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Susanne Demmerle Application PackageDr. Demmerle Susanne NAME: Last Name First Name Middle Initial 1155 N Shore Drive Miami BeachHOME ADDRESS: Apt No.Home No./Street City Florida 33141 State Zip Code 8036293466PHONE: Home Work sd.demmerle@gmail.com Email Address Street City State Zip Code Address: Position:Business Name:Acupucture Physician 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 North Beach No I am a good listener, willing to learn and care greatly about the welfare of my community by improving health, safety and well b 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: Normandy Shores Local Government Neighborhood Improvement Health Advisory Committee Police/Citizens Relations Committee 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 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? Normandy Shore HOA 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 1155 N Shore Drive 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. noneGender: Physically Challenged:No none 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 Susanne Dr. Demmerle agreed to the following terms on 11/5/2018 2:01:09 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Susanne Demmerle, PhD 1155 North Shore Drive ◆ Miami Beach, Florida 33141◆ USA ◆ +1 803 629 3466 (Cell) ◆ sd.acupunct.omw@gmail.com Academic Degrees and Licenses • Dipl. OM (NCCAOM), 2018 • A.P. Licensed Acupuncturist, 2018 (FL License # AP 3947) • M.Ac. Licensed Acupuncturist, 2014 (MD License # U02155) • Licensed Massage Therapist, 2009 (MD License # M04665) • License of Veterinary Practice (Approbation), Bavaria, Germany, 1987 • Doctor Thesis in Veterinary Medicine, Munich, Germany, 1989 • Bachelors of Veterinary Medicine, Faculty of Veterinary Medicine, University of Alexandria - Alexandria, Egypt, 1986 P rofessional E xperience Maryland University of Integrative Health, Laurel, Maryland, USA 2015 - 2017 Doctorate Degree in Acupuncture and Oriental Medicine (DOAM) Volunteer at the Department of Veterans Affairs Medical Center, Washington, DC 2017 Volunteer and Assistant to Michelle Gilles (Facial Acupuncture and Rejuvenation) 2015 - 2017 Maryland University of Integrative Health, Laurel, Maryland, USA 2011 - 2015 Master of Acupuncture and Chinese Herbal Medicine Nénuphar Therapeutic Massage & Wellness, LLC - Columbia, South Carolina, USA 2009 Founder & Business owner: providing service in Medical Massage Therapy, Deep Tissue Massage, Neuromuscular Massage, Swedish Massage, Trigger Point Release, Chair Massage, Cranio-Sacral Therapy, and Reiki. Midlands Technical College - Columbia, South Carolina, USA 2008 - 2009 Completed Clinical Massage Therapy Program. College of Veterinary Medicine, Michigan State University - East Lansing, Michigan, USA 2005 Research in Molecular Biology: Preparation of RNA extraction, c-DNA Synthesis, gel electrophoresis, and mRNA isolation. Laboratory of Xenobiotics of “Institut National de la Recherche Agronomique” - Toulouse, France 2003 - 2004 Study of in vitro hepatic biotransformation of surfactants at the subcellular level. The project was sponsored by the “Environmental Risk Assessment and Management”. Laboratory of Cellular Biology, Department of Molecular Structural Biology, Centre d’Etudes Nucléaires de Grenoble - Grenoble, France 1993 Post-doctoral research on the effect of polycyclic aromatic hydrocarbons, i.e. Benzo(a)pyrene, on the endocytosis of the social amoeba, ‘Dictyostelium discoideum’. Virginia Institute of Marine Science, The Colleg e of William & Mary - Gloucester Point, Virginia, USA 1990 - 1992 Post-doctoral studies on the effects of environmental pollutants such as polycyclic aromatic hydrocarbons on the immune system of aquatic animals with the help of immuno-toxicological techniques and long-term cell cultures. Institute of Zoology and Hydrobiology, Faculty of Veterinary Medicine, Ludwig-Maximilian University - Munich, Germany 1986 - 1989 Thesis and post-gradual studies on morphological, bacteriological and immunological level on the pathogenesis of Glomerulonephritis in Rainbow trout with Bacterial kidney disease. Intensive training in histopathology, light and electron microscopy, and immunopathological methods. Practiced the isolation and identification of viruses of cold-blooded vertebrates using gel-electrophoresis and immuno-fluorescence techniques. German Veterinary Medical Authorities - Bavaria, Germany 1987 License of Veterinary Medicine Practice (Approbation) Faculty of Veterinary Medicine, University of Alexandria – Alexandria, Egypt 1981 - 1986 Bachelor Degree in Veterinary Medicine. Personal Data Date of Birth: August 25, 1962 Nationality: US citizen Family Status: married, three children Hobbies: Badminton, swimming, reading, Languages: German, Mother tongue. Fluently in English, French and Arabic.