Kenneth Wilcox Application PackageCITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
WilcoxKennethD
NAME:
First Name
Last Name
Middle Initial
Florida33139
HOME ADDRESS
:
1228 West Ave 614Miami Beach
Home No./StreetState
Apt No.City
Zip Code
thorazinedc@yahoo.com
78635979913057212783
PHONE
:
WorkEmail Address
Home
Doctor/Advocate/Philanthropist
Business Name:
Unity Coalition
Position:
801 9th Street
Miami BeachFlorida33139
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
Yes
Yes
circle one): I am now a resident of: South Beach
I have been an active leader in the community on LGBT rights, eq
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)
Choice 1:LGBT Advisory Committee
Choice 2:Miami Beach Human Rights Committee
Choice 3:
Miami Beach Cultural Arts Council
Note: If applying for Youth Advisory Board, please indicate your aff
1. Past service on the Youth Center Advisory Board:
NoNA
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:
Do you currently have a violation(s) of City of Miami Beach code No If yes, please explain in detail:
Do you currently owe the City of Miami Beach any money:No 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
NameTitle
Unity CoalitionBoard Member
New World SymphonyExecutive Committee Friends
List all properties owned or have an interest in, which are loca
Property
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?
Mark one or more races to indicate what you consider yourself t White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spani No
Physically Challenged:No
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 Kenneth Wilcox agreed to the following terms on 7/21/2015 9:11
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No.Date
Dr. Kenneth D. Wilcox, Psy.D.
Email: kwilcox@unitycoalition.org
Miami Beach, Florida USA
Mobile: 786.359.7991
www.DrKenWilcox.com
Education
:
Nova Southeastern University, Fort Lauderdale, FL Psy.D Conferred August 2001
Nova Southeastern University, Fort Lauderdale, FL MS Conferred October 1996
Colby College, Waterville, ME BA Conferred May 1993
Professional Experience
:
Executive Committee New World Symphony
The New World Symphony is dedicated to the artistic, personal anprofessional development of outstanding
instrumentalists. The NWS fellowship program provides top gradua
their musical education with the finest professional training. The ECs mission is to oversee the philanthropic efforts of
the New World Symphony Foundation and to bring awareness into ou
Board of Directors: Unity Coalition/Coalicion Unida
Chairman/Director of Events and Fundraising
Appointed 2012 Present
Unity Coalition/Coalicion Unida, Miami, Florida
Unity Coalition stands for the protection of Equality, Leadershi
and beyond including immigration, adoption, marriage, hospital rotection
for all under the law. Established in 2002 and the only one of i
local, state, and federal levels to promote equality and change.
Board of Directors: UCP Baby House Project
Design Psychologist, Events and Fundraising
Appointed 2012 - Present
Environmental Psychologist for Interior Design and Advocate for
design, function, and treatment to better the lives and developm from Cerebral Palsy. In
conjunction with United Cerebral Palsy. Event Coordinator, outre
Advisory Board of Directors GIA Foundation
Events Director, Fundraising and Awareness
Appointed 2013
GIA Foundation works to build awareness, therapeutic programs and funding for children and families who suffe
Retts Syndrome and Autism.
Advisory Board: Whispering Angels Foundation
The Anita Priest Whispering Angels Foundation is a unique founda
scholarships to the LGBT community wishing to continue their pur
Vice President and Director of Advocacy for Societys Choice Flo
Appointed January 2013
Society's Choice is an organization comprised of like-minded positive individuals from all over the world. As VP and
Director I co-host fundraisers, provide outreach, manage events and increase a
and encourage humanitarian efforts while spreading positivity wh working with local and global charities.
Private Practice Psychologist
February 2012 Present
Miami Beach, Florida
Private practice in Miami Beach offering a range of clinical ser
well as outreach and advocacy for at-risk individuals, LGBT groups, and children who are at risk. Pr
Assessments with Immigration Law Firms and USCIS, forensic evalu
media outlets and guest on television and radio programs. Also provide public speaking and train
topics.
Director, Psychologist, and Advocate/Board of Directors
February 2010 July 2013
THOR Health Services, Phnom Penh, Kingdom of Cambodia
Pioneered the first integrative mental health care system in Cambodia providing outr
developing nation. THOR provides advocacy, counseling services a
trauma, street children and HIV/AIDS and gender issues in Cambodia and developing services in Sri Lanka. Provi
clinical services, management, supervision, development and training, community outreach, fundraising and event
planning and grants. THOR also provides consultation in India and the Middle East in
Psychologist/Consultant/Educator/Advocate
February 2005 March 2011
Wilcox&Assocs Psychological Practice, Phnom Penh, Kingdom of Cam
Psychological practice in Cambodia to provide individual therapy with expatriates and K
substance abuse, PTSD, eating disorders, adjustment disorders an
disorders. Med Management
Developed Forensic Course Curriculum and Advised/Supervised Graduate Stude
program (BA and MS) and curriculum for New World Institute.
Consultancies and Advisories for HIV/AIDs, trafficking, substancach and Media Advisor in
Asia and Africa.
Media consultant for International based Documentaries on Child
Advocate for LGBT, Human Trafficking, Womens Rights, Child Protn and Equality
Other Experience: Philanthropy, Psychology and Media
Charity/Philanthropy Event Organizer and Host Committee March 2011 Present
Including Red Cross for Sandy Relief; KGKG; Pridelines; Unity CoSabrina Cohen
Foundation; Immigration Equality; National Voices for Equality, -A-Cause
for Abused and Neglected Children; Gods Innocent Angels Foundatr Retts Syndrome, Sapphire Appeal
Media Consultant/Advocate January 2009 Present
-Authors on the Air, Worldwide
Psychology expert and equality advocate for Justice with a Snap
show reaching a large and diverse audience; including discussionlgbt, social media, trauma, abuse, domestic
violence, sex trafficking, mass violence and mental health, poli
- Transgressive Producer/Consultant for short film/documentary on transgender isand
employment issues.
-Anteros Media, Charlotte, North Carolina. Consultant and advocate for equality and youth, as well as for s
awareness in adult entertainment industry.
- Baksbat -documentary on Child Rape in Cambodia by award winning Director Kim. As expert on sex crimes and social,
psychological and cultural issues behind such crimes, PTSD and G
consultant in the development and production.
-Featured in television based documentaries about poverty and street children in Cambodia aired on Current TV.
-LOVE FM Radio Station 93.1 Asia - Twice weekly DJ and radio host for International English based r
plays pop music and has a large international outreach and listeosted shows that mixed music and
entertainment with call in features and discussions about mental
problems. Provided outreach and advocacy as well as awareness of
Dean of Psychology and Public Health February 2005-May 2005 University of Cambodia, Kingdom of Cambodia
Private Practice Psychologist March 2003 - February 2005 Fort Lauderdale, Florida, USA
Consulting Psychologist/Assessment Specialist May 2003 - July 2003 Spectrum Programs, Fort Lauderdale, Florida
Psychologist/Family Centered Practitioner January 2002 - February 2003
Institute for Family Centered Services, Fort Lauderdale, Florida
September 2000 - September 2001
Psychology Resident (APA Approved)
Greystone Park Psychiatric Hospital, New Jersey Department of Human Services, Greyston
Clinician and CoordinatorJune 1996 - April 1998
The Renfrew Center, Coconut Creek, Florida
Clinician September 1996 - August 1997
Sexual Assault Treatment Center, Broward County Commission Human Services Department, Fort Lauderdale
Clinician August 1995 - July 1996
Sexual Abuse Survivors Program, NSU Community Mental Health Cen
Provided short and long term individual and group therapy to adults with a history of childhood sexual abuse.
Clinician June 1995 - December 1996
Center for Offender Rehabilitation and Education, Pompano and Fo
Lauderdale, Florida.
Other:
Political Fundraising and Hosting
Teaching; Instruction; Guest and Public Speaking at Schools/Universities, Political and Media
Media to develop mental health and social awareness and advocacy. Incl
in various Magazines and Newspapers including feature stories and international coverage plus
television and radio guest spots in national and international c
International Representative for Voice of Khmer for Freedom
Received Special Recognition and Honor for Social Development anes to Cambodia.
2014 Humanitarian Award honored by Women in the Arts (WITA)
Ambassador for REASONS, an organization fighting stigma and HIV/AIDS
Consultant for Art & Culture Boards in Miami, Florida