Monica Harvey 12/31/2008`per
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.pov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305) 673-7254
12/21 /2007
Monica Harvey
9 Island Ave #2310
Miami Beach, Florida 33139
t~l~CT: Miami Beach Commission For Women
Congratulations! You have been reappointed by Commissioner Jonah M. Wolfson
to the above referenced agency, board or committee for a term ending: 12/31/2008.
If you are unable to accept this appointment, please notify the City Clerk's Office at
(305) 673-7411.
Please read the enclosed material carefully. Again, congratulations and good luck.
Sincerely,
P h r
R bert arc e
City Clerk
cc: Saul Frances, Parking Director
Maria E. Martinez
ATTACHMENTS:
Letter of Appointment
Oath
City Code Ordinance section, applicable to agency, board or committee
City Code Section 2-22, 2-23, 2-24, 2-25, 2-26, 2-2458, 2-459
Ordinance 2006-3543 -Amendment to City Code Section 2-22
Miami-Dade County Code Section 2-11.1 -Conflict of Interest and Code of Ethics Ordinance
City Wide Permit Application - (Parking Department Form)
Booklet -Guide to the Sunshine Amendment and Code of Ethics for Public Officers and
Employees
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community.
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
OFFICE OF THE CITY CLERK, Robert Parcher, City Clerk
Tel: (305) 673-7411, Fax: (305} 673-7254
TO Monica Harvey
RE: Maami Beach Commission for Women
I do solemnly swear or affirm to bear true faith, loyalty and allegiance to the Government of the
United States, the State of Florida, and the City of Miami Beach, and to perform all the duties of
a member of the above-mentioned board or committee of the City of Miami Beach to which I have
been appointed for a term ending: 12/31/2008.
I have been issued a copy of Section 2-11.1 of the Miami-Dade County Code (Conflict of Interest
and Code of Ethics Ordinance), as well as theF/o~ida Commission on Ethics Guide to the Sunshine
Amendment and Code of Ethics for Public ~cers and Employees, and understand that as a member
of a City of Miami Beach Board and/or Committee, I must comply with the financial disclosure require-
ments of Miami-Dade County or the State of Florida (depending on the board or committee on which
I serve) on July 1st, following the closing of the calendar year on which I have served.
.~.~
Monica Harvey
Sworn to and subscribed before me this ~~ day of , 200_
`.
t...--
Deputy Clerk
*Please visit the City of Miami Beach website at www.miamibeachfl.gov under City Clerk/Board and Committees
for additional information regarding the Financial Disclosure Requirements.
We are committed to providing excellent public service and safety to al! who live, work and play in our vibrant, tropical, historic community.
• ~~ ~ ~ 4
"~
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.
Resident of Miami Beach for a minimum of six (ti) months: Yes or No ^
Demonstrate an ownership/interest in a business in Miami Beach for a minimum of six (6) months: Ye r No ^
I am applying for a Board appointment because I have special abilities, knowledge, experience: Yes ^
My special abilities, knowledge, or experience is:
Are you a registered voter in Miami Beach: Ye or No ^
NAME:
Last ame first am Middle Initial
Home:
Address: f V l ir[~'~t.{, 17 -1
~ rft-
t
Phone: ~ S' ~ ~~'~ /
(
! ~ 3
G
Home Work
(Pisses check ore): [ am rrow a resident e ": Nc
Business Name:
Address: "[ (~ _ U ~ ~s~~
. cols(
No. Street Ci State Zip Code
^ Owner ^ Stockholder/Shareholder ^ Corporate Officer ther Explain: 1~--(: ~~ ~'"~~ (~ C
Professional License (describe) ~~~~ ~ (i (~/~/~'~ Expires:
Attach ~€ espy of tPt~* ftcer~e distecfa~.ove~
1. Have you ever been convicted of a felony: Yes ^ or No~lf yes, please explain in detail:
2. Do you currently have a violation(s) of City of Miami Beach codes: Yes ^ or No~lf yes, please explain in detail:
3. Do you currently owe the City of Miami Beach any money: Yes ^ or No If yes, explain in detail
4. Are you currently serving on any City Boards or Committees: Yes r No ^. If yes; which board? ~ ~ `~ ~
What organizations in the City of Miami Beach do you currently hold membership in?
Name: r~ ~j~,~~ /~~ rI ~ ~` ~
Name: Title:
List all properties owned or have an interest in, which are located within the City of Miami Beach:
I am now employed by the City of Miami Beach: Yes ^ or Nom' If yes, which department?
" City
~ 3~D
Fax
aci~utfr Dsact? ^ M~ddie Dsach ^
State
address
Applicant's Positio~nj: ^~ / ( /
i~:1CLF-F~I~RLL.tQ&C ApplicaliantE3&C Application Rovis~d Q911Qf.doc
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? Check all that apply. Identify the department(s): ,I - ~"1
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)
^ Art in Public Places Committee
^ Barrier Free Environment Committee
^ Beach Preservation Board
^ Beautification Committee
^ Board of Adjustment*
^ Budget Advisory Committee
^ Committee on Homeless
^ Committee for Quality Education in MB
^ Community Development Advisory*
^ Community Relations Board
^ Convention Center Advisory Board
^ Convention Center Capital Projects Oversight
^ Debarment Committee
^ Design Review Board*
^ Fine Arts Board
^ Golf Advisory Committee
^ Health Advisory Committee
^ Health Facilities Authority Board
^ Historic Preservation Board*
^ Housing Authority*
^ Loan Review Committee*
^ Marine Authority*
^ Miami Beach Cultural Arts Council
~Il~lliami Beach Commission on Status of Women
^ Miami Beach Florida Sister Cities
^ Normandy Shores Local Gov't Neigh. Improvement
^ Oversight Committee for General Obligation Bond
^ Parks and Recreation Facilities Board
^ Personnel Board*
^ Planning Board*
^ Police Citizens Relations Committee
^ Production Industry Council
^ Public Safety Advisory Committee
^ Safety Committee
^ Transportation and Parking Committee
^ Visitor and Convention Authority*
^ Youth Center Advisory Board
*Board Required to File State Disclosure form
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: Yes ^ No ^ Years of Service:
2. Present participation in Youth Center activities by your children Yes^ No ^. If yes, please list the names of your children, their ages,
and which programs. List below:
Child's name: Age: Program:
Child's name:
This section is "not required" but desired: Age: years old
Ethnic O 'gin (Check one)
Whit African-American/Black ^ Hispanic: ^
Asian or Pacific Islander ^ American Indian or Alaskan Native ^
Employment Status: Employed ^ Retired ^ Home-maker ^ Other ^ _
Age: Program:
Gender: Male ^ Female~~_
"I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2,
Arti VII - of the City~ode " ndards of Conduct for City Officers, Employees and Agency Members."
Ap icant's Signature Date Name of Applicant (PL ASE PRINT)
Attachment: Please attach a copy of your resume to your application.
NOTE: Applications will remain on file for a period of one (1) calendar year.
Received in City Clerk's Office jTEjTDtO by ~ J~
Document Control Number (Assigned by the City Clerk's Office)
~~ ° Deputy Clerk Date
Entered By Date
eJised 9/11/06 Ih
~H,/d~
F.1Ct.LtZ4$RLLtE3&L I-~ppliCationl£3~C AppEication Revised 0~~"fC7~3.dc,c