טופס שאלון לבן / בת זוג בעל / ת אזרחות זרה בלבד (שאלון באנגלית) להורדה, הדפסה ומילוי מקוון

Form Name: Security-sensitive Post Candidate/Employee - Personal Questionnaire for Partner (foreign citizenship holder only)

Purpose of the Form:
This form is designed for individuals who are partners of candidates or employees applying for security-sensitive positions that require security clearance. The purpose of this form is to gather information about the partner's background, personal history, and potential security-related connections or activities that may impact the candidate's security clearance process.

Sections and Required Information:
1. Personal Information:
- Last Name
- First Name
- Passport Number
- National ID Number
- Citizenship
- Additional citizenships (if applicable)

2. Contact Information:
- Telephone numbers (mobile, home, work)
- Email addresses (private and work)
- Usernames on social media platforms
- Online personal blog (if applicable)
- Current workplace

3. Background and History:
- History of psychiatric treatment in the last ten years (if any)
- History of being questioned or arrested by police or civilian authorities
- History of indictments or legal proceedings (excluding traffic offenses)
- Contact with security/intelligence forces or UN personnel
- Ties to official embassy employees (excluding Israeli embassy employees)
- Military service or service in security/intelligence agencies
- Involvement in espionage directly or indirectly
- Involvement in violent activities against the government and its institutions
- Membership in entities engaged in espionage or violent protests
- Maintaining contact with individuals involved in espionage or violent protests
- Willingness to discuss any of the above-mentioned subjects orally

4. Details of Immediate Family Members:
- Information about immediate family members (children, parents, siblings, including stepfamily members) in your country and abroad

5. Declaration:
- A declaration stating that the questionnaire has been answered truthfully and fully, with awareness of the consequences of providing false information

Note: This form is specifically for partners of candidates or employees with foreign citizenships applying for security-sensitive positions. The information provided is crucial for assessing the security clearance eligibility of the candidate.

It is important to fill out this form accurately and honestly, as any false information or omissions may have a significant impact on the partner's ability to obtain the required security clearance for the position. The security personnel handling this information are committed to maintaining confidentiality and respecting individual privacy.