Tehila "Tali" Nieman, MS SPED.' V 1I Ali I ~~~~ ~ C€TY OF M€AM€ BEACH
~ BOARD AND COMMITTEE APPi_iCATION FORM
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NAME: ~ ] ~
Last Natm~eo~ ) First Name Midd/l~e)Irntial
HOME ADDRESS: ~3 vC 1 ~ `l~-~~1~~'~ ~~er_4l~ ~ (9\r~l ~CG~ t'/ ~~1~~
nip Street City State Zip Code
PHONE:
Home
Work
Fax
Email address
Business Name:~/1~h~~2, T_t9.,`~ ~VC~`~~G-, Wy~uh'rv~sition: 1~,~ r~ Su l"~a r'~'
Address: `"` ~ ~ `~ ~~~t G r~ Q try ~J'~ L-~~.~ti ~ ~e~. c. ~, ~" ~- ~~j ~ ~1 D
No. Street Cdy ~ State Zip Code
Professional License (describe) ~-~~.td~,-}`s `^-r`~~ ~1Sa b t 1 ~-~ 1~ Expires: Attach a copy of the license
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city.
• Resident of Miami Beach for a minimum of six (6) months: Yes C9'or No ^
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes t~'or No ^
• Are you a registered voter in Miami Beach: Yes or No ^
• (Please circle one): I am now a resident of: North Beach South Beach Middle Bea
~O>; k~ (~ ~~" ~5 ~ S~s-F~-~-~.li-e- 1~-Gl~.er '~~' y''l',m„~,,,~~~_~~ b/rc
• I am applying for an a~polntment because I have special abilities, knowledge, experience. Please list below s~l,,=a(~
M V.n~
Oa~^ ~\ !~ ~2 ~' 2.J5 ~" 2,~ ~ ~`+ °111 r`P ~a c ~ ~' ~. C.v r-~ ~ rtid
Please list your preferences in order of ranking [7] first choice [2] second choice, and [3] third choice. Please note that only three (3)
choices will be observed by the Citv Clerk's Office. (Regular Boards of City)
^ Affordable Housin Adviso Committee ^ Historic Preservation Board*
0 Art in Public Places Committee ^Housin Authorit *
0 Beach Preservation Board ^ Loan Review Committee*
^ Beautification Committee ^ Marine Authorit *
^ Board of Ad~ustment* Miami Beach Commission for Women C(~
^ Bud et Adviso Committee ^ Miami Beach Cultural Arts Council
^ Ca ital Im rovements Oversi ht Miami Beach Florida Sister Cities 2
^ Committee on Homeless ^ Normand Shores Local Gov't Nei h. Im rovement
^ Committee for Qualit Education in MB ^ Parks and Recreation Facilities Board
^ Communit Develo ment Adviso * ^ Personnel Board*
^ Communi Relations Board ^ Plannin Board
^ Convention Center Adviso Board ^ Police Citizens Relations Committee
^ Cultural Arts Nei hborhood District Overla (CANDO ^ Production Indust Council
^ Debarment Committee ^ Public Safet Adviso Committee
0 Desi n Review Baard* ^ Safet Committee
^ Disabilit Access Committ -~ -° ~ ° ~" - ~~ ~ ^ Sin le Famil Residential Review Panel
Dine Arts Board ^ Sustainabilit Committee
^ Ga Business Develo m H ^ Trans arenc Reliabili & Accountabilit Committee "TRAC"
^ Golf Adviso Committee ^ Trans ortation and Parkin Committee
^ Health Adviso Committee ~ ' ! , ~ ... ~ ^ Visitor and Convention Authorit *
^ Health Facilities Authorit Board ^ Youth Center Adviso Board
^ His anic Affairs Committee
* Board Required to File State Disclosure form
- '~~R\`~H'_~\Eioarc & :,nmmittees',BU`~ P,uphcai;or~i6&C Apnii;:aiio,, P.eviM=c "'.30t doc
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Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: Yes No _ Years of Service:
2. Present participation in Youth Center activities by your children Yes- No :~. If yes, please list the names of your children, their
ages, and which programs. List below:
Child's name: Age: Program:
Child's name:
Age: Program:
.Have you ever been convicted of a felony: Yes ^ or~~~ If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No ~es, please explain in detail:
• Do you currently owe the City of Miami Beach any money: Yes ^ or No ~es, explain in detail
• Are you currently serving on any City Boards or Committees: Yes ^ or No ~s; which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
Name: Title:
Name: Title:
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
_~ -'1.-~
• I am now employed by the City of Miami Beach: Yes'E~ Or NOt~. hich department?
• Pursuant to City Code Section 2-25 (b): Do you have a parent ~, spouse G, child ~, brother ~, or sister ~: who is employed by the
City of Miami Beach? Check all that apply. Identify the department(s):
This section is "not required" but desired: Age: 3~ years old Gender: Male ^ Female ate/
Ethnic Origiry(Check one)
White rican-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Article VII - of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
c I ~ ~ .L 1~1 4~Y~
Applicant's Signature Date Name of Applicant (PLEASE
PRINT)
Please attach a copy of your resume to this application
NOTE: Applications will remain on file for a period of one (1) calendar year
Employment Status: Employed i~ir ^ Home-m ker ^ Other ^
Received in City Clerk's Office by Date
Name of De ty Clerk ~~
Document Control Number (Assigned by the City Clerk's Office)~~~ Entered By Date
Revise 09/02/08 LH
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Tali Nieman, MS, SPED
4349 Sheridan Avenue, Apt. 6
Miami Beach, Florida 33140
(305) 263-0070
Tali90~hotmail.com
Ex~erience•
2007-Present- Substitute Teacher- Miami-Dade Public Schools-Miami, FL
Teach Pre-K- through High school grades.
2007-Present-Independent Special Education Consultant/Tutor - NY/Miami, FL
Clientele includes various levels of functioning: physical/cognitive/speech/oral-motor delays,
social/emotional issues, vision issues related to reading/learning.
2007-2008-Early Discovery Teacher -University of Miami Debbie School-Miami, FL
Performed home/child care center based/ Early Intervention Services fox children ages 2-S.with
language/oral-motor delays
2006-2007-Resource Room Teacher - Kiryas Joel School District- Monroe, NY
Kindergarten, Elementary and High School Students
Utilized Orton-Gillingham based approach and Touch Math
2005-2007-Special Education Homeschooling Instructor -Spring Valley, NY
Students ranged from Grades 2-9 from low to high functioning including: autism, mental
retardation, visually impaired, seizure disorder, junior rheumatoid arthritis.
2004-2005 Junior H.S. Teacher- New City Jewish Center -New City, NY
2003-2004-Resource Room Teacher- Derech Emes Elementary School -Monsey, NY
Taught individual students, remediated and conducted research studies with Resource Room
students in mainstream setting
2002-2004-Language Arts Teacher- Yeshiva of Spring Valley -Monsey, NY
Taught mainstreamed elementary grades
2001-Pediatric Playroom Intern- Maimonides Medical Center -Brooklyn, NY
Planned and implemented age appropriate play, recreational/supportive activities.
Facilitated socialization and patient advocacy.
1998-2000 -Medical Records Coordinator Bainbridge Adult Day Health Care Center -Brooklyn
Please see next page
Tali Nieman, M.S. SPED
(continued)
Education/Certifications:
New York State Licensed - 2007
Students with Disabilities
Dual Certifications: Birth-2, Grades: 7-6
Florida State Reciprocity - 2007
Exceptional Student Education Cert~cation -Grades: K-12
Certified 2006-Slingerland (Orton-Gillingham Method) Teacher Training Course - Monsey, NY
Multi-Sensory Approach fox Teaching Language Arts
Daemen College -Amherst, NY
Graduated 2005 -Masters of Science -Major: Students with Disabilities
Touro College -Brooklyn, NY
Graduated 2002 -Bachelors of Science -Dual Majors: Psychology, Human Services
Academic AchievementAivard- (G.P.A. 3.9)
Moreshes Beth Jacob Seminary- Teachers' Certificate -Brooklyn, NY
Graduated 1996- Educator's certification in Judaic Studies
Multilingual: English, Hebrew, and Yiddish
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PUBLIC SCHOOL TEACHER CERTIFI~1~ .
r T,hts cert jicate, valid for service in the public schools, is granted .#o .the ;persarz;.:n~rrxed
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Certification Area: Students ;With Disabilities (Birth~Gr,~e ~~
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Farm: .,PROFE S S T ONAL Certificate'Numh~- :1"6 ~2:~ 3~
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Tali Nieman, M.S. SPED
4349 Sheridan Avenue, Apt.6
Miami Beach, Florida 33140
(305) 263-0070
Tali90@hotmail.com
Ms. D. Erwin, Secretary to the Principal
Fienberg-Fisher K-8 Center
1420 Washington Avenue
Miami Beach, FL 33139
January 27, 2008
Dear Ms. Erwin:
Thank you for taking the time to speak with me this afternoon regarding a position within
Fienberg-Fisher K-8 Center. I am currently serving as a Substitute Teacher for Miami- Dade
Public schools on a part-time basis. In addition to substitute teaching I am available for
tutoring and working in a teaching capacity in a Special Education/Special needs classroom.
As such, I welcome the opo benef tythe hildren and parents of your school nd talents, and
how they can be utilized
If your school or another school that you know of is in need of a teacher with my
credentials, please feel free to share my information. I look forward to speaking with you
soon.
Thank you.
Sincerely,
Ms. Tali Nieman, M.S. Spec. Ed.