Michael Gillman Application PackageID MIAMI BEACH
NAME: Gillman Michael
Last Name First Name
HOME ADDRESS: 5415 Collins Avenue, Apt 303 Miami Beach
Apt No. Home No./Street City
PHONE: 305-864-6314
Home Work
Business Name:
Address:
Street
Position:
City
CITY OF MIAMI BEACH
BOARD AND COMMITTEE APPLICATION FORM
Middle Initial
Florida 33140
State Zip Code
mrmichaelgillman@gmail.com
Email Address
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: Middle Beach
• I am applying for an appointment because I have special abilities, knowledge and experience. Please list below:
I have taught Sociology. Went to John Jay College in New York for Criminal Justice and my father was a Detective in New York
• 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 Citv Clerk's Office. (Regular Boards of City)
Choice 1: Police/Citizens Relations Committee
Choice 2: Health Facilities Authority Board
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 Issuance Date
License Number
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?
• 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:
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. 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 Michael Gillman agreed to the following terms on
Received in the City Clerk's Office by:
Name of Deputy Clerk Control No. Date
Michael Gillman, principle of ASTA Healthcare came into the industry in the
summer of 1985. Prior to that time, he was employed by the New York City
Department of Education in the capacity of a Guidance Counselor as well as
John Joy College of Criminal Justice, Queensborough Community College and
Touro College as a Lecturer, Associate Professor and Department Head in the
discipline of Sociology/Anthropology.
Dr. Gillman received his PhD in Sociology from St. John's University in New
York. His Bachelor of Arts and Master of Arts were completed at the City of
New York University -Brooklyn College.
Upon arriving in Chicago, he was the Vice President of Operations for a chain
of Nursing Homes managed by First Healthcare Associates.
In 1996 he embarked on his own leasing three facilities. Over the years he
acquired an additional four (4) facilities. The facilities are managed by ASTA
Healthcare Company which is a family owned and operated company.
Resume -Michael Gillman
Education 1976- Ph.D- St Johns University-Sociology/Anthropology
1972- MA- Brooklyn College -Sociology
1966- BA- Brooklyn College-Sociology/Anthropology
PostGraduate Studies A. New School of Social Research -study in gerontology and
public health
B. St Johns and Adelphi Universities -study in individual and
group counseling
Academic Experience 1976-1985 Touro College New York, NY
Professor of Sociology/Anthropology
Department Deputy Chairman from 1978 to1985
• Personnel and Budget Committee
• Engaged Faculty Members
1980-1985
Licensed Guidance Counselor for the City of New York
• Counseled high school students with severe emotional and
adjustment problems. There were only two high schools in
the city of New York (counting the 5 boroughs) that had the
facilities to work with these teenagers whose mental
impairment lead to anti -social behavior.
1980-1985 (summers)
• Conducted psychological, educational tests to determine if
the placement of student in Special Education classes were
appropriate.
1970-1980 John J. College of Criminal Justice New York, NY
R
Assistant Professor and Lecturer of Sociology
Among the job responsibilities was to teach academy level
• Police officers. The group included the first female and
Hispanic Police officers in the city of New York.
1970-1980 Queensborough Community College Queens, NY
Assistant Professor and lecturer of Sociology
/Anthropology