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Joseph David Hagen board application pending photoCITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM HagenJosephD NAME: First Name Last Name Middle Initial FL33141 HOME ADDRESS : 7326 Collins Avenue #202Miami Beach Home No./StreetState Apt No.City Zip Code joedhagen@gmail.com 786-286-6959 PHONE : WorkEmail Address HomeFax Sales Associate Business Name: Global Luxury Realty Position: 1111 Lincoln Road #400 Miami BeachFL33139 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 Yes No Yes North Beach circle one): I am now a resident of:  Current Member of Debarment Committee, Graduate of the City of M 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:Golf Advisory Committee Choice 2:Miami Beach Sister Cities Program Choice 3: Safety Committee 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 Miami Beach any money:If yes, please explain in detail: Yes Are you currently serving on any City Boards or Committees:If yes, which board? Debarment Committee. This will end soon. 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 No 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 Joseph Hagen agreed to the following terms on 4/17/2014 11:20: Received in the City Clerk's Office by: Name of Deputy Clerk Control No.Date U.S. Citizen Mobile (786) 286-6959 joedhagen@gmail.com Residence: 7326 Collins Ave. #202 Miami Beach, FL 33141 Joseph David Hagen Objective: To contribute my skills, experience, education, and commitment to achieve the goals and objectives of a progressive organization for the good of the community. Experience Real Estate Agent GLOBAL LUXURY REALTY 1111 LINCOLN ROAD #400 MIAMI BEACH, FL 33139 Loan Officer February 2003 – Present Apex Lending Inc. 20001 Gulf Blvd. #10 Indian Shores Beach, 33785 Education Embry Riddle Aeronautical University 3201 W. Commercial Blvd., Suite 118 Fort Lauderdale, FL 33309 Center Director: Michael M. Van Dusen (954) 497-3774 Master of Aeronautical Science (Thesis Progress)  Aviation/Aerospace Safety Systems 4.0 Grade Point Average San Diego State University September 1991 - May 1994 5500 Campanile Drive San Diego, CA 92182 Campus operator: (619) 594-5200 International Business Bachelor of Arts (B.A.)in - May 1994  SpanishLatin American Studies Emphasis on and  Grade Point Average 3.4  Grossmont College January 1989 - May 1994 8800 Grossmont College Dr. El Cajon, CA 92020 Campus operator: (619) 593-3127 Spanish Associate of Arts (A.A.) in (May 1994)  General Education Associate of Arts (A.A.) in (December 1991)  Vice-President – Student Government Association  Dean's List - During a 19 Credit Hour Semester.  Licenses Real Estate License  Certified Signing Agent Notary Public  G License, W License, C License, D License  Graduate of the Miami Beach Leadership Academy  Graduate of the Miami Beach Citizens Police Academy  Served on the Debarment Committee  References Dr. Chris A. Hamilton (305) 923-6548  George Varon (954) 274-3600  Hatfield, Liliam From:Joseph Hagen <joedhagen@gmail.com> Sent:Thursday, April 17, 2014 12:56 PM To:Hatfield, Liliam Subject:Re: A New Board & Committee Application has been submitted PENDING PHOTOGRAPH Attachments:20140122_113921.jpg; untitled.bmp; close up.jpg Hi Liliam, First replace the safety committee with the Police Relations Committee instead. Secondly, see the attached pics and pic the one you see best fit. Thanks, Joe Hagen :) On Thu, Apr 17, 2014 at 12:19 PM, Hatfield, Liliam <LiliamHatfield@miamibeachfl.gov> wrote: Good afternoon, Mr. Hagen: We are in receipt of your resume and board and committee application. At your earliest convenience, please email me a headshot to complete the package. Please note that the Safety Committee (your third choice of selected boards) will be disbanded as of May 31, 2014. If you would like to apply for a third board, please let me know. Visit the City’s website to familiarize yourself with the recent changes to board and committees at http://web.miamibeachfl.gov/cityclerk/scroll.aspx?id=17996 Regards, MIAMIBEACH Liliam Hatfield, Office Associate V CITY CLERK'S OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411/ Fax: 305-673-7254 / www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. 1 -- JOSEPH D. HAGEN SALES ASSOCIATE Global Luxury Realty T: 786-286-6959 2