Document Lpqag84Z8Y9oB9k7NeqEBNzK7

The W hite House Presidential Personnel Office S K C /S E S BIO S H E E T This information is necessary to begin the clearance process. Return to White House Liaison when completed. P A R T I: P E R S O N A L IN FO R M A TIO N (TO BE C O M P L E T E D BY TH E C A N D ID A TE ) 1. FULL NAME (Last, First, Middle): 2. SOCIAL SECURITY NUMBER: 3. CURRENT RESIDENTIAL ADDRESS (Number, Street, City, State, ZIP Code) 4. VOTING ADDRESS IN 2016 (Number, Street, City, State, ZIP Code, if different than current address) 5. PLACE OF BIRTH (City, State; if not U.S., state, country) 6. GENDER 7. DATE OF BIRTH 8. ETHNIC HERITAGE 9. RACE 10. POLITICAL PARTY 11. HOME PHONE 12. CELL PHONE 13. WORK PHONE 14. PERSONAL EMAIL 15. WORK EMAIL 16. CURRENT POSITION (Title, Company) 17. WORK ADDRESS (Number, Street, City, State, Zip) 18. PLEASE LIST ALL SOCIAL MEDIA ACCOUNTS (Or say none if you have none) 19. EDUCATION (Degree, Institution, Year) 20. AWARDS 21. MILITARY SERVICE (Rank, Branch, Years) 22. PREVIOUS PRESIDENTIAL APPOINTMENTS P A R T II: PO SITIO N IN FO R M A TIO N (TO BE C O M P L E T E D BY W H IT E H O U S E LIA ISO N ) 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 00147734-00001