Item #03 Appointment to the Human Relations Diversity BoardI
florida
AGENDA ITEM COVER SHEET
Meeting Date: June 17, 2014
Item # J
Reviewed By:
Contact Name: Carla Westberry Department Director: Beth Eik nb
Contact Number: Ext. 1024 City Manager: Robert Fran
Subject: Appointment to the Human Relations Diversity Board
Background Summary:
Members of the Human Relations Diversity Board serve three -year terms. Currently the Human Relations
Diversity Board has ten (10) members and their resolution allows no less than seven (7) members and no more
than thirteen (13) members.
We do currently have one application on file from Sujeily Ruiz with an interest in serving on the board.
Issue:
Should the honorable Mayor and City Commission appoint Ms. Ruiz to the Human Relations Diversity Board
with a term ending May 2017?
Recommendations
Staff is recommending that the City Commission appoint Ms. Ruiz to the Human Relations Diversity Board with
term ending May 2017.
Attachments:
Board List
Board Application
Financial Impact:
None.
Type of Item: (please mark with an 'x')
Public Hearing
Ordinance First Reading
Ordinance Second Reading
Resolution
X Commission Approval
Discussion & Direction
For Cleric's Dept Use:
X Consent Agenda
Public Hearing
Regular Agenda
Original Document/Contract Attached for Execution by City Clerk
Original Document/Contract Held by Department for Execution
Reviewed by City Attorney N/A
Reviewed by Finance Dept. N/A
Reviewed by Q N/A
06/17/2014 19:380range County Library
(FAX) P.001 /002
4 4 04 00 o r
Ocoee
florida
APPLICATION FOR SERVING ON CITY BOAS
This Applicant Information Form, when completed and filed with the City Clerk's Office,
is a PUBLIC RECORD under Chapter 119, Florida Statutes, and therefore, is open to
public inspection by any persons.
1. Name: - I'� 7. E -mail Address: Cb M
2. Home Addre ; a rpw ►t, AyCL, Home Phone: 1 4 1 • . • - Ir t «u1
City, State, Zip: r" e. 1= i �4 -7 t 1 —
3. Business: Business Phone:
Business Address:
4. Brief Summary of Qualifications and Experience:
5.
Are you a U.S. citizen? Yes;_V—1
No:
Human Relations Diversity Board
Are you a registered voter? Yes:
No: District #:
6.
Resident of the City for 6 months or longer?
Yes:
No:
7.
Do you hold public office?
Yes:
No: V
8.
Are you employed by the City?
Yes:
No: ,
9.
Do you now serve on a City Board or Committee?
Yes:
No; ✓-
10.
Please attach any information that would assist Commission in making appointments.
Department ( CACOPD)
PLEASE CHECK THE BOARDS WHICH INTEREST YOU BY INDICATING YOUR FIRST AND
SECOND
CHOICE ( #1, #2).
*FINANCIAL DISCLOSURE FORMS ARE REQUIRED FOLLOWING APPOINTMENT
By my signature below, I attest that the information provided herein is true and correct and I
acknowledge and agree that a background check may be required when duties include contact with
children.
SIGNATURE; DATE: _ (o• � ��',
Note: (1) Application ecti or ONE YEAR from date of completion. It can be faxed to (407) 905 -3168.
(2) If you have any questions, please call the City Clerk's office at (407) 905 -3105.
City of Ocoee ■ 150 N. Lakeshore Drive - Ocoee, Florida 34761
Phone: (407) 905.3100 - Fax: (107) 905 -3168 a Website: www.ocoee.ore
*Code Enforcement Board
Human Relations Diversity Board
*Board of Adjustment
Parks & Recreation Advisory Board
Community Grant Review Board
Personnel Board
Citizen Advisory Council of Fire
*Planning & Zoning Commission
Department CACOFD
Citizen Advisory Council of Police
*'Police Officers' and Firefighters'
Department ( CACOPD)
Retirement Trust Fund Board of
Trustees
General Employees' Retirement
OTHER:
Trust Fund Board of Trustees
*FINANCIAL DISCLOSURE FORMS ARE REQUIRED FOLLOWING APPOINTMENT
By my signature below, I attest that the information provided herein is true and correct and I
acknowledge and agree that a background check may be required when duties include contact with
children.
SIGNATURE; DATE: _ (o• � ��',
Note: (1) Application ecti or ONE YEAR from date of completion. It can be faxed to (407) 905 -3168.
(2) If you have any questions, please call the City Clerk's office at (407) 905 -3105.
City of Ocoee ■ 150 N. Lakeshore Drive - Ocoee, Florida 34761
Phone: (407) 905.3100 - Fax: (107) 905 -3168 a Website: www.ocoee.ore
06/17/2014 19; 38 Orange County Library (FAX) P.002/002
Sujelly Ruiz
2005 Lauren Beth Ave
Ocoee, FL, 31761
Application Attachment
Brief Summary of Qualifications and Experience:
I am a recent graduate from Rollins College with a Bachelor of Arts in International Affairs.
Through my educational experience I have participated in a plethora of teamwork based
assignments often collaborating with groups in coordinated efforts to reach set goals, I've also
participated in voluntary leadership courses that focused on fair and responsive problem solving
an 'acting in good faith' duQ to the extensive education I have received while anainina my real
estate license, In the east_ I have worked in customer service, administration and sales industries
which enabled me to delegate responsibilities. negotiate agreements and work well -ander
pressure, I aim, to make a positive contribution in my community and strivo to continuously_
educate myself through volunteer opportunities.
HUMAN RELATIONS /DIVERSITY BOARD
Created by Res. 42003 -21 on 9/16/2003
Res. 92003 -21 amended by Res. # 2004-11 changing quorum to 50% plus (1) one; amended by 2010 -10
(residency for membership); amended by 2013 -07 changing terms to 3 years and membership to 13.
No less than 7 members, no more than 13 members - (3 year terms)
MEMBER DISTRICT CONTACT INFORMATION TERM ENDS
1. Barbara Anne Boudokhane 2 321 - 221 -0361 (H) May 2017
268 N. Lakeshore Drive, Apt. #2 sacrebleu9091(cc,gmail.com
2. Ira Calloway n/a 407 - 295 -1418 (H) May 2017
1306 Weston Wood Blvd i.calloway�a,att.net
Orlando, FL 32818
3.
Nichole Dawkins
4
407 - 860 -0639 (H)
May 2017
1326 Plumgrass Circle
407- 296 -0002 (W)
taiena5 o ,aol.corn
4.
Sandria Foster
1
407 - 296- 5263(H)
May 2016
3343 Atmore Terrace
Fosteres3n�yaoo.com
5.
Sarah "Beth" Freeman
2
407 - 656 -5572 (H)
May 2016
535 Woodson Avenue
407 - 656 -4397 ext. 114 (W)
407 - 448 -0387 (C)
bethfgcortezinc.net
6.
Jennifer Hopkins
2
407 - 293 -4159 (H)
May 2016
2391 Alclobe Circle
407 - 375 -5041 (C)
hopkinsjj(a,msn.com
7.
William Maxwell
2
407 - 656 -0054 (H)
May 2016
558 Woodson Avenue
407 - 447- 3117(W)
407 - 694 -5905 (C)
407 - 447 -4746 (F)
wemaxcom(a�aol.com
8.
Margaretta McKenzie
2
407- 877 -9393 (H)
May 2016
807 Apricot Drive
321 - 297 -6920 (C)
MEG 12221962(a�yahoo.com
9.
Harendra "Hari" Singh
1
407 - 814 -7501 (W)
May 2016
2585 Azzurra Lane
321- 662 -1887 (C)
indianhorizon0674nyahoo.com
Page 1 of 2
10. Billie Jean Daily 4 407 - 286 -2164 (C)
5037 Water Wheel Court
13. VACANT
STAFF LIAISON
Joy Wright City Manager 407 - 905 -3100 ext. 9 -1530
Community Relations Manager joy.wright cr ci.ocoee.fl.us
EX- OFFICIO MEMBER
Joel Keller Commission 407 - 905 -3100 ext. 9 -1040
Commissioner 4 JKeller a,ci.ocoee.fl.us
RECORDING CLERK
Carla Westberry City Clerk's 407 - 905 -3100 ext. 9 -1024
Office Carl a.WestberryAocoee.or
EXECUTIVE MANAGEMENT
Al Butler, Director Support 407 - 905 -3100, ext. 9 -1543
Services AButler(aci.ocoee.fl.us
Doug Gaines, Assistant Director Support 407 - 905 -3100, ext. 9 -1503
Services d aines _ ,ocoee.org
May 2017
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