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.
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B.
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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
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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:
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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
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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
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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
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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
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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
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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
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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.
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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. �'`')
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NOSA-ION! ' V 1 i3Sltld
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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
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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,
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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
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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
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