(by Applicant or Employee)

I, (name of applicant or employee), do hereby voluntarily consent to any and all lawful security examination and investigations conducted at the request of XYZ Employer.  The purpose and procedures of the investigation have been fully described to me and I completely understand the reasons and potential uses of such investigations.  I agree that the results of the investigations will be given to XYZ Employer and that the results may be used to make decisions regarding my employment and can be disclosed to other third parties.

The cost of this investigation will be paid by XYZ Employer.  As a consequence of any adverse information obtained about me by said investigation, I understand that I may not be offered a job with XYZ Employer or may be summarily discharged if I am currently working at XYZ Employer.  Nonetheless, I hereby indemnify, release and forever discharge and hold XYZ Employer and its subsidiaries and affiliated companies, agents and employees harmless from any and all claims, demands, judgments and legal fees arising out of or in connection with this investigation, the results, or any lawful use of the results.