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Sandy Rojas 12/31/17MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 331 39 www.miamibeachfl.gov OFFICE OF THE CITY CLERK, Rafael E. Granada, City Clerk Tel: 305.673.7411, Fax: 305.673.7254 Email: CityClerk@miamibeachfl.gov June 26, 2017 Ms. Sandy Rojas 1370 Marseille Drive Miami Beach, FL 33141 RE: Disability Access Committee Dear Ms. Sandy Rojas Congratulations! You have been appointed by Commissioner Micky Steinberg to the above -referenced Board or Committee, for a term ending: 12/31/2017. Pursuant to City of Miami Beach Code Section 2-22(5)a: Notwithstanding any other provision of the City Code or of any Resolution, commencing with terms beginning on or after January 1, 2007, the term of every board member who is directly appointed by a member of the City Commission shall automatically expire upon the latter of: December 31 of the year the appointing City Commissioner leaves office or upon the appointment/election of the successor City Commission member. 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 as they concern your duties, responsibilities, and requirements as a board or committee member. Congratulations and good luck. R afael Granado City Clerk cc: Saul Frances, Parking Director Valeria Mejia, City Liaison ENCLOSURES: Oath of Office/Oath of Civility/Acknowledgements City Code/Ordinance section applicable to agency, board or committee City Code Sections 2-22, 2-23, 2-24, 2-25, 2-26, 2-458 and 2-459 Ordinance No. 2006-3543 - Amendment to City Code Section 222 Miami -Dade County Code Section 2-11.1 - Conflict of Interest and Code of Ethics Ordinance Citywide 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 331 39 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 Oath of Office Oath of Civility and Acknowledgements TO: Sandy Rojas RE: May ' Wmw ykr 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: 12/31/201 To my colleagues and to all of those I represent and serve, I pledge fairness, integrity and civility, in all actions taken and all communications made by me as a public servant. I hereby acknowledge that 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 that I understand that as a member of the above -referenced City of Miami Beach Board 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. Ms. Sand o' Sworn to and subscribed before me this day ofl±! , 2017 es D'Agostin Deputy Clerk We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. ,f f ANI 1 i KL City of Miami Beach 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfi.gov CITY CLERK'S OFFICE Telephone: 305.673.7411 Fax: 305.673.7254 CityClerk@miamibeachfl.aov 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(1) (2) M Board Member's Name: %2 / I 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. Signature Updated: Monday, April 20, 2015 Page 4 of 4 F:\CLER\$ALLUaFORMS\BOARD AND COMMrrtEES�60 APPLICATION REVISED 06022014.00cx Date OD MIAMI BEACH NAME: Rojas Sandy Last Name HOME ADDRESS: 1370 Marseille Dr Apt No. Home No./Street City State Zip Code PHONE: 7862623446 3055310419 sandypamelarojas@icloud.com CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM First Name Miami Beach FL Middle Initial 33141 Home Work Business Name: Fienberg Fisher K-8 Center Position: ESE Teacher Address: 1420 Washington Ave. Miami Beach FL Street City Email Address 33139 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: No • Are you a registered voter in Miami Beach: Yes • (Please circle one): I am now a resident of: North Beach • I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I work with students with varied exceptionalities allowing for in depth understanding of their needs. • 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: Disability Access Committee Choice 2: Cultural Arts Council Choice 3: Youth Commission * 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: • 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? Name Title Chamber of Commerce Member • 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 1370 Marseille Drive MB 33141 Gender: Male 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. Yes 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 Sandy Rojas agreed to the following terms on 6/15/2017 1:55:50 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Sandy Rojas 1370 Marseille Drive, Miami Beach FL 33141 E-mail: sandypamelarojas@icloud.com Education Barry University - Miami, Florida • Master's in Urban TESOL (Teaching English to Speakers of Other Languages), 2002 Barry University - Miami, Florida • Bachelor of Science in Education, 1999 Miami -Dade Community College - Miami, Florida • Associate in Arts Degree, 1997 Employment History Arline's High Speed — Bal Harbour, Florida Assistant Manager, 1989-1996 Retail management, scheduling, opening and closing of store Buyer of merchandise Interviewing new staff Carpter Creations - Miami, Florida Office Manager, 1996-1999 Sales of wood and area rugs Accounts receivable and payable Purchasing and translation of documents for shipping Lakes Stevens Elementary - Miami, Florida Educator, 1999-2003 Responsible for curriculum planning, assessments, attendance, data analysis, maintaining ongoing communication with parents and students, attending professional development workshops, and planning events and activities Fienberg Fisher K-8 Center — Miami Beach, Florida Educator, 2003 -Present Write curriculum for the integration of core subject areas through the IB Responsible for curriculum planning, assessments, attendance, data analysis, maintaining ongoing communication with parents and students, attending professional development workshops, and planning events and activities Miami Beach Adult and Community Education Center - Miami Beach, Florida ESOL Teacher, 2007- 2010 Educator of English for Speakers of Other Languages to adult students, 2010-2014 Responsible for ESOL curriculum planning, professional development workshops, attendance, assessments, and ongoing communication with students .1 t Name: Board / DIVERSITY STATISTICS REPORTING 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 ID Female Race/Ethnic Categories What is your race? African-American/Black, U.516a Asian or Pacific Islander Native-American/American Indian Other -- Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the `'No" box if not Spanish, Hispanic, Latinofa. No s Do you consider yourself Physically Disabled? 7— rNo F—I Yes CAU Alp 'nData\L oca,'',tl;cr(E soii,�;Vindo`:Is\Tc?mcorar;r Int_zrnst Filest,Ccn'L2)t.oUtlOo!(`i4PLJ9v 4),\B i Mircrj Y information form 05.24-13 FWAL.doc Updated: Monday, January 25. 2415