<p> Version 1.0 Effective Date 6/09/2010</p><p>TC Global Staffing Tactical Recruiting Pre-screening Questionnaire</p><p>“Pursuant to National Industrial Security Program Operating Manual (NISPOM), paragraph 2.202a your completed SF 86 is subject to review. In accordance with the Privacy Act of 1974, the FSO will review your application for adequacy and completeness and the information will be used for no other purpose within the company”</p><p>Within the past seven years: </p><p>1. Have you filed a petition under any chapter of the bankruptcy code? YES____ NO____ 2. Have you had any possessions/property voluntarily or involuntarily repossessed or YES____ NO____ foreclosed? 3. Have you failed to pay Federal, state, or local taxes, or to file a tax return as required YES____ NO____ by law? 4. Have you had a lien placed again your property for failing to pay taxes or other debts? YES____ NO____</p><p>5. Have you had a judgment entered against you? YES____ NO____</p><p>6. Have you defaulted on any type of loan? YES____ NO____</p><p>7. Have you had bills or debts turned over to a collection agency? YES____ NO____ 8. Have you had any account or credit card suspended or cancelled for failing to pay as YES____ NO____ agreed? 9. Have you ever been evicted for non-payment of financial obligations? YES____ NO____</p><p>10. Have you been delinquent on court-imposed of financial obligations? YES____ NO____</p><p>11. Have you been delinquent on court-imposed alimony or child support payments? YES____ NO____ 12. Have you had your wages, benefits, or assets garnished for any reason? (i.e. child YES____NO____ support) 13. Have you ever been over 180 days delinquent on any debts? YES____ NO____</p><p>14. Are you currently over 90 days delinquent on any debts? YES____ NO____</p><p>15. Have you ever experienced financial problems due to gambling? YES____ NO____</p><p>16. Are you currently delinquent on any Federal debt? YES____ NO____</p><p>Applicant Name: ______</p><p>Recruiter Name:______Date:______</p><p>1</p>