Adrian Molina Application PackageMolina Adrian A
Last Name First Name Middle Initial
1553 Jefferson Ave. #3 Miami Beach
Home Address City
FL 33139
State Zip Code
64691902016469190201
HomeWork
adrian@warriorflow.com
Email Address
6469190201
Cellular
Miami Beach
Business Address
1553 Jefferson Ave. #3
City
FL
State
33139
Zip Code
Warrior Flow
Occupation:Business Name:
Warrior Flow Foundation - Founder and President
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:
LGBTQIA+ Advisory Committee
Human Rights Committee
Committee on the Homeless
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?Yes
No Address in City Historic District submitted.
Professional License
No Professional Licenses Submitted.
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:Yes
AFFILIATION WITH THE CITY OF MIAMI BEACH
a.
● I am resident of:South 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):Yes
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:
As a full time resident of Miami Beach I have the opportunity to work directly with a wide range of institutions in
different capacities related to mental health, homelessness, wellness and community organizing:
- Miami Beach Police Department
- Mount Sinai Medical Center
- Jackson Health
- J
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.
noneRace/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 Adrian Molina agreed to the following terms on 10/31/2022 3:23:44 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.
Adrian Molina
Community Organizer – Mental Health First Aid instructor–
Trauma Informed Wellness Facilitator
1553 Jefferson Ave #3
Miami Beach, FL 33139
646-919-0201
adrian@warriorflow.com
Adrian Molina brings 15+ years of work experience in the private, non-profit,
philanthropic sectors. He is the founder of The Warrior Flow Foundation a 501c3
organization in Florida that provides trauma informed wellness and mental health
programs to:
- Miami Beach Police Department
- Mount Sinai Medical Center
- Jackson Health
- Jackson Foundation
- Department of Corrections
- Miami Jewish Health – Hospice
- Camillus House Shelter
- Lotus House Shelter
- Chapman Partnership
Experience:
• June 2022 to present: Warrior Flow School – Founder.
• August 2021: American Red Cross - Shelter Supervisor.
• April 2021 to present: Insight Timer – Yoga and Mindfulness facilitator.
• November 2019: The Warrior Flow Foundation – Founder and president.
Trauma-informed yoga and mindfulness programs for hospitals, schools,
shelters and prisons.
• February 2019 - November 2021: Lotus House Shelter - Recreational
Coordinator
• June 2018 - May 2019: Kula for Karma - Program Director for Florida
region.
• March 2016 - October 2018: Equinox Fitness - Group Fitness Manager for
clubs in South Beach and Coral Gables.
• May 2005 - September 2020: Equinox Fitness - Yoga Instructor
Education:
• Month Advanced Master Program on the Treatment of Trauma by
NICABM - September 2022
• Certificate Program in Traumatic Stress Studies by Trauma Research
Foundation - September 2022 - April 2023
• Suicide Prevention Training by QPR Institute September 2022
• Fundamentals of Tai Chi for Arthritis and Fall Prevention by Tai Chi for
Health February 2022
• 300-hour Trauma Informed Yoga certification program by Trauma Center
Trauma Sensitive Yoga August 2020 - March 2021
• 60hr Embodied Social Justice Certificate by The Embody Lab January
2021 -July 2021
• Mental Health First Aid USA facilitator training 2020
• Accessible Yoga Training by Accessible Yoga June 2020
• End of Life Doula Training by INELDA April 2020
• 300-hour Yoga for All Advanced Teacher Training June 2019 - December
2020
• Mindfulness Teacher Training by The Interdependence Project NYC
October 2017
• Certified Reiki Master (Level 3). Usui Method. Miami, 2015
• Yoga Tune Up Anatomy Training. Pure Yoga NYC, 2015
• Restorative Yoga Level 1 Teacher Training. Laughing Lotus NYC, 2015
• Yin Yoga. Pure Yoga NYC, 2015
• Thai Yoga Massage. Michael ‘’Mukti” Buck, Miami 2014
• Thai Yoga Massage. Michael ‘’Mukti” Buck, Miami 2009
• Kundalini Yoga Teacher Training. New York, 2008
• Breathwork Facilitator Training by Sondra Ray May 2008
• Thai Yoga Massage. Michael ‘’Mukti” Buck, Miami, 2006
• Licensed Massage Therapist. Educating Hands School of Massage.
Miami, 2005
• Reiki Level 2. Usui Method. Miami, 2005
• Reiki Level 1. Usui Method. Miami, 2004
• 200-Hour Yoga Teacher Training. Miami Yoga Shala. 2004
References:
- The Warrior Flow Foundation: Susie Schein
646-269-6011
- Miami Beach Police Department: Elise Spina-Taylor
786-236-7795
- Jackson Health System: Chris Moran
786-810-8183
- Mount Sinai Medical Center: Dr. Cynthia Rivera
305-905-8395
- Exchange4Change – Department of Corrections: Kathie Klarreich
305-439-0193