Joyce Garret l
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ARIANA1 BE (
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DIVERSITY STATISTICS REPORTING
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Name: -7-71-9 a ce C o r i e._
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Board / Committee: A"'` te Lf 0 r 5 a v-7 rI v E 1 4 5 4 6 7CE
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Appo intment Date:' /Z /,-.)---e /
Pursuant to City of Miami Beach Ordinance 2009-3632, the City is required to annually
prepare and present a report to the City Commission identifying the City's diversity
statistics. This form allows board and committee applicants and members to voluntarily
self-identify their race, ethnicity, disabled status and gender.
Please check the appropriate box for each category: .
Gender: Male 'Female�J 7...
Race/Ethnic Categories
Writ is your race?
IZii African-American/Black
Caucasian/W hite -
. Asian or Pacific Islander . ,
La Native-American/American Indian _ . • -
Zli Other— Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No"box if not
'. Spanish, Hispanic, Latino/a.
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1,1 ir WI Yes _ , '; '';e1,-;P
'°ice d./ a'r' :1_1'5, 2 `'1.Do ou''`consider yourlf Physically Disabled?
eyipej.),.....)
U No
1:3 Yes A , „
C:\Users\CENTFraN\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\NP4J9CNX\BC minority •
information form 05-20-13 FINAL.doc
Updated: Monday,January 26,2015