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HomeMy WebLinkAboutOAB Applicationsgym%* 4- e:&a!#rIA T A V \\N`TCT « 47- >r # - > »k� #k6a\ y» t2 7w� 22»y2.n.» w .. o \ § e- NIt3tMNY < City of Miami , `` (S , 1 0 OVERTOWN COMMUNITY OVERSIGIP1\ I�IJRD f �tf i APPLICATION FORM FOR APPOINTri) :-- To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, S1FTEMBER 1012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3RD 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. B. A. I nominate - I tY f ' 1j If DIY for appointment to the Overtown Community Oversight Board. He/she meets the eligibility requireme its because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at or 2. Is the current owner of property in the Overtown Area located at: or 3, Is an employee or board member of ll le R1aw. AYCh,ve- e community development corporation or co nmunity based orga zation located in and provides services to the Overtown Area, at the address - en l r / Weird K „0g r-I.co r. 4. Owns or is an employee of a business in the Overtown Area located at: \ ( R3crn1 ill' , 9,q c) N 5. Nominee's Info: Phone number , J C93C,,ibgeeell phone 1 r7 G(2,3 FAX Number E-mail -,- r'1{ ber Cq 4-11. r))r.k cierl%\leS.On Please provide a short statement of qualifications of the person you are recommending for appointment: ► I . ' 4 1C VN-(-Ni )004 114 1 v e ' F Nr= & a a e lc a1 lOCel Ion ►f OJhf-trCLL. a ) 1 a k . 411 W^'iM'1EM3sta'irZMIRMILMMIILA • i i se. '' eve. • l ,nk 0 $ Lr' n1�11 V T a.l ow -V M j, 1 I vr: , i I. , rffilitglekanifillAS °i to tud C. Please provide your contact information for the rose °°<�clarifyirt the above and sign below, n Phone number �'c0( -�65c�Cellphone 303-`�iC��' r I � FAX number E-mail j(';r�lr\ D. Sigi lease sign,iere: LIDnell,1\nkirY1 Printed Name q[ air Date Signe FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS', INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS Y RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N/A o NW 2Oth NW .'.t to St H t 1 pa?lrae: r",Ir-ti,ttnI - 1st S Address 819 NW 2nd Ave Miami, FL 33136 Vtlia0 t.1Pati : ldidthS ,1W'ttih:Terrace, '-- ;•t,S 1th S6 ` 2 O 4413 NW 19 h �`,. ... [-s 0 NW flth St (N 7th St Nv 5trt$t m Il! iN a'.NW 4thfit'. III <Srd".St f fit'+J'rd St - NsM2ntlS' W:Flaglei-St a `itiq 2ritt SW ':3r 0120 ap g� 5'lt 4th. i2)thSt aNMI ], m 52 . NW 1t€tt St...; NE 2Ut1t St 145, 2G t' St +4E HEagih SI G In rs E NE z. 17tt; St N4'd nth SL (7- €3.latawnr kena w1at. Northbound NW 6th St . NE b"th St, " W hth at...,ra.... F l 7E sihSt z•Z • N1A1 4th St, NW .3M t�avernitiient ro ir.Stat F#ntt. 'V./ 2nd St nutrinound Wandst LYRIC THEATER w!9'&i ttnnrnatbn ta5r�f:r�lt�r a>! *1 aali Pet,,tati VenetiatY y N t ath St Bicentennia'. Park NEt-Rd t m • NE2nd St, ` --I' 6.1 L O E FlacJier-fit O CI• SEtstSt %� E7 SE 2nd St ._ el 4St t s rd St Da*ritbwn 41 Map d oogrOi' https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=819+Northwest+2nd+Avenue+... 1/1 td' Address 249 NW 9th St Miami, FL 33136 V'!41hAve WARD ROOMING HOUSE Pi Miami C. Fredcr;ak N > .Elementary School., Rh _., .:....._. 14W #1fn Terrace ,. rt .tack ,tin ;.. . t-t(irbtlt i'uu8:? " $,trill Fttott ih St �.o At 7t St._, Q2012 Good NW 9th St rf? tti• h,rr:It W8thSt tOth Si Z Fwebrran @ ' Overtnwnf Arena i Rait „_: outtibUn9 N., i th St •: NW 71h St } 7th St. _ r tOpp data t 012 Gooctle, S NV. • •n. https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=249+NW+9+STREET&aq=&sll=2... 1/1 City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3RD 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 nominate (71. �O L� I for ointment to the Overtown CommunityOversight Board. He/she 1` pp g meets the eligibility requirements be ause he/she is 18 years of age and also meets on or more of the following qualifications: 1. Resides in the Overtown Area at 1 oO (0 M i A . ==�- 1 (A or 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of community development corporation or community based organization located in and provides services to the Overtown Area, at the address , or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number JU :5)� 6V� ' b ` Cell phone FAX Number E-mail .A S)k- Cb) B. Please provide a short statement of qualifications of the person you are recommending for appointment: 0 . ,.. C. Cr:-:Ple sg prat i1-----lour contact information for the purpose of clarifying the above and sign pelgw 3 c Phone number Ce11 phone I J 1) l.; 3611 ` \ FAX number E-mail `',�r-PkI AS ( 4A- VE Printed Name 9 Date S' ned FOR -OF`FICIA1. LJSE O1\L ': RECCQMMENDED PERSQN'S ADDRESS INSIDE BOUNDARIES t RECQMMkND PERSON 1vlEETS AGE REQUIREMENTS RE(OMMENIDED)PERSON'S PROOF O QUALIFICA QJ SIJBMkt, AGCREDIT'ED II STIT[JTI(N INSIDE,BOUNDARIES COLL NS CENTER MR PUBLIC FOIICY August 30, 2012 It is myr ex itftrga hl►Fae that this Center mitt have as its print pouts: Finit,apanning t knowledge eifFlorida's most pressing needs; secornp, the bringing al those needs into clearfocus; and !hiring, assisting in Sig' riei,clopro nt of deafen ways and means .kurmeeting thertmfarthkgoodtorallreareititens." — Goxc(rto LcRay Cearts Hon. Michele Spence -Jones City Hall 3500 Pan American Drive Miami, FL 33133-5595 Miami, Florida Re: Andrea Copeland Oversight Board Dear Commissioner: I am writing this letter to recommend Andrea Copeland to the Overtown Oversight Board. Andrea has been a tireless advocate for the residents of Overtown and has spent countless nights, days and evenings working on issues important to residents. Moreover, Andrea has worked to keep herself informed and abreast of important housing and economic development issues that are specific to her community. Andrea has had numerous leadership roles including board leadership at Town Park and has also served on the Oversight Board for which she is now reapplying. It is without reservation that I recommend Andrea for a seat on the Board. Sinc Vice: res�rdent nllins Center for Public Policy Address 1600 NW 4th Ave Miami, FL 33136 NW 19th St 02412 Google N4 1'rth zi Theodore-. and Thelma +- t,_)sor; Ctia ter srhool Nam' 16th Terrac iphlfl Exi y.: . NW 14th 42,1 MLA! 1gth Get Google Maps on your phone Text the word "GMAPS"to 466453 t9th St Chu Ood Its C1ir NW 17th St Irt;er--O ,Mown Nei, 15borhoOd 1�1 ■ C.:m»mr.Prity ji;;tion Centel' nth Terra'e NW 15th St • 13111( NV 14115 St 3+r) t athn Church TO, ;list NW 14th Terrace no Mapd aO2012 7 t1 kt flizr ii ptist ^71tt: 141 `s 11129I'n ; https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=1600+NW+4+AVE&aq=&s11=25.7... 1/1 From: andy 310225306/ 09/14/2012 05:32 #169 P.001/001 3&-.'3Pia. L city of Miami OVERTOWN COMMUMTP OMRSIOHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.11L on FRIDAY, SEPTEMBER 14, 2012 to the office of the OEERTOWNNEIGHBORIMOD ENHANCEMENT TEAM (1V.E. T.}, at 1490 N.W. 3" AVENUE; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICANDRIVE or the office of the CITY CLERK at 3500 PAN AMERICAN DRIVE. Note: Aperson may recommend hh+aself/herself A. I nominated. 1-11 e_ a,., nr appointment to the Overto rn Community, Oversight Board He/she meets the eligibility requirements because he/she is 18 years of age and also reels one or more of the following qualifications: '� 1. Resides in the Overtown Area at 1 '1-7s fl LA; '3 — reels f,."�' or 2. Is the current Lowlier of property in the Overtown Area located at or 3. Is an employee or board member of C v �to..I Ja-community development corporation or community based organization located in and provides services to the Overtown Area, at the address or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number ^J / t. a Q Sr ') M SI Cell phone S c.v►�, FAX Number .O C 3 ti y t t ( E-mail a' c:` .t' '7\1t 40\--icrt--el-+o3`.rdry B. Please provide a short statement of qualifications of the person you are recommending for appointment: c Q.*i-Ne*"% h ry �^� 4.�I- 'vr.v,- � r {f , r e�. yin tr vO-�/?-)4M!` t��cci C 3 ko, c° 7=, NA. II§ tL. 3ca (, M Cep F_ C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone FAX number E-mail Printed vame tI Li p W\W.\ fig j cgii-cta Date Signed 1 City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARIP SEP / 4 p APPLICATION FORM FOR APPOINTED Mumg .R rip CLE5K To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTE the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3RD AVENUE; the office' cif" 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 B. A. I nominate ! Ay 1 l_. cora. appointment to the Overtown Community Oversight Board. He/she meets the eligibility requiremen s because he/she is 18 years of acre and also meets one or more of the following qualifications: I Cri 5 N vv rcl Cal+ 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at: or ttn ' `` 1 or �� 3. Is an employee or board member of Di tnea 1 y Th Cfl I community development corporation or community based organization located in and provides services to the Overtown Area, at the address , or 4. Owns or is an employee of a business in the Overtown Area located at: 5, Nominee's Info: 38 Phone number 366 -3-n-ixpi Cell phone 1 b c v FAX Number E-mail h(GhY\P,(iy le, 63 (11-rli1•001) Please provide a short statement of qualifications of the person you are recommending for appointment: ��(o W\e 11\ e` (�C1(Y T 1 t i-V d 1 11 h�' i)0N-1-0 h. Y1r1cs ent C�1 hT n� f � t s ► ns c{m Pnhf ►n es.1-slc s�1 � n �l � �l i �i ll�` � �n Ncf) f � •1��.. a� P^tiT Cr) r.a ten CO 7j �.� rri t CD .t i""' 1 f j C. Please provide your contact information for the urpose of clarifying the above and sign below, Phone number 3-,Q- Aqa Cell phone tar 5 FAX number `3 i 4 `,- J? qE-mail Please ig heo e L C'A�-�" _ tr ITATIOTiinlitilti f t[."� MrIlt ddelltQII4190�)A Printed me Date Signed FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y d211a� NW 21 te,itifi Dade it'titt SI NW 7W ii huts! 220.4 3t 44# t r N'N 20111 St 441 NW ' $th Sl st (3Rgtrtrl f}8I jt '''ye . l,tztlet tM 1t1I' St, NVij 4 Address 1975 NW 3rd Ct Miami, FL 33136 NW_24th:Sl. N ;.'_Sid St'. NSW22rl St tvl"e : fiith'r' Rainbow- Village Park W,p1'44rrrrr Ail t)i t' ct 9 NW 2tlth Toth St. Williams Farr. trt 3' 3:' .Fri z ct k` t W 1411i St 4th S1 €f 14th $t BROTHER LYLE MUHAMMAD NE 213th ,,c l NE 2i7th,St :..:..:. :z rl£ lath St tNE )-1R'ut -:- :<_ NE 24th St'. NE2ard St Nt'- awl S N=t7th St uuwrier t 3tirrtt ar ei4i.ilFl St fail Nsrth4 ;and . N,ni ,t1h St'.. h3 ttth St zm iJV rftlVtli i P1F leth 44# ` rsr'1th S;` 4 Ct71_2 °angle..;. 441 ll1FV sill St _ r m "MW4th 3t sl, ro : NW Bth S OveitaWnP - Ai na ;pia#stair 0 tdGrthpuw d NW6thSt. - NW5thSt- NW. 4th St', MVi31-tiSt r m a" Nip 'ciiita02© NE 2a1,'. NE 2M NE 25th SI .Edgewate lh_2rd1> tilt'-ti4 - " E�e:laia lR.y S AiatnfAilttx„t"Ik? ooq!e, Sanbar https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=1975+NW+3+CT&aq=&sll=25.79... 1/1 City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWNNEIGHBORIIOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N.W. 3RD 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 nominate er , 0-0 ► `6 - DPI iof for appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements because he/shets NW18 years of age aqd also meets oneormore of the following qualifications: I. Resides in the Overtown Area at I VJ� �'( .T[1{!� { Iv I1 a/rvL �,3313G or B. 2. Is the current owner of property in the Overtown Area located at: p I or 3. Is an employee or board member of �pi.,“- lL IliN., k1y'h hAV _? community development corporation or o m pity based organization located -inland provides services to the Overtown Area, at the address I11 NW IAII/1u1I-1 3I3( ,or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number ` 8 '4139 09,53 Cell phon FAX Number E-mail Sh Please provide a short statem�e`n�t of qualifications of the erso you are recommending f r ap (JOY va. VW 19 &r �n l h� O e (fonnrnw lR fj a.,m eSi v ma. .corn pintment: 44 a- c ur rmt-- o b vre io is e-hnp►o.._v 5 . ►� sr Mrt re, o� 5 cL reed e cj ro iin o --/-, k . �-h e sz:1. �lt 14,Wed-yi r Rlease j ovide'lyour contact information for the purpose of cla ifyin the above and sign below Phone number (carat Q,S above-/ Cell phone (dam& as alove) FAX number E-mail ($c me. cts aSove.) �aN D. 1 L Signature ,i ,%ereSg (LW!15 DX, Printed Name inn FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? Y N N/A RECOMMEND PERSON MEETS AGE REQUIREMENTS Y N N/A RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N N/A City of Miami RECEIVED .' OVERTOWN COMMUNITY OVERSIGHT MAW o PIS ! : I 2 APPLICATION FORM FOR APPOINTF1 ] MEMBERS tips ll.i,.f� M. i iC}i F5 E CITY CLERK To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SE'TEMBER ,4;E2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), at 1490 N.W. 3RD 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 nominate j -5r YI. 1 11 for appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of a e and also meeetts,onenorr more of the following quallifications: 1. Resides in the Overtown Area at lb �id� NW isr Av�ru.<.e, I1-1-) 1 r I (041 l FL 33) 3 to or 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of to IAA: l l o4. 1. W I J v- -' community development corporation or q9mrriunity based organization locatepi and provides services to the Overtown Area, at the address 7l N W (o Nowt.) t) Mictirtfi FL 33) 3 , or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number FAX Number r1 g (j ` a3J c'" Oa 5 3 Cell phon g(p - /— - c� 7 6c7 * E-mail S her..541 Cam- S(9 i'l rr�-f'r1 a. i I ,Cone) B. Please provide a short statement of qualifications of the person you are recommending for appointment: a_ re,ic&nLQ Or Ov nrnti fl O4 !i& OV 9i/Ui e 1„ „ _ „. uv....1 .e- ui1fi Cy„.0 r h0r�4 koon,rarn ► r4lb awe. 110re v 04A ,e, OA 1 ry OS a! rG r iv -vrACL ail tt /WI (A) Buz (/'of ii . „ Tres a. e bA for ,j--e.tAr GAL S'a 41,1 c4411(41 Veetozd 1, C. Please provide your contact information for the pur ose f clarifvin the above and sign bef / . �} Phone number 7 - 03q 1 3 Cell phone/ rt " �1(J U J (S61.,() FAX number E-mail Sh eres j a✓rnes eci/ C'om arse T-047165--Pa/11071 Printed Name FOR OFFICIAL :USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS Y RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDI I'1 D INSTITUTION INSIDE.130UiNDARIES ' Y. U l Date Si ned Sherese D. James P.O. Box 171044, Miami, FL 33017 sheresejames(p,hotmail.com Cell: (786) 567-0759 RECEIVE:11 OBJECTIVE 2GF2 AUC 3 s tl 2 To obtain a position that will effectively use my strong interpersonal, organizational, an ea ers p s ha will help produce excellent services and products to promote the vision and npRicicriutElbActimFpftylior,s 0,4 'AP,'CLfll CITY OF MIAM FL EDUCATION FLORIDA INTERNATIONAL UNIVERSITY, Miami, FL B.S. in Business Administration, focus on Entrepreneurial Studies, April 2007 PROFESSIONAL EXPERIENCE 1/2009 — Current Touching Miami with Love Miami, FL Youth Program Director/Prosperity Campaign Director Plan and create lesson programming for middle school and high school youth; facilitate sessions with middle school and high school youth; research evidence -based information for youth and tax grant reports; develop time -line for achievement of program goals; compile, write and submit quarterly youth grant reports and monthly tax reports; assist clients with tax preparation; supervise and manage volunteers; develop healthy relationships with at -risk youth, their families, counselors, and teachers; attend meetings with community organizations for youth program expansion; supervise, train and support assistant youth staff to help supervise, guide, and mentor at -risk youth; coordinate reward and educational field trips for youth; assist high school students in higher education goals and planning; coordinate community service opportunities for youth. 10/2008 —1/2009 Family and Children Faith Coalition Miami, FL Contract Abstinence Educator Facilitated abstinence education lessons to local public high schools; managed student attendance data for grant records; contacted schools for student data follow-up for evidence based research; developed relationships with public school teachers and school administrators for future sessions. 11/2005 — 6/2008 ADT Security Services Miami, FL/Tallahassee, FL Sales Representative Field sales of home and business security systems; managed customer accounts by conducting extensive follow- up; conducted presentations about the company; developed strategies to expand customer sales. 05/2005 —11/2005 Enterprise Rent-A-Car Miami, FL Management Intern Assisted customers with car rental needs; sold insurance coverage for rentals to customers; managed accounts receivables and balanced daily cash box; daily monitored and contacted customers in rentals. 01/2005 — 03/2005 PACE School for Girls Miami, FL Full time Substitute Teacher Assumed full responsibility for the education of the subject of social studies; utilized hands on approach towards teaching combining projects, reports, and discussion into subject area; enforced behavior modification skills and incorporated methods to motivate and instill an enthusiasm for learning. SKILLS Genuine talent in building trust relationships with a sincere and empathetic client -focused approach. Excellent communicator that is self motivated and a quick learner. Able to work in a fast -paced, detail oriented environment while multi -tasking. COMMUNITY SERVICE Youth Committee Member of Overtown Net Office Committee Member of "Stop -the -Violence" Campaign in Overtown inner-city community Leader in Elementary and High School Ministry at Christ Fellowship and Trinity Church City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed hp the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T:), at .1490 N. W. 3lt1) 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. „ B. ti A. I nominate i tvt& , arjiz" , zi'"•Uofor appointment to the Overtown Community Oversight Board. He/she meets'the eligibility requirements because he/she is 18 years of age aid also meets one or more of the following qualifications: ` 1. Resides in the Overtown Area at P NUS s r ?kv..e. I Lj-) tv ►1 G(/I i t�G) F 1 3 I 3 Gj or 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of l<,t � I �� i(lillU itl�►`�h ��'� ' community development corporation or oinm pity based organization located . and provides services to the Overtown Area, at the address 111 N W W�. fill-Ci i (FYI I (t'r G) I- i- 3 31 3 (. , or 4. Owns or is an etnployee of a business in the Overtown Area located at: 41, 5. Nominee's Info: Phone number " O05 3 Cell phone 7 0759 FAX Number E-mail Sh(um So+In ai, "Corn Please provide a short statement of qualifications of the p erso y you are recom lending for appointment: h Gift i.� )�GtSS f VA "DO ail a oc: oor l ki In c u r� .-h, ri ..--emr 'A - .l"010 it 014,ft- U ton✓r�,-o n ;, h t c rot) :I � a 4, I Of e (,o n t �. i .. o 9 involve, r �..,�j �\ . outi n,l r .:V „ -1,Q)&5 (iv mil; ••-1'\ O \iV & k- t .��err1 OtA t h'1 `", 1. L� �'i�i+..( I `ili,.� i `r r V i /'� w rt•,t/6 ekes Ir regi �fIutli• 0 e ( -a, fs a : 11 C/ C Ple se p:Ii"vide your contact information for the purpose of c.lalrifying the above and sign below i r; „y.., . .. Phone„ tuber (cAryt t n< 4,bnun. ) Cell phone /A•a._..., !) s /i.,pile 1 ,t_ FAX number E-mail (Sa..rne.. & a.)/ovL U co C""1 da3 cm of: r 0. D. ease sign h 40 v.. exese, ,EtrYit5--Da. Printed Name FOR OFFICIAL USE ONLY:: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMIVIEND PERSON MEE [ S AGE REQUIREMENTS: R:ECOMMENDED;PERSON'S PROOF QUALIFICATION SUBMITTED;.:'_ ACCREb1TED..INSTITUTION INSIDE BOUNDARIES. Y• N N/A N/A N/A st-41 Address 1622 NW 1st Ave Miami, FL 33136 ;7tt5 �1 . tkth,'ierr 7 NW 21 t 41 ?, tts7 14T)7 Dade- -- ?. o l�ir.phlvslt - . t ■ N4r,1 20th St H' 4ac §on Met iOttat -_ Ha ,parr l Chtr-Statictri 3tackliThound NW OP NW 14th St .NV,/ 13tfz Nod t21.1) Cultner-Station fr, 10I 11th fla€I,tN:Dtthttounci! N ittli,St NW 11th Et fW fitf st t7201'2 0o W 291h Sl NW Sy.._.-- NSF 22t1d NW 5th4- . -* Rainbow Village Park y N4V �i)th 51htE 2tlifl `t t=='Gtri St .... E. NE.1.3thrti Z NW 19t1t St M ,, r, " NE 1€ith SF :9 c� ci NW 29th Si Nti�r i'St St:- 1 .30th: r. 111 t4U 29th St - NE 228th Et NE 2itt=tyti .-.. Z i"!i- 211ffi st WyrAvoort I.. Et Arm Dlst io Nr •its t - N[2#th'St'' Nr 23rd Et N 22nd St SHERESE JAMES-DALTON 'iri:eca try NE. rith St NE2 t t.S z,6th Eit a/' N!),lN�ti?Ct" dge'watei If aee. Overftww 3� } t .Bth fit 7th St, Nth'pit 41hSt u 4 C`3_. i V1'11tit St...• N1?V £tih St . Uertawnl .. Arena -Scat. Rail: Nertnbauni! NL. lath St Map d NE14t€Si - argar t Pace Pa i nttrf9rfil Park. 412Odogle, https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=1622+NW+1+AVE&aq=&s11=25.7... 1/1 o, 28;$i' z N • tac,kE.rt-... n IliI • lniversity of iarni: 4ospital East tittle Havana Address 711 NW 6th Ave Miami, FL 33136 1N1th St W:20th Beverly Terrace fynwoad :rgewater - TOUCHING MIAMI WITH LOVE Miami CityqE Cenoelery ▪ , h4tirggrt. Pzsu Park __ Town - _- Square N t 5th St N .',15tf Si Venetian Caooseway ©veitown NW,Sth St NE Pith St qqt NW 5t1-1 St NE 51h, 3t N Flaylerr St W tat St ;fart C uillol Way Cerles,r7abaleya BFrd ,s3 y72) „„(Ai„ Brickell aysida arketplaim Cod e„ Island data O12 G le https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=711+NW+6+AVE&aq=&sII=25.79... 1/1 z 7 Printed Name 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 FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3RD 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 nominate C11 ! 3 i �(�l for appointment as youth member of the Overtown Community Oversight Board. He/she meets the eligibility 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: (t �y , 1 ,A' n ` j ,,1- 1. Resides in the Overtown Area at the address ��1./a 3 ! `Vy�1�v j��1.) �i f \ 'Cf + ' ; and 2. Attends the accredited institution eY`(;V('I( T. \�I, ,1-i`,I 11'1�. S� , N the Overtown Area located at the address 3. Nominee's Info: Phone number FAX Number Cell phonee _. �- 3' i .. $ It, E-mail 1 [� I ' (nJ ' rOC)h •'1 B. Please rovi e a short statement of ualifications of the person you are recommending for appointment: MG, Clti . `k��l1 . 1 " C t Y 1( �-I L l- r), 1 � 14 d\ i&n f d CM \Q (3 tra <,: A-e) viz% go( t reAo..R -o h >' 024, r'm' fir: U.J .+ Li] t > C Pl6aae prZ side your contact information for the p Phone number cCL, FAX number rpose of la}' in the above and sig below q ,1 phone . ___• Ltg E-mail ! I"r (" . / ` rnImeTv con Lk)c .1\ci j 141 Dot a Date S gned FOR OFFICIAL;. USE ONLY: RECOMMENDED PERSON'. S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSONMEETS"AGE REQUIREMENTS RECOMMENDED.PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES i stlth.S1 ` NW 240t St Address 360 NW 20th St Miami, FL 33136 NW 32t141 fit NW 31stut Nth St NW-21th St -'- f•-M,-24th 81 .;.k. ..... MN 27117 Sr, .: . ij`Jyrvttcod Hris Dit:tfirt NE 20th St NE 2 ith St NE 2791 ftt,. FtW 24'h St sr NN.23td St v _ hNW 22nd iNkry 5th Rainbow Village Park F 3 NW 24th St`? I'd4r 32rr St sth St 3th St- 1t? SI: PW 2 • ,HDn i::col ttspiW. tr. Station • ,t~vuuit . PP; try 'd 14th NE 24th St' t1E 23rd'St E 22nd St z -- - NE 2tlth S Get Google Maps on your phone Text the word "GMAPS" to 466453 "Pitt fern/ ary Nttty_' NE 30tti St 2tith'St NE 2alh. `NE 2rKih'St_._z;. Nl 2.'ith"St Wynrs Ed er E >- t.Ch 5t, IL' t �Ch"3t �s "d 14�1it St ... :: w � sy � „�` ivTtargar�# _ - in 44t 2 NLtu1;th St - taE 1kl h St LI h YIVIIIIarn `� to 4- NW 56Y�t 13 _ - "( Park c r NE 7th St c� NW17ita St a ar rx[ i nee, r'i-r9 r. v :. Misr 1 If ea' +tiriti 1"}• ?ft ttt rc• - �'4,. w -- - - tlrilye ityav6v 2. P.0 °d 1011 SS .. . , ,.k --v. x• i, c) r s i and [1e tin `v r ::.Venbtian Gau9ty hi 5tiv sF ; , gar _ _ll t €th St NE 14th St NE 141 r Si ;� t uimar tatlen. NW;titit Terrace �, ' ' 1th 6t m P t: 9th'ot Bicentennial taai U rthhorrnd,U. NW ltth St. m I "o 11th St :vertcrwrt NE i4ih St Berk,,. 2. ._ :tW.G 10th 5t =tl? ty _ ar.-ss _ - - -- .� .. ._cod'E qq 1 01t2 Google NW 8th St vv ertaannr Pane Slat Rail Q Nett hhotasti 1Tt R 11E w A, 8 A er,,ar i a i Aiir.lrs'Aie Map ©2912:G_ e i%orrt https://maps.google.com/maps?f=q&source=s_q&h1=en&geocode=&q=360+NW+20TH+ST&aq=&s11=25.... 1/1 Gooi Booker T Washington Senior High School, near NW 6th Ave, Miami, Florida A. Booker T Washington Senior High School 1200 Northwest 6th Avenue, Miami, FL (305) 324-8900 5 reviews N'W 21 St St:.: - 9 , f[V 241h St. ff..8thSt H c`k n E3a rl, p, r4leinaTial Fye ali rt usptal C.Ptt Static. Y - iuutnbnu:1d Mi 1(i Ntz114th St 12(h tit C"3u !flier Station Ra3I Naithheund thSt CO.01 GoogI Get Google Maps on your phone Text the word "GMAPS"to 466453 dE:2311i 1 _ - t4E'22nd 1 w NW end St NW 5th 'it'4'3(t1 St HE-19th St �4) ' ik:V\rilliams . -r E?8rk t-. T ; -Y ,- 1.1 tSiF - .ill tii iil 1 '4 .. 3 1 itt3 $t " .= aN .Etr. . lr u . . RI c- . -.a '1 15 i 6t 141h t NW 141h St NL14thsl T1St .11th T-Trace TAW 11ttt of lvert tns Nt I" .r- .. na qq.1 tu'v',?;1Ct t� fit,_ � � y t /J 8th St Fz �7. .tNNE1ttlrst T_ Miar0 In Art am .NE14h5t tJ1^! 911E SE t�> 1lth St �— �. Blcentet r NWN 8th St O rtaorne -:' A / rena 1at frail m Aber r Map Iata @2pitg, a 4nlaorw https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=Booker+T+Washington+Senior+... 1/1 City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3` D 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 nominate C' �ri �,�� for appointment to the Overtown Community Oversight Board. He/she meets the eligibility re(uirements because bile/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at \es� .� �` �.�. \, or 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of � 11(._[Qd--1Crc3lt,(1 i%'chin C'�C' community development corporation or co unity based organization located in an't provides services to the Overtown Area, at the address Hqo liu l ��1efY �. ��. JT ,ori.Q . k3L.,e , or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number Cell phone l D (,, R . O\ .1 E-mail FAX Number B. Please provide a short statement of qualifications of the person you are reco mending for appointment: N\C i4\0 „� --)�G, �,rs, \ - '-w `'_v\ \ \s/N `r'L . ter. `c��C� (���., �=e� w, P �.��•�v ��.;,'S Q w���.n. 7 tri („- e,-) .,L :. CII-- i 4c;S ( E: 101 ewe C. Nov pia!ideE-your contact information for the purpose of clarifying the above and si n b Phone number Cell phone` FAX number E-mail Printe. Name c_3 E34 8. D to Signed FOR OFFICIAL USE LY: . RECOMMENDEDPER;ONSON'S ADDRESS INSIDE BOUNDARIES Y N N/A - RECOMMEND PERSON'IC4EETS AGE REQUIREMEN rs Y N N/A RCOMIv1ENDED PERSON'S PROOF OF QUALIFMCATI'ON SUBMITTED. ACCREDI.TED INSTITUTION INSIDE BOUNDARIES , , Y N N/A, City of Miami 0 VERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To he completed by the RECOMMENDER and t0 be submitted by 4:00 P.M. oijNFRIDAY, SEPTEMBER .1'4, 20.12 to the q/,Tice of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N..E, T.), at 1490 N. W. 3" AVENUE; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRI1,7E or the of/ice of the CITY CLERK at 3500 PAN AMERICAN DRIVE. Note: A pemon may recommend himself/head! A. I nominate 1� �\n I for appointment to the Overtown Community Oversight Board, He/she meets the eligibility re uirements because h '/she is 18 years of age and also meets one or more of the following qualifications: 1, Resides in the Overtown Area at kc:\,c_r•_5-s �,�r- , or 2, is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of I\l to kicejt-rtcyjon l�fi.t( �1�`; (�"(�(�. community development corporation or comp -pithy based organization 'located in and provides s6rvices to the Overtown Area, at the address )' WW kik 3CCINkri.LQ,):141-1.4 I)1,611111,905(:3t () , or 4, Owns or is an employee of a business in the Overtown Area located at: 5, Nominee's Info: Phone number Cell phone, FAX Number E-mail B. Please provide a short staterpent of qualifications of the person you are recommending for appointment: s �h -roc', P <» �tiNy? V\ 30,sr r� 1 C. 0 Ple ae pr c bur contact information for the purpose of clarifying the above and sigp b low :-c," "'_, Phone number Cell phone" ] _L, �`. v. ias { ; FAX number E-mail e sign heye , 'i nature City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.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 AMERICANDRIVE. Note: A person may recommend himself/herself. A. I nominate ° `5 fl 1v for appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at or 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of community development corporation or community based organization located in and provides services to the Overtown Area, at the address or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number 7 7b " 4' —3 ` 9Ce11 phone FAX Number E-mail B. Please provide a short statement of qualifications of the person you are recommending for appointment: C. Please provide your contact information for the pur ose of el if in the, above and sign below Phone number3 c'T ' Cell phone FAX number E-mail 9, / Date Signed FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: Y N/A N/A ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N N/A #9ith St Address 1601 NW 3rd Ave Miami, FL 33136 NW tgth S - ` patt.r3 1,10a8`tage th€ rr:tioadas? VON ni Beach !I-38 _ th11')&toX.. - - - ■ NVV 4th Ci Ac.rttt' lht Fpt -> np ,l Ctit rci ih€ Chureh �f . Dort l� Zljiist and tt itt A- G=b:in t Ne 8 etIOCII Dail rt Expy NW 141h St 12D a20i.2 _Gaogl NW 1. th St tilitii=r-t)Yerinwo Ne.4,1)1. It N1 doter ;o muoitV - Az:tior, Center - NW14ttSt Jub.n I:iaiiii:',t NW t61h Terra NW 15th 4th Terrace NEW WASHINGTON HEIGHTS CDC rat Ilia :Wl�a"r tie y, i�il1rlt�r"�� `icrt{lt�l NW 113th St Greater Ier tF_rB'thelPha• s r4 it i t etitlrC NW17LhSt ft4 Olivettr; ti4t Crviuth [R€ r�rinzii7n th€ flopti.st Church ''! 16th St N1r 15th 8t Mi Dorsey • AMU e.+�+tx _._...• Map data i "i(112,t ooOIe, Sa1Ibti-t' https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=1601+NW+3+AVE&aq=&s11=25,7... 1/1 Signattke City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on THURSDAY, AUGUST 30, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3RD 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 nominate 7 `'14-'4" e/e G,,'� `�fo pointment to the Overtown Communit Oversight Board. He/she l� �aPP Y g meets the eligibilit equirements because he/she is 18�y8ars of age and also meets one or more of the following qualifications: %�eO / /7 p% // // B. 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at: _3. ( anI employee or board member ofoGu��%l/iji�icX �con4ty development '.-3 • Urpoiat..or conununity based organization located in and provides services tithe Overtown Area, at the address I 4. wns:vr,an employee of a business in the Overtown Area located at: ce, �. 5. c Nominee, s=lnfo: Phone number Cell phone FAX Number E-mail or or , or Please provide a short statement s �79t✓U At l 7f' A• 01-- i( qualifications of the person you are recommending for appointment r e C) 622-4-4 0 C. Please provide your contact information for the purpose of clarifying the above and sign below Phone number Cell phone 1( 2 Kg9 FAX number E-mail Please sin ere: 0—e C 0.4 NIA -QC. 04 u Np.wycl ((.3? Printed Name Date Sign1 FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S.ADDRESS`INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED:'. ACCREDITED IINSTITUTION•;INSIDE BOUNDARIES City of Miami R _ CEj Fj7 OVERTOWN COMMUNITY OVERSIGHT OARD r APPLICATION FORM FOR APPOINTE ' b § of To be completed by the RECOMMENDER and to be submitted by 4:00 P.M on FRIDAY, SRPJ W.11 ;4, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), at 1490 N.W.F3R ) ia ih "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 nominate t.`(f ' (C.)( �.. Y `b e(Avi Yv` tSppointment to the Overtown Community Oversight Board. He/she meets the eligibil " requirements because he/she is 18ars of age and also meets one or more of the following qualifications: I . Resides 'nth v rtown Area at /e} p / �j/ ' /22 /f ! ,":for 2. Is the curl ent owtcer of property in the Overtown Area located at: 3. Is an employee or board member of or community development cor.ation or community based— rganizatio loc t d inra. d provides services to the Overtown Area, at the address UGUeri'CP 1 5 or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number FAX Number B. Please pr vide a short statement of zi 470 r.Ao_�� tWYI ��� CGlCG�u It phone 7( / �1`� / 9 -mail qualifications of the person you are recommending for appointment: S(/4 714 6-2,1-7 Qom,, _ '%7,4 ,,, , (,Z l /9 �z� `2�[-L�� ram' Ix" / -y "L C. 1I ase r vid ltl - C,� i { J CO V/ fe /'\ec� t�v� Printed Name OWN,07 (J ontact information for the purpose of clarifying the above and sign below Phone number Cell phone FAX number E-mail Please Signytfire / 2..-- FOR OFFICIAL USE ONLY: - RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS RECOMMENDED PERSON'S PROOF OF -QUALIFICATION SUBMITTED._ ACCREDITED INSTITUTION INSIDE BOUNDARIES - City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To he completed by the RECOMMENDER and to be submitted by 4:00 P,DI on THURSDAY, AUGUST 30, 2012 to the office of'the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E.T.), a 1490 N. W 3e AVENUE; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRB',Eor the office of the CITY CLERK at 3500 PAN 4MERICANDRIVE. Note: A person may recommend himself/herself ' a A. .I nominate / r'- fot• Ii‘ointment to the Overtown Community Oversight Board, Ite/she meets the eligibilit requirements because he/she is '18,.y ars of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at //iG Cl /Y C. //-7- ,,,,,J/--- ~6 or 2. Is the current owner of property in the Overtown Area located at: or ei 3. Is an employee or board member of 'U-� �-U// r� j ,,�� ,( community development corporation or community based organization located in and provides services jo"the Overtown' Area, at the address or 4. Owns or is an employee of a business in the Overtown Area Located at: 5. Nominee's Info: Phone number Ce11 phone FAX Number E-mail B. Please provide a short statement o qualifications of the person you are recommending for appointment: r- (4-{~�,4�vt .e C/ , r' t c., r—,— 2___. C s CD 72) `17~2Ul r- 1 No • Ltj.�7. C. l iPleas provirl yotir contact information for the purpose of clarifying the above and sign below �.- Phone number Cell phone / -_ z FAX number E-mail D Please sign ere: Csf c.cu�YGCG2Cct� C. Signatpfe Printed Name OFFTCI USE�ON )MIvIET�DEi PERSO' PERSON \ �r C.. Oil. ikxrvt. 1 c Date Signed 1i:el ■ - NW nth lta:ai-> �t H -sp tal tr "'radar: .t 14th St J.� 11th'St 1th e 3ttr ' N4't� 12th St `-.• 1n5er S(atit Ft11thbound-� Address 1000 NW 1st Ave Miami, FL 33136 �.p 2,1th'St NW 7:30 St.r.:... z vdbv. 2riti °z. 4 ' Nd 51h Rainbow NW 21,A pit is R. Village Park NW 20Eft-St �2sth11 Wyremod m 1.91 Dist--ict a. 'Jv1 htli St "' t3� -UVOka rne' Park . cz Pt'iV.,17t1Y St =: z u N t �sti� St, NVi 5tit St. 1tW 141h• t 5 t W 141h.131 MW 11€h Jeffa�a M 11th at z OYertown 44t ° ti NW t)kh w1 NW 61h St -1.. -s - Overtotvnl t•y Arena Slat flair� ; '- - :NW 7th St -- N.rthhou'd • 4441 F-=N11\161ir St t. h`W 6th St N `:NW511161 .v - NW5thSt:.�:. 14bti 4th St 1JW 3rd temthent .? R. MUNNINGS 2(1 N1w, whSt_ 24th iC ._ NE 23Td St NE_22n4 & NE 2 rNE "25kh 115:, tltii NE 1Sth 0.' rci s�Yi" NE17t1t6t, .._ Venctiaet:at`r vt 14th St NE.t1th S m Per IGth F_.. fi* c:ra-174. ait falrutte t At. as 14E. 8 : It Har;1 i rp.4p d a 02©12 GoogIe 5 tb�f ii https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=1000+NW+1+AVE&aq=&s11=25.7... 1/1 Address 164 NW 20th St Miami, FL 33127 #ith: St; 29K5� NW 2S1h,S1 MW 22et1`�rt 21 <.E t 1c ir1'.i r NO/ -2€1 St NW 24th"St 23rd St ,th $t ro Nrtd f?nd_ 4W 51hp' Rainbow tillage Park '' Etn St NW 32 POWER U CENTER FOR SOCIAL CHANGE NW 31€at : r :3uth.S+t,: °d NW29thSt:Y. NE2011tSt NE 28tt1 St, 20tt St NE NIA' 21h:: :vv.:0 00ft r igt:ir,t" : , •r. NW 1 t i1E:.2t?ty ;r _ NE`'31tt c 24th St NE 23iii ?2nd St NE 20111 1i 1st St.,. c avrry Wa �_. NE 29th SSt NE 2t1r' R!` 10-2e^.(r, St - - NE.1Oih NE t7r NE ?t:ttz 4 Ni 2&th Edge ate ttinent,-.Interne. i NI and fiettn,.> Venutian Csr sew 4*) t i4{h`wt t fiE.141 Si' Q' - • '� - .. -- N.J k- _,t G t -- N y m v Q. p a-rner flUc t Nr 11ti1 T rrace f�a:l Nrirtf h . ndt1, <1t11 St , . r (_ .1_h St �It eatettrija N'Ar 11th St 1th Si, z r m N. C-:�:�vertt}wn �' ' ' J Erk;. ...NI iett el tµ p.. is ata Bth S1 kyv nth St m... Pik 0 r� 5¢ r s t Overtownt Arena Stat Rest Q 162012 Gitagta ,rt4e.r f.4l t data C2Q1.2 g) Sal:Oath: https://maps.google,com/maps?f=q&source=s_q&hl=en&geocode=&q=%09164+NW+20th+St+&aq=&sll... 1/1 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 FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.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 nominate i)ei'v U,S Board. He/she meets the eligibility require also meets both of the following qualifications: B. for appointment as youth member of the Overtown Community Oversight is because he/she is more than 14 years of age and less than 19 years of age and 1. Resides in the Overtown Area at the address -I OD IN '\ i" j` ) a r�4_i"Yi4 J F 3134nd 2. Attends the accredited institution ®0 14CL6V`�rU A [IC 11 C hoc' in the Overtown Area 3. Nominee's Info: Phone number "' Cell phone 305 n L 16 q ga.-_ FAX Number E-mail W located at the address . 0 0 I VIi ' AV{0,) 1 i ! I a,vyl,j L a 3 lei Please provide a short statement of qualifications of the person you are recommending for appointment: L) liGt u c corm_ -i --to16,nou W :l�n,6-Iri u,s +h r �,c.. ► ;r o lop act u T 6u-Gk if liCti Wr{'I. v, , O, (,Lott i o- ra 4i» -T� h,Lnn 'e 1 f\ a, Yn's 1 VV-or. lu, 9r-,,_, ac-r,�+ . Ca , i n t }, et t c� ft, bL(i is t �i�t,�� 0t' Srkett4 : oven , ! etCliciJ `� ttYi� y/ I eAk } .e, run') (, S L' ' w-"�` �'-�" it w i 5 opi l ri. io r a���� 1.46 k t mu rl-e c (9 (tr' i,�n , Th 6 W b a e a.,l iel, . ai = (� rh im P.J� f emc- -o r- -,im, 4t be, ct i'Y1emn.�Je.l", 1,- Ptl a),_ cc,se prb de'your contact information for the purpose of clarifying the above and sign below ry ri > - c `_ _ Phone number Cell phone 7 % " via I (.1 FAX number E-mail S eireSe 1)61:4 Printec Name FOR OFFICIAL USE ONLY: • RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSONMEETS AGE REQUIREMENTS. RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED_ ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N N/A, City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED YOUTH MEMBERS To be cornpleted by the .RECOMMENDER and to be submitted by 4:00 p:.IK on FR.IDAY, SEPTEMBER 14, 2012 to the office of the OVERTO1tWNEIGHBORHOOD ENHANCEMENT TEAM (N.E.7:), at 1490 N.Wl! 3" AVENUE; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRIVE or the of/ice q/'the CITY CLERK at 0500 PAN AMERICAN DRIVE. Note: A person nary recommend himsei/7her.rei A, I nominate J � ,�'if U.S f�� 0 &II for appointment as youth member of the Overtown Community Oversight Board.Ho/she meets the eligibility requirea'l9Iles because he/she is morc than 14 years of age and less than 1.9 years of age and also meets both of the following qualifications: 1. Resides in the Overtown Area at the address 61 0t) 1V Y L41' 3 AV ) it cc L4'Yl4) F I.J 1 4nd 2. Attends the accredited institution C� i3 y GC54ii��Y1p' fj f\ �� i �L-i)uo liu the Overtown Area located at the address 1 of b 0 1 W (/) ' ' Veinutn M i am t.1 "t`" L Imo" 3 G. cell phone 05 FAX Number E-mail 3. Nominee's .Info: Phone number 13. Please provide a short statement of qualifications of the person you are recommending for appointment: , f Zvi,1)6f dtt r►'Q,t c `� h4-t, rnr .. i0 cc. .1 J r ..Glu vr1 faun WI,14E 1, v4.- etA ( a, rA 14„8-4 i66 �'t,�.i j �,, A. u;A Q�l11,5 Yn' " -'�'� Y\ j �r 1 �� 1"' 04i r/ ) , �"T �t, , c-a11 /�9,- i i'i� GC I 4 II�u , t , ; ��: '-vt..U,j o' . rai- 0 .�c.:s�Jt vita Pr(tcht rt.-( s- dtat) I la°\ (''. l r Cal. (1,&$ ii' R/ n A (C 00 i IN r "k rite" t,�i . " t k 1.6 1 e r f w t VVtr t, ` T 1 Wo141c . ►e a_ c,ha I Icv .1' C. release p1•oktclE;uir contact lv ce D ca;a f. D. loase sign her Si_ attire o f 041 C-L' ` . Ct_. MeAY\ l ear', information for the purpose of clarifying the above and sign below / ✓ Phone number Cell phone 7 360 �� " () 3 FAX number E-mail dm(S Ptintec 14d Name FOR";OFk ICIA.i ',[1SE`ONL .16'C OM NI L N l) E DPPR S ()N' S''A P. 'COMMEND: PERSON' MBE t:ACCREDITEp' i1STITU rIO�i 2 ''. !O1h Si Address 900 NW 1st Ave Miami, FL 33136 ''� L`dyrv;anod ,A.ils DirArict $81h'8t' ` m gird St' - NW 2Znd St 2ut%: NE 2Eih M%24tih r3r:. NE 23rdSt NE22nCiS NW 2Oth.61 .: t �- NE 20th St <:: `Gift St .NE-19t' -Stti,- A �trt,.t, Us V : * 046i aai NW T9ti '8t NE tptn St : n� a Get Google Maps on your phone Text the word "GMAPS" to 466453 NE 381=i'S`T ; 78th St-= VVyrwood- m..:•E.dgewater 3'NE 231 ath St #s Williams, ark t l tl .17L% 81 fac: t7tt+. St. hAtl£rE1ti flttu rt ., u `z ��� t pfaer$ity 8 , ti cs Pa rir3t cr ; � i �. inr} Lie=.' Yr m rn + ... x• Venett thSi Q m to tstW 14th St NE i4th St , ... NE 141C, wt :` r rrsi -NE Zi Ca 4 { m tr :4� 4 ltlt T 'race , ._ -. Nity liili St NC 11th St t E ireatanniat nn° tiW 4i n bt rn Park, ...'... _ :-- _ f 1 NE 'f.tYhi t 44 PY'vs.{ 10111 S': NW 81h St ;, NE t 4S1 £. { i cvvttl -cF+t _-. .. .. �4Rt' .... - E, fleYtAWISf t a. f1_ t Arena ; iai. Plea ; { } A rk,nea:Arpn rth St Narthhotmd - LJ= = Eetn (aa NW 6ib St NW 5tn St NE6th Si._._ ta! 6th St NW 511.(St -- t6U f §tir St -- t G t IV m_ P +' 4th NN! 41h St t. TO Zi MW 3rd•St';' Cdrer:ment Ctr.satat Rail _ Southhound mg ard,5t ER NE 2ndkit :._ - i date P12 c S r,born https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=900+NW+1+AVE+33136&aq=&s... 1/1 Booker T Washington Senior High School, near NW 6th Ave, Miami, Florida A. Booker T Washington Senior High School 1200 Northwest 6th Avenue, Miami, FL (305) 324-8900 5 reviews al r.1 Miami Dane Cet=1 rPampcir.° - M Hnupital Critr S•ation ail Scicithbouad. rsity or Hci pitai tvD':1Gi' NW 14th St Pt Rr$1th St CL72012 Goocd •t4411 e, s CIA NW 24tlt St 11,Ar 18th St' H errraTil tsra nf.t,ttae s3rner Station INorthbound Pt16/ 5t ilW22nd a' Rainbow Village Park T, gth St. ;,Willisrns, , Park m °. 'HVv 11th3. trace _,' V,/ 11trY St - z °vertowrt elii st ( Get Google Maps on your phone eText the word"GMAPS"to466453 r3Td S€ E. Nth $t 42GfhSt NE".19th St i7fh St 61 pW 44%tat t'4 l4th St o OY'erttiwrJ - '' rcrena.Etat Rats Q., Ma data 0201''boa le $ AI..^kAt.. L4.@ �#AF..f",....._ .._. ...... �._.,.,i.- n filth st rn 1COI `mot': [_) NE P. https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=Booker+T+Washington+Senior+... 1/1 City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W.. 3RD 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 nominate Mr . C . C . Reed for appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 1601 N.W. 1st Court, Miami, Fl. 33136 or 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of Culmer Community Advisory Commit community development corporation or community based organization located in and provides services to the Overtown Area, at the address 701 N.W. 1st Court, Miami, Fl. 33136 ,or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phone number (7 8 6) 7 1 5 —9 3 3 8 Cell phone FAX Number E-mail ccreedgovernorOG@yahoo.com B. Please provide a short statement of qualifications of the person you are recommending for appointment: Mr. C.C. Reed is a resident of the Overtown community who pis engaged in pursuits that improve the conditions in the area for the low—income citi C�7 who are desirous of having a higher quality of life in a number of areas. Mr. Reed is a passionate advocate for the Overtown community and is quite familiar with the usage of grassroots initiatives to effectuate change. He has experience serving qn community boards as a member and as an elected officer. Mr. Reed is interested in 1ielping the Overtown community to maximize its ability to emerge as a revitalized Rarea'that has jobs, good schools, businesses, low crime rates and safe neighborhoods. lji C.- ' Pl*frprovide your contact information for the purpose of clarifying the above and sign below Phone number (786) 469-4648 Cell phone (305) 794-6188 V-- c �} Di ' u "`" c3 FAX number 0 � �� i (786) 469-4656 E-mail seal@miamidade.gov c f" c-a G-. ANivi V. Sew Printed Name 1 11 12- Date igne FOR OFFICIAL USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS Y RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N/A MIAMI•�' COUNTY Carlos A. Gimenez, Mayor September 11, 2012 City of Miami Neighborhood Enhancement Team (N.E.T.) 1490 NW 3rd Avenue Miami, FI. 33136 Dear Sir/Madam: Community Action and Human Services Department 701 NW 1 Court • Suite 1000 Miami, Florida 33136 T 786-469-4600 F 786-469-4703 miamidade.gov As a Special Projects Administrator of the Miami -Dade Board County Community Action and Human Services Department, it is my sincere pleasure to submit a recommendation nominating Mr. C. C. Reed for consideration as an appointment to the Overtown Community Oversight Board. Mr. Reed is a resident of the community and has experience serving on advisory boards. He is an ardent advocate and an engaged citizen who strives to make an impact by working progressively to improve the conditions in the Overtown community for all of its residents. Based upon his sincere desire to serve as a member of the OCOB, I strongly advocate that Mr. Reed is fully considered as a potential appointment. Should you have any questions or concerns, please feel free to contact me at (786) 469-4615. Sincerely, Alton V. Sears Special Projects Administrator City of Miami OVERTOWN COMMUNITY OVERSIGHT BOARD APPLICATION FORM FOR APPOINTED MEMBERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM(N.E.T), at 1490N.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 AMERICANDRIVE. Note: A person may recommendhimself/herself. A. .1 nominate Mr . C . C . Reed for appointment to the Overtown Community Oversight Board. I-Ie/she •meets the eligibility requirements because he/she is 18 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 1601 N.W. 1st Court, Miami, F1. 33136 of 2. Is the current owner of property in the Overtown Area located at: or 3. Is an employee or board member of Culmer Community Advisory Commit community development corporation or community based organization located in and provides services to the Overtown Area, at the address 701 N.W. 1st Court, Miami, Fl. 33136 ,or 4. Owns or is an employee of a business in the Overtown Area located at: 5. Nominee's Info: Phonenumber (786) 715-9338 Cell phone FAX Number E-mail ccreedgoverncsrOG@yaLou. Lutrt B. Please provide a short statement of qualifications of the person you are recommending for appointment: Mr. C.C. Reed is a resident of the Overtown community wrio is engaged in pursuits that improve the conditions in the area for the luw-iricoiae citizens who are desirous of having a higher quality of life in a number of areas. Mr. Reed is a passionate advocate for the Overtown community and is quite familiar with the usage of grassroots initiatives to effectuate change. He has experience serving on community boards as a member and as an elected officer. Mr. Reed is interested in hein$the Overtown community to maximize its ability to emerge as a revitalized area that hp,s jobs, good schools, businesses, low crime rates and safe neighborhoods. C. 1 aleaselrovideyblik contact information for the purpose of clarifying the above and sign below Phone number (786) 469-4648 Cell phone (305) 794-6188 %.Li FAX number g i (786) 469-4656 E-mail seal@miamidade. ov Cr- Please si?, there: Signatur 4116tvi V. Sec Printed Name q�,/2--. Date igne FO:R:O:FFICIA)L:USE'ONLYi-::.. ., , .,,.:;'..',; . RECSMMENDED. PERSON' S. AD.DRESS ;INSIDE B OUNDA:RIES RECOMMEND PERSONiMEETS AGE REQUIREMENTS RECO1vIMBNDED PERS.'ON' S PROOF: OF: QUA.EIE.ICATION' SUBMITTE ACCREDITED INSTITUTION INSIDE BOUNDARICS,' Community Action and Human Services Department 701 NW 1 Court • Suite 1000 Miami, Florida 33136 T 786-469-4600 F 786-469-4703 miamidade.gov Carlos A. Gimenez, Mayor September 11, 2012 City of Miami Neighborhood Enhancement Team (N.E.T.) 1490 NW 3rd Avenue Miami, FI. 33136 Dear Sir/Madam: As a Special Projects Administrator of the Miami -Dade Board County Community..Action and Human Services Department, it is my sincere pleasure to submit a recommendation nominating Mr. C. C. Reed for consideration as an appointment to the Overtown Community Oversight Board. Mr. Reed is a resident of the community and has experience serving on advisory boards. He is an ardent advocate and an engaged citizen who strives to make an impact by working progressively to improve the conditions in the Overtown community for all of its residents. Based upon his sincere desire to serve as a member of the OCOB, I strongly advocate that Mr. Reed is fully considered as a potential appointment. Should you have any questions or concerns, please feel free to contact me at (786) 469-4615. Sincerely, Alton V. Sears Special .Projects Administrator NO/ 2AIh NU4'22n 1' PJ21tSt 7= 4)e-£,lediee1_.- NV4'20th r`IEt;;19a _. N'u`d.1 RN 14th.$1. q ; tii Si? NW 12tI o €:t;inmer Stein 35 igai hiorthicund -1th St" '01202 CoogIe Address 1601 NW 1st Ct Miami, FL 33136 W,21th St NW 23rd St IV 22nd Sat: ; . E__ t�i n/tell' 4 Rainbow- Village Park t Naive Terra NW 11th Sr 441j 'KIN io1h_St: n; NW Nert&,ri ::N' ' 3t1th St"" NE 291h St• i, PE 213teti St NE 271h, Nr 24th St €1E 22rd St - N£ :?2nc. 1- NF 20111St CC REED - NE 2614'81 Et:.26th St 't'Slyr wood Edgewater NE.1EtIt m �1... m 1,F 7y.;; St • g 1;era113:iI) e #)a1#Qr S- ,. r - r�i1 ,rt cis r fin. Vtatett9*14;a, fri SFt--- ' 141hSt t1 14thSt- NE14th:s. Arena Stat.Raik Northbound -: NW e.th St :. ICer tenni8i Park .eikx St ASaLgerenin E 51hSt vlap data 2012nam-- https://maps.google,com/maps?f=q&source=s_q&hl=en&geocode=&q=1601+NW+1+CT&aq=&s11=25.78... 1/1 Il St M. 128th St,. VA Mediffil =ref 4,-1 1fiftf pi Jnivemityof ;i-Ho„pital 'tit St St tillot 0012Googl -T _ East Little Havana rn .. Address 701 NW 1st Ct Miami, FL 33136 CULMER COMMUNITY ADVISORY COMMITTEE NE.881h St Beverly Terrace. .NWfy 29t11 St ."., . - m .. �., Wynwp.o NW,61h NV 5111 St Pace P StE,t5tit,5t NE Sth Si E 5th St gt:114y10. ,,:;,,. 4atka[ptace f—, wntown 5W,7fi S1 aslas Afbioleya Btvd $1 81h St a .0 $ . BrckeIL Key Park: Ia Tuttte ai s fat;_'aJrn and bj lus Islands Dodg !slat ti data ikO122 'ogle https://maps.google,com/maps?f=q&source=s_q&h1=en&geocode=&q=701+NW+1+CT&aq=&sII=25.792... 1/1 23 1-11 City of Miami OVERTOWN COMMUNITY OVERSIGHT BOO r:,. APPLICATION FORM FOR APPOINTED 1V*14ERS To be completed by the RECOMMENDER and to be submitted by 4:00 P.M. on FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3RD AVENUE; the office of the DISTRICT 5 COMMISSIONER at 3500 PAN AMERICAN DRIVE or the office of the CITY CLERK at 3500 PAN AMERICANDRIVE. Note: A person may recommend himself/herself A. I nominate Mci �1,ce` wh►r, for appointment to the Overtown Community Oversight Board. He/she meets the eligibility requirements because he/she is 8 years of age and also meets one or more of the following qualifications: 1. Resides in the Overtown Area at 2. Is the current owner of property in the Overtown Area located at: or or 3. Is an employee or board member of community development corporation or community based organization located in and provides services to the Overtown Area, at the address , or 4. Owns or is an employee of a business in the Overtown Area located at: M els'S 800 -,(rue , 13� k14,1 2 manoe_, 5, Nominee's Info: Phone number FAX Number Cell phone .1 cV^ 31 4 r J tpZ O E-mail r(In(0() 1/U11)'- n j C] fY1Q1 t OEYY) B. Please provide a short statement of qualifications of the person you are recommending for appointment: \PYAk., 11\/911(i 0vt(1-3Lun r cjwf Q Oo ,Ine 1f10vo( ') can �v� %(n vc-{' Invniv&d Qom cni (n.-3 1' q1\NPA\H IonV,,n(` �(y vJc 4) C -F inVr,ve (`) cxx�a 30-tit )(ya , C� •-*-rfki l COY C -- C�� eT10,.t.�(1 �� AG`a) ,ne i5 x �ee,1 �,t�e ��� e. 3(Ai lee of Y' CL .>(S , s>� cal \NIN Og \n w l k�' w \p C. Please provide your contact information for the ur ose o clarifyin.,t-,he above and sig b to '- -1Cell phone C E-mail •i swag �� al♦1get Phone number FAX number Date Signed FOR.OFFICIAL'USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS Y RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED: ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N Address 1033 NW 3rd Ave Miami, FL313 ma Park - - -. -- c�ww«-�- . AV�l4n�l:.f��..NE#w@© MOSEL Es BOUTIQUE --(',ibstaaPzirk NW8wt @ NW1 V\itiito,Forri • N 3 /` .r « 9 - �. . NEah! $\ New 111 Overtowni krena m! Nome 2 https://maps.google.com/maps?f=q&source=s_q8thken&geocode=8tq=l3oaNwg+Umf=b1=am !!Z APPLICANT THAT DID NOT QUALIFY FOR APPOINTMENT 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 FRIDAY, SEPTEMBER 14, 2012 to the office of the OVERTOWN NEIGHBORHOOD ENHANCEMENT TEAM (N.E. T.), at 1490 N. W. 3RD 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 nominate E 4 . Q)r\ \I e \\ for appointment as youth member of the Overtown Community Oversight Board. He/she meg�s the eligibility 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: //�� ((``��,, WWI 1. Resides in the Overtown Area at the address �)3lJ iN- Me.Vi\ tol ; and 2. Attends the accredited institution 111 k` 1 IVY?) C' Y fl. \P. O ' 0 in the Overtown Area located at the address 'tl`pCi (11 'll\\Yi )oi eNcl 3. Nominee's Info: Phone number Cell phone Oiep i li' IC ILLI 1 rt bbI' iliir B. FAX Number E-mail Please provide a short statement of qualifications of the person you are recommendin for po .ntment: t►°c 1'1v\Jc i1 �� oi v v,• f4.'ou f OOAI� `1 f1y' ' . NI4; ( 1 V •41 00A/li'(Yl i , T 11 V. -4-11 uni ri EC. 000 e )eft lnea (ni Ly .1 LA CD ' ue- C^�1 4�J b") Gw' C. Please provide your contact information for the wrpose of clarifying the above and sign be ow Phone number O') - - 2/- ell phone j ,t4 1 Q FAX number .. � ' ' ) • 'T1 E-mail D. y ease sig Si atur Printed Name 1 Date igned FOR OFFICIAL: USE ONLY: RECOMMENDED PERSON'S ADDRESS INSIDE BOUNDARIES? RECOMMEND PERSON MEETS AGE REQUIREMENTS RECOMMENDED PERSON'S PROOF OF QUALIFICATION SUBMITTED:. " ACCREDITED INSTITUTION INSIDE BOUNDARIES Y N . N/A Miami Arts Charter School, near Biscayne Blvd, Miami, Florida A. Art Miami 3101 Northeast 1st Avenue, Miami, FL (520) 529-1108 2 reviews LW 4Offi St �, w t1t�t 61h St Roberto (tars nte. Park NW 29th St ti, 2 luu t>ftE r -'H fversitp of Hospitr+[ vertrwn pe!J12 Goo z m r. h a Wynwood = fri Edge rttter 20111 St tjnn�� tray m 4 CeT6ferY t argat01 Pnua Park z m x Get Google Maps on your phone Text the word"GMAPS"to466453 venetian CakanWz� trti an iap a'ta https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=Miami+Arts+Charter+School,+Bi... 1/1