Document EdDVzMRJzMzYvv2pzDG6RB1nL

13 POINTS MEMO: New Hire Approval Request AGENCY: Environmental Protection Agency CANDIDATE INFORMATION (To be completed by applicant) Name: Phone: Email: Date of Birth: Place of Birth: Current Address: Social Security Number: 5 Year Salary History: o 2017: o 2016: o 2015: o 2014: o 2013: Resume Required (Disregard if already submitted) PROPOSED POSITION (To be completed by the White House Liaison) APPT TYPE (Schedule C, NC-SES, XS, AD): OFFICE: SUBOFFICE: POSITION TITLE: REQUESTED EFFECTIVE DATE: JOB DESCRIPTION: PDF Attached Sierra Club v. EPA 18cv3472 NDCA Tier 1 ED 002061 00147332-00001