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Alejandro A. Dominguez application packageCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM DominguezAlejandroA NAME: First Name Last NameMiddle Initial FL33140 HOME ADDRESS : 5265401 Collins AvenueMiami Beach Home No./StreetState Apt No.City Zip Code domingueza17@yahoo.com 30598421483053755600 PHONE : WorkEmail Address HomeFax Delegation Director Business Name: Miami-Dade County Legislative Delegation Position: 111 NW 1st StreetMiamiFL33128 1032 Address: State No. CityZip Code Street Expires: Attach a copy the license Professsional License (describe): Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated requirement shall be fulfilled in the following ways: a) an indi months; or b) an individual shall demonstrate ownership/interest Yes No Yes Middle Beach circle one): I am now a resident of: No 123Please note that only three (3) Please list your preferences in order of ranking [] first choice [] second choice, and [] third choice. choices will be observed by the City Clerks Office. (Regular Boards of City) Affordable Housing Advisory CommitteeLoan Review Committee Art in Public Places CommitteeMarine Authority Beautification CommitteeMiami Beach Commission for Women Board of Adjustment*Miami Beach Cultural Arts Council Budget Advisory CommitteeMiami Beach Human Rights Committee Capital Improvements Projects Oversight CommitteeMiami Beach Sister Cities Program Committee for Quality Education in MBNormandy Shores Local Govt Neigh. Improvement Committee on the HomelessParks and Recreation Facilities Board [1]Community Development AdvisoryPersonnel Board Community Relations BoardPlanning Board* Convention Center Advisory Board[3]Police Citizens Relations Committee Debarment CommitteeProduction Industry Council Design Review Board*Safety Committee Disability Access CommitteeSingle Family Residential Review Panel Fine Arts BoardSustainability Committee Gay, Lesbian, Bisexual and Transgender (GLBT)Tennis Advisory Committee Golf Advisory CommitteeTransportation and Parking Committee Health Advisory CommitteeVisitor and Convention Authority Health Facilities Authority BoardWaterfront Protection Committee Hispanic Affairs CommitteeYouth Center Advisory Board [2]Historic Preservation BoardYouth Center Advisory Board Housing Authority Note : If applying for Youth Advisory Board, please indicate your aff 1. Past service on the Youth Center Advisory Board: No Years of Service: if yes, please list the names of your children, their No 2. Present participation in Youth Center activities by your chil ages, and which programs. List below: Age:Program: Child's name: Age:Program: Child's name: No Have you ever been convicted of a felony:If yes, please explain in detail: Do you currently have a violation(s) of City of Miami Beach code No If yes, please explain in detail: No Do you currently owe the City of Money Beach any money:If yes, please explain in detail: No Are you currently serving on any City Boards or Committees:If yes, which board? What organizations in the City of Miami Beach do you currently h Name:Title: Name:Title: List all properties owned or have an interest in, which are loca No I am now employed by the city of Miami Beach:Which department? Pursuant to City code Section 2-25(b): do you have a relative who is employed by the City of Miami Beach? Check all that apply. Identify the departme The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:Male Ethnic Orgin: Check one only (1) Hispanic No Physically Challenged: Employed Employment Status: NOTEIf appointed, you will be required to follow certain laws which : These laws include, but are not limited to, the following: Prohibition from directly or indirectly lobbying city personnel o Prohibition from contracting with the city (Miami-Dade County Co o Prohibition from lobbying before board/committee you have served o Beach Code section 2-26). Requirement to disclose certain financial interests and gifts (M o (re: CMB Community Development Advisory Committee): prohibiti from having any interest in or receiving any benefit from Co or those with whom you have business or immediate family ties Upon request, copies of these laws may be obtained from the I hereby attest to the accuracy and truthfulness of the applica VII of the City Code Standards of Conduct for City Officers, I Alejandro Dominguez agreed to the following terms on 1/25/2013 Received in the City Clerk's Office by:Date: / /2013Control No.Date: / /2013 Name of Deputy Clerk !«¤© £±® (!«¤·) ! $®¬¨¦´¤¹ #®««¨² !µ¤´¤þ !¯³ þ -¨ ¬¨ "¤ ¢§þ &, (305)984- domingueza17@yahoo.com Experience Miami-Dade County Legislative Delegation Miami, FL. February 2009 - Present Delegation Director Serve as liaison between Miami-Dade County Commission and Miami-Dade County Legislative Delegation. Assist the Delegation in formulating public policy initiatives a priorities such as meals for senior citizens and funding for community organizations like the League Against Cancer and the University of Miami Center for Autism and Related Work with individual delegation members on projects, issues, and events in Tallahasse manage delegation meetings on legislative and budgetary priorities. Crea statewide as well as manage communication through social networking sites. Organize, staff, and provide policy information for special Delegation meetings in Tallahasse Port Tunnel Project in 2009. Work with state agency officials tos incorporate the Miami- Build and maintain relationships with all Delegation Members, and legislators from around the state, to facilitate policy action. Cuban American National Foundation/Foundation for Human Rights i Miami, FL. April 2008 February 2009 Director of Fundraising and Membership Development Developed and executed a membership and major donor fundraising strategy t outreach and donations. Created and managed a list of major dono fundraising activities and planning. Successfully organized and managed fundraising events such as annual gala and silent auction and annual luncheon. Updated memb communication procedures and organized young professional events the course of planning fundraising activities, effectively integrated my understanding of the distinctions of 501(c)3 and 501(c)4 organiz Florida Association of REALTORS® Tallahassee, FL. February 2007 April 2008 South Florida Political Coordinator Responsible for REALTORS® Political Action Committee (RPAC) fundraising activities and ens boards followed federal and state fundraising procedures to succ REALTORS® fundraising goal of $2.5 million dollars from Florida in 2007. Worked with Director of Political Operations, RPAC Trustees, local board executives and government participation in fundraising activities and grassroots involvemes, with special emphasis on RPAC supported candidates and issue initiatives. Ser REALTORS® boards, worked with REALTORS® Public Policy Representatives to prepare comprehensive policy briefings for forums, panels and other presentations to REALTORS and the public, throughout South Florida, with particular focus on the 2007 tax reform initiative Tom Gallagher for Governor Campaign/Bill McCollum for Attorney General Miami, FL. September 2005 November 2006 Regional Field Director Miami Dade and Monroe Counties Managed campaign operations in Miami-Dade and Monroe Counties. Organized and managed phone bank operations, volunteer recruitment and goal implementation, incor campaign operations, event planning and advance, coordinated interaction acted as a surrogate for Tom Gallagher, and Bill McCollum in the general election, at community events. Florida House of Representatives tive Fellowship Program Tallahassee, FL. September 2004 July 2005 Legislative Fellow Local Government Council Served as a technical analyst to committee chair and legislators Government Council. Researched and prepared staff analyses, reports, legislation, and amend well as responded to inquiries from various stakeholders and adv Florida House of Representatives - State Representative Julio Robaina Miami, FL. Jan. 2003 - Dec. 2003 Legislative Assistant Maintained appointment calendar and organized scheduling of meet contact with the appropriate federal, state, or local government correspondence, reports, talking points, issue briefs, speeches, and legislative analyses. R relevant issues on an ad hoc basis. Attended local functions or Education Florida State University,Tallahassee, FL. Masters in Public Administration, August 2005 Honors: Florida House of Representatives Pi Alpha Alpha Honor Society Public Administration Activities: Public Administration Graduate Association, International Studen Rock the Vote Volunteer Bush- Assisted in general activities and events in Tallahassee statewide campaign headquarters Florida International University, Miami, FL Bachelors in Arts, Psychology, December 2001 Minor in Political Science Honors: Psi Chi Psychology Honor Society, 2001 Activities: Political activity organizer, FIU law school petition drive Participated in various community service activities such as fundraising, toy drives and canned food drives FIU Behavior Analysis Laboratory, Spring 1999 Laboratory Assistant Worked in animal division of Behavior Analysis Laboratory during Equivalence study. Conducted experiment schedules with rats and collected and recorded relevant data from the experiment; responsible for care animals. Training Miami-Dade County Supervisory Leadership Development Program Miami-Dade County Professional Development Certification Program Miami-Dade County Communications Certificate Program Community Involvement/Organizations History Miami Flagler Street Society Beacon Council New Leaders Task Force Young Professionals for the Miami Lighthouse for the Blind Committee Member Miami-Dade Metropolitan Planning Organization Bicycle and Pedestrian Advisory Committee National Association of Latino Elected and Appointed Officials Member Miami-Dade County Legislative Days Liaison Board