APR Virginia Yasuhiro. Three (3) years

Transcription

1 EDDIE BAZA CALVO Governor RAY TENORIO Lieutenant Governor APR Honorable Judith T. Won Pat, Ed.D. Speaker I Mina'trentai Dos Na Liheslaturan Gualum 155 Hesler Street Hagama, Guam Dear Speaker Won Pat: By virtue of the authority vested in me pursuant to the Organic Act of Guam and the local laws applicable to the following position, I am pleased to transmit the following appointment and supporting documents for: APPOII\;1TEE: POSITION: TERM LENGTH: Virginia Yasuhiro Member, Council on Mental Health and Substance Abuse (AKA "The Advisory Council") Three (3) years The appointment is subject to the consent of J Liheslaturan Guahan. Please schedule a hearing at your earliest convenience. Enclosure ~' ~ ~ ~ ~~.f? ',.) ').90. Ricardo J. Bordallo Govemllr's Complex Adel up, Guam 969 I 0 Tel: (671) /6 fax: (67 l)

2 EDDIE BAZA CALVO Governor RAY TENORIO Lieutenant Governor Ms. Virginia Yasuhiro P.O. Box 2151 Hagatna, Guam JAN Dear Ms. Yasuhiro: Thank you for your commitment to serve the people of Guam. The Calvo Tenorio 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 tough decisions for the good of all our people. I hereby appoint you to serve in the Calvo Tenorio administration as: Member, Council on Mental Health and Substance Abuse (AKA "The Advisory Council") This appointment is subject to confirmation by I Liheslaturan Guahan and is effective upon your confirmation. Please contact the Office of the Governor at should you have any further questions regarding this appointment. Ricardo J. Bordallo Governor's Complex Adelup, Guam %9!0 Td: (671l Fax: (671) 477-"1826

3 OFFICE OF THE GOVERNOR GUAM Boards & Commissions Nomination Information The following infonnation is required for submission to the Speaker of I Liheslaturan Guahan in accordance with Title 4, Guam Code Annotated Section : M.L W. Date April 5, 2013 ApartmenUUnit # - ZIP - Phone. vyasuhiro@yahoo.com or vyasuhiro@guamcourts.org Position to which Appointment Council on Mental Health and Substance Abuse is Made Are you a citizen of the United States? YESx NO If no, are you authorized to work in the U.S.? YES NO Notre Dame High School Talofofo, Guam From 1973 To 1976 Did you graduate? YESx NO Degree High School Diploma College Mount Mary College City/State Milwaukee, Wisconsin From 1978 To 1980 Did you graduate? YESx NO Degree BA Rev Page

4 .. Graduate School University of Wisconsin-Milwaukee. City/State Milwaukee, Wisconsin From 1980 To 1981 Did you graduate? YES x NO Degree MSW Other Degree City/State From To Did you graduate? Degree 120 W. O'brien Dr. Hagatna, Gu to present (2) Previous Employer Address Position Social Worker II 1982 to 1983 Position Dates Held (4) Previous Employer Address Position Dates Held (5) Previous Employer Address Position Dates Held. Agency Phone Address Job Title From: To Rev Page

5 'Agency Phone Address Job Title From: To Institute/Seminars/On-the-Job Training: (Recent training) National Symposium on Sex Offender Management and Accountability United States Department of Justice, Office of Justice Programs Training Institute Track 1 "What Works in Therapy and Drug and Alcohol Treament" " Improving the Outcomes of the Most Challenging Consumers" Post-Traumatic Stress Disorder Telemedicine Series on Sexually Abusive Youth- Tulane University School of Medicine Guahan: Community Trauma, Family Therapy and Culturally Responsive Therapeutic Approaches-Dr. Janine Roberts and Dr. Patricia Taimanglo The Heart of Healing: A Workshop for Dealing with Secondary Stress Guam Sexual Assault and Abuse Resource Center 2012 Annual Conference of the National Council on Family Relations Families and Health, Phoenix, Arizona Motivational Interviewing: Strategies for Eliciting Change in Clients April 21-23, 2009 Sept 17-19, 2009 April 15, 2011 July - September 2011 April 26 & 27, 2012 April 30, 2012 October 31 - November 3, 2012 February 13, 2013 April 15-17, 2013 List all educational, professional, civic awards, and recognition for public service: Rev jPage

6 MERIT AWARD, University of Guam, OUTSTANDING PARTICIPATION AWARD, University of Guam, CUM LAUDE, Mount Mary College, Who's Who Among Students in American Universities and Colleges, Mt. Mary College, Advanced Opportunity Program Fellowship, University of Wisconsin, Milwaukee, Meritorious Award, Department of Public Health and Social Services, Employee of the Year, Client Services and Family Counseling, Superior Court of Guam Best All Around, Superior Court of Guam Social Worker of the Year, Guam Association of Social Workers Manager of the Year, Judiciary of Guam List involvement on a local/national/international level, list organization, activities participated in, offices held: Association of Individual, Marriage and Family Therapists, 1990 to present - Member, Past Treasurer; National Association of Social Workers Member, Member, Past Guam Chapter Treasurer; Guam Association of Social Workers, Member, 1990 to Past Vice-President. Past Historian. List organizations, activities, participated in, offices held Technical Assistance Training Advisory Committee, Project Karinu, March 3, 2010 to March 3, 2011; Guam System of Care Council, Judiciary Representative, 2006-Present; PEACE Council, September 14, 2011 to present; Guam's Service Members, Veterans and their Families (SMVF) lnteragency Planning Team, Judiciary Representative, March 12, 2013 to present; Juvenile Justice Commission, April 20, 2011 to present; Prevention of Sexual Abuse of Children Task Force (The LaniKate Protehi Y Famaguon-ta Act-Public Law 31-97), February 2, 2012 to present; Family Violence and Sexual Assault Task Force, Co-Chairperson, ;Strategic Planning Committee, Judiciary, 2006 to 2007, 2011to present; University of Guam, Social Work Adjunct Professor and Field Instructor for Social Work, Psychology and Counseling Education, 1996 to 2012; Equal Employment Opportunity Official, March 1, 1995 to September 15, 2005; Council on Mental Health and Substance Abuse, Recorder, 1987 to 1991, Vice-Chairman, 1991 to 1993; Domestic Violence Task Force, Member, , ; Multi Agency Child Sexual Abuse Treatment Team Task Force, ; Youth Policy SteeringCommittee, Department of Youth Affairs, 1988 List any published articles, papers delivered at professional meetings, etc.: Branch From To Rank at Discharge Type of Discharge Rev jPage

7 YQTHf:Rlt'lf~~~~-~[11~~.~::~~ ( 1) Have you ever been found guilty of a felony in any court, whether within or without the United States? If so, please specify in detail: YES NOx Date of Conviction: Specific infraction committed: (2) Have you ever been declared mentally incompetent by any court, whether within or without the United States? If so, please specify in detail the reasons and facts related to such declaration: YES NOx (3) Have you ever been found not guilty or not punishable in any criminal proceedings by reason of insanity? YES NOx (4) Have you ever been confined to a mental institution for any reason? YES If so, please specify in why the appointing authority believes you that you are not suffering from any mental illness or affliction: Rev !Page

8 ~- ~ Statement of Financial Interests TO: Governor Eddie Baza Calvo Ricardo J. Bordallo Governor's Complex Adelup, Guam FROM: x I have no financial interest in any business 0 I do have interest(s) in the following business(es): Name and address of business interest: - - ~ Type and amount of interest Signatu~--~ 7 Date Rev [Page

9 ~ ~- -- ~ -- Statement of Tax Liabilities TO: Governor Eddie Baza Calvo Ricardo J. Bordallo Governor's Complex Adel up, Guam 969 l 0 FROM: x I have no delinquent or past due tax liabilities: 0 I do have delinquent or past due tax liabilities: ~ ~ ~ Name and address of business interest: ~--~ Type and amount of interest -~ ~- ).- -,,.. ' \ L,/ t 'L 4- I f? Date + Rev scm 71Page

10 I, the undersigned, do hereby depose and say that (1) I have read and reviewed the information contained in the attached AppointmenUNomination letter from the Governor of Guam; (2) that the matters contained in the AppointmenUNomination letter, together with all attachments thereto, are true and correct and that I am competent to testify to said matters; and (3) that this Declaration is made for the purpose of complying with the requirements of 4 G.C.A. Section I declare under penalty of perjury under the laws of Guam (4 G.C.A Section 4308) that the foregoing is true and correct. Signature Rev scrn SIP age

11 Government of Guam GUAM POLICE DEPARTMENT RECORDS & IDENTIFICATION SECTION P.O. Box Guam Main Facility, Guam April 24, 2013 SUBJECT: CRIMINAL HISTORY RECORD,_ NAME: Virginia W. Y ASUIDRO DATE OF BIRTH: 'FINGERPRINT#: I rrhe individual has no record of criminal conviction(s) in GPD files that an 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 DOES NOT REFLECT AR.REST (S) PENDING ADJUDICATION By Direction: neng h~m T b< of"" odf UAM POLICE seal invalidates this police clearance. R(VlSED 07/ c ~ ln\ BO~ALLO, JR. Chief of Police

12 SUPERIOR COURT OF GUAM Guam Judicial Center 120 West 0 'Brien Drive Hagatf'\a, Guam RICHARD B. MARTINEZ Clerk of Courts Telephone (671) Fax (671) Name: VIRGINIA W. YASUHIRO SS#: ID# GUAM DL#: Date of Birth: 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.!/'] No Case Found. A. [ ] No Case Found B. I. Criminal Case No. B. I. 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 1 of 1 Civil Record: Page of Request for further information may be addressed at the Records Division of the Superior Court of Guam, Guam Judicial Center, 120 \\/est O'Brien Drive, Hagatna, Guam. Hours of operation are Monday Friday, 8:00 a.m. to 5:00 p.m. Closed Saturday. Sunday and local/federal holidays. Court Clearances are 1\1011- Refundable. Dated: April 24, 2013 RICHARD B. MARTINEZ Clerk of Courts The absence of an original Court Seal invalidates this document Prepared By: JJAP