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Walter J. Lucero o ®_ MIAMI BEACH CITY OF MIAMI BEACH 11,, BOARD AND COMMITTEE APPLICATION FORM NAME: kV co-r D h1a 14e-,v 1 Last Name /2Fiirst Name ,��/ Middle Initial HOME ADDRESS: �. ��9 /i� r1//)Ql� �7 /(� /I'l/o M/ �eG'lC� FL --33/39 Apt No. House No./Stpbet City State� Zip Code PHONE: 36s-C,_, U C /3 3l0 - / erOW -7 (aC/4 60" Home/ p Work Fax Email address Business Name: We/C.�V f a_l CS'f4y-f Position: F1,4Q`ffS 1'7F So Cl 4' Address: 2/9f5- (10 l l/h s eve /1' any i &ea(. 1 �L 3 3P� No. Street City State Zip Code Professional License(describe) jkQ Z FSfG`&° 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❑or No ❑ • Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six(6)months:Yes❑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 Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: •Are you presently a registered lobbyist with the City of Miami Beach?Yes❑or 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 ❑ Historic Preservation Board 0 Art in Public Places Committee ❑ Housinq Authority ❑Beautification Committee ❑ Loan Review Committee ❑ Board of Adjustment* ❑Marine Authority 0 Budget Advisory Committee 0 Miami Beach Commission for Women 0 Capital Improvements Projects Oversight Committee ❑Miami Beach Cultural Arts Council 0 Committee on the Homeless 0 Miami Beach Human Rights Committee ❑Committee for Quality Education in MB I Miami Beach Sister Cities Program ❑Community Development Advisory ❑ Normand Shores Local Government Neigh. Improvement D Community Relations Board Parks and Recreation Facilities Board ❑Convention Center Advisory Board 0 Personnel Board ❑ Debarment Committee ❑Planning Board* 0 Design Review Board* Police Citizens Relations Committee ❑Disability Access Committee ❑Production Industry Council 0 Fine Arts Board ❑Safety Committee ❑Gay, Lesbian, Bisexual and Trans ender GLBT ❑Sin le Family Residential Review Panel D Golf Advisory Committee ❑ Sustainability Committee 0 Health Advisory Committee ❑Trans ortation and Parking Committee ❑ Health Facilities Authority Board ❑Visitor and Convention Authority D Hispanic Affairs Committee ❑Waterfront Protection Committee ❑Youth Center Advisory 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: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, hhet ages, and which programs. List below: �1' Child's name: Age: Program: Child's name: Age: Program: FACLER\$ALL\aFORMS\BOARD AND COMMITTEES\BC Applicotion.doc *Have you ever been convicted of a felony: Yes ❑or No/f yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach codes: Yes ❑ or No,rlf yes, please explain in detail: • Do you currently owe the City of Miami Beach any money: Yes ❑or No If yes, explain in detail •Are you currently serving on any City Boards or Committees: Yes❑or No/Z If yes; which board? •What organizations in the City of Miami Beach do you currently hold membership in? l( Name: ( .% / �l�S �o�/CQ adz± � , Title:_ 1>Y�c�fiUQ ° Name: �,a4r�;Pv(� itle:_ 41P,/1WZ P. _ • List all prop rties owned or have an interest in, which are to at within the City of Miami Beach: • 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): 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: Male ❑ Female Ethnic Origin: Check one only(1) ❑White (Not of Hispanic Origin):All persons having origins in any of the original peoples of Europe,North Africa or the Middle East. ❑ African-American/Black (Not of Hispanic Origin):All persons having origins in any of the Black racial groups of Africa. Hispanic: All persons of Mexican,Puerto Rican,Cuban,Central or South American,or other Spanish culture or origin,regardless of race. ❑Asian or Pacific Islander:All persons having origins in any of the original peoples of the Far East,Southeast Asia,the Indian Subcontinent,on the Pacific Islands. This area includes,for example,China,India,Japan,Korea,the Philippine Islands and Somoa. ❑American Indian or Alaskan Native: All persons having origins in any of the original peoples of North America,and who maintain Cultural identification through tribal affiliation or community recognition. Physically Challenged: Yes❑or No❑. Employment Status: Employed;/ Retired❑ Homemaker❑ 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 limited to,the following: • Prohibition from directly or indirectly lobbying city personnel (Miami Beach City Code section 2-459). • Prohibition from contracting with the city(Miami-Dade County Code section 2-11.1). • Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami Beach City Code section 2-26). • Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1). (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 whom 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 st to racy and truthfulness of the application and have received, read and will abide by Chapter 2, Article e y de"Standards of Conduct for City Officers, Employees and Agency Members." A lica Date Name of Applicant(PLEASE PRINT) Re eived in the City Clerk's Office by: Date:_/ /2010 Control No. Date: Name of Delfuty Clerk Walter J. Lucero 919 Michigan Ave. Apt. 2 Miami Beach, Florida 33139 305-613-3626 lucerow7 @gmail.com EXPERIENCE Telemundo Studio Miami, Doral, FL 10108-02109 Intern • Production assistant, props, scenery, talent coordinator, editing, sound, lights, camera, wardrobe, and assistant floor manager for the telenovela"El Rostro de Analia" • Photographer for "Lazos de Esperanza " (Lorena Rojas) • Talent Coordinator Assistant for casting for upcoming telenovela"Mas Saber el Diablo' Bullrich Corporation, Miami, FL 01105-02106 Real Estate Photographer • Responsible for the photography of real estate developments to be featured on company website • Duties included structural and interior photographs of newly contracted developments Perfect Vision Media Group, Miami Beach, FL 10104-12104 Contributing Staff Photographer • Responsible for coverage of social events throughout Miami Dade and Broward counties • Sent to cover events such as MTV Video Music Awards, MTV Latino Music Awards, Playboy Party, Harley Davidson Party, Marquis Jet, White Party 2004 • Photographs Published in Lincoln Road Magazine, Las Olas Magazine and Yachtsmen Magazine Zoom Media Group, Miami Beach, FL 11104-12104 Contributing Staff Photographer • Responsible for coverage of social events throughout Miami Dade County- Sent to cover events such as Vista BMW Grand Opening,NBA and Verb-Jose Marti Park reopening • Photographs published in LOFT magazine EDUCATION „ Miami International University of Art& Design, Miami, FL, 2007-2011 Bachelor of Science in Visual Effects and Motion Graphics Miami Dade College, Miami, FL, November 2004 Photography Universidad National de San Luis, San Luis, Argentina, June 1997 Commercial Bachelors Degree LANGUAGES • Spanish, English, and Italian SKILLS • 3Ds Max, Avid, Cinema 4D, Adobe Creative Suite 4 Master Collection, Illustrator, After Effects, Microsoft XP, Macintosh, Internet Research