SHOW:
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- or go back to the newest paste.
| 1 | Gender: | |
| 2 | - | [] Male [] Female [] Other (Please Specify On Line Below) |
| 2 | + | [X] Male [] Female [] Other (Please Specify On Line Below) |
| 3 | ||
| 4 | ________________________ | |
| 5 | ||
| 6 | Race: | |
| 7 | - | [] Caucasian [] African-American [] Native American |
| 7 | + | [X] Caucasian [] African-American [] Native American |
| 8 | [] Asian (Japense) [] Asian (Other) [] Atzlander | |
| 9 | [] Other (Please Specify On Line Below) | |
| 10 | ||
| 11 | ________________________ | |
| 12 | ||
| 13 | Metatype | |
| 14 | - | [] Human [] Dwarf [] Ork |
| 14 | + | [X] Human [] Dwarf [] Ork |
| 15 | [] Elf [] Troll | |
| 16 | [] Other, including Metavariants (Please Specify On Line Below)) | |
| 17 | ||
| 18 | ________________________ | |
| 19 | ||
| 20 | Are you Awakened or Emerged? | |
| 21 | - | [] Yes [] No |
| 21 | + | [] Yes [X] No |
| 22 | ||
| 23 | If you answered Yes to question 3, please specify type of Awakening or Emergence: | |
| 24 | [] Mage [] Adept | |
| 25 | [] Mystic Adept [] Technomancer | |
| 26 | ||
| 27 | Below, please note specialty. | |
| 28 | - | [] Primary Combatant ('Street Samurai') [] Hacker [] Rigger
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| 28 | + | [] Primary Combatant ('Street Samurai') [] Hacker [X] Rigger
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| 29 | [] Infiltrator [] Spellcaster (if Mage or MystAd) [] Summoner (if Mage or MystAd) | |
| 30 | [] Face | |
| 31 | ||
| 32 | Below, please note secondary ability. | |
| 33 | - | [] Secondary Combatant [] Hacker [] Rigger |
| 33 | + | [] Secondary Combatant [X] Hacker [] Rigger |
| 34 | [] Infiltrator [] Spellcaster (if Mage or MystAd) [] Summoner (if Mage or MystAd) | |
| 35 | [] Face [] None (Hyper-Specialist) | |
| 36 | ||
| 37 | Below, please select any common ailments. | |
| 38 | [] Burnout Awakened/Emerged [] Cyberpsychotic [] Combat Monster | |
| 39 | - | [] Addiction (PLease specify on line below) [] SINner |
| 39 | + | [] Addiction (PLease specify on line below) [X] SINner |
| 40 | [] Allergy (Please specify on line below) [] Corporate Ties | |
| 41 | [] Dealt With Dragons | |
| 42 | ||
| 43 | ________________________ | |
| 44 | ||
| 45 | in the two lines below, please list all fields in which you have contacts. | |
| 46 | ||
| 47 | __Advanced Robotics and Mechatronics (Academic), Electrical Engineering (Academic), Open-Source Programming Circle, Warez House, Grey Market military surplus provider (survivalist, NAN), Grey Market LEO surplus provider (Lone Star Quartermaster)_________ | |
| 48 | ||
| 49 | In the two lines below, please list any special limitations or potentially lethal drawbacks to hiring you. | |
| 50 | ||
| 51 | _____________________________________________________________ | |
| 52 | ||
| 53 | _____________________________________________________________ | |
| 54 | ||
| 55 | Thank you for filling out an application with Fixernet. You will be alerted by secure comm if a team has decided to hire you. |
