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HomeMy WebLinkAboutCouncil Packet 12/15/2014CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION Date: •f t,%`%j7`(1 f V I, f 1/,1/-7 , s' , request to be appointed to (state preference): �(Na 1. /%�Gffi.G ' i`212,472,6Q1-t,c=--rc) 2. RECEIVED DEC 0 1 2014 Home Phone7-a Cell Phonegf—`��"t Work Phone: Home Address fi17 jae,� e-r-J Zipcode\577O3 Employer try-' Title Employer Address Zipcode How long have you resided in Waterloo? 'If years List current membership in organizations and offices held: 6"-0 AM VErs pew ! 4 2 -0--, I am available for meetings: q'A.nn. &P.m. {Noon &-Evenings I am available to serve on a Board/Commission the entire year: IA -Yes ❑ No (check below) D Spring ❑ Summer ❑ Fall ❑ Winter ❑ All Seasons Briefly explain your qualifications for appointment to a designated Board/Commission: eto Additional information and comments that may not be evident from information already on this form: References (include phone numbers): of?- /o ,V 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 date above. Signature q4L/ O8/03/2010 RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 FAX 291-4286; PHONE 291-4301. Date: f1/2//4 I, C4-4 iL[t? (Name) 1. r'= m v42_/4/— 4- .• — 2. CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION RECEIVED DEC 0 1 2014 t , request to be appointed to (state preference): Home Phone: 3 4 i c3 2. Cell Phone: 2 e S 710 `# Work Phone: S' -3 3 Home Address f S e3 3 A, rL 0 v h biL Zipcode 1G ; Employer ill E-I L o• U.A ; y Title ;› :o Employer Address Zipcode 3 How long have you resided in Waterloo? h<c; years List current membership in organizations and offices held: c r-.7 f) ; C'_-h. i ' E-49L! Ire C3Ci Pc:4._A-AN �,? v � �i C � t 1�s c �ve c Pyto IK I am available for meetings: M. IJ P`IU. _.B-Noon -P-Evenings I am available to serve on a Board/Commission the entire year: ❑ Yes ❑ No (check below) D-8joring n Summer ❑-fall - ❑Winter ❑-Aft Seasons 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: llCf c_"s References (include phone numbers): C1 r1 +'�( Sr J s I > \-3 ,z .,Lr xc_ 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 for one calendar year from date above. Signat e 08/03/2010 RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 FAX 291-4286; PHONE 291-4301. CITY OF WATERLOO, IOWA BOARDS & COMMISSIONS APPLICATION RECEIVED DEC ii 1 2014 Date: j 6 O O G, Ca t•° 1, ( 1\i , request to be appointed to (state preference): (Name) 1. 2. 5t9-- Home Phone: ( (, 26'f0 Cell Phone: el, 1 - €',(„ j Work Phone: t'p-- Home Address z-5-` t2T / -;- g-12. LA.- Zipcode �5b 70 1 Employer (2.7 -t- ra (---in ) - c i j RTD- Title L-- G� , Employer Address -4 Zipcode `207c - How long have you resided in Waterloo? 4' years List current membership in organizations and offices held: LE-E✓ t-1Z�{ ? GiuT >� 6o OF Ci iJ[L. I am available for meetings: CE'A.M. L'I'P.M. D-N on El -Evenings I am available to serve on a Board/Commission the entire years ❑ No (check below) ❑ Spring ❑ Summer ❑ Fall ❑ Winter L Alf Seasons Briefly explain your qualifications for appointment to a designated Board/Commission: ts.DAQ1 ‹rtvaiIM,Vfrs-. 1) C oTap-Ger'lZ- c& ac:0615 op- Cc u4L 'JkD. U GtU GTegm.I5 Additional informati n and comments that may not be evident from information already on tF Torm.4 C i i at• 7 1C, let. G(- 5' c v VL e--J l v- t`c--61-P-t,I References (include phone numbers): - & Ls CA-p44, =�� [(— 2- ( —� 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 av "able/to attend appropriate training sessions. This application will remain valid and on file for one cal yedi date above. Signature 08/03/2010 RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 FAX 291-4286; PHONE 291-4301. CITY OF WATERLOO Council/Committee Communication Council Meeting: December 15, 2015 Prepared: DecemberA%�er3, 2015 Dept. Head Signature: # of Attachments: 4 SUBJECT: Re -appointments to Memorial Hall Commission (see below): Submitted by: Mayor Buck Clark Recommended City Council Action: Approval Summary Statement Expenditure Required Source of Funds Policy Issue Alternative Background Information: NAME ORGANIZATION REPRESENTED TERM EXPIRATION Randy Miller Amvets Post #19 12/31/2017 Mike Mrzlak Sons of Amvets Post #19 12/31/2017 Craig White American Legion Post #730 12/31/2017 Melvin Wittmer (alternate) Sons of Union Veterans of the Civil War Robert Anderson Camp #33 12/31/2017 CITY OF WATERLOO, IOWA RECEIVED DEC 0 1 26111 BOARDS & COMMISSIONS APPLICATION Date: I ,''_ 1 I, lL t\48, 6J1 ( 1V1 I If \� , request to be appointed to (state preference): n (Name) / � 1. `�-e 6„ k Lo vvi 5 51 C Gt2. Home Phone: Cell Phone: 3 19 6 -5Zr/3Work Phone: Home Address I j (�, 3 2-14k, .S - WtA_. {- -r (v Zipcode 5 07 0 j Employer Title Employer Address Zipcode How long have you resided in Waterloo? !L L years List current membership in organizations and offices held:: '�� Ili U E- 1 s # i V f I am available for meetings: A.M. p,P.M. ❑ Noon ❑ Evenings I am available to serve on a Board/Commission the entire year: K1.. Yes ❑ No (check below) ❑ Spring El Summer ❑ Fall ❑ Winter All Seasons Briefly explain your qualifications for appointment to a designated Board/Commission: qt tN 1 i��; i �� i��\' hv����� Lr,y4 -) Additional information and comments that may not be evident from information already on this form: References (include phone numbers): 1 C- 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 date above. Signature 08/03/2010 RETURN TO MAYOR'S OFFICE, 715 MULBERRY ST., WATERLOO, IA 50703 FAX 291-4286; PHONE 291-4301.