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Kristen Rosen Gonzalez Board application packageCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM Rosen GonzalezKristen NAME: First Name Last NameMiddle Initial FL3314 HOME ADDRESS : 1324 Normandy DRiveMiami Beach Home No./StreetState Apt No.City Zip Code kmrosen@yahoo.com 305-965-4725305-237-2079 PHONE : WorkEmail Address HomeFax Assistant Professor Business Name: Miami Dade College Position: 1101 SW 104th StreetMiamiFL33176 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 North Beach circle one): I am now a resident of:  Professor of Speech and Communication, Doctoral Candidate in Hig 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 Clerk’s Office. (Regular Boards of City) Affordable Housing Advisory CommitteeLoan Review Committee Art in Public Places CommitteeMarine Authority Beautification Committee[1]Miami 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 [2]Committee for Quality Education in MBNormandy Shores Local Gov’t Neigh. Improvement Committee on the HomelessParks and Recreation Facilities Board Community Development Advisory[3]Personnel Board Community Relations BoardPlanning Board* Convention Center Advisory BoardPolice 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 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: tja 1\A I At\A I B H CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Rosen Gonzalez Kristen • Last Name First Name Middle Initial HOME ADDRESS: 1324 Normany Drive Miami Beach FL 33141 Apt No. Home No./Street City State Zip Code PHONE: 305-965-4725 305-237-2079 kmrosen @yahoo.com Home Work Fax Email Address Business Name: Miami Dade College Position: College Professor e kaU.4e ?loffq 009 Address: 11011 SW 104th St. Miami FL 33176 Street City State Zip Code 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 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: No •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: systems theory expert, academic quant./qual.research trends in flooding/SLR,objective resident perspective,extensive constr •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) Choice 1: Board of Adjustment* Choice 2: Committee for Quality Education in MB Choice 3: Visitor and Convention Authority 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: • 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 Money Beach any money: No If yes,please explain in detail: •Are you currently serving on any City Boards or Committees: Yes If yes,which board? Miami Beach Women's Commission •What organizations in the City of " mi Beach do you currently hold mem ership in? �� Priq •List all properties owned or have an interest tai,which are orated within the City Miami Beach: l I s y X24 - 2 - : �l • I am now employed by the city of Miami Beach: N Which department? / //3 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 1324 Normandy Drive 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:Female Ethnic Orgin: Check one only (1) White 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 Kristen Rosen Gonzalez agreed to the following terms on 4/19/2 Received in the City Clerk's Office by:Date: / /2013Control No.Date: / /2013 Name of Deputy Clerk Kristen Rosen Gonzalez 1324 Normandy Drive Miami Beach, FL 33141 Tel: 305-965-4725 Email: kmrosen@yahoo.com Professional Miami Dade College, Assistant Professor May 2010 Present English and Communications Department, Kendall Campus Full-time faculty member in the English and Communications Department at MDC. 2012-2013 Academic Year Co-Chair of Women's Heritage Month Committee, Kendall Campus, Co-Chair of the Student Achievement Initiative's Undergraduate Pathways Planning Committee (UPP), Completion By Design, Gates 2013 Theodore Gibson Oratorical Competition Planning Committee, 2013 MDC Legislative Advocacy Committee 2011-2012 Academic Year Learning Outcomes Assessment Team (LOAT), MDC Legislative Advocacy Committee, Theodore Gibson Oratorical Competition, Hispanic Heritage Committee Miami Dade County Public Schools Aug 2009 May2010 Miami Central High School Instructor, American Literature FCAT Tutor, students in need of remediation in grammar and reading 123jump.com Jan. 1999 June 2004 Editor Business to business financial publication. Managed team of writers in India and Bulgaria at Internet-based financial media company Writer/editor of monthly cover story Education Barry University, Miami Shores Jan. 2011 - Present Ph.D. Doctoral Candidate in Leadership in Higher Education Barry University, Miami Shores June 2006 M.A. in Communications Tufts University, Medford, MA September 1991- May 1995 B.A. in French and Spanish Literature Other Languages: Fluent in English, French and Spanish Certifications : State of Florida Permanent Teaching Certification in Language Arts K-12, French K-12 and Spanish K-12 Interests: Community activism, womens issues, education reform Kristen Rosen Gonzalez 1324 Normandy Drive Miami Beach, FL33141 Tel: 305-965-4725 Email: kmrosen@yahoo.com Professional Miami Dade College, Assistant Professor May 2010 - Present English and Communications Department, Kendall Campus Full-time tenured faculty member in the English and Communications Department at MDC. 2013-2014 Academic Year Co-Chair of MDC Hispanic Heritage Month Committee, Co-Chair of the Student Achievement Initiatives Undergraduate Pathways Planning Committee (UPP), Bill and Melinda Gates Foundation, 2014 MDC Legislative Advocacy Committee, Miami Beach Womens Commission 2012-2013 Academic Year Co-Chair of Women's Heritage Month Committee, Kendall Campus, Co-Chair of the Student Achievement Initiative's Undergraduate Pathways Planning Committee (UPP), Completion By Design, Bill and Melinda Gates Foundation, Theodore Gibson Oratorical Competition Planning Committee, 2013 MDC Legislative Advocacy Committee Miami Dade County Public Schools Aug 2009 - May 2010 Miami Central High School Language Arts Instructor, American Literature FCAT Tutor, students in need of remediation in grammar and reading 123jump.com, Ticker MagazineJan. 1999 - June2004 Business-to-business financial media for financial services industry Managing editor for team of writers in USA, India and Bulgaria at financial media company Writer/editor of monthly cover story Education Barry University, Miami Shores Jan. 2011 - Present Ph.D. Doctoral Candidate in Leadership in Higher Education Administration Barry University, Miami Shores June 2006 M.A. in Communication Arts Tufts University, Medford, MA Sept. 1991- May 1995 B.A. in French and Spanish Literature Other Languages: Fluent in English, French and Spanish Certifications: State of Florida Permanent Teaching Certification in Language Arts K-12, French K-12 and Spanish K-1 Volunteer: Miami Beach Senior High PTA, Miami Beach Rowing Club