Gail Harris 12/31/2018MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granado, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
March 06, 2017
Ms. Gail Harris
5725 No. Bay Rd.
Miami Beach, Florida 33140
SUBJECT: Personnel Board
Dear Ms. Gail Harris:
Congratulations! You have been appointed by the City Commission to the agency, board or committee
named above for a term ending: 12/31/2018.
If you are unable to accept this appointment, or have any questions, please call the Office of the City
Clerk at 305.673.7411. Please read the enclosed materials carefully.
Congratulations again and good luck.
Regards,
52'afael Granado
City Clerk
cc: Saul Frances, Parking Director
Michael Smith, City Liaison
ATTACHMENTS:
Letter of Appointment
Oath
City Code/Ordinance section applicable to agency, board or committee
City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459
Ordinance No. 2006-3543 - Amendment to City Code Section 2-22
Miami -Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics
City Wide Permit Application - (Parking Department Form)
Booklet - Guide to the Sunshine Amendment and Code of Ethics for Public Officers and Employees
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov
OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk
Tel: 305.673.741 1, Fax: 305.673.7254
Email: CityClerk@miamibeachfl.gov
TO: Ms. Gail Harris
RE: Personnel Board
I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the United
States, the State of Florida, and the City of Miami Beach, and to perform all the duties of a member of the
above-mentioned board or committee of the City of Miami Beach to which I have been appointed for a
term ending: 12/31/2018.
I have been issued a copy of section 2-11.1 of the Miami -Dade County Code (Conflict of Interest and
Code of Ethics Ordinance), as well as Florida Commission on Ethics Guide to the Sunshine Amendment
and Code of Ethics for Public Officers and understand that as a member of a City of Miami Beach Board
and/or Committee, I must comply with the financial disclosure* requirements of Miami -Dade County or the
State of Florida (depending on the board or committee on which I serve) on July 1st, following the closing
of the calendar year on which I have served.
Sworn to and subscribed before me this
Ms. Gail Harris
o day of A 2017
6';)
Ramon Quezada
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and
Committees for additional information regarding the Financial Disclosure Requirements.
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
m MIAMIBEACH
NAME: Harris
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Gail L
Last Name
First Name Middle Initial
HOME ADDRESS: 5725 No. Bay Rd. Miami Beach
Florida 33140
Apt No. Home No./Street
PHONE: (305) 864-7662
City
State Zip Code
gailkayeharris@gmail.com
Home
Business Name: Gail L. Harris LCSW
Work
Address: 333 41 Street Suite 506
Email Address
Position: Clinical Social Worker
Miami Beach
Florida
33140 -
Street
City
State
Zip Code
Pursuant to City Code section 2-22(4) a and 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.
• Resident of Miami Beach for a minimum of six (6) months Yes
• Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Yes
• Are you a registered voter in Miami Beach: No
• (Please circle one): I am now a resident of: Middle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
I enjoy helping MB be the best place it can be.
• Are you presently a registered lobbyist with the City of Miami Beach? 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. (Regular Boards of City)
Choice 1: Personnel Board
Choice 2:
Choice 3:
• 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 License Number
License Issuance Date License Expiration Date
Note: If applying for Youth Advisory Board, please indicate your affiliation with the Scott Rakow Youth Center:
1. Past service on the Youth Center Advisory Board: No
Years of Service:
2. Present participation in Youth Center activities by your children No if yes, please list the names of your children, their
ages, and which programs. List below:
Child Name
Age
68
Program
• Have you ever been convicted of a felony: No If yes, please explain in detail:
• Do you currently have a violation(s) of City of Miami Beach codes: 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:
• Are you currently serving on any City Boards or Committees: No If yes, which board?
• What organizations in the City of Miami Beach do you currently hold membership in?
• I am now employed by the city of Miami Beach: No Which department?
• List all properties owned or have an interest in, which are located within the City of Miami Beach:
Property
5725 N. Bay Rd
Gender: Female
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 federal equal opportunity reporting requirements.
Race/Ethnic Categories
What is your race? Mark one or more races to indicate what you consider yourself to be. White
Other Description:
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino. No
Physically Challenged: No
NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee members.
These laws include, but are not limited to, the following:
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).
o Prohibition from lobbying before board/committee you have served on for period of one year after leaving office (Miami
Beach Code section 2-26).
o Requirement to disclose certain financial interests and gifts (Miami -Dade County Code section 2-11.1).
(re: 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).
Upon request, copies of these laws may be obtained from the City Clerk.
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article
VII — of the City Code "Standards of Conduct for City Officers, Employees and Agency Members."
I Gail Harris agreed to the following terms on
Received in the City Clerk's Office by:
Name of Deputy Clerk
Control No. Date
RESUME
GAIL L. HARRIS, LCSW
5725 NORTH BAY ROAD
MIAMI BEACH, FL 33140
DATE OF BIRTH: 10/19/39
TELEPHONE: HOME (305) 864-7662
WORK (305) 538-1997
Ceil(786 210 4814)
Email: gailharris@the-beach.net
coq:1 r rrLS 14'1 5/ 0 .torr+
EDUCATION
L.C.S. W.
M.S.W.
M. Ed.
B. Ed.
PROFESSIONAL
AFFILIATIONS
0
Va/c,20/3
May, 1990, Licensed Clinical Social Worker
May 1987, Barry University, School of Social Work
August 1966, University of Miami, School of Education;Teacher Certified -2001
June 1961, University of Miami, School of Education
National Association of Social Workers
Association for the Advancement of Social Work with Groups
Association of Group Work Studies/Barry University
Clinical Social Work Association of South Florida
Association of Death Education and Counseling
PROFESSIONAL:
WORK EXPERIENCE
May 2003- Parent Co -ordinator -Miami Dade, Fla.
April 2003- Certified Family Mediator -State of Florida
Fall 2000 Supervisor and Facilitator to Miami Mental Health Listener's Program
to present Facilitator to Listener's Program for Miami Dade Co. Schools
January 2001 Adjunct Professor/Barry University -Women's Studies
March 2001 Supervisor to Kesher Program
April 1995 Certified in Hypnotherapy
April 1991
to present
February 1989
-2000
To Present
Sept. 1999
April 1995
1994 —to present
May 1987 to
April 1991
September 1986
Private Practice
FACILITATOR FOR PROJECT RESOLVE:
Facilitating groups for sexually abused women.
Facilitate groups for sexually abused women in private practice
Supervisor to Counseling Dept. at Miami Country Day School
SUPERVISOR:
Providing supervision to social work student interns- for Agency for Health Education & Counseling
Mental Health Professional Leader/consultant to the March of the Living Program -Miami Dade Co.
Clinical Social Worker at JEWISH FAMILY SERVICE
working with individuals, children and adults, families, couples and groups (specifically
self-esteem issues) with responsibilities for interviewing, assessment and diagnostic
evaluations,crisis intervention, development of short and long term treatment plans and
facilitating groups; collaborating with other professional and community agencies when
necessary.
Field Placement: JEWISH FAMILY SERVICE
A clinical experience with responsibilities for the development of skills in assessment,
interviewing, to present diagnostic evaluations, developing long and short term
treatment plans, crisis intervention, counseling with individuals (specifically with women,
ages 20-50), couples, families, adolescents and children and facilitating groups for
the elderly; collaborating with ancillary professions and community agencies.
September 1985
to May 1986 First year Field Placement: The GUARDIANSHIP PROGRAM OF
August 1980
to June 1983
September 1961
to June 1969
DADE COUNTY, INC.
Social Services related to the elderly; specifically acting as their guardians with
responsibilities for assessment, discharges, placement, individual and family counseling,
and performing an advocacy role for families and individuals within the court
system. Developed a counseling program for families and rewrote the Professional
Manual for the agency. Worked with referral agencies and developed knowledge of A.C.L.F: s,
Nursing Homes, Hospitals and Foster Care Facilities within Dade County.
Teacher of Compensatory Education, NORTH BEACH ELEMENTARY SCHOOL,
Dade County, Florida. Taught kindergarten through grade six. Designed and
implemented programming of math and reading to students with low stanines
Elementary School Teacher,
Dade County Public Schools, Leroy D. Feinberg Elementary, Grades Four and Two
WORKSHOPS GIVEN:
Feb. 09 Aoi 2
May,O',
Mar,07
—Present.
Oct. 05
Spring 05
Oct, 2003,05
Oct. 2003
Oct. 1997-99:
June '97
From Couplehood to Parenthood, Temple Beth Sholom
Stress Management....Women's Health Forum: Mt. Sinai Hospital Community Outreach Program
Training workshop on Domestic Violence for Shalom Bayit Committee of JCS
-Training to peers on Holocaust Survivor Group impact
Transitions in Women Lives- to Group Work Association at Barry Univ.
What Every Teen Should Know about Domestic Violence and Date Rape -Miami Beach Sr. High
School
Addressing Resilience in Children: Temple Beth Moshe
Group Work Conference -Barry University (Group Work with Holocaust Survivors) June -"97
Presenter: Assoc. for Death Education Conference/Wash.,D.C./"The Affect of Revisiting
the Past -Re: Holocaust Survivors)
1996 Presentation: Barry University Grp. Work Assoc.: Victims of Sexual Abuse
1995-96 Step Parenting Workshop
1993 Separation Issues Related to Parent/Child -Hebrew Academy
Clinical Issues in Treating the Holocaust Survivor/
Presenter Miami Jewish Home and Hospital for the Aged
Douglas Garden
1992 Maximizing Your Child's Potential /Temple Beth Shalom
Maximizing One's Potential : Teaching Staff at Lehrman Day School
1991 Raising Self Reliant Children /Temple Beth Sholom
1989 Exploring Self -Esteem Issues with Adults/ Miami Dade Junior College
1988 Developing Self -Esteem with Children/Miami Dade Junior College
COMMUNITYr
INVOLVEMENT.40tti — c -)406
2008 City Board: Quality of Education member
2005 -07 Chair: The Commission on the Status of Women for Miami Beach
2003-06 Chair- Speaker's Bureau for Domestic Violence Greater Miami Jewish Federation -Women's Dept.
2001- 2005
Fall/2000-present- Facullitator and Supervisor: To Listener's Program/
2000 - Appointed: City of Miami Beach/Commission on the Status of Women
Chair of March of Living Task Force of Dade County 4
. ,�4
1247),' -Lo •
-5-e4.0-014
2007
1999-2000
1994-97
Appointed to Newly formed Committee for March of the Living Futures
Commission on Jewish Renewal: Greater Miami Jewish Federation
Developed "Gesharim" Program:An interfaith program for the Greater Miami Jewish
Federation 1990
MIAMI DARE
COUNTY
SOURCE OF INCOME STATEMENT
Section 2-11.1(1) of the County Ethics Code requires that certain employees and public officials file a financial disclosure Statement on a yearly basis by July 1st
of every year.
Disclosure for Tax Year Ending
2016
Last Name
a rrt`5
Mailing Address — Street Number Street Name, or P.0. Box
7d3.s' �✓• "&y., .
City, State, ip
First Name Middle Name/Initial
a1/ Z.
If your home address is your mailing address, and your home address is exempt from public records pursuant to Fla. Stat. §119.07, read
instructions on the following page and check here. 0
Filing as an Employee (check one
Filing as a Board Member (check one)
f'�ounty
cgf Municipal:
(Municipality)
ec'r"'t)
Board where serving
Per 60 a r-oe . A-afroofj7L71--e-e- co 71/-4. //amgieSS'
Alternate address (if home address is exempt)
Work telephone
80.5153 eill9
Term began on/ended o
/ %I. //i
List below every source of income you received, along with the address and therinci al activityof
p p each source. Include your public salary. Place the sources of
income in descending order, with the largest source first. Examples of sources of income include: compensation for services, income from business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by another
person for your benefit. However, the income of your spouse or any business partner need not be disclosed If continued on a se orate h t h k h
Name of Source of Income
Address
Public Health Trust
il•i is .4esid
Municipal:
P6ci is
)4,...,4,4 chA 4 6Z:14 •
County
111
*
(Municipality)
Department
Position or Title
Employee ID Number
Work address
Work telephone
Employment began on/ended on
Filing as a Board Member (check one)
f'�ounty
cgf Municipal:
(Municipality)
ec'r"'t)
Board where serving
Per 60 a r-oe . A-afroofj7L71--e-e- co 71/-4. //amgieSS'
Alternate address (if home address is exempt)
Work telephone
80.5153 eill9
Term began on/ended o
/ %I. //i
List below every source of income you received, along with the address and therinci al activityof
p p each source. Include your public salary. Place the sources of
income in descending order, with the largest source first. Examples of sources of income include: compensation for services, income from business, gains from
property dealings, interest, rents, dividends, pensions, IRA distributions, and social security payments. Also, include any source of income received by another
person for your benefit. However, the income of your spouse or any business partner need not be disclosed If continued on a se orate h t h k h
Name of Source of Income
Address
p see , c ec ere.
Description of the Principal Business Activity
il•i is .4esid
3-3-h/•a.11•sTs�
P6ci is
)4,...,4,4 chA 4 6Z:14 •
1. (33/ice
I hereby swear (or affirm) that the information above is a true and correct statement.
Signature of Person Disclosing
Vith alio/r
Date sign
RECEIVED BY ELECTIONS DEPARTMENT:
❑ Hardcopy
❑ Electronic Copy
OFFICE USE ONLY Accepted: Y / N Deficiency: Processed Date/Initials:
138_SP-14 COE 2016
Scanned Date/Initials:
BEACH
City of Miami Beach
1700 Convention Center Drive,
Miami Beach, Florida 33139,
www.miamibeachfl.gov
CITY CLERK'S OFFICE CityClerk@miamibeachfl.gov
Telephone: 305.673.741 1 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: Ca t /
rr/5
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.
t --K 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.
A4Alzeo 1/1/1/e• /4,,
Sigg ature Date
Updated: Monday, April 20, 2015
Page 4 of 4
F:\CLER\BALL\aFORMS\BOARD AND COMMITTEES\SC APPLICATION REVISED 06022014.docx
MAW\
bE=
DIVERSITY STATISTICS REPORTING
Name: �p Ct it_ tict1/4--ri S ,.
Board / Committee: [Dec O no .e l 80A,^0.0
Appointment Date:
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
Race/Ethnic Categories
What is your race?
�i A` • an-American/Black
1j CaucasianNVhite
Asian or Pacific islander
Native-American/American Indian
0 Other — Print Race:
Do you consider yourself to be Spanish, Hispanic or Latino/a? Mar* the "No" box if not
Spanish, Hispanic, Latino/a.
o
0 Yes
Do you consider yourself Physically Disabled?
No
Yes
C:\Users\CENTFraN`AppDatalLocai\Microsoft\Windows\Ten:ooranl interne,: FiiestContent.outlook\NP4J9i'",N:C•,jr, minorily
information Form 05-20-13 FINALdoc
Updated: Monday, January 26, 2015