Document 4v3D0pMaYYezz1R2vqORqxpmj

The White House Presidential Personnel Office ______________________________ SKC/SES BIO SHEET________________________ This information is necessary to begin the clearance process. Return to White House Liaison when completed. PART I: PERSONAL INFORMATION (TO BE COMPLETED BY THE CANDIDATE) I 1. FULL NAME (Last, First, Middle): { 2. SOCIAL SECURITY NUMBER: I Ex 6 T cRREnT RESIDENTIAL A D D R E S S (N u m ^ [................................... Ex! 6 .................................. 4. VOTING ADDRESS IN 2016 (Number, Street, City, State, ZIP Code, if different than current address) Ex. 6 I 5. PLACE OF BIRTH (City, State; if not U.S., state, country) [ 6. GENDER | 7. DATE OF BIRTH I.................................................... Ex. 6....................................................! L8' ETHNIC HmTAGE j ' RACE [ i Tp OUTCAl"PARTY I..................................................................Ex. 6................................................................... ! 11. HOME PHONE [ 12. CELL PHONE.. ' Ex. 6 J 13. WORK PHONE 14. PERSONAL EMAIL ' ' j 15. WORK EMAIL" I.................................................... Ex. 6.....................................................1 16. CURRENT POSITION (Title, Company) ] 17. WORK ADDRESS (Number, Street, City, State, Zip) I.......................................................Ex. 6..................................................... "TsT p LA S LS TA LLS cIL'M'dI C ( 's a y ^ .................................... Ex. 6.................................... 19. EDUCATION (Degree, Institution, Year) [ 20. AWARDS .......................... Ex. 6...................... 21. MILITARY SERVICE (Rank, Branch, Years! ....... ] 22. PREVIOUS PRESIDENTIAL APPOINTMENTS Ex. 6 PART II: POSITION INFORMATION (TO BE COMPLETED BY WHITE HOUSE LIAISON) 1. POSITION TITLE 2. AGENCY Environmental Protection Agency 2. APPOINTMENT TYPE 3. GRADE 4. OPM NUMBER 5. WH LIAISON NAME C harles Munoz 6. WH LIAISON PHONE 202- 564-3097 7. WH LIAISON EMAIL M unoz.C harles@ epa.gov Sierra Club v. EPA 18cv3472 NDCA Tier 10 ED 002061 00145919-00001