You have been selected as a potential candidate for a position with Secure Innovations that requires access to sensitive and classified national security information. This position requires the candidate to be approved for access to classified national security information through the U.S. Government. The questions contained in this document are used to determine your eligibility for such position. Please answer all questions completely and honestly. The Government makes the final determination when granting or denying access to classified information. If the Government decides not to grant such accesses, Secure Innovations shall have no further obligation to you, but may, at its own discretion, consider you for other positions in the company that do not require access to
classified information.

I certify that the entries made by me on the Personnel Security Prescreen Questionnaire are voluntary, accurate, and complete to the best of my knowledge and believe and are made in good faith. I also certify that the answers provided on this form will be consistent with information that will be provided on any additional forms required by Secure Innovations or the government customer to include, but not limited to, the Standard Form 86 or its equivalent version, the Electronic Questionnaires for Investigations Processing (eQIP), and SCI Screening Interview forms. If I choose to decline, then I understand this could impact my ability to be considered for a position(s) requiring a security clearance with Secure Innovations.