Brett Burstein Application PackageBurstein Brett A
Last Name First Name Middle Initial
4507 Sheridan Ave Miami Beach
Home Address City
Florida 33140
State Zip Code
HomeWork
brettburstein01@icloud.com
Email Address
7868775491
Cellular
Business Address City State 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:
Youth Commission
Committee for Quality Education in Miami Beach
Convention Center Advisory Board
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
Brett Burstein B623-061-04-412-0 11/15/2019 11/12/2028
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 persistent in increasing youth involvement in the City of Miami Beach’s government. I am accountable and
willing to listen to my peers concerns. By being in Debate for the past four years, I am passionate and curious
about politics.
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:
No Owned Property Information submitted.
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?No
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:Male
Are you Spanish/Hispanic/ Latino? Mark the "No" box if not Spanish / Hispanic / Latino.Yes
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 Brett Burstein agreed to the following terms on 9/27/2022 4:40:50 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.
Brett Burstein
4507 Sheridan Ave, Miami Beach, FL, 33140
786-877-5491
brettburstein01@gmail.com
Miami Beach Senior High School, Class of 2023
GPA: 4.000
Weighted GPA: 5.203
HONORS & AWARDS
Principal’s Honor Roll - 9, 10, 11, 12
National/State Speech and Debate Qualifier (Congress, Worlds Schools, and Extemp) - 10,
11, 12
NSDA All American and Distinction
AP Scholar with Distinction Award
DECA State Champion - 11
National Honor Society - 11, 12
Mu Alpha Theta (National Math Honor Society) - 11, 12
Sigma Tau Delta (National English Honor Society) - 11, 12
National Spanish Honor Society - 11, 12
Phi Beta Chi (National Science Honor Society) - 11, 12
National Hispanic Recognition - 11
University of Pennsylvania Book Award - 11
EXTRACURRICULAR ACTIVITIES
BAB (Breaking Access Boundaries) Communications
Founder and President
Grades 10-12
15 hours per week, 45 weeks per year
Generate an interest in and understanding of Computer Science through schools by
providing hands-on experience, tutoring sessions, and preparing for events such as
Hackathon. Recruited members who attend meetings, tutor, and participate in the club’s
activities.
Debate
President and Congressional Captain (11-12)
Grades 9-12
10 hours per week, 40 weeks per year
Coordinate events that strive for success at competitions and unify/improve novice club
participation, including Freshmen/Sophomore tutoring and a varsity-novice mentorship
program.
Mu Alpha Theta (National Math Honor Society)
Co-President
Grades 11-12
5 hours per week, 35 weeks per year
Organize the club's events and activities that improve math involvement. Interact with the
members to prepare for competitions, such as MathWorks Math Modeling Challenge and
American Mathematics Challenge, to promote the refinement of problem solving skills in
high school student competitors.
Big Brothers Big Sisters (BBBS)
President (12)
Grade 9-12
3 hours per week, 40 weeks per year
Organize, create, and support one-to-one mentoring relationships that spark power and
promise throughout underprivileged youth. Engage students in future interactions with
technology.
Distributive Education Clubs of America (DECA)
Executive Vice President (12)
Grade 11-12
5 hours per week, 40 weeks per year
Conduct managerial tasks centered on high-level financial and business planning, including
data gathering and organization, report production and utilization, and data analysis to
make business choices.
Miami Beach Youth Commission
Miami Beach Youth Commissioner
Grade 12
2 hours per week, 30 weeks per year
Increased youth involvement in Miami-Dade government by holding forums on issues,
activities and concerns of youth. Recommended the implementation of community
programs to improve the lives of youth. Submitted the Mayor of Miami Beach and Board of
Miami-Dade Commissioners an annual report.
Health Information Project (HIP)
Member
Grade 11-12
2 hours per week, 30 weeks per year
Teach health education to freshmen peers. Revolutionize health education by transforming
high school students into Peer Health Educators (PHEs).
COMMUNITY SERVICE
Unified Democracy
Head Volunteer Coordinator
Grade 10-12
4 hours per week, 25 weeks per year
Organize the club's volunteers for events and activities that inspire encouragement in
national, state, and regional politics.
Youth Education Coalition
Mentor
Grades 10-12
2 hours per week, 40 weeks per year
Organize tasks that focus on politics in education and guide individuals to follow core values
of awareness, action, and accountability.
EDUCATIONAL PROGRAMS / SUMMER ACTIVITIES
Stanford Summer Session
Summer 2022
Rising Senior
70 hours per week, 8 weeks per year
Selected to participate in a residential, college level Computer Science program. Learned
different aspects about programming and the metaverse.
Inspirit AI
Ambassador and Fellow
Grades 10-12
2.5 hours per week, 20 weeks per year
Inspirit AI, a computer science educational series taught by Ph.D. students from Stanford
and M.I.T., has inspired me to pursue a career in cutting-edge technology. The program
focused on global issues/crises that are fixable through AI.
Alexander Muss High School in Israel
Summer 2021
Rising Junior
70 hours per week, 6 weeks per year
Alexander Muss High School in Israel is offering three transformative summer experiences
that will connect you to the land and people of Israel, enhancing your college applications
and creating memories that last a lifetime.
SKILLS
Computer Languages: Python, Java, JavaScript
Foreign Languages: Spanish (Proficient)
Public Speaking
KEY WORDS
Problem-Solver