List the names of boards and/or commissions
to which
you wish to be appointed (in order
of preference).
Please state any particular qualifications, expertise or
experience you have that you
believe to be relevant.
Please state your reasons for wishing to be appointed to the above.
How did you hear about
openings on the City's boards/commissions?
City
Side Utility
Stuffer
City's
Website
TV
12, Government Access
The
Tribune
ISU
Daily
The Des Moines
Register
KASI
Other:
Please read the following
section carefully before submitting the form.
In accordance with Section 362.5,
Code of Iowa, goods and
services shall not be purchased from any City officer, or from the spouse or immediate
family member of a City officer, or from any business in which a City officer, or the
spouse or immediate family member of a City officer shall own an interest. This
prohibition does not apply to:
(a) contracts made by competitive bidding in writing, publicly
invited and opened.
(b) contracts in which a City officer has an interest solely by
reason of employment if the contract is for professional services not customarily awarded
by competitive bid, if the remuneration of employment will not be directly affected as a
result of the contract, and if the duties of employment do not directly involve the
procurement or preparation of any part of the contract.
(c) a contract in which a City officer has an interest if the
contract was made before the time the officer was elected or appointed.
(d) a contract with a corporation in which a City officer has an
interest by reason of stockholdings when less than five percent of the outstanding stock
of the corporation is owned or controlled directly or indirectly by the officer, or the
spouse, or immediate family of such officer.
(e) contract not otherwise permitted by this section, for the
purchase of goods or services by the City, which benefit a City officer, if the purchases
benefiting that officer do not exceed a cumulative total price of one thousand five
hundred dollars in a fiscal year.
Officers are: Mayor, City Council and members of the following
groups:
| Board of Review |
Human Relations
Commission Investigative Officers |
| Building Code Board of Appeals |
Library Board of
Trustees |
| Civil Service Commission
|
Parks and Recreation Commission |
| Electrical Board |
Plumbing and
Mechanical Board |
| Historic Preservation Commission
|
Project Share Committee
|
| Hospital Board of Trustees |
Transit Agency Board of Trustees |
| Human Relations Commission |
Zoning Board of Adjustment |
| Human Relations
Commission Hearing Officers |
|
I certify that the information supplied herein is correct and that
any applicable conflicts of interest, in accordance with the above section of this
application, are noted below.
Please Note:
Assistive Listening Devices are available for meetings held in the
Council Chambers.
Many of the
boards/commissions will be monitored by the City Council and may be
altered or discontinued at its discretion.
