Hayley Ross Application PackageRoss Hayley A
Last Name First Name Middle Initial
5757 Collins Avenue Miami Beach
Home Address City
FL 33140
State Zip Code
HomeWork
hayleya.ross@gmail.com
Email Address
3054980716
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:
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?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: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:
As a lifelong educator, an advocate for children, I bring invaluable skills to the table. I have the ability and the
desire to make our community a better place for children. I know what our children, students need to thrive,
academically, and socially. I look forward to offering my experiences and expertise to create ann environment for
our children to succeed in our community.
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.
o Commencing with terms beginning on or after January 1, 2024, and as a condition of applying for appointment to
a City agency, board, or committee, each applicant must voluntarily agree that in the event the applicant files with
the City Clerk a Statement of Candidate formally announcing candidacy for City elective office, such filing with the
City Clerk shall be deemed a tender of resignation from the City agency, board or committee, and the member's
automatic resignation shall thereby immediately create a vacancy in the agency, board, or committee.
● 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:Female
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 Hayley Ross agreed to the following terms on 3/13/2024 11:56:16 AM
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.
YES I voluntarily agree to the resignation from the City agency, board, or committee, if I file a Statement
of Candidate for a City Elective Office (1).
(1) I understand that commencing with terms beginning on or after January 1, 2024, and as a condition of applying for
appointment to a City agency, board, or committee, I must voluntarily agree that in the event I file with the City Clerk a
Statement of Candidate formally announcing candidacy for City elective office, such filing with the City Clerk shall be deemed
a tender of resignation from the City agency, board, or committee.
From:Hayley Ross
To:Mena Caceres, Keila
Subject:Hayley A. Ross
Date:Wednesday, March 13, 2024 11:10:07 AM
[ THIS MESSAGE COMES FROM AN EXTERNAL EMAIL - USE CAUTION WHEN
REPLYING AND OPENING LINKS OR ATTACHMENTS ]
Good morning please see below my résumé as requested. If you have any other questions,
please feel free to call me at 305-498-0716. Best regards, Hayley Ross.
Hayley A. Ross
5757 Collins Avenue #707
Miami Beach, FL 33140
Hayleya.ross@gmail.com
(305) 498-0716
Work Experience
2003 to 2015 Third Grade Teacher
Whispering Pines Elementary
2000 to 2003 Spanish Teacher
Whispering Pines Elementary
1999 to 2000 Seventh Grade English Teacher
Belen Academy
1991 to 1999 Third Grade Teacher
Our Lady of the Holy Rosary
Education
Educational Specialist Educational Leadership
Nova Southeastern University Fort Lauderdale, Florida
2010
Master of Science Elementary Education
Nova Southeastern University Fort Lauderdale, Florida
1996
Bachelor of Science Business Management
University of West Florida Pensacola, Florida
1996
Professional
Development
IPEGS Training
Mentor Training
FCAT Strategies
SuccessMaker Training
Co-Teaching Training
Leadership
Experiences
Assistant Principal of the Year Selection Committee 2010
Teacher of the Year 2005-2006
Grade Level Chairperson 2007-2010
School Improvement Plan 2009-2010
Master Schedule Building Team 2009-2010
Mentor Teacher for Beginning Teacher Program 2008-2010
EESAC Chair 2009-2011
Social Committee Chairperson 2003-2009
United Way Chairperson for Faculty/Student Campaign2003-2005
Team Leader for EFL Program 2007-2010
Special Skills
Fluent in Spanish
Basic French
References Available upon request