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Karen Rivo Application PackageRivo Karen TNAME: Last Name First Name Middle Initial 4566 Prairie Ave.Miami BeachHOME ADDRESS: Apt No.Home No./Street City Florida 33140 State Zip Code (305) 674-9480PHONE: Home Work karenrivo@gmail.com Email Address Street Prairie Ave. City State Zip Code Address: Position:Business Name:RN 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. YesƔ5HVLGHQWRI0LDPL%HDFKIRUDPLQLPXPRIVL[PRQWKV Ɣ'HPRQVWUDWHDQRZQHUVKLSLQWHUHVWLQDEXVLQHVVLQ0LDPL%HDFKIRUDPLQLPXPRIVL[PRQWKV Ɣ$UH\RXDUHJLVWHUHGYRWHULQ0LDPL%HDFK Ɣ3OHDVHcircle one): I am now a resident of: Ɣ,DPDSSO\LQJIRUDQDSSRLQWPHQWEHFDXVH,KDYHVSHFLDODELOLWLHVNQRZOHGJHDQGH[SHULHQFH3OHDVHOLVWEHORZ Ɣ$UH\RXSUHVHQWO\DUHJLVWHUHGOREE\LVWZLWKWKH&LW\RI0LDPL%HDFK" No Yes Middle Beach No Registered Nurse for 40 years 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: Choice 2: Choice 3: Health Advisory Committee Committee for Quality Education in Miami Beach No2. Present participation in Youth Center activities by your children 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: ages, and which programs. List below: if yes, please list the names of your children, their Child Name Age Program CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM * 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 _______________________ NoƔHave you ever been convicted of a felony:If yes, please explain in detail: ƔDo you currently have a violation(s) of City of Miami Beach codes:No If yes, please explain in detail: ƔDo you currently owe the City of Miami Beach any money:No If yes, please explain in detail: ƔAre you currently serving on any City Boards or Committees:Yes If yes, which board? Committee for Quality Education ƔWhat organizations in the City of Miami Beach do you currently hold membership in? ƔList all properties owned or have an interest in, which are located within the City of Miami Beach: Property 4566 Prairie Ave ƔI am now employed by the city of Miami Beach:No Which department? 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. FemaleGender: Physically Challenged:No White Race/Ethnic Categories What is your race? Mark one or more races to indicate what you consider yourself to be. Other Description: Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.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 Karen Rivo agreed to the following terms on 12/1/2017 10:52:12 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Karen Rivo, RN, MSPH 4566 Prairie Avenue Miami Beach, FL 33140 Phone: (305) 674-9480 Cell (305) 283-3897 Karenrivo@gmail.com Resume Summary Registered nurse with masters in public health and over 30 years of clinical, management, and leadership experience in hospitals, health centers, public schools and the community. Strong record of success in advocacy, operations, and project management. Education: Master of Science in Public Health, May 1985 University of North Carolina, Chapel Hill, North Carolina Concentration: Health Policy and Administration Thesis: Fitness Programs in the Work Place Bachelor of Science, May 1977, Cum Laude University of North Carolina- Greensboro, North Carolina Major: Nursing Award: Sigma Theta Tau, Nursing Honor Society RN License: Florida #1298582 -expires 4/30/19 Professional Experience: Miami-Dade County Public Schools - Office of Community Engagement 2011 – 2014  Administrator, Florida KidCare Grant – Supervise outreach to 200 schools Home Med Solutions, Miami Beach, Florida 2009- 2012  Home Health Nurse – Administer health care to patients in their homes Mollen Immunization Clinics, Phoenix, Arizona 2009- 2011  Flu Vaccination Nurse - Administer influenza vaccinations in the community Election Assistance Commission, Washington, DC 2009 - 2011  Grant Peer Reviewer – Review grants for a federal Election Agency Camp Coleman, Cleveland, Georgia, - 1999  Staff Nurse - Responsible for health care of 600 campers and staff Miami Beach Community Health Center, Miami Beach, FL 1997  Coordinator of Professional Services - Responsible for all health service delivery provided by medical and nursing staff, including infection control and immunizations; total quality management; credentials; and employee health. Providence Hospital, Washington, DC 1986 – 1995  Administrative Supervisor - Administratively responsible for the Department of Nursing and hospital operations for this 400-bed hospital.  Nurse Manager and Staffing Coordinator - Supervised the float pool, per diem and agency staff; Coordinated daily staffing and scheduling operations for 800+ nursing employees; implemented patient classification, recruitment, and quality assurance syst ems. Duke University Medical Center, Durham, North Carolina 1980- 1985  Staff Nurse and Team Leader Supervised and administered patient care on 16 medical, surgical, and pediatric units. Karen Rivo, RN, MSPH Traveling Nurse Corps, Boston, MA 1981 – 1982  Traveling Nurse – Staff nurse on medical –surgical units at Tulane University Hospital, New Orleans, Louisiana; Sierra Vista Hospital, San Luis Obispo, California, and North Broward Hospital, Pompano Beach, Florida North Carolina Memorial Hospital, Chapel Hill, North Carolina 1977- 1980  Charge Nurse - Supervised care of acutely ill neurology patients; Designed new Kardex system Volunteer Service: Miami-Dade County  Vice-Chair, Florida KidCare Coalition of Miami-Dade County 2012- 2013  Member, Steering Committee, The Children’s Movement of Florida 2012 –2013 Florida Department of Health in Miami-Dade County  Member, Tobacco-Free Workforce Group, Miami-Dade County 2011- 2013 Miami-Dade County Public Schools  Member, Budget Priorities Committee 2009 - present  Chair, School Health Medical Advisory Committee (SHMAC) 2009 - 2011  Chair, Budget Priorities Subcommittee 2009 - 2012  Chair, Family and Community Involvement Advisory Committee 2007 – 2009  Vice-President, Miami-Dade County Council of PTAs/PTSAs 2009 - 2010  Chair, Health/Safety Committee, Dade County PTA 2006 – 2009  Member, Wellness Advisory Committee 2006 – 2009  Member, Miami-Dade Task Force for Bullying Prevention 2005 - 2009  PTSA President, Miami Beach Senior High 2007 - 2009  PTSA President, Nautilus Middle School, Miami Beach 2004 - 2006  PTA President, North Beach Elementary School, Miami Beach 1999- 2000 City of Miami Beach  Member, Health Advisory Committee 2017 -present  Chair, Health Care Task Force 2012- 2015  Chair, Committee for Quality Education 2010- 2012  Chair, Governing Board, Service Partnership Grant 2008- 2009  Chair, Committee for Quality Education 2005- 2007  Member, Committee for Quality Education 1999- 2016 Community  President, Temple Beth Sholom, Miami Beach 2016- present  Vice-President, Temple Beth Sholom, Miami Beach, FL 2002 - 2016  Board Member, Ayuda Inc, 2002 - 2003 Professional Affiliations:  American Nurses Association  Sigma Theta Tau, National Nursing Honor Society  Florida Nurses Association Honors:  North Beach Health Clinic renamed “Karen Rivo Health Clinic” December 2015  Karen Rivo Day, City of Miami Beach December 1, 2015  Hannah G Solomon Award, National Council of Jewish Women, 2012  Tobacco Recognition Award, Consortium for a Healthier Miami-Dade, 2012  Volunteer Award, Miami-Dade County Health Department, 2010  Adult Volunteer of the Year, Miami-Dade County Public Schools, 2008  Honorable Mention, Miami-Dade County PTA President of the Year, 2008  Outstanding Volunteer Award, Temple Beth Sholom, 2008  Volunteer Hall of Fame, Miami - Dade County Public Schools, 2006  Recipient, Woman Worth Knowing Award, City of Miami Beach, 2002