Document rx7dNZbbdGkrX9aoE9ZrLX9Qe
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)
1. FULL NAME (Last, First, Middle):
J 2. SOCIAL SECURITY NUMBER:
Ex. 6
4. VOTING ADDRESS IN 2016 (Number, Street, City, State, ZIP Code, if different than current address)
Ex. 6
..5;.PLACE_0.M R I.H JC jty.,.^
____IJ.: GENDER_________ LZi.PATE OF BIRTH.
Ex. 6
JL.ETHbJG..HERJ.TAG_E_.
Ex. 6
11. HOME PHONE
12. CELL PHONE
Ex. 6
13. WORK PHONE
14. PERSONAL EMAIL
15. WORK EMAIL
Ex. 6
16. CURRENT POSITION (Title, Company)
I I 17- WORK ADDRESS (Number, Street, City, State, Zip)
Ex. 6
19. EDUCATION (Degree, Institution, Year)
Ex. 6
20. AWARDS
Ex. 6
,2.L.MJ.y.IA.RY SERVICEiR.ank,_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 M unoz
6. WH LIAISON PHONE
202- 564-3097
7. WH LIAISON EMAIL
Munoz.Charles@ epa.gov
Sierra Club v. EPA 18cv3472 NDCA
Tier 10
ED 002061 00146029-00001