Document oL6rNJwbz7gQ9KQ3aYXjE2rw

The W hite House Presidential Personnel Office S K C /S E S BIO S H E E T NOTICE: This information is necessary to begin the clearance process. Please return to the White House Liaison once completed. PART I: PERSONAL INFORMATION (TO BE COMPLETED BY THE CANDIDATE) 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. LIST ALL SOCIAL MEDIA ACCOUNTS (Include URLs) 19. EDUCATION (Degree, Institution, Year) 20. AWARDS 21. MILITARY SERVICE (Rank, Branch, Years) 22. PREVIOUS PRESIDENTIAL APPOINTMENTS PART II: POSITION INFORMATION (TO BE COMPLETED BY WHITE HOUSE LIAISON) 1. POSITION TITLE 2. AGENCY 2. APPOINTMENT TYPE 3. GRADE 4. OPM NUMBER 5. WH LIAISON NAME 6. WH LIAISON PHONE 7. WH LIAISON EMAIL INTERNAL WHITE HOUSE DOCUMENT, NOT FOR RELEASE WITHOUT PRIOR WHITE HOUSE APPROVAL Sierra Club v. EPA 18cv3472 NDCA Tier 7 ED 002061 00144539-00001