r%crzj or ti'66-40'''7 2. Home Phone: 3j%- Z 2 - 3''.5 5T Cell Phone: 3 / 9 • ? fG - c 5-5— Work Phone: - ? 3 �/- ci f t Home Address .3 3s 4:zt Floe 124 Employer '1-0,-9 y u•,� �t� 4 r`« Zip Code Title U ,: sr ©r r Employer Address Po /9.0x t G 7 7 t 7" /cam i 4 Zip Code 5-,,°7e How long have you resided in Waterloo? 3 7 years List current membership in organizations and offices held: F f- +'4 r: ii r e.(-:Qp,r'c. C vi/C.1 (f/ ,St/VC c n 7q -r cc I/4 tri Ce7Pcr{'1/ ' 1 r it Ce//c e I /Um4,'ir7 as.ai 11114 /45/7.(?-44'ee. 4 • co_r c:/Clod . 'ne Ss 5 r`,r �r 2-0°V, I am available for meetings: E1A.M. I2 P.M. M Noon El Evenings I am available to serve on a Board/Commission the entire year: M Yes ❑ No If no, list months not able to serve: Briefly explain your qualifications for appointment to a designated Board/Commission: _I breis R CD41;Ac L:145545- cz• uct-ldr? G/PS$ S 7ur 3,e 4r t /�te19ern er?c�rsi'•�e/ tI C /, 5 tr`ve/ye a 1 'lave 1-4,-',4* 4 f'[ 4 cev 6Y- co. e dr+.t e C -/-a[ :�r`SG � fr ‘e7C tri d Lis`f n4.2 / (Cie' Additional information and comments that may not be evident from information already on this form: References (include phone numbers): gfal���� - 6,-17 tfv4G rnSFn �flJr - Zai_ 11311 / i'& U5yGU6i ` r77 /'/v.,-1; rr?"?erfo! u� %/-(3)q 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 one calendar year from above date. #(141 boa -id J6)/“.1 Signature -cx ct a RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 Rev 04/14/2014 FAX 291-4286; EMAIL: mavorra7waterloo-ia.o ; PHONE 291-4301 Page 14 of 28 CITY OF WATERLOO Council Communication Mike Mrzlak City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:53 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 11:54 AM ATTACHMENTS: Description Type D Application Mrzlak Cover Memo Page 15 of 28 CITY OF WATERLOO, IOWA RECEIVE® OCT 2 2017 BOARDS & COMMISSIONS APPLICATION Date: //07 /oV 1, gA `' , request to be appointed to (state preference): 12 (Name) Home Phoneg/ q"d,We e{I Phon / 7 � -?gq7 fathatic Title Work Phone: Home Address Ee--kii--:e4 Employer Zip Code 5� 763 Employer Address Zip Code How long have you resided in Waterloo? 77 List current membership in organizations and offices held: 6'01.4, a-6 /04 AA A114 VETS 6971-Lma4e4A-- Weey-z. years I am available for meetings: A.M. ,lNoon Evenings I am available to serve on a Board/Commission the entire year: Ski Yes D No If no, list months not able to serve: Bri fly explain your qualifications for a.pointment to a designated Board/Commission; Additional information and comments that may not be evident from information already on this form: References (include phone numbers): CL -At ? � . fkht . `(%/c 91 /C -0,3 1 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, 1 will be available to attend appropriate training sessions. This application will remain valid and on file for one calendar year from above date. Signature',r. / RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 RevO41412014 FAX 291-4286; EMAIL: mayor(a,waterloo-ila.orq; PHONE 291-4301 Page 16 of 28 CITY OF WATERLOO Council Communication Craig White City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 11:57 AM Clerk Office Higby, Nancy Approved 11/1/2017 - 12:11 PM ATTACHMENTS: Description Type D Application White Cover Memo Page 17 of 28 Date: /0 n CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION RECEIVED NOV 0 1 2017 10/41,./r7 Old b A►Ie- n� (Name) M e/K O/7/ a I Alel!`,o n m r5;,c-2, request to be appointed to (state preference): Home Phone: Z3 c� /0,j 2— Cell Phone: 2.J37/ 47 Work Phone: 8/,-;7-53 0 43 Home Address L &3 G, -g-gyp d I4 Zip Code 3-v 70-3 Employer ( �� e_44 %�.4 iz Gc� �,v '' Title ' ✓r� r Zip CodeiDiit)3 Employer Address c._316- g 5 -44 - How long have you resided in Waterloo?.5 years List current membership in organizations and offices held: ,& Cii� e- N Ex / iJ 1 A)RNA f 7-1-)44,4113 ®r'rH7: �4-rz , e1�r -1v5 ,cam CIJ.+o,-- K/! hi- Ai z i L%xJ f A ;roc e—r )cam il L ry4,r, cbA�/� .-m - Aj LV 13 P/e4, A/' Ar.n, r,,-ro.r ,Q • A -6 e.;p0 r r sac.,, eral./AA-7; /6 c�c::„ I am available for meetings: a.m. X P.M. i .Noon "<1 Evenings I am available to serve on a Board/Commission the entire year: 'Yes LI No If no, list months not able to serve: • Briefly explain your qualifications for appointment to a designated Board/Commission: -GM ,4A) 4)1)0 //- 4X. V8-Gc Jf-t t> �i � , r��r r'� 1 n �v e e1L —Ili -dr in .21 [ c J Additional information and comments that may not be evident from information already on this form: References (include phone numbers): --,r1, f,✓L ,,¢ teft g_3 33f1 2"/ I24i iI y /14,71 1 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, 1 will be available to attend appropriate training sessions. This application will remain valid and on file for one calendar year from above date. Rev0414/2014 Signature RETURN TO TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 FAX 291-4286; EMAIL: mayor(ci}waterloo-ia.orq; PHONE 291-4301 Page 18 of 28 CITY OF WATERLOO Council Communication Denise Dermody City Council Meeting: 11/6/2017 Prepared: 11/1/2017 REVIEWERS: Department Reviewer Action Date Mayor Office Westphal, Michelle Approved 11/1/2017 - 3:26 PM Clerk Office Higby, Nancy Approved 11/1/2017 - 3:29 PM ATTACHMENTS: Description Type D Application Dermody Cover Memo Page 19 of 28 CITY OF WATERLOO, IOWA RECEIVED NOV 0 1 2017 BOARDS & COMMISSIONS APPLICATION Date: 1O('?DJoi1 .41 -DrnfnaeA i,, request to be appointed to (state preference): (Name) , 1. A Cuvh, ►tS t im 2. Home Phone:3N LI (o I y 3q t/ CeII Phone: (IBJ t 41 -MQvork Phone: 31 q aDto r Home Address 11418 2 -60th Slott � A (1`f Zip Code Employer Ai, if j1 001 I r11r Title ticail ? SgCJY— Employer Address 1 S 2,., 5 LI-) 6,,f} • WeJelt f re Zip Code 56 7a 3 How long have you resided in Waterloo b. years ULTArke (Airr! are List current membership in organizations and offices held: 8 r5 wwkej a 5 yrs, St.e. Ch- i c r c,Q C' 41--.'-P-ca�CSlr-n r (�Xr pytti7 S �iV1r ca - CV —Cdiett 2c(Arvt:ce:)" --- P. 1:2I51r(( t ('Nat e r cvt cx)..) - 0(rIc...., h�� CA - c-14:1) am available for meetings: [moi .M. P.M. IBtloon 0 s Evenin 3 99 I am available to serve on a Board/Commission the entire year: idles 0 No If no, list months not able to serve: Briefly„rtexplain your qualifications for appointment to a designated Board/Cpmmission: O e Cslti..'1 "”' Sc c4 p- .. c \ c , l.Al.� M- b -e0 -(,S 00.4 1 bkoA te ci " r1., fiw' gr. 3b)1 (' )Wo.u-e (L1 o ccesS I Additional information and comments that may not be evident from i ormatian already on this form: Mum C� M.[� W oaf a. b.�. Lv 1 v'v - 't , i ' ayr1 \&t%_ e ,,,, � C' -e t� aid am OTT References ude phone nu�):4,1 h o 2.o ~�- (D 5 — 14 ").-1gekaio, KrOCr 3�-a 07 y L. el t 5l 0)_L1 s_ Lt --n-__ 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 one calendar year from above date. SignatureVjKli RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLO 4IMIIIFFT 3 Rev 04114/2014 FAX 291-4286; EMAIL: mavorAwaterloo-ia.or„q; PHONE 291-4301 Page 20 of 28 Curriculum Vitae Denise Kay Dermody, OTD, MAOI, OTRIL 1498 200th Street — Waverly, lowa 50677 dermody.denise gmail.com — Phone 319-461-4390 EDUCATION Post•Professional Doctor of Occupational Therapy, 2015 — 8119/2016, Rocky Mountain University of Health Professions, Provo, Utah Master of Arts in Occupational Therapy, 1999.2002, College of St. Catherine, St. Paul, Minnesota Bachelor of Science, Biology Major, 1993.1997, Iowa State University, Ames, Iowa PROFESSIONAL CREDENTIALS Licensed to practice occupational therapy in Iowa by the Iowa Board of Physical & Occupational Therapy Examiners Certified by the National Board for Certification in Occupational Therapy (NBCOT), Practice Area of Emphasis — Education Statement of Professional Recognition from the Iowa Department of Education to practice occupational therapy in the school setting in Iowa WORK EXPERIENCES Assistant Professor of Occupational Therapy, Allen College, Waterloo, Iowa July 2015 -Current • Responsible for collaboration with OT faculty in the development, coordination, implementation, and evaluation of individual courses and the overall curriculum within the Alien College occupational therapy department, with a focus on pediatric coursework development. • Responsible for teaching, as assigned, including classroom and clinical preparation, instruction, supervision and evaluation, and coordination and supervision of students' clinical experiences consistent with established standards of care and course/program objectives, with a focus on pediatric coursework and fieldwork experiences, Occupational Therapist, Grant Wood Area Education Agency, Coralvilte, Iowa, August 2012 -June 2015 • Provided school-based occupational therapy services to children ages 3-21 in rural school districts. • Provided occupational therapy services including, screening/problem solving, general education interventions, evaluation, direct, integrative and/or consultative interventions for IEP students, progress monitoring, discharge and transition planning, collaboration with other professionals on appropriate teams (building or agency level, IEP), and discharge from therapy. • Collaborated with teachers and administrators at the district/building level on teams including agency core level, child study, and special curriculum teams, as a support to school personnel, to influence a broad base of students at a systems level. Occupational Therapist, Northern Iowa Therapy, Waverly, Iowa, June 2010 -July 2012 • Provided occupational therapy services to clients across the life span, including evaluation, direct therapy, maintenance program implementation, discharge planning, collaboration with other professionals, discharge from therapy, and billing of services including private Insurance, Medicare and Medicaid. Page 21 of 28 • Provided occupational therapy to patients who are seen in a variety of settings including out and in-patient hospital, out-patient clinic, long long-term care facility, rehabilitation facility, home health, and in home pediatric therapy. Occupational Therapist, Area Education Agency 267, Cedar Falls, Iowa, August 2009 -May 2010 • Responsible for providing occupational therapy services in Early Intervention/Early Access in the home, as well as in urban and rural school districts to serve children/students 0-21 years of age. • Provides occupational therapy services Including, screening/problem solving, general education consultation, evaluation, direct, integrative and/or consultative interventions for IEP students, progress monitoring, discharge and transition planning, collaboration with other professionals on appropriate teams (building or agency level, IEP), and discharge from therapy • Collaborates at the district level on teams including agency core level, child study, and special curriculum teams as a support to school personnel to impact the learning of alt students at a systems level Occupational Therapy Discipline Lead, Grant Wood Area Education Agency, Coralville, Iowa, Aug. 2008 - May 2009 • Responsible for the occupational therapy (OT) discipline group leadership. • Provided leadership to the occupational therapy staff by promoting professional evidence -based best practices, as the Occupational Therapy Best Practice Group and Lead Learning Team Leader. • Responsible for the Teacher Quality Learning and Leadership Action Pian for the occupational therapy group including co-authoring, planning, progress monitoring, and needs assessment, as they related to agency -wide initiatives and discipline specific focus, • Shares responsibilities with the OT supervisor/administrator In general coordination of the discipline needs. Consults with the OT supervisor in acquiring and interviewing substitutes and replacements to staff as needed. • Involved in agency teams to support and promote Occupational Therapy as a discipline within the agency including, the LOFT Direct Service Providers Team, and OT1PT Leadership Team. Occupational Therapist, Grant Wood Area Education Agency, Coralville, Iowa, August 2004 -May 2009 • Responsible for providing occupational therapy services to children 3-21 in both urban and rural school districts. • Provided occupational therapy services including, screening/problem solving, general education interventions, evaluation, direct, integrative and/or consultative interventions for IEP students, progress monitoring, discharge and transition planning, collaboration with other professionals on appropriate teams (building or agency level, IEP), and discharge from therapy • Collaborated at the district level on teams including agency core level, child study, and special curriculum teams as a•support to school personnel to impact the teaming of all students at a systems level • Agency Occupational Therapy Mentor to new staff — August 2006 — May 2009 • Occupational Therapy Best Practice Leadership Committee August 2005- May 2009 Occupational Therapist, Premier Health Associates, Coralville, Iowa, February 2004 -July 2004 • Responsible for occupational therapy services provided to clients on caseload, both adult and pediatric, Including evaluation, direct therapy, maintenance program Implementation, discharge planning including home assessment, collaboration with other professionals, discharge from therapy, and billing of services Including private Insurance, Medicare and Medicaid. • Itinerant therapist position in which patients are seen in settings including in and out-patient hospital, in and out-patient clinic, rehabilitation facility, in home pediatric therapy and home health/public health, Occupational Therapist, Sports Rehab and Professional Therapy Associates, Storm Lake, Iowa, April 2003 - December 2003 • Responsible for occupational therapy services provided to ciients on caseload including evaluation, direct Page 22 of 28 therapy, maintenance program implementation, discharge planning including home assessment, collaboration with other professionals, discharge from therapy and billing of services including Medicare and private insurance. • Itinerant therapist position In which patients are seen in settings including in and out-patient hospital, in and out-patient clinic, nursing rehabilitation facility, and home health/public health. OCCUPATIONAL THERAPY FIELDWORK EDUCATION Mercy Medical Center, Cedar Rapids, Iowa Level II Fieldwork, April 1—June 21, 2002 • Psychiatric Rotation (6 weeks) -- In-patient acute rehabilitation services for adults • Physical Disabilities (6 weeks) — Rehabilitation services for neurology, orthopedics, medical and surgical in- patient floors Arrowhead Area Education Agency, Storm Lake, Iowa Level II Fieldwork, January 7 -- March 29, 2002 • School/community-based services for children birth to 21 years • Early Intervention and school-based service Level 1 Fieldwork, 18-24 hour fieldwork experiences, completed 1999-2001 • University of Iowa Hospitals and Clinics, Iowa City, Iowa • Children's Therapy Center, Eagan, Minnesota • Valley Rehabilitation Services, St, Francis Regional Medical Center, Shakopee, Minnesota • Arrowhead Area Education Agency, Storm Lake, Iowa EDUCATIONAL ACTIVITIES • • Iowa Occupational Therapy Association Annual Conference 2016, Iowa Occupational Therapy Association, October 7 & 8, 2016 o Principles of Seating and Mobility, Justin Peterfish, October 7, 2016 o Psychosocial Health Across the Spectrum: Pediatrics to Geriatrics, Laura Green and Doting Nguyen, October 8, 2016 o Visual Perceptual Impairment: Interventions and Applications, Malty Shepard, October 8, 2016 • American Occupational Therapy Association Annual Conference 2016, American Occupational Therapy Association, April 6-9, 2016 o Short Course 104 - Service Dog Training: An Experiential Learning Treatment Modality for Patients With Post -Traumatic Stress o Short Course 162 - Transitioning Young Children From Non -Oral to Oral Feeding o Short Course 164 - (SIS) EDSIS Annual Program: Collaborations in OT Education—Best Practices From Community and International Partnerships o Short Course 219 - (AOTA) Building a Globally Connected Profession: AOTAWFOT Partnership in Growing the Profession o Special Event - Farewell Presidential Address: Coming Home to Family: Now is the Timet o Poster 4085 - Occupational Therapy's Role in After -School Programming for Youth who are At -Risk: Doctoral Experiential Project o Poster 4088 - Integrative Occupational Therapy Within General Education o Poster 4058 - Occupational Benefits of Dance in Children With Developmental Disabilities o Special Event - Eleanor Clarke Slagle Lecture The Prepared Mind o Poster 6035 - Learning Together: Strategies for Designing, Implementing, and Evaluating Page 23 of 28 Interprofessional Learning Experiences o Poster 6049 - Effectiveness of Educational Activities on Attitudes and Perceptions Toward Disability of Occupational Therapy Students o Poster 6065 - Comparing Sensory and Behavioral Interventions for Food Selectivity in Children With Autism: A Systematic Review o Poster 6047 - I am a REAL OT Now: An Exploration of Novice OT Practitioners' Early Work Experiences o Poster 6031 - Tune Up Your Teaching Toolboxl o Special Event - Inaugural Presidential Address - The Power of Authenticity • Adaptive Equipment and Adaptive Approaches for Patient Care, Mercy Medical Center, Northeast District lowa Occupational Therapy Association Meeting, October 21, 2015 • Ethics in Higher Education, 2015 Ethics Conference, James Lang (Keynote), University of Northern Iowa, September 18, 2015 • Small Teaching: From Minor Changes to Major Learning (Pre -conference at Ethics in Higher Education, 2015 Ethics Conference, University of Northern Iowa), James Lang, September 17, 2015 • What is New and What Remains the Same? Exploring Current Sensory Processing Evidence and Practice, Dr. Winifred Dunn, OTR, April 23, 2015 • Building Bridges: Eastern Iowa Assistive Technology Conference, Grant Wood Area Education Association and the Iowa Center for Assistive Technology Education and Research, April 21, 2015 • Sensory Modulation: The BrainWorks Approach for Addressing Difficult Behaviors in Children and Teens from a Sensory Perspective, Gwen Wild, Grant Wood Area Education Agency, January 29, 2015 • Pediatrics: Seating and Mobility Considerations for the 0-16 Populations, Pratt, September 10, 2014 • Medicaid Training and Follow-up Support, Grant Wood Area Education Agency, August 19, 2014 • The Zones of Regulation, Leah Kuypers, Grant Wood Area Education Agency, November 5, 2013 • Selecting Writing Accommodations for Struggling Students, Grant Wood Area Education Agency, October 2, 2013 • Fieldwork Educator's Certificate Program Workshop, The American Occupational Therapy Association, September 27-28, 2013 • Simplifying Response to Intervention for AEA Staff, Grant Wood Area Education Agency, September 4, 2013 • Differentiated Coaching, Emily Thomson & Kimberly Owen, Grant Wood Area Education Agency, August 19, 2013 • Early Intervention: Exploring the Interactions Between Motor and Cognitive Development With a Focus on Promoting Positive Neuroplasticity, Iowa Area Educational Agencies, April 18-19, 2013 • Reading and Writing Accommodations: Evidence -Based Protocols and Tools, Denise DeCoste, December 17, 2012 • Follow Up Web IEP Training for Early Childhood and Elementary Teachers, Grant Wood Area Education Agency, September 4, 2012 • Child Find for Early Childhood, Jeanie Wade Nagle & Robyn Robbins, Grant Wood Area Education Agency, September 7, 2012 • The Write Stuff Workshop, Susan Thompson, Grant Wood Area Education Agency, November 10, 2011 • Unraveling the Mysteries of Motor Planning, Susan Thompson, Grant Wood Area Education Agency, November 11, 2011 • Feeding Therapy for Infants and Children, Iowa Department of Education, April 14-15, 2011 • NDT Treatment Applications, Gayle Shatek, Northern Iowa Therapy, February 23, 2011 • Picky Eaters vs. Problem Feeders: The SOS Approach to Feeding, Educational Resources, Inc., November 4-6, 2010 • Practical Application and Management of Group Treatment, Holly Little, Northern Iowa Therapy, September 28 & 29, 2010 • Group Therapy Concepts and Training, Teresa Moerer, Northern Iowa Therapy, September 28 & 29, 2010 Page 24 of 28 • Cognitive Performance Test, Linda Croat, Northern Iowa Therapy, September 8, 2010 • Interactive Metronome Certification Course, Interactive Metronome Inc., May 22, 2010 • Handwriting Without Tears Print Tool Workshop, Jan Olsen, Great Prairie Area Education Agency, May 18, 2010 • Feeding Issues in Infants, Area Education Agency 267, April 26, 2010 & May 7, 2010 • Role of AEA OT & PT In IDEA Transition Planning From High School, lowa Department of Education, October 23, 2009 • Effective Methods for Children and Youth with Autism Spectrum Disorders, Iowa Occupational Therapy Association, September 11, 2009 • Web IEP 5 -Training Workshop, Jane Smith, Grant Wood Area Education Agency, February 11, 2009 • Service Consistency & Research -based PT & OT Services for Children & Students with Severe Physical & Cognitive Disabilities, Iowa Dept. of Education, December 4-5, 2008 • The Therapy Tool Box: Practical Techniques to Treat Infants and Children with Complex Feeding Issues, Iowa Occupational Therapy Association, October 11, 2008 • Creative Curriculum, Jeanie Wade -Nagle, Grant Wood Area Education Agency, September 10, 2008 • M.O.V.E. (Mobility Opportunities Via Education) Curriculum, June 11, 2008, & October 27, 2008 • Making a Difference - Teaching Writing the Right Way, Grant Wood Area Education Agency, October 2, 2008 • Natural Learning Environments: Roles of Therapists and Teachers, PT & OT Department of Education Workshop, April 24, 2008 • Iowa Department of Education Workshop for AEA OTs: Research on Service Consistency in the Least Restrictive Environment, April 25, 2008 • The Listening Heart: Working with Children with Fetal Alcohol Spectrum Disorder, Erica Zito & Tina Wood, Grant Wood Area Education Agency, February 5, 2008 • Grant Wood AEA Mentor Professional Development, Grant Wood Area Education Agency, January 9, 2008 • AEA PT & OT Services Under IDEA: New Rules, Practice Guidelines and Research, Gloria Frolek Clark, Kathy David & Lisa Smith, Iowa Department of Education, November 1-2, 2007 • First Strokes Multi -Sensory Handwriting Workshop, Jan McCleskey, The Handwriting Clinic, September 17, 2007 • intelliTools Classroom Suite, Jane Smith, Grant Wood Area Education Agency, August 21-23, 2007 • Impact of Research in Child Development Genetic and Neonatology in the Treatment of Children with Disabilities for AEA PTs & OTs Iowa Department of Education, Dr. Richard Lutz and Dr. Howard Needelman, Iowa Department of Education, April 12 & 13, 2007 • Transition Planning Workshop, Leslee Sandberg, Grant Wood Area Education Agency, February 8, 2007 • Occupational Therapy Projects ICN, Gloria Frolek Clark & Tracy Bradfield Morgan, Iowa Department of Education, February 7, 2007 • Special Education Overview, Grant Wood Area Education Agency, September 22, 2006 • Learning Supports Non -Academic Data Gathering, Grant Wood Area Education Agency, September 7, 2006 • Data Coaches Training, Grant Wood Area Education Agency, May 24, 2006 • Treating Children with Severe Physical Disabilities, Marcia Starner, Grant Wood Area Education Agency, May 8-9, 2006 • Issues In Early intervention: Science, Intervention, Policy & Reality, Michael Gamei-McCormick, Megan Schaefer & James Galloway, Iowa Department of Education, April 20 & 21, 2006 • Solving Behavioral Issues in Autism, Kelly Trier & Jennifer Copeland, Grant Wood Area Education Agency, March 9, 2006 • Data Tools for Autism Spectrum Disorders, Jennifer Copeland, Karen Easton, & Carmen Dixon, Grant Woad Area Education Agency, February 7, 2006 • Brain Development Infancy through Adolescence and Implications for Therapy, Patricia Davies, Gloria Frolek Clark, & Kathy David, Iowa Department of Education, November 11, 2005 • 504 Plans: The Local District's Role and Responsibility, Leslee Sandberg, Grant Wood Area Education Page 25 of 28 Agency, October 20, 2005 • Can Specialized Interventions Complement School Based Physical & Occupational Therapy, Carol Daly, Grant Wood Area Education Agency, October 12, 2005 • Hlppotherapy: An Overview, Carol Daly, Grant Wood Area Education Agency, October 12, 2005 • Partial Weight Bearing Gait Training, Carol Daly, Grant Wood Area Education Agency, October 12, 2005 • Role Delineation of the OT and OTA in the Educational Setting, Grant Wood Area Education Agency, October 12, 2005 • Methods of Intervention Birth to Eight in Autism Spectrum Disorders, Sue Baker, Regional Autism Services Program, September 29, 2005 • Best Practices for Birth to Eight in Autism Spectrum Disorders, Sue Baker, Regional Autism Services Program, September 22, 2005 • Learning Supports, Grant Wood Area Education Agency, August 16, 2005 • Differentiated Instruction, Grant Wood Area Education Agency, August 16, 2005 • IDEA 2004: Changes in the IEP Process & Forms, Grant Wood Area Education Agency, September 20, 2005 • Occupational Therapy Service Delivery: Providing Evidence -Based Practice in Iowa's Early ACCESS, Preschool and School Programs (Co -Presenter), Iowa Department of Education State OT/PT conference, April 21-22, 2005 • The Infant and Toddler Sensory Profile and The Sensory Profile: Implementing Best Practice Interventions in Everyday Life Based on a Sensory Processing Framework, Winnie Dunn, Easter Seals DuPage, March 4 & 6, 2005 • Kurzwel13000: Hands -On Training, Julie Freed, Grant Wood Area Education Agency, February 25, 2005 • Seating for Task Performance: Developing Task Performance Postures for Students in Wheelchairs for Increased and Successful Access to Assistive Technology and Tasks, Karen Kangas, Grant Wood Area Education Agency, January 31, 2005 • What Can Occupational Therapists and Occupational Therapy Assistants Do to Improve the Nutrition Status of Iowa's Infants and Children? Jody Kealy, Iowa Department of Education, December 10, 2004 • Instructional Decision Making: Deeper Learning -- Entitlement, Grant Wood Area Education Agency, October 15, 2004 • Instructional Decision Making: Deeper Learning — Intensive Instruction, Grant Wood Area Education Agency, October 8, 2004 • Instructional Decision Making; Deeper Learning — Performance Monitoring, Grant Wood Area Education Agency, September 24, 2004 • Instructional Decision Making: Deeper Learning — Intensive Instruction, Grant Wood Area Education Agency, September 24, 2004 • Best Practices in Occupational Therapy: Regional Workshops, Gloria Frolek Clark & Carrie Carlson, Iowa Department of Education, September 17, 2004 • Instructional Decision Making: Supplemental Instruction, Grant Wood Area Education Agency, September 24, 2004 • Instructional Decision Making, Grant Wood Area Education Agency, August 19, 2004 • Awareness of State and Federal Mandates Which Impact Our Work, Grant Wood Area Education Agency, August 18, 2004 • Iowa Professional Development Model, Grant Wood Area Education Agency, August 18, 2004 • Handwriting Without Tears 2 -Day Workshop, Emily Knapton, Handwriting Without Tears, Inc. July 17, 2004 • Treatment Perspectives for Sensory Modulation Disorders, Genevieve Jereb & Colleen Hacker, Vital Links, April 30 — Mayl, 2004 PROFESSIONAL ORGANIZATIONS Current membership In the following organizations: Page 26 of 28 • American Occupational Therapy Association • World Federation of Occupational Therapists • National Board for Certification in Occupational Therapy • Iowa Occupational Therapy Association • Northeast District of the Iowa Occupational Therapy Association PROFESSIONAL PRESENTATIONS • Classroom Seating Literature Review and Discussion, Professional presentation to Grant Wood Area Education Agency Occupational•Therapy Department, April, 2016 • Classroom Seating Literature Review and Discussion, Professional Presentation to St. Paul Lutheran Elementary School Teachers and Administration, April 2016 • Evidence -Based Practice for Visual Perception, part of the Iowa Department of Education State OT/PT Conference titled Occupational Therapy Service Delivery; Providing Evidence -Based Practice in Iowa's Early ACCESS, Preschool and School Programs, April 21, 2005 TEACHING ACTIVITIES • Instructor -- OT 513 Integrating Cultural & Global Perspectives — Allen College - Spring 2017 • Co -Instructor -- OT 509 Research 1V: Analysis & Dissemination — Allen College -- Spring 2017 • instructor -- OT 509 Research 1: Practice Scholarship — Allen College -- Spring 2017 • Lab Assistant -- OT 511 Psychosocial Foundations & OT Practice Applications — Alien College -- Spring 2016 • Instructor -- OT 601 OT Clinical Practice with Children & Adolescent Populations r- Alien College -- Fall 2016 • Instructor — OT 602 OT School System Practice —Allen College — Fall 2016 • Instructor — OT 603 Dynamic Practice & Emerging Healthcare Trends -- Allen College — Fall 2016 • Co -Instructor -- OT Research Ill: Application & Data Collection -- Allen College — Fall 2016 • Instructor — OT 522 Assistive Technology and Design -- Allen College — Summer 2016 • Co -Instructor — OT 528 Research II: Design & Methodologies — Allen College —Summer 2016 • Lab Assistant -- OT 521 Contemporary Service Delivery & Community Outreach --Allen College — Summer 2016 • Lab Assistant -- OT 523 OT Practice with Aging Populations — Allen College — Summer 2016 • Lab Assistant •- OT 511 Psychosocial Foundations & OT Practice Applications — Allen College — Spring 2016 • Lab Assistant •• OT 512 Neuroscience Foundations for OT Practice - Allen College — Spring 2016 • Lab Assistant •- OT 513 Integrating Cultural & Global Perspectives -- Allen College — Spring 2016 • Co -Instructor -- OT 509 Research 1: Practice Scholarship -- Allen College Spring 2016 • Neurodevelopmental Disorders Lecture —Allen College -- September 26, 2015 • Lab Assistant -- OT 501 Foundation of Occupational Therapy— Allen College — Fall 2015 • Lab Assistant -- OT 503 Musculoskeletal Anatomy -- Allen College — Fall 2015 • Lab Assistant -- OT 504 Applied Kinesiology — Allen College -- Fall 2015 • Lab Assistant -- OT 509 Patient Care Skills — Allen College — Fall 2015 • Get to Know Northwest Region AEA Occupational Therapy Presentation — Grant Wood Area Education Agency — September 5, 2014 • Handwriting Without Tears, Teacher In-service K 2nd Grade Teachers — Albumett Schools, Iowa — Fall 2014 • Fine Motor Skill Development Related to Handwriting, in-service for K -2nd Grade Teachers — Alburnett Schools, Iowa — Fall 2014 COLLEGE SERVICE Page 27of28 • Member of the Graduate Admission, Progression and Graduation Committee, 2015-2017 • Member of the Health Science Faculty Organization Committee, Fall 2015-2017 • Member of the Allen Faculty Organization Committee, Fall 2015- 2017 • Secretary of the Graduate Admission, Progression and Graduation Committee, 2015-2016 • Member of the Health Science Graduate Curriculum Committee, Fall 2015-2016 Page 28 of 28