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Deborah Ruggiero Board and Commititee Application CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Ruggiero Deborah Last Name First Name Middle Initial HOME ADDRESS: 7356 Gary Ave Miami Beach FL 33141 Apt No. House No./Street City State Zip Code PHONE: 305 868 - 5834 305 868 - 0635 305 861 - 0505 djmmrug@gmail.com Home Work Fax Email Address Business Name: Teen Job Corps / Design Dimensions Position Exec Dir / Owner : Address: 7356 Gary Ave Miami Beach FL 33141 No. Street City State Zip Code P rofessional License (describe) : 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 ● Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes ● Are you a registered voter in Miami Beach: Yes ● (Please circle one): I am now a resident of: North Beach ● I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I design and create jewelry ● Are you presently a registered lobbyist with the City of Miami Beach? No Please list your preferences in order of ranking [ 1 ] first choice [ 2 ] second choice, and [ 3 ] third choice. Please note that only three (3) choices will be observed by the City Clerk’s Office. (Regular Boards of City) Affordable Housing Advisory Committee Housing Authority Art in Public Places Committee Loan Review Committee Beautification Committee Marine Authority Board of Adjustment* Miami Beach Commission for Women Budget Advisory Committee Miami Beach Cultural Arts Council Capital Improvements Projects Oversight Committee Miami Beach Sister Cities Program [3] Committee on the Homeless Normandy Shores Local Gov’t Neigh. Improvement Committee for Quality Education in MB Parks and Recreation Facilities Board Community Development Advisory Personnel Board Community Relations Board Planning Board* Convention Center Advisory Board [2] Police Citizens Relations Committee Debarment Committee Production Industry Council Design Review Board* Public Safety Advisory Committee Disability Access Committee Safety Committee [1] Fine Arts Board Single Family Residential Review Panel Gay, Lesbian, Bisexual and Transgender (GLBT) Sustainability Committee Golf Advisory Committee Transportation and Parking Committee Health Advisory Committee Visitor and Convention Authority Health Facilities Authority Board Waterfront Protection Committee Hispanic Affairs Committee Youth Center Advisory Board Historic Preservation Board * Board Required to File State Disclosure form 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: No Years of Service: 2. Present participation in Youth Center activities by your children 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: No If yes, please explain in detail: ● Do you currently have a violation(s) of City of Miami Beach codes: No If yes, please explain in detail: ● Do you currently owe the City of Miami Beach any money: No If yes, explain in detail ● Are you currently serving on any City Boards or Committees: No If yes; 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: 7356 Gary Ave Miami Beach FL 33141 ● I am now employed by the City of Miami Beach: No Which department? ● who is employed by the Pursuant to City Code Section 2 - 25 (b): Do you have a City of Miami Beach? Check all that apply. Identify the department(s): The following information is voluntary and is neither part of your application nor has any bearing on your consideration for appointment. It is being asked to comply with federal equal opportunity reporting requirements. Gender: Female Race: White Ethnic Origin: Check one only (1) White Physically Challenged: No Employment Status: Employed Other: NOTE : If appointed, you will be required to follow certain laws which apply to city board/committee members. These laws include, but are not limit ed to, the following: P rohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2 - 459). o P rohibition from contracting with the city (Miami - Dade County Code section 2 - 11.1). o P rohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami o Beach City Code section 2 - 26). R equirement to disclose certain financial interests and gifts (Miami - Dade County Code section 2 - 11.1). o (re: CMB Community Development Advisory Committee): prohibition, during tenure and for one year after leaving office, from having any interest in or receiving any benefit from Community Development Block Grant funds for either yourself , or those with w hom you have business or immediate family ties (CFR 570.611). Upon request, copies of these laws may be obtained from the City Clerk. “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.” I Deborah Ruggiero agreed to the following terms on 12/6/2010 5:41:30 PM 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 the City Clerk’s Office by: __________________ ______ _______ Date: _ _ _/ __/____ Control No. __________ Date: _ __/__/_____ Name of Deputy Clerk 7356 Gary Avenue Miami Beach Fl. 33141 Phone 305 - 868 - 5834 Fax 305 - 861 - 0505 E - mail djmmrug@gmail.com ùØÛÎËÜÕðÜËÒÕÜÐ  ëÈÖÖÔØËÎ  Parent of two Former business owner in the North Beach area of Miami Beach 1969 - 1971 Williams College for Women /Business 1971 - 1972 Miami Dade C ommunity College / Liberal Arts 1980 - 1981 Los Angeles Valley College / Accounting 1987 - 2001 14 years as President and other positions on Exec. Board; 1989 - 2007 Executive Board, Miami - Dade County Council PTA/PTSA Executive Board. /Regional Coordinator/Regional Vice P resident / Parent Ed. Chair. 4 yrs. Environmental Chair 1989 - 2003 Education Excellence Committee Biscayne Elementary School (B.E.S.) 1994 - 1996 Miami - Dade County Self - Esteem Task Forc e 1996 - 1999 Miami - Dade County Public Schools (M - DCPS) Workshop Facilitator; Parenting 1998 - 2000 Peace Education Foundation Certified Conflict Resolution Workshop facilitator 1998 - 2001 City Miami Beach Neighborhoods First Oversight Committee/Chair /Committe e established Truancy Intervention Program in Miami Beach 1999 - 2001 State of Florida registered Master Gardener Landscape Specialist 1999 - 2001 Miami - Dade County Office of Community Development / Office of Youth and Family Services /Community Development an d Outreach Committee 1999 - 2001 School teacher K - Adult 1999 - 2001 Turner Tech. High School PTSA President 1999 - 2001 M - DCPS Parenting Workshop Facilitator 1999 - 2005 CMB North Shore Park and Youth Center Oversight Committee 2000 - 2002 North Beach Development Corporation (NBDC) Board of Directors, Housing and Residential Chair 2000 - 2002 M - DCPS Reading Specialist/tutor Biscayne Elementary School 2000 - 2001 City of Miami Beach Quality of Educatio n Committee 2000 - 2002 AllExperts.com Native Plant and Gardening representative 2001 - 2003 NBDC Coordinating Director, Teen Job Corps 2002 AYUDA AWARD for Volunteer Services 2003 - 2007 Teen Job Corps, Executive Director / Supervisor, Grant Writer. 2003 - 2004 CMB Green Map Commi ttee 2006 - 2007 President, Park View Island Home Owners Association 2006 North Beach Development Corporation Award for Community Leadership 2006 - 2007 CMB Neighborhood Leadership Academy 2006 - 2007 Founder, Coalition for a Safer North Beach 2006 - 2007 MBPD Cit 2007