Loading...
Martha Baker Application PackageBaker MarthaNAME: Last Name First Name Middle Initial 16085 Cleveland Road Miami BeachHOME ADDRESS: Apt No.Home No./Street City Florida 33141 State Zip Code 305-620-6555PHONE: Home Work martha@seiu1991.org Email Address Miami Street 1601 NW 8th Avenue City Florida State 33136 Zip Code Address: Position:Business Name: 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$UH\RXDUHJLVWHUHGYRWHULQ0LDPL%HDFK Ɣ 3OHDVHcircle one): I am now a resident of: Ɣ,DPDSSO\LQJIRUDQDSSRLQWPHQWEHFDXVH,KDYHVSHFLDODELOLWLHVNQRZOHGJHDQGH[SHULHQFH3OHDVHOLVWEHORZ Ɣ$UH\RXSUHVHQWO\DUHJLVWHUHGOREE\LVWZLWKWKH&LW\RI0LDPL%HDFK" Yes Yes North Beach No Leadership skills in the Healthcare field. 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 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 _______________________ Error: Subreport could not be shown. Error: Subreport could not be shown. 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:No If yes, which board? 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: Error: Subreport could not be shown. ƔI am now employed by the city of Miami Beach:No Which department? Error: Subreport could not be shown. 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 Martha Baker agreed to the following terms on 1/13/2020 4:56:48 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Martha Baker, RN 1685 Cleveland Road Miami Beach, FL 33141 305-510-7542 martha@seiu1991.org Service Employees International Union (SEIU) • SEIU Local 1991, 2008 – Present, Became President and Executive Director Jackson Health System, Miami, FL 1992 - 2019, Nurse Manager, Trauma Intensive Care Unit 1987 - 1992, Nurse Liaison, Surgical Intensive Care Unit 1984 - 1987, Staff RN, Surgical Intensive Care Unit Ohio State University Hospital Columbus, Ohio 1979 – 1984, Staff RN, Surgical Intensive Care Unit Professional Associations: • Serving as SEIU Local 1991 President Public, political, and contract advocate for membership of 5,500 healthcare employees. Cofounder of Labor Management Partnership at Jackson Health System to ensure quality outcomes for our patients, and financial sustainability for our Public Health Syste m. • Serving as SEIU Florida State Council Interim President • Serving as SEIU National Nurse Alliance Chair Public and political advocate for Nurse professional issues. Represent over 80,000 nurses nationwide. • Member of the Jackson Health System Obligation Bond (G.O.B.) Citizen’s Advisory Board Appearances and Other Projects: • March 2019, Speaker at the Healthcare Quality National Collaborative in Chicago. • October 2004 “Current Concepts and Controversies in the Treatment of HIV” Online / Webcast Course Co-Developer • October 2004 Agency Safe Staffing Program Speaker on Safe Ratio Implementation. • January 9-10, 2004 Nova Southeastern University (NSU) hosted its third annual conference on health care access, entitled: "A Glimpse of the Future of Health Care in America 2004." interactive community forum comprised of a distinguished panel of experts. • December 13, 2003 as part of presidential campaign. Martha Baker, RN and president of the SEIU Local 1991, was in charge of introducing Democratic candidate Howard Dean. • October 2003 SEIU National Nurse Alliance Conference Co-Chair and Opening / Closing Speaker, Breakout Teacher on Staffing Crisis and Safe Staffing Ratios . Martha Baker, RN, BSN President of SEIU Healthcare Florida Local 1991 Martha Baker is President of SEIU Healthcare Florida Local 1991, which represents over 5,500 nurses, doctors and healthcare professionals at Jackson Health System. Ms. Baker, the founding Nurse Manager of the Trauma Intensive Care Unit at Jackson Memorial Hospital, one of the largest public hospitals in the nation, is also the chair of the national 80,000-member SEIU Nurse Alliance. She has been an advocate on a wide range of patient care issues at the local and national levels. She has been an advocate on a wide range of patient care issues at the local and national levels. From her unique perspective as an ICU nurse and labor movement activist, Ms. Baker has testified before Congress on numerous occasions of the challenges facing the nursing profession today, including setting safe nurse staffing levels, implementing safe lifting, banning the unsafe practice of mandatory overtime in hospitals, protecting health care workers from the dangers of air-borne and blood-borne infectious diseases, and other policy, safety, and regulatory matters. Ms. Baker has also testified before the U.S. Senate on the President’s controversial proposals to vaccinate health care workers against the possibility of smallpox. Since her graduation from Ohio State University’s School of Nursing in 1979, Ms. Baker has dedicated her life to effective patient advocacy and improving the quality of patient care in our nation’s hospitals. She currently resides in Miami Beach, Florida, where she is a prominent RN leader and nurse voice for union and non-union nurses in the state. SEIU Healthcare Florida Local 1991 is the largest public healthcare union in Florida and is affiliated with the Service Employees International Union, the largest and fastest-growing union in the country with more than two million members.