Lisett Fernandez Application Package Jan 13 16 03:56p p.1
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f I BEIAc f I\I \ 4 0 B iR E,ANC C
C fYt J T TE APFLICA7lON W
Fernandez Lisett
Last Name First Name Middle Initial
5620 Alton Road Miami Beach Florida 33140
Home Address City State Zip Code
(305)804-1937 lisett77 @yahoo.com
Home Telephone Work Telephone Cellular Telephone Email address
Catholic Housing Services Social Services Professional
Business Name Occupation
Business Address City State Zip Code
Professional License(d'escribe): Expires:-
Please attach a copy of currently effective professional license.
Pursuant to City Code section 2-22(4)a&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 a minimum of six months in a
business established in the City for a minimum of six months.
• Resident of Miami Beach for a minimum of six(6)months:Yes or No U
• Demonstrates ownershiplinterest in a business in Miami Beach for a minimum of six months:Yes U or No git
•Are you a registered voter in Miami Beach:Yes or No :
• I am now a resident of: North Beach 1J South Beach Middle Beach Jot
• I am applying for an appointment because I have special abilities,knowledge and experience. Please list below:
•Are you presently a registered lobbyist with the City of Miami Beach?Yes U or 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.
❑Ad Hoc Committee Centennial Celebration C Health Advisory Committee
0 Parks and Recreation Facilities Board CO
Affordable Housing Advisory Committee 0 Health Facilities Authority Board 0 Personnel Board
0 Art in Public Places Committee 1 Hispanic Affairs Committee ❑Planning Board *
❑Board of Adjustment* * O Historic Preservation Board * Potce Citizens Relations Committee
10 Budget Advisory Committee 0 Housing Authority it-Production Industry Council •
❑Committee on the Homeless ❑Marine&Waterfront Protection Authority 0 Sustainabitity Committee
❑Committee for Quality Education in MB 0 Miami Beach Commission for Women 0 Transportation,Parking,&Bicycle-Pedestrian
Facilities Committee
❑Convention Center Advisory Board ❑Miami Beach Cultural Arts Council ❑Visitor and Convention Authority
❑Design Review Board** ❑Miami Beach Human Rights Committee
❑Disability Access Committee 0 Miami Beach Sister Cities Program
❑Gay,Lesbian,Bisexual and Transgender ❑Normandy Shores Local Government
Enhancement Committee(GLBT) Neighborhood Improvement
* Board members are required to file Form 1—"Statement of Financial Interest"with the State.
If you seek appointment to a professional seat.(e.g., lawyer,architect,etc.)on the Board of Adjustment,Design Review
Board,Historic Preservation Board or Planning Board,attach a copy of your currently-effectively license,and furnish the
following information:
Type of Professional License n/a • License Number
•
License Issuance Date License Expiration Date
Page 1 of 4
F:ICLER1$ALLtaFORMSIBOARDAND COMMITTEESIBCAPPLICATION REVISED 06022014.docx
Jan 13 16 03:56p p.2
oO Note:if applying for the Youth Center positions of the Parks and Recreations Facilities Board,please indicate your affiliation with
the Scott Rakow Youth Center and/or the North Shore Parks Youth Center:
n/a
• Please describe your past service with the City's Youth Centers(include dates of service):
n/a
• Present participation in Youth Center activities by your children:Yes ED No Edi
If yes,please list below the names of your children,their ages and the programs in which they participate:
Child's name: Age: Program:
Child's name: Age: Program:
• Have you ever been convicted of a felony?Yes La or No in If yes,please explain in detail:
•Do you currently have a violation(s)of City of Miami Beach Code?Yes U or NoUlf yes,please explain in detail:
•Do you currently owe the City of Miami Beach any money?Yes LA or No glt If yes,explain in detail:
•Are you currently serving on any City Board or Committee?Yes U or No 01 If yes,which board/committee?
•In what organization(s)in the City of Miami Beach do you currently hold membership?
Name Position
Name Position
•List all properties owned or in which you have an interest within the City of Miami Beach:
•Are you now employed by the City of Miami Beach?Yes U or No
Which department and title?
• Pursuant to City Code Section 2-25 (13): Do you have a parent , spouse L, child U ;brother ED or sister F. who is
employed by the City of Miami Beach?Yes or No
If°Yes,'identify person(s)and department(s):
The following information is voluntary and is neither part of your application nor has any bearing on your consideration for
appointment.It is being asked to comply with City diversity reporting requirements.
Gender: Male LI Female EU
Race/Ethnic Categories
What Is your race?
African-American/Black •
CaucasianM/hite
ED Asian or Pacific Islander
fU Native-American/American Indian
4 Other—Print Race:
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F:%CLERISALL1aFORMSIDOARD AND COMMITTEES\EC APPLICATION REVISED C6022014.docx
Jan 13 16 03:56p p.3
Do you consider yourself to be Spanish,Hispanic or Latino/a?Mark the"No"box if not Spanish,Hispanic,Latino/a.
No
ER Yes
Do you consider yourself Physically Disabled?
ta r ;No
't Yes
NOTE:IF APPOINTED,YOU WILL BE REQUIRED TO FOLLOW CERTAIN LAWS THAT APPLY TO CITY BOARD/COMMITTEE
MEMBERS.THESE LAWS INCLUDE,BUT ARE NOT LIMITED TO:
o Prohibition from directly or indirectly lobbying City personnel(Miami Beach City Code section 2-459).
o Prohibition from contracting with the City(Miami-Dade County Code section 2-11.1).
3 Prohibition from lobbying before the board/committee you have served on for period of one year after leaving office(Miami Beach
City Code section 2-26).
o Requirement to disclose certain financial interests and gifts(Miami-Dade County Code section 2-11.1).
o CMB Community Development Advisory Committee: prohibition, during tenure and for one year after leaving office,from having
any interest in or receiving any benefit from Community Development Block Grant funds for either yourself, or those with whom
you have business or immediate family ties(CFR 570.611)_
o Sunshine Law - Florida's Government-in-the-Sunshine Law was enacted in 1967. Today, the Sunshine Law regarding open
government can be found in Chapter 286 of the Florida Statutes. These statutes establish a basic right of access to most
meetings of boards,commissions and other governing bodies of state and local governmental agencies or authorities.
o Voting conflict—Form 8B is for use by any person serving at the county,city or other local level of government on an appointed or
elected board, council, commission, authority or committee. It applies equally to members of advisory and non-advisory bodies
who are presented with a voting conflict of interest under Section 112.3143,Florida Statutes.
Upon request,copies of these laws may be obtained from the City Crerk.
I HEREBY ATTEST TO THE ACCURACY AND TRUTHFULNESS OF THE APPLICATION;AND I HAVE RECEIVED,READ AND
WILL ABIDE BY CHAPTER 2,ARTICLE VII, OF THE MIAMI BEACH CITY CODE, ENTITLED"STANDARDS OF CONDUCT FOR
CITY OFFICERS,EMPLOYEES AND AGENCY MEMBERS AND ALL OTHER APPLICABLE COUNTY AND/OR STATE LAWS AND
STATUTES CCORDINGLY."
#.41XXI j' 1/13/16 Lisett Fernandez
Apple nt's Signature Date Name of Applicant(PLEASE PRINT)
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No. Date
PLEASE ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY
APPLICABLE PROFESSIONAL LICENSE.
ATTACH ADDITIONAL SHEETS, IF NECESSARY, TO PROVIDE REQUIRED
INFORMATION.
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F:ICLERI$ALL!aFORMSIBOARDAND COMMITTEESIBC APPLICATION REVISED 06022014.docx
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A Ail' Ni\I BF l\CH
Iv 4
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.mlamibeachflgov
CITY CLERK'S OFFICE CityClerk@miarnibeachfi.gov
Telephone: 305.673.7411 Fax: 305.673.7254
Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-
Dade County Financial Disclosure Code Provision Code Section 2-11.1(i)(2)
Board Member's Name:
I understand that no later than July 1, of each year all members of Boards and Committees of the City of
Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County
Financial Disclosure Requirements. This means that the members of City Advisory Boards, whose sole or
primary responsibility is to recommend legislation or give advice to the City Commission, must file, even
though they may have been recently appointed.
One of the following forms must be filed with the City Clerk of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida, no later than 12:00 noon of July 1,of each year.
1. A"Source of Income Statement"
2. A"Statement of Financial Interests (Form 1)"
3. A Copy of your latest Federal Income Tax Return
Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine
of no more than $500,60 days in jail or both.
3)
Signature Date
Updated:Monday,April 20,2015
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F:ICLERLSALL1aFORMSIBOARD AND COMMrr TEES',BC APPLICATION REVISED 06022014.docx
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Lisett Fernandez
5620 Alton Road
Miami Beach, Florida 33140
Cell:305-804-1937
Email: Lisett77 @yahoo.com
Objective
To provide useful and results driven social service coordination to the elderly, underprivileged
or otherwise challenged individuals and families. I strive to apply my experience and excellent
communications skills to improve the quality of life by demystifying the challenging
governmental paperwork process for individuals and families in order to allow needed services
and revenue.
CORE COMPETANCIES
• Able to manage multiple projects with a high attention to detail and problem solving
• Self-motivated, driven to work hard and operate effectively in a fast-paced environment
• Ability to integrate multi-platform social services as needed case by case
• Deep understanding and engagement in government and private social services
• Self-starter with a sense of humor
• A team player dedicated to shaping the ongoing evolution of community/agency/company
culture with a focus on mentoring people and their ideas.
• Strong written and verbal communications and presentation skills in both English and
Spanish
• Flexible and adaptable to immediate or unforeseen challenges while maintaining strong
relationships
• Excellent time management skills and the ability to prioritize opportunities to ensure
effective and timely execution
Work Experience
2013 to Present
Catholic Housing Management/Social Services Professional
To improve the overall quality of life of elderly residents through quality driven social services.
Leverage community relations,general experience and communications skills to maximize
available social service programs and assist in managing the often times confusing labyrinth of
government paperwork to benefit individuals and families as needed. Plan and execute daily,
weekly and monthly activities for elderly residents.
Elder Living Facilities
✓ Stella Maris—Miami Beach, Florida
✓ St Dominic Gardens—Miami, Florida
1lPage
2011 to 2013
Universal Health (UHSS)-Catholic Charities/ Residential Living Assistant Manage and Guard
sensitive and confidential information, manage office spaces,take care of unaccompanied
immigrant children at the Cutler Bay shelter. To ensure the well-being&care of
Unaccompanied minors and help to make the proper arrangements to provide social service
benefits on a case by case basis.
2011 to 2013
ST Monica Gardens Elder Living Facility—Catholic Health Services/Social Services Ad Litem
Attend to elderly residents with meal assistance, application renewals and other necessities
required by the Catholic Health Services and Catholic Charities programs.
2006 to Present
Gold International Realty Inc./Real Estate Broker
Build and Manage Real Estate Sales Team. Resolve agent conflicts. Provide agent training.
Handle all day to day office administration, track daily tasks of Real Estate agents and staff,
maintain office schedules, event calendars and reports.
EDUCATION
• Escuela Nacional de Arte (ENA)- Major: Music and Choir Director-1997
SKILLS
• Fluent in English &Spanish
• High Proficiency in Microsoft Office Suite programs(Word, Excel, PowerPoint &
Outlook)
2IPage