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Rachel Schusterm M I AM I B EAC H CITY OF MIAMI BEACH BOARDS AND COMMITTEE APPLICATION FORM NAME: SC:huS ~Q ~ lac h ~ Last Name First Name Middle Initial HOME ADDRESS: .~ ~ 3S /~ o y N ( lPI- /~'~ A y t . /" ! 1 1 rn i -r~l • ~ 3 ~ YO ~~a[ No. Street City Stat/e~ Zip Code PHONE: ~.3 pS,~ S 3a2 ' ~ 3 ~ G ~ 36-1 ~~ ~? ~ ~ ~ 0 S~ ~ U3 -OS 6 y 2 1~ L2~ ~ ~/a ®I. a ~ . ~i 0 +r-'~ Home Work Fax Email address Business Name: G h d ~ ~ ~'` ~~GU~ ~'-~~ Position: ~G~ /f1 in j j t'!'/~ "~O r" Address: L/d~ ~b ~/!n S~yt`TnC . ~~~ A ~''? ~ ~t~.6~ ~l 3 ~l3 ~ No. Street City State Zip Code Professional License (describe) N ~~ yyat / ~/ U rS, /1 ~ ~'Jo~ ~~ ~~/~~ ~~ ~'~~Expires: 3'0 2 • I Z t_3~; ~a ~ ~<p~t, ~ - ~ ~~; ~ ~~~ 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 _ ' or No ~ • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes r No • Are you a registered voter in Miami Beach: Yes or No • (Please check one): I am now a resident of: North Beach South Beach Middle Beach • I am applying for an appointment because I have special abilities, knowledge, experience. Please list below: 1 aM „ ht.-1~~. c.-r~ p~~14ss;o.,..1 w~~~ ~~ ~x+t~s;vt 5~c1~,~~ou„ d i'n In,,~ }~.~.~ __ G a r~• I r ~ P ~: r t .- ~ '~L I ~t ~! r s f ~ N ~ s; n J ~- a r+t ~ •, rt i A rn , /S•t ~- C L. ~ •• •t 1 a n~ /- M: I ~ ~` / w~~~ -i 3~ ~ n,ae. d S v¢ +h.l A g- n ,' P~ (~ U I~~ 1 a n ~ n ~ µ/ C o M rh o n. Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that only three (31 choices will be observed by the Citv Clerk's Office. (Regular Boards of City) ^ Art in Public Places Committee ^ Beach Preservation Board ^ Beautification Committee ^ Board of Adjustment* ^ Budget Advisory Committee ^ Committee on Homeless ^ Committee for Quality Education in MB ^ Community Development Advisory* ^ Community Relations Board ^ Convention Center Advisory Board ^ Debarment Committee ^ Design Review Board* ^ Disability Access Committee ^ Fine Arts Board ^ Golf Advisory Committee C~lealth Advisory Committee wealth Facilities Authority Boar41 Z ^ Hispanic Affairs Committee v ^ Historic Preservation Board* *Board Required to File State Disclosure form ^ Housing Authority* ^ Loan Review Committee* ^ Mayor's Green Ad-Hoc Committee ^ Marine Authority* 0 Miami Beach Cultural Arts Council ^ Miami Beach Commission on Status of Women ^ Miami Beach Florida Sister Cities ^ Normandy Shores Local Gov't Neigh. Improvement ^ Oversight Committee for General Obligation Bond ^ Parks and Recreation Facilities Board ^ Personnel Board* ^ Planning Board* olice Citizens Relations Committee ^ Production Industry Council ^ Public Safety Advisory Committee ^ Safety Committee ^ Transportation and Parking Co , i eel ~ r ,..: _ _ 0 Visitor and Convention Authority* ^ Youth Center Advisory Board Q£ t~ ~d O~ ~~~ ~~~~ 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 No Cif yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ~^ or Noyes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes ^ or No yes, explain in detail • Are you currently serving on any City Boards or Committees: Yes ^__ or No ~f yes; which board? • What organizations in the City of Miami Beach do you currently hold membership in? Nan ~ Name: Title: Name: Title: • List all properties owned or have an interest in, which are located within the City of Miami Beach: OW~,~d _ 3 03.E ~~y .,I 0.1 I •~ ~' • I am now employed by the City of Miami Beach: Yes ^ or No^%~!Which department? • Pursuant to City Code Section 2-25 (b): Do you have a parent ^, spouse ^, 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: ~ ~ years old Gender: Male ^ Female ~~' Ethnic Ori Check one) White frican-American/Black ^ Hispanic: ^ Asian or Pacific Islander ^ American Indian or Alaskan Native ^ Employment Status: Employed ©~F a fired ^ Home-maker ^ Other ^ "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." ,~ q f,~ f ~o fiche 1 S~ h.~ s~-e ~- 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. Received in City Clerk's Office by L+y ~ ~ p~~ ~ ~ ~ ~ Date ~ 0 v Name of Deput~Clerk Document Control Number (Assigned by the City Clerk's Office) Entered By Date Revised 1/25/0710 _D n ~ ~. CD_ ~ ~ ~ ~ .' W. O r O '~ ~, ~ _ r r• m ~ ~ _ ~~ p o ~ ~ ~ ~ (n r,.. ,.~, 3 ~ _.. y .~ > ~ 0 ~ ~ ~ ~ ~ ~ ~ ~ o m >.~ ~ . ~ CD ~: z o :: ~ ::>O ~ ao°~~ ' m o ~ ~' ; z ~ o ~ '~~~_ oN r` _ -~# ~ .: N 2 ~ ~:::~..~;<. ~, flo ~ ~ ;:. ~ _~ ~~ z .~ w : - i-- :.n ... ~ m ~~ ,. . m:. ~o o m .. ~~ ~~ r- . ... .. ;; i STATE OF Fk.~iFtIt7A < AC# ~~ ~: ~ a~~~~ ~ ~ O DEPARTMENT :,HEALTH DIU.IS~C7P1 OF`MIWDltr:~RL QUALITY.ASSURANC7= ~<:: :: i DATA >. LICENSE NO. : :: Cf~ NTROL~Na . ~`~ , Q7X~61201~0 NH 4421 ~:. 9843 ::: The WtlRSING WOME ADMINISTRATOR ;: ..,named 4elow tta5;me~;all requirements of ::;:...; .. . the;[avus and rufies;of the state of Florida; . _. ~ Expiration Date SEPTEMBER 30, 2012 ~~ RACHEL ~~H.IISTER .;; ::,...: ~ n ~ H ~ Z ~ ~ Z d d ~ ,t~, ~ o N ~N O ~ r--- ~-. d d ~. o' 0 c~ 0 ~ ~ r ~ W ~ O ~ r d w v~ w w O 0 C"' N n 0 r ~~ ~y Z 7d v~g ~' ~ ~. o ~ ~ 0 ~. ~c ~O c~ ~ w ~ ~ o ~ ~~a ~~x a~ fD `~ ~ O ~ ~ ~ ~ ~xd y~ ~~, ~n N~ ~ r a~~ - ~-3 ~ ~ ° 'O z ~~ ~ ~• ~ ~~ z ~~~ ~o ~ °,~•~ a• qa ~~ ~ 0 ~A ~~ ~: .~ ~ o~ b ~ ~. b CD o w a z z ~z ~~ 0 a z d~ ~o °z~ o~ ~~ ,~ n ~~ ~~ ~~ ny O r.r O ~! -r. a n oho r n v 0 ~o o~ w" 3035 Royal Palm Ave. Miami Beach, F1.33140 (305) 458-3835 rschuster@hebrewhomes.org Rachel Schuster Objective To utilize my education and experience in the field of health care administration. Experience 2007- Present South Pointe Plaza Rehabilitation & Nursing Miami Beach, Fl Center Administrator ^ Oversee, manage, and direct the day to day functions and overall operations of a 230 bed facility in accordance with the current federal, state, and local regulations that govern long term care facilities. ^ Lead facility staff in all aspect of facility operations, including setting priorities and job assignments. ^ Monitor each department's activities, communicate policies, evaluate performance, provide feedback, and assist, observe, coach and discipline as needed. ^ Maintain the highest degree of quality care for the resident while achieving the facility's business objectives. 2003-2007 Hebrew Home North Dade N. Miami Beach, Fl Administrator ^ Oversee and manage the operation of a 75 bed SNF ^ Personnel and Human Resource Management ^ Finance- billing and collections ^ Marketing ^ Physical resource management ^ Resident Care _ _ _ _ __ 2002-2003 Arch Plaza Nursing and Rehabilitation Center N. Miami, Fl. Administrator in Training ^ Training centered on skill acquisition in prescribed areas of administrative practice. 2000-2002 Arch Plaza Nursing and Rehabilitation Center N. Miami, F1. Director of Admissions and Marketing Responsible for census development for 98 bed SNF ^ Pre-admission screening of prospective residents ^ Determine Medicaid eligibility and apply for those eligible. [Phone number]•[E-mail address] [Your Name] Education 2002-2003 Florida International University Miami, Fl Master of Public Administration 1998-2001 Bachelor of Health Services Administration Sum Cum Laude Florida Licensed Nursing Home Administrator License # NH 4421 References References are available on request.