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Enilda Thomas Application PackageMIAMI .�� 'l,r�l Last ame �� Home Address BEAC H � BOARD AND CQMMITTEE APPL.ICATION FORIVI � t� ) � 13 i�t -� First Name Middle Initial �h �. fi.k ( I � � �+3�4_,�.a��- �- � City State 3o S= 6�� z�� 3 u� y ��t� S-`� ��-��f 3� Home Telephone Work Telephone Cellular Telephone �',n.t , �� i�� usiness Name r' 4� Occupation � s� � - -�� n.�� Business Address City �� l �f � Zip Code �� Email address �-c��.�� : � -��--- .� � I 3 � State Zip Code Professional License (describe): Expires: Please attach a copy of current/y effective professional license. Pursuant to City Code section 2-22(4)a 8� b: Members of agencies, boards and committees shall be a�liated 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 Cityfor a minimum of six months. . Resident of Miami Beach for a minimum of six (6) months: Yes�r No � • Demonstrates ownership/interest in a business in Miami Beach for a minimum of six months: Yes � No � • Are you a registered voter in Miami Beach: Yes �r No � ,_ ,,+ • I am now a resident of: North Beach �I South Beach �11Aiddle Beach ,� • 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 � or No� Please list your preferences in order of ranking [1] first choice [2] second choice, and [3] third choice. Please note that onlv three f31 choices will be observed bv the Office of the Citv Clerk. AffordableHousingAdvisoryCommittee �p } �� Art in Public Places Committee Audit Committee Board of Adjustment"�`{ BudgetAdvisory Committee Committee on the Homeless Committee for Quality Education inMB Convention CenterAdvisory Board Health Advisory Committee Health Facilities Authority Board HispanicAffairs Committee Historic Preservation Board � Housing Authoriry �,�) Human Rights Committee LGBT Advisory Committee Marine & Waterfront Protection Authoriry Parks and Recreation Facilities Board °° Personnel Board Planning Board"� Police Citizens Relations Committee Production Industry Council Sister Cities Program Sustainability Committee Transportation, Parking, & Bicycle-Pedestrian Facilities Committee CulturalArtsCouncil MiamiBeachCommissionforWomen �sitorandConventionAuthority DesignReview Board � Nortnandy Shores Local Govemment YouthCommission Neiy hborhood Improvement DisabilityAccess Committee Ad Hoc Anti-Bullying Task Force Miami Beach Hall of Fame Sele�on Committee I Mavor's 41� Street Committee � Ad Hoc Small Business Task Force SeniorAffairs Committee ( ) * 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 �`CBoard, 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 C:tUserstCLERQueRlDesktop�BC APPLICATION.docx License License Expiration Date Page 1 of 4 Number °° 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: • Please describe your past service with the City's Youth Centers (include dates of service): • Present participation in Youth Center activities by your children: Yes -4.�-4 No �9 If yes, please list below the names of your children, their ages and the programs in which they participate: Child's name: Child's name: Age: Program: Age: Program: • Have you ever been convicted of a felony? Yes � or No� If yes, please explain in detail: • Do you currently have a violation(s) of City of Miami Beach Code? Yes �-�I or N�If yes, please explain in detail: • Do you currently owe the City of Miami Beach any money? Yes � or No'� If yes, explain in detail: • Are you currently serving on any City Board or Committee? Yes � or No� If yes, which board/committee? • In what organization(s) in the City of Miami Beach do you currently hold membership? Name Name Position 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 � or N Which department and title? • Pursuant to City Code Section 2-25 (b): Do you av a parent �, spouse �, child � brother � or sister � 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 complywith City diversity reporting requirements. Gender: Male U Female� Race/Ethnic Categories What is your race? � African-AmericaNBlack � Caucasian/White � Asian or Pacific Islander � Native-American/American Indian Page 2 of 4 C',lJsers'�.CLERQueR�Desktop�BC APPUCATION.docx � Other— Print Race: Do you consider yourself to be Spanish, Hispanic or Latino/a? Mark the "No" box if not Spanish, Hispanic, Latino/a. _� � No �Yes Do you consider yourself Physically Disabled? �No � 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). o 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). c 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 govemmental agencies or authorities. o Voting conflict — Form SB 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 Clerk. 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 ACCORDINGLY." . � _ � f.w-�i �o I ��: �I� G �(/ i L �� _ '�o rv1 � ApplicanYs Signature Date ame of Applicant (PLEASE PRINT Received in the Office of the City Clerk by: Name of Deputy Clerk Control No. Date ATTACH A CURRENT RESUME, PHOTOGRAPH AND A COPY OF ANY APPLICABLE PROFESSIONAL LICENSE. ATTACH ADDITIONAL SHEETS, IF INFORMATION. NECESSARY, Page 3 of 4 C:1UsersICLER�ueRlDesktop�BC APPLICATION.docx TO PROVIDE REQUIRED �� _� NCHM The National Center for Housing Management Thomas, Enilda COS License No. 00141783 Licensed Since: 05/13l2009 Expires: 05/13/2019 E1111da F. 77'10m1S Emplovments 03/08 — Present 09/06 — 03/08 01/02 —12/03 1995 — 2001 1995 1963 —1994 Education 1970 — 1974 Other Courses / Workshops 12/2002 — 06/2003 07/2002 Volunteer Experience 2002 — 2003 Languages 3800 Collins Ave. apt 1106 Phone (305) 934-7433 Miami Beach — FL - 33140 E-mail enildat@gmail.com EHDOC— Council Towers Apartments Miami Beach, FL Administrative Assistant II Elite Learning Center Miami Beach, FL Office Administrator Carol's Educare Child Care Center Queens, NY Bookkeeper / Administrative Assistant TIEP—Thomas Int'I Education Programs Rio deJaneiro, Brazil Partner ANELO Rio de Janeiro, Brazil Administrative Consultant IBM Brasil Ltda. Rio de Janeiro, Brazil Human Resources Analyst Executive Secretary to the President Sr. Adm. Secretary to the Director of Finance Rio de Janeiro, Brazil College of International Relation of Guanabara Rio de Janeiro, Brazil Degree: Completion of the Course of Int'I Relations Attended several courses from the New York, NY NYC Department of Public Health York College Queens, NY Introduction to Bookkeeping New York Congregational Nursing Center Brooklyn, NY Member of "CAN" Caregiver Advisory Network English (read, write, speak) Portuguese (native) Spanish (read, speak)