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HomeMy WebLinkAboutOAB ApplicationsFeb 24 11 06:35p p.1 City of Miami OVERTO FVN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER anti' to be submitted by 4:00 P.M. on THURSDAY, FEBRUARY 24, 2011 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), at I4901V. N.W. 3RD AVENUE; the office of the DISTRICT 5 COMMISSIONER at 3Str0 PAN AMERICAN DRIVE or the office of the CITY CLERK at 3500 PAN AMERICAN DRIVE. Note: A person may recommend himself/herself. A. w CC B. C. I nomin2t£ , 4 1 / L% /11 C fx•— for appointment to the Overtown Community Oversight Board. He/she nests thaligibility requirements because he/she i'st18 years o age and also meets one qr more of the following qualifications: 1. R idc+e in the Overtown Area at %irl /V /1� j�{ v(� � .Z 1�'ftaP1 FY 3 5I or r Tyr .14 Is`JxiIrrproperty ent owner of in the Overtown Area located at: or zi Is �arl'-bb►ployee or board member of Vic .2r e-C 64-.0 -te t` ►' 1 U r‘14 l ak47 community development core' on or community based organization located in and provides services to the Overtown Area, at the address OVV1~ls iris an employee of a business it the Overtown Area located at: . or 5. Nominee's Info: Phone number - 'S� 7 2-`t — I ?S D Cell phone ,} t FAX Number E-mail L f? S iei •P rl rivict t1 i f"& (�viJc r;114Lt1 • t di Please pr,{ vide a short stat�ment of qualifications of theeerson you are recommending_ for appointment: 1 , C IA.p DC a i 5 t.L i SS i i?-TI C if i I`0(a.R-5f cl f <, ,�►'1 C C o C ,rvt f, a" 5 5 Z_,0 f't'b'oe!5 c= 41C4t #1;crosof L,,--kifie4c of �i 11 . t Yl c-4 ,4es fc tit) ell_ (c) s' -twal%e_ hcfr-J' +)-r- I.e s , n . C (�1oQ.Y t�15 o 1-�Jn�,. fie rgvi4 C'ctcri i.ncc�c� �xi- Yr;4'�`�4 '1`ct1M�, l ci('.tt s rtr } ,:x.041( cC►Arf1i::l 1 "±-e 1 Pr` 5 Ca t 4r41 j1 ; Z ((&% ✓.__c ( S C� ✓1 Please provide your contact information for the pu se of clarifyingtthe above and sign below Phone number ',E.)a 7 Z - j y.s. i; Cell phone FAX number E-mail D, Please sign Signature n 61i! ? i I ��,�i1 o Printed Name FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? Y RECOMMEND PERSON MEETS AGE REQUIREMENTS Y RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y )'?if--11 Date Signed N N/A N N/A NIA N N/A Feb 24 11 08:06p O2I24/2011 15:17 iawa City of Miami OVEETOWN SQHMENIUSYJAT RO,�RD APPLICATION FORM FOR APPOINTED MEMBERS p. 1 r.uu tsuu i To be comphrted by the RECOMMENDER and to be srrbmittedby 4:00 P.M. ex THDBSDAY, EBRU.ARY24, 2011 to the office alike OVERTOWNNEIGImORHOOD JRVIIANCEMENT TEAM (MET.), at 1490 N.W. fie AVENUE: the office elite DISTRICT 5 COMMISSIONER at 3504 PANAMERICANDR(VEor fk€ office of the CITY CLERK re3500 PAN AMERICAN DRIVE. Notes A person itsgy recommittal' htrnrstf/berseli: A. 1 nomIoetck ch)(1141K meets the eligibility requiem 1. Reside' in the Overtown Area at ?�`fou�r °°appointment to the Overtown Community Oversight Board. Helshe is1eimof age and Sao m f1more 00ofthe following qualifications: 2. is the current owner of property in the Overtown Area located at: or or 3. Is an employes or board member of connnunity development corporation or community based organization located in end provides services to the Overtown Area, at the address , or 4. Owe or is an employee of a business in rite Overtown Area located at: 5. Nominee's Info: Phone dumber Coll phone �r ��� 0` FAX Number OS/ E-mail B. Please Quids a short statement of tali of the on you ms omeddiag tier 3 UU - o Z � rn Please provide your oanmct information for the Impose of elan ing the above and sign below Phone camber 30:F 2 38'Y' Ccll hoc FAX ntrnber 3011 3 QQ E-mail hl r FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? Y RECOMMEND PERSON MEETS AGE REQUIREMENTS Y -o r— O 2 '51D. Printed Name ��ZYrlr Date Signed N N/A N N/A INDIVIDUAL DEEMED QUALIFIED BASED ON ATTACHED DOCUMENTS. City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED YOUTH MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on THURSDAY, FEBRUARY24, 2011 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEA,tI (iV.E. T.), at 1490 N.W. 3" AVENUE; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRIVE or the office of the CITY CLERK at 3500 PAN AMERICAN DRIVE. Note: A person may recommend himself/herself A. I nominateA % .e.- d/Qve- for appointment as youth member of the Overtown Community Oversight Board. He/she meets the eligi I ility requirements because he/she is more than 14 years of age and less than 19 years of age and also meets both of the following qualifications: 1. Resides in the Overtown Area at the address `'7 3 & A.i L-, (�T-7 ; and ! I 2. Attends the accredited institution (�Y f7j/d) /(�L t t./' . &fl f / in the Overtown Area located at the address CtvL' S/l/W // 6 7L /Lfi ffr7 // /-/ _33 /3 Nominee's Info: Phone number LTOLj ` )5`.:511 Li Cell phone;(% . — 533 (o 4,952- FAX Number N1/449 E-mail re. e /61,( l.&-bf,I G1.17 e3tz.kw co,✓j B. Please provide a shortt staterent of q alifications of theperson you are tecommendin for appointment: S. vT G� l- � vGL LG r- 0 -✓Q Vif\--.c\_t e \ `cc e ce-P d 1 S liw ./,,� ( j�'0.rsi---:C' 4 ( /' � a �,. C'A �1,•d 1 L!,,1 cr h2 (. ' y` l w,V rrvii�i S-'\/.r..� 9.JC°S?Q l C. Please provide your contact information for the urpose of clarifying the above and sign below Phone number 3ti a� y Cell phone 6 FAX number 3..(5 f & '-( E-mail 4- z)` 1 1-,Q ,r\1ti-e. �'`') -u 'INVlW AO A113 )18310 f.1I0 NOSA-ION! ' V 1 i3Sltld CO:z rya CZ JVW « Pridted Name Date Signed FOR N1 I� EIA 0±4111-3 RECOMM ''s'ADRESS INSIDE BOUNDARIES? Y RECOMMEND PERSON MEETS AGE REQUIREMENTS Y RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES N N N/A N/A Y N N/A 0 C B OVERTOWN COMMUNITY OVERSIGHT BOARD Wit K1 G.1 4101' iay:9� OV ERTOWN! MEMBERS Bishop James Adams Board Chair • Terrance Cribbs-Lorrant Board Vice Chair Brother Lyle Grandison Treasurer Andrea Copeland Secretary Deidra Davis Parliamentarian Dr. Paul Ahr Timothy Barber Felecia Burden Derek Cole Irby McKnight Reginald Munnings Saliha Nelson Immediate Past Chair LIAISION Stephanie van Vark Overtown NET Office 1490 NW 3'd Ave. Miami, FL 33136 305-372-4550ph 305-372-4553fax www.miamigov.com/ocob City of Miami City Clerk's Office Attn: Priscilla Thompson 3500 Pan American Drive Miami, FL 33133 Dear Ms. Thompson, —i —J 70 N w -V) CD W There seems to have been a misunderstanding regarding Ms. Deborah Breedlove's application and request to represent the Youth on the Overtown Community Oversight Board. In addition to being a member of the Overtown Youth Center, she is a student at the local Booker T. Washington Sr. High School. Please accept a copy of her student ID with picture email from Ms. Breedlove confirming her enrollment. My notarized signature below affirms that the documentation is indeed proof that the information provided by Ms. Deborah Breedlove is true. We apologize for the error. Thank you, dvan Vadt, Stephanie van Vark, Liaison Overtown Community Oversight Board 305-372-4550 SubscribedlIand sworn before me on this o(a. _ day of ri� by C h u Vail Vag K me or has produced Y51(0-7(19" (o7 58 O as identification. 2011 . He/She is personally known to MARIA L CRITTEN)EN +; !! MY COMMISSION M DO 905001 54— -EXPIRES-1aty6 2ot3_.__.._. Bonded Thin Notary Public Underwriters -1� n u ^i (-) r Van Vark, Stephanie From: Sent: To: Subject: DeBorah Breedlove [breedlovedeborah@yahoo.com] Saturday, March 19, 2011 12:48 AM Van Vark, Stephanie Re: Question regarding your application Hey Ms. Van Vark, I attend Booker T. Washignton Senior High School. --- On Wed, 3/16/11, Van Vark, Stephanie <svanvark@miamigov.com> wrote: From: Van Vark, Stephanie <svanvark@miamigov.com> Subject: Question regarding your application To: "breedlovedeborah @ yahoo.com" <breedlovedeborah@yahoo.com> Cc: "Lyle M" <brotherlyle@hotmail.com> Date: Wednesday, March 16, 2011, 3:17 PM Ms. Breedlove, Can you let me know where do you attend high school.? Thanks, Stephanie van Vark, Liaison Overtown Community Oversight Board 305-372-4550 0 rr 1