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Boards and Commissions Application

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Please correct the fields below:

Contact Information
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Contact Information
Occupation/Education
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Occupation/Education

PREFERRED APPOINTMENT: 
Please indicate up to three board(s)/commission(s) you are interested in (in order of preference) and answer the supplemental questions for each.
(Note: the Ames Resident Police Advisory Board (ARPAC) and the Board of Review require separate applications). 

First Preference
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First Preference
Second Preference
Second Preference
Third Preference
Third Preference
DEMOGRAPHIC INFORMATION: 
The City of Ames values diversity of all types among board and commission members. To assist in ensuring that boards and commissions are representative of the Ames community, please consider providing the following voluntary demographic information. Declining to complete this section will not disqualify any applicant from consideration. 
DEMOGRAPHIC INFORMATION: The City of Ames values diversity of all types among board and commission members. To assist in ensuring that boards and commissions are representative of the Ames community, please consider providing the following voluntary demographic information. Declining to complete this section will not disqualify any applicant from consideration.

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 and if the remuneration of employment will not be directly affected as a result of the contact and 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 office was elected or appointed, but the contract may not be renewed.

(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 $1,500 in a fiscal year.

Officers are Mayor, City Council, and members of the following groups:

Analysis of Social Services Evaluation Team, Board of Review, Building Board of Appeals, Civil Service Commission, Historic Preservation Commission, Hospital Board of Trustees, Human Relations Commission, Library Board of Trustees, Parks & Recreation Commission, Property Maintenance Appeals Board, Public Art Commission, Public Nuisance Appeals Board, Transit Agency Board of Trustees, and Zoning Board of Adjustment

Are there any applicable conflicts of interest in accordance with the above section of this application?
Are there any applicable conflicts of interest in accordance with the above section of this application?
If yes, please explain:
I certify that the information supplied herein is true and correct. 
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  1. To receive a copy of your submission, please fill out your email address below and submit.

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