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Oliver L. Stern Application packageCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM SternOliverL NAME: First Name Last Name Middle Initial FL33139 HOME ADDRESS : 701 East Dilido driveMiami Beach Home No./StreetState Apt No.City Zip Code o.stern@aol.com 305-531-4224305-349-7103 PHONE : WorkEmail Address HomeFax Business Name: not applicable Position: not applicable Miami BeachFL Address: State CityZip Code Street 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 No No No South Beach circle one): I am now a resident of:  born deaf and involved in educating about disabilities 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) Choice 1:Disability Access Committee Choice 2: Choice 3: 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: No Have you ever been convicted of a felony:If yes, please explain in detail: No Do you currently have a violation(s) of City of Miami Beach codeIf 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 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? The following information is voluntary and is neither part of yo being asked to comply with federal equal opportunity reporting r Gender:Male Race/Ethnic Categories What is your race?White Mark one or more races to indicate what you consider yourself t Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No Yes Physically Challenged: 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 Oliver Stern agreed to the following terms on 11/30/2013 2:48: Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date Oliver L. Stern 701 East Dilido Drive Miami Beach, FL 33139 (cell) 305-632-5011 O.Stern18@aol.com Bethbloom123@aol.com (parent) Education th Ransom Everglades Middle School, 7 Grade Coconut Grove, FL ards and Distinctions w A Outstanding Sixth Grader May 2013 First Place, Ransom Everglades Poetry Recitation Contest April, 2013 December 12, 2012 awarded by the Miami Beach City Commission for efforts in creating Academic and Effort Honor Roll Each Quarter, 2012 Present Recipient May 2012 First Place, Miami-Dade County Fair Art Contest April 2011 Extracurricular Activities ne World Many Abilities October 2011 - Present This program was inspired by the work of David New and Ability Explosion. Now part of the North Beach Elementary School curriculum, this is a three-day program that educates students about persons with disabilities of blindness, deafness and paralysis. The students are able to simulate a particular disability, speakers are brought to the school and the event ends with a school-wide assembly where the students discuss their experiences and what each learned. Creator and Fundraiser, August 2013 - Present Established at the University of Miami Ear Institute, this bank is the first hearing aid bank in Miami-Dade County. This program provides hearing aids and equipment to children with hearing loss who financially qualify. The bank also provides loaner hearing aids while the child is waiting for a repair or replacement. Efforts to date have raised in excess of $25,000. Ambassador August 2007 - Present and the University of Miami Ear Institute Born deaf and with a cleft lip and palate, Oliver visits both institutions regularly and serves on panels with professionals to discuss his experiences with children and their families and answers questions and concerns they have about their upcoming surgeries or treatment. Member, Junior Thespian Club, Ransom Swim Team October 2012 - Present Summer Experiences Education Unlimited Public Speaking and Debate Institute Summer 2013 Stanford University, Palo Alto, California EXPLO Summer 2013 St. Marks School, Southborough, Massachusetts Public Speaking and Improvisational Theatre