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 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. Name of Supervisor: Governor Aten and Governor Doone Starting Salary: $21,000.00 per yr Your Title: Special Assistant on Management & Research Ending Salary: $21,000.00 per yr Duties & Responsibilities: OResigned 0 Discharged 00ther Advise the Governors on best practices of management and do research on educational effectiveness. May we contact your previous employer: 0 YES ONO Reason(s) for Leaving: \l\lhat did you NOT like about your job? Nothing To become Instructor of Social Science at NMC Employer. From: To: Address: 0 Full-Time OPart-Time City: State Zip Average hours worked per week: Name of Supervisor. Starting Salary: per Your Title: Ending Salary: per Duties & Responsibilities: OResigned 0 Discharged OOther I I May we contact your previous employer. 0 YES ONO Reason(s) for Leaving: V\lhat did you NOT like about your job? Nothing APPOINTMENT APPLICATION Page 6 of 14 Approved: 11/25/02 Cont'd. Explain any periods of unemployment longer than thirty days: ------ I was unemployed after completing two consecutive terms as Governor of Chuuk State. Since April 2005 to July 2005, I was a fisherman. MANAGEMENT EXPERIENCE A Have you ever managed a Business, Department or an entire organization? 0 YES 0 NO If YES, did you report to a Board of Directors? 0 YES 0 NO If your answer is NO, please select the management position/title you held: 0 Lead 0 Administrator 0 Deputy Director 0 Supervisor 0 Superintendent 0 Assistant General Manager OManager 0 Director (under a GM/CEO, President) 0 Vice President B Number of years of service in the highest ranking management position you have held. (Please check one of the following) 0 under 1 year 0 9+ - 15 years 0 1+ - 3 years 0 15+ - 20 years 0 3 + - 5 years 020+ and up 0 5+- 9 years C Sector of Organization you served with the most years. 0 GOVERNMENT: 0 Local 0 Federal OPRIVATE OOTHER: ------SUPERVISORY APPOINTMENT APPLICATION Page 7 of 14 Approved: 11/25/02 Cont'd. A Total number of employees in the organization/department you have managed: 0 50 and under 0 101 - 250 0 501 and up 051-100 0251-500 Average number of staff who reported directly to you: 0Under25 0 201 - 300 0 501 and up 026 - 50 0301-400 051-200 0401-500 Are you knowledgeable of the local and federal labor laws? OYES ONO PERFORMANCE RATING A Was the organization/department you managed "profitable" or did your organization perform as formally planned? 0YES ONO Variance from projected income: 0 Below plan 0 Met plan OAbove plan Variance from projected expenses: 0 Below plan 0 Met plan OAbove plan OTHER ABILITIES A Have you ever participated in a strategic planning process? 0YES ONO If YES, please select one of the following to describe your participation. 0 Facilitated 0 Directed 0 Implemented Do you have any experience with : Restructuring an organization 0YES ONO Process Improvement 0YES ONO Re-engineering 0YES ONO Total Quality Management 0YES ONO Have you ever participated in formal negotiations with another organization? 0YES ONO If YES, check the boxes describing your role: 0 Observer OAssistant 0 Chief Negotiator 0 Advisor/Consultant Have you been involved in policy making process? 0 YES ONO If YES, please check the boxes which best describes your role: 0 Management 0 Board and/or Commission 0 Legislation (includes lobbying process) A Have you been involved in promoting the use of Technology in your organization? 0 YES 0 NO Please select all items which describes your involvement 0Sponsor 0 Development 0Pianning ODesign 0 Coordination 0 Implementation Have you been involved in applying, administering, awarding Grants? APPOINTMENT APPLICATION Page 8 of 14 Approved: 11/25/02 Cont'd. Please check the boxes which best describes your involvement: OAide 0 Administrator 0 Researchers 0 Reviewer OWriter 0 Funder SKILLS Indicate appropriate letter for your skill level: C=Course only F-Fair G-Good E= Excellent Windows Software: Skill Level Version Skill Level Version (C-F-G-E) (C-F-G-E) MSWord G Good Word Perfect G Excel F Fair Presentation G PowerPoint G Good Quattro Pro None Lotus None GENERAL Summarize and explain any experience andfor skills which you feel would be beneficial to employers: Explain: I can work effectively with people from different cultural background and to empower them to become the best. Of the jobs you have held, which did you like best? Why? Teaching at the University of Guam_ Sharing and leamin~ from students and colleagues. What do you feel are your outstandin~ strengths? I belive in team work (unity of though s, hearts and good deeds) with profound integrity and respect among team memoers IS VItal towara effectiVeness ana human exceellence. What do you feel are your primary weaknesses? I have hard time to sax no when it comes to the needs of the underserved Micronesians What gives you the most satisfaction in your work? When students and employees work hard and become effective and productive What is your concept of success? A profound commitment to workhard and never to give up even in times of great adversity APPOINTMENT APPLICATION Page 9 of 14 Approved: 11/25/02 Cont'd. Please write any additional information that you would like us to know about you (e.g. hobbies) I love scuba diving, fishing the sea and farming the land PLEASE READ CAREFULLY BEFORE SIGNING: I certify that all statements made on this application are true and complete to the best of my knowledge. I understand that any misrepresentation or omission is suffiCient to disqualify me for employment or may result in a discharge if employed. I authorize my former employers, schools, government agencies and other entities to give any information (including fact or opinion) they may have regarding me, whether or not it is on their record. I hereby release them and the company from all liabilities as a result of furnishing and receiving this information. I understand that any offer of employment is subject to satisfactory references. I understand and agree that I may be required to submit to pre-employment drug test and post-offer medical examination as part of my application for employment with the offer of employment conditioned on the result of such test and examination. I also understand and agree that at any time during my employment, I may be required to submit to a drug test and/or a medical examination. I authorize the physician conducting the examination and any laboratory testing any specimen obtained by the physician or collection site to disclose the results of the examination and the laboratory test to the organization I am applying to. If employed, I agree to abide by my employer's policies and recognize that this application is not intended in any way to create an employment contract. Date: Your application will be placed in our active application files for twelve months. If you re not employed within six months but still wish to be considered for a specific opening, please contact the Governor's Office to inform us of the specific opening for which you wish to be considered. APPOINTMENT APPLICATION Page 10 of 14 Approved: 11/25/02 Cont'd. STATE1 NTOF INANCIAL IN I STS TO: Camacho/Cruz Transition Office P.O. Box 2950 Hagatna, Guam 96932 FROM: Ansito Walter Social Security #: 0 I have no financial interest in any business. 01 do have interest(s) in the following business(es). Name/Address of Business Interest Type/Amount of Interest Bunita Yard Cleaning and Janitorial Services Owner/President Center for Micronesian Empowerment Co-founder and Chairman of the Board .c:::~ 2 Signature (~nTrlk) APPOINTMENT APPLICATION Page 11 of14 Approved: 11125/02 Cont'd. STATE NTOF TAX LIABILmES TO: Camacho/Cruz Transition Office P.O. Box 2950 Hagatiia, Guam 96932 FROM: Ansito Walter Social Security #: 01 have no delinquent or past due tax liabilities. 0 I do have delinquent or past due liabilities as follows. Name/Address of Business Interest Type/Amount of Interest Signature s1gn 1n mk) APPOINTMENT APPLICATION Page 12 of 14 Approved: 11/25/02 Cont'd. SUPPLEMENTAL Appointment App I ication Employer: Duties & Responsibilities: APPOINTMENT APPLICATION Page 13 of 14 Approved: 11/25/02 Cont'd. - ' Submit APPOINTMENT APPLICATION Page 14 of 14 Approved: ll/25/02 e Resume Ansito Walter, Ph.D. P.O. Box 26696 GMF Barrigada, Guam USA 96921 Tel.- (671) 735-2572 (riffice) 988-9354/734-9354 (home) Email.- ansitowalte?@gmail. com EDUCATION: • United States International University, San Diego, Calffornia (1977-1985)-Ph.D. in Leadership and Human Behavior. • United States International University, San Diego, California (1977-1979) graduated with a Master ifArts Degree in Human Behavior • Florida Atlantic University in Boca Raton, Florida from 1974-1977. Graduated with a Bachelor ifArts Degree in Social P.rychology • Truk High School, Weno, Chuuk State, FSM (1967-1972) graduated with a Diploma. • Faro Elementary School, Tol Municipality, Chuuk State, FSM (1960-1967) graduated with a Diploma. PROFESSIONAL EXPERIENCE: • Assistant Prrifessor in Public Administration, School if Business and Public Administration, College ifPrrifessional Studies, University if Guam from August 2006 to present. • Governor, State if Chuuk, Federated States ifMicronesia, for two consecutive terms from April1997 toApril2005. • Instructor if Social Science, Northern Mananas College, Commonwealth if the Northern Mariana Islands from August 1990-December 1996. .. • Special Assistant on Research and A1anagement to Governor rif Chuuk State, FSM from June 1985-April 1990. • Aqjunctfacui!J, College rifMicronesia-Chuuk Campus,from 1985 to 1990 • Acijunct facui!J, Universi!J rif Guam (Chuuk and CN!\11I) from 1985 to 1996. UNIVERSITY AND COMMUNITY SERVICE • Chairman and co-founder, Center for Micronesian Empowerment. • l\11ember rif Undergraduate Cum'culum Review Committee, U niversi!J rif Guam, August 2008 to present • Senior advisor, Student Government Associ'ation-Universi!J rifGuam,from August 200 to present • Advisor to Public Administration and Criminal Justice S ocie!J, School rif Business and Public Administration, U niversi!J rif Guam, from August 2006 to present • Advisor to Chuukese Student Association-Universi!J rif Guam, from 2006 to present • Member rif the Advisory Board, Guam Salvation Army from 2006 to present • Member rif the Advisory Board, Paciftc Microcredit Institute, U niversi!J rif Guam from 2006 to present • Member rif the Board rifRegmts, College rif Micronesia, from September 1985 to April 1990 • Member rif the Board rif Directors, Bank rif the Federated S fates rif Micronesia from 1988-1990. Telephone (671) 475-3370 Fax (671) 477-1500 RICHARD B. MARTINEZ Clerk of Courts Name: ANISTO WALTER SS#: ID# GUAM DL#l228111157 Date of Birth: 08/24/51 CERTIFICATE OF SEARCH The undersigned Clerk hereby certifies the following results of a diligent search of the records of this Court: Criminal Cases: Civil Cases: A. [y'] No Case Found. A. [y'] No Case Found B. 1. Criminal Case No. B. 1. Civil Case No. 2. Criminal Case No. 2. Civil Case No. 3. Criminal Case No. 3. Civil Case No. 4. Criminal Case No. 4. Civil Case No. 5. Criminal Case No. 5. Civil Case No. Criminal Record: Page of Civil Record: Page of Request for further information may be addressed at the Records Division ofthe Superior Court of Guam, Guam Judicial Center, 120 West O'Brien Drive, Hagatfia, Guam. Hours of operation are Monday- Friday, 7:00a.m. to 6:00p.m. Closed Saturday, Sunday and local/federal holidays. Court Clearances are Non-Refundable. Dated: 07/16/2009 RICHARD B. MARTINEZ Clerk of Courts BY: Depu~~)lLIN~EREZ Prepared By: LMP The absence of an original Court Seal invalidates this document. Government of Guam GUAM POLICE DEPARTMENT RECORDS & IDENTIFICATION SECTION P.O. Box 23909 Guam Main Facility, Guam 96921 July 16, 2009 SUBJECT: CRIMINAL HISTORY RECORD (RECORD OF ARREST/POLICE CLEARANCE) NAME: Ansito WALTER DATE OF BIRTH 1 os/24/51 I FINGERPRINT#: I NONE The individual has no record of arrest(s) in GPD files that are subject to Guam • law and rules and regulations of the Department. ****************NOTHING FOLLOWS***************** AS OF THE ABOVE DATE, THiS iNFORMATION MAY BE LiMITED TO A LOCAL CRiMiNAL OFFENSE ONLY AND IS NOT INTENDED FOR USE FOR ANY LOCAL, STATE, OR FEDERAL LAW ENFORCEMENT AGENCY THIS CLEARANCE iS DERIVED FROM iNFORMATION OBTAINED FROM RECORDS THAT ARE CURRENTLY ON FiLE WITH THE GUAM POLICE DEPARTMENT THIS CLEARANCE DOES NOT PROVIDE DiSPOSITIONS ON ARREST CHARGES. SHOULD DiSPOSITiON FOR ARRESTS BE NEEDED, !T SHALL BE THE RESPONSiBILiTY OF THE APPLICANT TO PROVIDE THE DISPOSiTION ON ARREST SES. The absence of an original GUAM POLICE seal invalidates this police clearance. REVISED 04/01 /09