STANDARD FORM 86
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Questionnaire for National Security Positions
SECTION A \u2014 PERSONAL INFORMATION
Full Name: _________________________________
Date of Birth: ______________________________
SSN: _______________________________________
SECTION B \u2014 EMPLOYMENT HISTORY
(Attach additional sheets if necessary)
SECTION C \u2014 FOREIGN CONTACTS
SECTION D \u2014 CRIMINAL HISTORY
SECTION E \u2014 SECURITY CLEARANCE
Current Clearance Level: _____________________
NOTICE: False statements may result in criminal
prosecution under 18 U.S.C. \u00a7 1001.