Document yk8odwobzXyXbBYaLDY9zYN9r

O FFICE OF THE PRESIDENT Presidential Personnel O ffice A P P O IN TE E IN FO R M A TIO N S H E E T NOTICE: Return to the Office of Presidential Appointments as soon as complete. This information is necessary to begin the clearance process. Return via email to incomingPPOdocs@i Ex. 6 lor contact the office for alternate submission methods. PART I: TO BE COMPLETED BY POTENTIAL APPOINTEE 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) 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. SPOUSE 19. CHILDREN 20. NAME AND HOME STATE (For official announcement and nomination) 21. EDUCATION (Degree, Institution, Year) 22. AWARDS 23. MILITARY SERVICE (Rank, Branch, Years) 24. PREVIOUS PRESIDENTIAL APPOINTMENTS 1. POSITION PART II: TO BE COMPLETED BY PRESIDENTIAL PERSONNEL 2. TYPE 3. VICE 4. TERM 5. POTUS APPROVAL 6. SECURITY PACKAGE SENT 7. COUNSEL START INTERNAL WHITE HOUSE DOCUMENT, NOT FOR RELEASE WITHOUT PRIOR WHITE HOUSE APPROVAL Sierra Club v. EPA 18cv3472 NDCA Tier 10 ED 002061 00144493-00001