Federal Background Investigation Questionnaire Form

Federal Background Investigation Questionnaire Form
Complete this Federal Background Investigation Questionnaire Form to provide the information required for your federal background investigation. Please answer all questions accurately.
Full Name
First NameMiddle NameLast Name
Date of Birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Contact Information (Email Address)
example@example.com
Contact Information (Phone Number)
Please enter a valid phone number.Format: (000) 000-0000.
Current Residential Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Residence History (List all addresses for the past 5 years, including dates of residence)
Employment History (List all employers for the past 5 years, including positions and dates)
Education History (List all educational institutions attended, including degrees and dates)
Criminal History (Have you ever been convicted of a crime? If yes, provide details)
Foreign Contacts and Travel (List any foreign contacts and all international travel in the past 5 years)
References (Provide names, contact information, and relationship for at least two references)
Should be Empty: