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Julie Basner Application PackageBasner Julie A Last Name First Name Middle Initial 5931 N. Bay Rd.Miami Beach Home Address City FL 33140 State Zip Code HomeWork juliebasner@hotmail.com Email Address 9177347779 Cellular Miami Beach Business Address City FL State 33140 Zip Code Occupation:Business Name: 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: Committee for Quality Education in Miami Beach BOARD AND COMMITTEE APPLICATION FORM Note:If applying for the At-Large position of the Historic Preservation Board, please answer the below questions: Have you ever resided in one of the City's Historic Districts for at least one year?No No Address in City Historic District submitted. Professional License License Number Issuance Date Expire Date 5 Year Renewable Professional License #1186302 7/1/2013 6/30/2018 Note:If you are seeking appointment to a professional seat (e.g. attorney, architect, etc.), you must attach a copy of your currently effective corresponding professional license. Pursuant to City Code section 2-22(4) a, b and c: Members of Agencies, Boards, and Committees shall be affiliated with the city. This requirement shall be fulfilled in the following ways: YesResident of the City for a minimum of six (6) months: Demonstrate an ownership interest in a business established in the City for a minimum of six (6) months:No AFFILIATION WITH THE CITY OF MIAMI BEACH a. ● I am resident of:Middle Beach Or b. "Ownership Interest" shall mean the ownership of ten percent (10%) or more (including the ownership of 10% or more of the outstanding capital stock) in a business. "Business" shall mean any sole proprietorship, sponsorship, corporation, limited liability company, or other entity or business association. c.Full-time employee of such a business (for a minimum of six months); and I am based in an office or other location of the business that is physically located in Miami Beach (for a minimum of six months):No Notwithstanding the requirements set forth herein, the qualified full-time employee of a business must be approved by a 4/7th vote of the Mayor and City Commission. NOTE: Members of Agencies, Boards, and Committees shall be required to demonstrate compliance with the City affiliation requirements of section 2-22 (4) a and b of the Miami Beach City Code by executing an affidavit, stipulating that they have met either (or both) of said affiliation requirements. The original affidavit shall be filled with the Office of the City Clerk prior to being sworn in as a member. Or No● Have you ever been convicted of a felony: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? ● Are you presently a registered lobbyist with the City of Miami Beach?No ● I am applying for an appointment because I have special abilities, knowledge and experience. Please list below: I am a devoted and active parent member of Miami Beach Senior High School as well as community member of the City of Miami Beach. I am an advocate for all aspects of public education. 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 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). o 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 governmental agencies or authorities. o Voting conflict - Form 8B 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 equality to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143. Florida Statutes. ● In what organization(s) in the City of Miami Beach do you currently hold membership in? No Organization Information Submitted. ● List the address of all properties owned or in which you have an interest within the City of Miami Beach: Property Julie Basner If so, which department and title?No● Are you now employed by the City of Miami Beach: ● Pursuant to City Code Section 2-25 (b): Do you have a parent, spouse, child, brother, or sister who is employed by the City of Miami Beach?Yes If "Yes", identify person(s) and department(s): No relative's information submitted. BOARD & COMMITTEE FINANCIAL ACKNOWLEDGEMENT STATEMENT Acknowledgement of fines/suspension for Board/Committee Members for failure to comply with Miami-Dade County Financial Disclosure Code Section 2-11.1(i)(2) I understand that no later than July 1, of each year all members of Boards and Committees of the City of Miami Beach, including those of a purely advisory nature, are required to comply with Miami-Dade County Financial Disclosure Requirements. One of the following forms must be filled with the City Clerk of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida, no later than 12:00 noon of July 1, of each year: 1. A "Source of Income Statement;" or 2. A "Statement of Financial Interests (Form 1)¹ ;" or 3. A Copy of your latest Federal Income Tax Return. Failure to file one of these forms, pursuant to the Miami-Dade County Code, may subject the person to a fine of no more than $500, 60 days in jail, or both. _____________________________ ¹ Members of the Planning Board and Board of Adjustment will be notified directly by the State of Florida, pursuant to F.S. §112.3145(1)(a), to file a Statement of Financial Interests (Form 1) with the Miami-Dade County Supervisor of Elections by 12:00 noon, July 1. Planning Board and Board of Adjustment members who file their Form 1 with the County Supervisor of Elections automatically satisfy the County’s financial disclosure requirement as a Miami Beach City Board/Committee member and need not file an additional form with the Office of the City Clerk. However, compliance with the County disclosure requirement does not satisfy the State requirement. DIVERSITY STATISTICS REPORT The following information is voluntary and has no bearing on your consideration for appointment. It is being asked to comply with City diversity reporting requirements. WhiteRace/Ethnic Categories What is your race? No details providedOther Description: Gender:Female Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.No Physically Challenged:No 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.” I Julie Basner agreed to the following terms on 6/8/2022 12:32:13 PM Received in the City Clerk's Office by: Name of Deputy Clerk Control No. Date Board and Committee Application Checklist: Please ensure you have provided all information before applying or reapplying to any Board and Committee. YES YES YES YES I have answered all questions fully. I have uploaded a current resume, photograph, and a copy of any applicable professional license. I have completed and attached the Board & Committee Financial Acknowledgment Statement. I have completed and attached the Diversity Statistics Report. If you have any questions, please contact the Office of the City Clerk via email: BC@miamibeachfl.gov or telephone: 305.673.7411 Note: Florida Statutes 119.071: The role of the Office of the City Clerk is to receive and maintain forms filed as public records. If your home address, telephone numbers, and/or photograph are exempt from disclosure and you do not wish your home address, telephone numbers, and/or photograph to be made public, please: 1) Use your office or other address for your mailing address; 2) Use your office or other telephone number for your contact number; and 3) Do not attach a photograph. Julie Basner 5931 North Bay Road Miami Beach, Florida 33140 (917) 734-7779 juliebasner@hotmail.com EXPERIENCE MIAMI-DADE COUNTY PUBLIC SCHOOLS, Miami, FL September 2011-June 2019 Teacher, North Beach Elementary School • Led teachers and students in grades three through five as Reading Coach for four years o Analyzed data with teachers for the purpose of driving instruction o Helped identify both struggling as well as proficient students and provided them with small-group intervention or enrichment, respectively o Conducted essay-writing workshops o Administered iReady Reading program schoolwide o Attended monthly district ELA meetings and relayed all pertinent information at the school site to appropriate stakeholders • Taught fifth grade general education class for two years, comprised mostly of students who fell below the 25th percentile in previous overall scores with diverse needs. o By year-end, each and every student made significant gains in core subject areas o Was evaluated as Highly Effective in my first year as a fifth-grade teacher • Taught as an interim, co-teacher, and substitute, depending on where the need was in K-5 classrooms for two years WINSTON PREPARATORY SCHOOL, New York, NY August 2002-June 2004 High School/Middle School English and Math Teacher • Provided instruction to students with documented learning disabilities in grades six through twelve in the areas of reading comprehension, written expression, math and organization/time management • Identified strategies to address students' specific needs; goals included the development and improvement of study skills and note-taking and test-taking strategies • Provided ongoing formal and informal diagnostic assessment and observation and acted as facilitator between students, faculty and family members to ensure that goals were understood, addressed and reinforced SALLIE MAE/TRUE CAREERS, Reston, VA June 2001-June 2002 Senior Account Executive • Responsible for selling web-based recruiting resource to Human Resource professionals of New York-based companies DAVID LAWRENCE ASSOCIATES/CAP TECHNOLOGY, New York, NY May 1998 -April 2001 Manager/Technical Recruiter • Supported clients’ staffing needs by recruiting and marketing suitable candidates in the Information Technology space SELECT ADVANTAGE, New York, NY October 1996-May 1998 Placement Counselor • Provided temporary and long-term human resources to businesses in and around New York City MONMOUTH UNIVERSITY WRITING CENTER, Monmouth, NJ September 1994-September 1995 Writing Tutor • Provided one-on-one instruction to 15 ESL students on a weekly basis • Evaluated students' writing techniques, identified their writing weaknesses and provided feedback to their English professors • Taught writing for different purposes including persuasion and exposition an d guided students in all phases of writing process EDUCATION Master of Arts, Teaching, Monmouth University, 1996 Bachelor of Arts, Telecommunications, Indiana University, 1993 AFFILIATIONS AND MEMBERSHIPS Temple Beth Sholom, Miami Beach, Vice President, Board of Trustees ; Co-Chair of Education and Youth Committee; Helped found the Elementary Level of the Innovative School Religious Action Center--Florida, Volunteer Outreach Coordinator Educational Excellence School Advisory Council, Miami Beach Senior High School, Member Educational Excellence School Advisory Council, Miami Beach Nautilus Middle School, Member PTSA, Miami Beach Senior High School, Executive Board Member PTSA, Miami Beach Nautilus Middle School, Member Lotus House Shelter, Former Volunteer, Employment and Education Program