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SEP V ;J 2009 P.O. Box 2950 Hagatfia, Guam 96932 TEL: (67r) 4 72-8931 • FAX: (67r) 477-4826 • EMA.IL: [email protected] Felix P. Camacho Governor Michael W Cruz, M.D Lieutenant Governor SEP v ;j 2009 Honorable Judith T. Won Pat, Ed.D., Speaker IMina 1 Trenta Na Liheslaturan Guahan 155 Hesler Street Hagatfia, Guam 9691 0 Dear Speaker Won Pat: By virtue of the authority vested in me pursua t to applicable to the following position, I am please supporting documents for: APPOINTEE: Ansito Walter, Ph.D. POSITION: Member, Guam Academy Charter Schools Council TERM LENGTH: Three (3) years EXPIRATION: Three (3) Years from Date of Confirmation The appointment is subject to the advice and consent of I Liheslaturan Guahan. Please schedule a hearing at your earliest convenience. Sinseru yan Magahet, FELIX P. CAMACHO I Maga 1 ll.ihen Guahan Governor of Guam Enclosure 1086 Felix P. Camacho GmJernor Michael W Cruz. M.n Lieutenant Governor SEP 0 3 2009 Ansito Walter, Ph.D. P.O. Box 26696 Barrigada, Guam 96921 Dear Dr. Walter: Thank you for your willingness to contribute your time, expertise, and energies towards helping the people of Guam. As you know, the Camacho-Cruz Administration is facing unprecedented challenges, both near and long-term. The task ahead of us will require the collective efforts of the best minds who will have the courage to make the tough decisions for the good of all our people. You have been recognized to possess the qualifications and character that support our philosophy, in general, and our vision for the specified agency, in particular. I hereby appoint you to serve in the Camacho-Cruz Administration in the capacity of: Member, GUAM ACADEMY CHARTER SCHOOLS COUNCIL This appointment is effective today and is subject to the advice and consent of I Liheslaturan Gw1han. Please contact the Governor's Office at 4 72-8931 ~6 for further processing your acceptance. c_::;z:;:~ FELIX P. CAMACHO I Maga' !a hen Guahan Governor of Guam OFFICE OF THE GOVERNOR GUAM AFFIDAVIT I, ANSITO WALTER, Ph.D., being first duly sworn, deposes and sayeths: 1. That I have read and reviewed the information contained in the attached Nomination Letter from the Governor of Guam. 2. That the matters contained in the Nomination Letter and all attachments thereto are true and correct. 3. That this affidavit is made for the purpose of complying with the requirements of 4 GCA §2103.5. I declare under penalty of perjury that the foregoing is, to the best of my knowledge, true and correct. SUBSCRIBED AND SWORN TO befbre me this srJday of ¥""-6¥-, 2009. r NOTARYPU UC In and for Guam. U.S.A. ,Y Commission Expires: Oct. 03.2012 o Box 2950 Hag~tt\a. Guam 96932 Phone (671) 475-9206 OFFICE OF THE GOVERNOR GUAM The following is information required for submission to the Speaker ofl Liheslaturan Guahan in accordance with 4 G.C.A. § 2103.5 ofthe Guam Code Annotated. l. Citizenship: Federated States of Micronesia 2. DOB: 08/24/1951 Age: 58 3. Residential Address (NOT mailing address): LOT 117 BLK 211 E. GINOT ST UMA T AC, GUAM 4. Have you ever been convicted of a crime? Yes__ No X If yes, please explain: 5. Have you ever been declared mentally incompetent by any court? Yes No X 6. Have you ever been found not guilty or not punishable in any criminal proceedings by reason of insanity? Yes No X Ifyes, please explain: 7. Have you ever been confined to a mental institution? Yes __ No X If yes, please explain: ---·. dlflf SIGNATURE Appointment app I ication TODAY'S DATE: 0Director POSITION 0Deputy Director APPLYING FOR: 0Boards/Commission [Z]other Guam Academy Charter Schools Councils AGENCYfOEPARTMENT/BOARDS/COMMISSION DESIRED: List top 3 choices. 1. Guam Academy Charter Schools Council 2. 3. Would you consider any other positions than listed above? 0 YES aJ NO GENERAL INFORMATION NAME: Ansito Walter MAILING ADDRESS: P.O. Box 26696 GMF CITY . STATE G Barngada uam ZIP 96921 HOME PHONE: WORK PHONE: CELUPAGER: SOCIAL SECURITY NUMBER- LICENSES: TYPE EXPIRATION DATE 1228111157 Guam Driver License 08/2412011 BACKGROUND INFORMATION List your prior Government of Guam Appointments and dates of service: Government of Guam Appointment Dates of Service University of Guam-School of Business and Public Administration 08/06-present Cont'd. List all prior other government service excluding Government of Guam: Other Government Appointment Dates of Service Governor, State of Chuuk, FSM April 1997 to April 2005 Instructor of Social Science, Northern Marianas College August 1990 to December 1996 Special Assistant to Governor Aten and Governor Doone, Chuuk State July 1985 to April 1990 REFERENCES List three (3) character and family references (name, address, & telephone number): NAME ADDRESS PHONE 1. Dr.John C. Salas University of Guam-SBPA 689-2511 2. Dr. Ronald McNinch University of Guam-SBPA 688-9687 3. Dr. Ning Li University of Guam-SSP A 734-8559 EDUCATION Education (Circle highest grade completed & degree) \ , High School: 9 010011012 E1 College: 10203[]4[1AA[JBAEJBSO Post-Grad: MBAO JA[] MAC MS[] PhDEJ Location: Weno, Chuuk School Attended: Florida Atlantic Univ School Attended: U.S. International Univ Location: Boca Raton, Florida Location: San Diego, California Concentration: Social Psychology Concentration: Leadership & Human Behavi Degree: _B_A________ _ Degree: MA & Ph.D. Attended From: Jan-74 to May-77 Attended From: Sep-77 to Jun-85 Other Degrees or Certificates: TRAINING APPOINTMENT APPLICATION Page 2 of 14 Approved: 11/25/02 Cont'd. Include professional institutes, seminars, and on-the-job training attended with date: INSTITUTE/SEMINARS/ON-THE-JOB DATE AWARDS List all educational, professional, civic awards, & recognition for public service: PROFESSIONAL INVOLVEMENT List involvement on a local/nationallintemationallevel, list organizations, activities participated in, offices held: Member, Board of Regents, College of Micronesia Member, Board of Directors, Bank of the Federated States of Micronesia Member, Board of Directors, Pacific Islands Development Bank COMMUNITY/CIVIC INVOLVEMENT List organizations, activities participated in, offices held: Member, Advisory Board, Guam Salvation Army Member. Advisory Board, Sanctuary Incorporation Member, Advisory Board, UOG-Pacific Islands Microcredit Institute Chairman and co-founder, Center for Micronesian Empowerment PUBLICATIONS & PRESENTATIONS APPOINTMENT APPLICATION Page 3 of 14 Approved: ll/25/02 Cont'd. List published articles, papers delivered at professional meetings: "Cultural Diversity As An Organizational Resources: Survey of Guam Leaders". It has been published in the Journal of International Business Research, Volume 7, Special Issue 2, 2008. "The Underserved Micronesians in Guam: On Becoming Contributing Members of a 21st Century Guam Global Eco­ my". It was presented in March 2009 at the 2009 Nagoya International Business Conference. MILITARY SERVICE List type of discharge, branch, rank at discharge, current status, record of any court marshals or non-judicial punishment under the Uniform Code of Military Justice, & special distinctions & honors. Please attach copy of DD214. EMPLOYMENT HISTORY EMPLOYMENT EXPERIENCE: Please begin with your present or last positions you have held for the past ten years. Account for all periods of employment induding military service, volunteer worit, self employment and periods of unemployment in separate blocks. Use separate blocks if your duties and responsibilities changed while wor1<ing for the same employer. For volunteer wor1< , write the word "Volunteer" in the salary section for that block. To receive full credit for your experience, describe in detail the tasks you were assigned. If you supervised others, explain your duties as a supervisor and indicate the number and kinds of employees you supervised. If more space is needed, please use supplemental form attached. Your answers may be verified with former employers. Employer: University of Guam-SBPA From: of{>/t>t, To: CJ , ~LJ~ l Address: UOG 0 Full-Time OPart-Time City: Mangilao State Guam Zip 96923 Average hours worked per week: '-tV Name of Supervisor: Dr. Anita Bo~a Enriquez, Dean of SBPA Starting Salary: .:')1/J PI~ per'I[ Your Title: Assistant Professor in Public Administration Ending Salary: pe( Duties & Responsibilities: 0 Resigned 0 Discharged OOther Teaching undergraduate and graduate courses in the Public Administration/Legal Studies Program and in the Master of Public Administration Program. Serve on various University committees and as advisor to students. May we contact your previous employer: 0 YES ONO Reason(s) for Leaving: What did you NOT like about your job? Nothing ! Employer: Chuuk State, FSM From: Apr-97 To: Apr-05 dress: Office of Governor, Chuuk State 0Fuii-Time 0 Part-Time APPOINTMENT APPLICATION Page 4 of 14 Approved: II /25/02 Cont'd. City: Weno State Chuuk Zip 96942 Average hours worked per week: Name of Supervisor: Starting Salary: $36,000.00 per yr Your Title: Governor of Chuuk State, FSM Ending Salary: $36,000.00 per yr Duties & Responsibilities: 0 Resigned 0 Discharged 00ther Responsible for the over well being of the people, government and economy of the State of Chuuk. May we contact your previous employer: 0 YES ONO Reason(s) for Leaving: What did you NOT like about your job? Nothing Had served for two consecutive terms Employer: Nothern Marianas College From: Aug-97 To: Dec-96 Address: Northern Marianas College 0Fuii-Time OPart-Time City: Saipan State CNMI Zip 96950 Average hours worked per week: 40 Name of Supervisor: Mr. Noel Tisacan Starting Salary: $35,000.00 per yr Your Title: Instructor of Social Science Ending Salary: $45,000.00 per yr Duties & Responsibilities: OResigned 0 Discharged OOther Teaching social science courses and current issues of the Northern Marianas. Serve on various college wide committees and as advisor to students. I May we contact your previous employer: 0 YES ONO Reason(s) for Leaving: What did you NOT like about your job? Nothing Become Governor of Chuuk State, FSM Employer: Office of the Governor of Chuuk State, FSM From: Jun-1 985 To: Aug-1990 Address: Office of the Governor, State of Chuuk, FSM 0Fuii-Time OPart-Time City: Weno State Chuuk Zip 96942 Average hours worked per week: 40 APPOINTMENT APPLICATION Page 5 of 14 Approved: 11/25/02 Cont'd.
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