Underlag för sakerhetsprövningsintervju FÖLJANDE FÅR INTE EFTERFRÅGAS: ETNISK BAKGRUND, SEXUELL LÄGGNING, POLITISK TILLHÖRIGHET, FACKLIGT ENGAGEMANG, SJUKDOM OCH HANDIKAPP Datum: ________ Intervjuperson: _______________________ Personnr:____________ 1. Orsak till säkerhetsprövning (tjänst, uppdrag) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2. Familjeförhållanden (make/maka/sambo/partner, föräldrar, syskon, barn) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 3. Fritidsintressen ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 4. Föreningsliv ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 5. Bisysslor eller annan näringsverksamhet ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 6. Boendeform ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 7. Beskriv din resesituation (ex. om du pendlar) ___________________________________________________________________________ ___________________________________________________________________________ 1 8. Beskriv dina språkkunskaper ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 9. Resor i utlandet ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 10. Utländska kontakter utomlands och i Sverige ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 11. Misstänkt för brott? Dömd eller erhållit strafföreläggande? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 12. Kontakter med kriminellt belastade individer ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 13. Alkohol och droger ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 14. Har du fått ovanliga frågor kring din tjänsteutövning? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 15. Beskriv hur du ser på ditt säkerhetsmedvetande (på jobbet och privat) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2 16. I vilken mån sprider du information om dig själv (ex. facebook, match.com e.dyl.) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 17. Hur ser din ekonomiska situation ut? ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 18. Eventuell övrig information som kan påverka säkerhetsprövningen av dig ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 19. Egna frågor kring säkerhet ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Intervjuarens slutsats ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Intervjun genomfördes av: _______________________________ Signatur _______________________________ Namnförtydligande 3