Contact Information

Given Names

Surname

The information provided on this form will be used to pre-qualify your suitability for an AGSVA Security Clearance, and to establish your user profile in our system.

The information provided must match your primary form of identification.

Eligibility and Suitability Questionnaire

1. Are you an Australian Citizen aged 18 years or more?

Yes No

You must be an Australian to get a security clearance.

2. Do you have a provable identity?

Yes No

The checks will be similar to those undertaken opening a bank account.

3. Do you have a background that can be checked?

Yes No

History checks may be up to ten years depending on the clearance sought, please see the Application Information and Documents tile on the AGSVA website.

4. Have you ever been involved in a workplace investigation (security or otherwise)?

Yes No

If you have been and do not declare it, we will not sponsor you.

5. Have you ever been denied a security clearance, or had a security clearance revoked for any reason in any jurisdiction?

Yes No

If you do not declare a security issue, we will not sponsor you.

6. Are you currently engaging with a consultant from a Labour Hire or Employment Company?

Yes No

We need to satisfy ourselves you have a valid reason for wanting a security clearance. This is our preferred evidence.

Consultant Name

Consultant Email

7. Do you have a legitimate need for a security clearance?

Yes No

If you do not, we will not sponsor you.

Please describe why you need an active security clearance.

We may need to ask you more questions in this regard, which will slow your application, so please be specific.

I confirm the information provided above is truthful and correct. I am aware that mySecurityClearance and it's partner organisations may make relevant enquiries regarding my eligibility for a Security Clearance. I acknowledge and authorise mySecurityClearance to use this information for the purpose of suitability checking for an AGSVA security clearance sponsored by SME Gateway Pty Ltd.

Email address

mySecurityClearance is a registered trading name of SME Gateway Pty Ltd ABN 51 106 981 560, which is also the holder of the DISP membership managing all aspects of the mySecurityClearance security services.