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0690eed6eab51c5f43157edc557881c54559514e361ecb770f4a79135a19f5c6 2019/Scales,_Lee_Ann_5.23.19_-_6.pdf 2019 Lea Ann Scales     DISCLOSURE BY NON-ELECTED STATE EMPLOYEE OF FINANCIAL INTEREST AND DETERMINATION BY APPOINTING AUTHORITY AS REQUIRED BY G. L. c. 268A, § 6 STATE EMPLOYEE INFORMATION Name: Lea Ann Scales Title or Position: Vice President of Enrollment and Public Affairs State Agency: Mount Wachusett Community College Agency Address: 444 Green Street Gardner, MA 01440 Office Phone: 978-639-9320 Office E-mail: Lscales2@ My duties require me to participate in a particular matter, and I may not participate because of a financial interest that I am disclosing here. I request a determination from my appointing authority about how I should proceed. PARTICULAR MATTER Particular matter Please describe the particular matter. E.g., a judicial or other My college age son would like to apply for a seasonal position: Upward Bound Math Science proceeding, application, (UBMS) Residential Assistant. submission, request for a ruling or other This position would report to the Director of Upward Bound Math Science & North Central Mass determination, contract, Talent Search. claim, controversy, charge, accusation, arrest, decision, The Director referenced above reports to the Senior Director of College Access determination, or finding. The Senior Director referenced above reports to the Assistant Dean of K-12 Partnerships & Civic Engagement. The Assistant Dean referenced above reports to me. The seasonal UBMS Residential Assistant position is part of a summer program MWCC runs on the Fitchburg State University campus. My office is located on MWCC's main campus Gardner. MAY 23 AMII:00 00 ETHICS COMMISSION RECEIVED Your required Please describe the task you are required to perform with respect to the particular matter. participation in the particular matter: I normally do not participate in the hiring of this seasonal residential position and historically have not. As vice president that oversees the division, I would typically sign off on the hiring after the E.g., approval, search process is completed and an offer has been offered and accepted. I would have to recuse disapproval, decision, myself from this step and my appointing authority could assign this to someone else. recommendation, rendering advice, In the past, in my role as vice president and member of the leadership team, I have signed off on investigation, other. budgets submitted with our grant proposal for UBM&S, but that was before I knew that a family member might apply. FINANCIAL INTEREST IN THE PARTICULAR MATTER Write an X by all that apply. I have a financial interest in the matter. My immediate family member has a financial interest in the matter. My business partner has a financial interest in the matter. I am an officer, director, trustee, partner or employee of a business organization, and the business organization has a financial interest in the matter. I am negotiating or have made an arrangement concerning future employment with a person or organization, and the person or organization has a financial interest in the matter. Financial interest Please explain the financial interest and include a dollar amount if you know it. in the matter The seasonal position, according to the posting, is $3000 for the entire program, which runs June 17, 2019 - August 2, 2019. Employee signature: Date: Jan AnScales 5.14.19 DETERMINATION BY APPOINTING OFFICIAL APPOINTING AUTHORITY INFORMATION Name of Appointing James Vander Hooven Authority: Title or Position: President, Mount Wachusett Community College Agency/Department: Agency Address: Office Phone: Office E-mail DETERMINATION Determination by As appointing official, as required by G.L. C. 268A, § 6, I have reviewed the particular matter and the appointing authority: financial interest identified above by a state employee. Write an X I am assigning the particular matter to another employee, or by your selection. I am assuming responsibility for the particular matter, or I have determined that the financial interest is not so substantial as to be deemed likely to affect the integrity of the services which the Commonwealth may expect from the employee. Appointing Authority signature: Date: James 5/14/19 Vander Hooven Comment: Attach additional pages if necessary. File copy with: State Ethics Commission, One Ashburton Place, Room 619, Boston, MA 02108 Form Revised February, 2012 2019/Scales,_Lee_Ann_5.23.19_-_6.pdf
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