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Beverly Heller Application PackageCI MAMBEACH CITY OF MIAMI BEACH BOARD AND COMMITTEE APPLICATION FORM NAME: Heller Beverly B Last Name First Name Middle Initial HOME ADDRESS: 5916 LaGorce Dr Miami Beach Florida Apt No. Home No./Street City State PHONE: (305) 864-1539 Home 305) 861-5338 Work Business Name: Position: Address: 33140 Zip Code mandee@internationalcollegecounselors.com Email Address Street City 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: 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: Committee for Quality Education in Miami Beach Choice 2: Parks and Recreational Facilities Board Choice 3: Miami Beach Commission For Women 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: Child Name Age Program 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: Yes 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: Property 5916 La Gorce Dr. Miami Beach, Fla. 33140 Gender: Female 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 Beverly Heller agreed to the following terms on Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date BEVERLY B. HELLER 5916 LaGorce Drive Miami Beach, FL 33140 305-864-1539 Experience School and Community 9 Miami Dade, FL Educator, 18 years, Pre -K through Adult Project Initiator, Organizer and Director: 21St Century Community Program- 3 years Program Coordinator: DCPS Early Childhood Division Grant Writer: Schools of Choice and Parental Involvement Curriculum Writer: DCPS Advanced Academics- Gifted Division Competency Based Curriculum Coordinator: DCPS Social Studies Department Co- Producer/ Writer: DCPS Parent/ Child Activities Calendar Media Representative/ "Ambassador": Miami Beach, Mayor Doaud Chairperson: Educational Excellence School Advisory Committee, DCPS Council of Advisory Committees, DCPS Magnets and Schools of Choice Advisory Committee, DCPS Oversight Committee, DCPS Citizens Advisory Committee, DCPS Gifted/ Advanced Academics Advisory Committee, Dade County Council PTSA, and Miami Beach Feeder Pattern Board Member: Miami Beach JCC, Jewish Federation, Jewish Family Service Member: Association of Supervision and Curriculum Development, American Association of University Women, Miami Beach Quality Education, Jewish Community Relations Council, Phi Delta Kappa, Women's American ORT, Delta Kappa Pi, UTD, Miami Beach Chamber of Commerce, Florida Association of Gifted, National Association of Gifted, Hadassah, Surfside Democratic Club, Dade County Advocates, North Beach Elementary PTA Class Representative, DCPS Early Childhood Advisory Committee, and Adult and Vocational Education Advisory Committee President: Homeowner's Association State Membership Chairperson: Women's American ORT Vice President Dade County Citizen's Coalition President and Vice President Miami Beach Committee for Quality Education representing Nancy Liebman, Richard Steinberg and Matti Bower Miami Beach JCC Executive Board and Program Committee Campaign Liaison: School Board: Michael Krop, Betsy Kaplan, Frank Cobo, Holmes Braddock Legislative: Nancy Liebman, Richard Steinberg, Dan Gelber, Bruce Singer, David Dermer (Mayor), Matti Bower, Alex Doaud (Mayor), Gwen Margolis, Simon Cruz, Sol Gross, Annie Bettancourt Union Miami Dade, FL Vice President for Elementary Education Steward: Fienberg-Fisher Elementary; Fienberg-Fisher Adult and Community School Summer Intern Co -Chairperson: Jewish Education Labor Committee (UFT- National Labor Committee) Convention Representative: NEA, AFT, AFL/CIO District 3 Legislative Liaison Leader Active Committee(s) Member: Internal Functions, Insurance, Professional Issues, Contract Negotiations, Superintendent's Selection and Legislative. Black and Hispanic Caucuses. BEVERLY B. HELLER Recent Awards Miami Beach Elayne Weisburd Award, Teacher of the Year North Bay Village Optimist Club Educator of the Year Feinberg- Fisher Math Teacher of the Year Elementary School Teacher of the Year Miami Beach Mayor's Key to the City Various Community and Committee Awards including: PTSA, JCC, DCSAC, Homeowner's Association, FLAG Who's Who Awards (State and National) Magnets/ Schools of Choice Recognition Honored by Dade County Advocates Education Specialist-- Educational Leadership, Nova University of Florida Master of Science-- Education, Hunter College of New York Bachelor of Business Administration-- Management and Salesmanship, City College of New York