Warehouse 23 Application

APPLICATION FOR EMPLOYMENT FOR WAREHOUSE 23

Please answer questions to the best of your ability and answer truthfully. 
For all questions where you do not have an answer, please put N/A. All   
applications are kept confidential.

1. Name (Please also list all known aliases and nick names)

2. Age

3. Sex

4. Race

5. Planet of Origin, (if PoO is Earth, then country of origin)

6. Birth date in Earthen notation

7. List the last five years of employment experience

8. List highest level of education achieved.

9. List all colleges, technical schools, and universities attended; and degrees earned.

10. Military Experience? If yes, please explain.

11. Law Enforcement experience? If yes, please explain.

12. Have you been convicted of any crimes? If yes, please explain.

14. Have you had experience with Aliens and/or extraterrestrials?

15. Do you have any weapon training? If so please specify what kinds of weapons you are familiar and/or proficient with using?

16. Have you experienced any supernatural phenomena?

17. Care to confess anything you feel guilty about? If yes, please explain.

18. Do you have any psionic abilities? If yes, please list

19. What languages do you speak?

20. Any known medical conditions? If yes, please list.

21. Are you taking any prescribed medications? If yes, please list.

22. Have you been institutionalized for a mental condition? If yes, please explain.

23.

24. Have you ever been admitted to a hospital for more then a day? If yes, please explain.

26. Do you have any phobias or fears? If so, please list them all.

27. Are you addicted to any substance? If yes, then please list the substances you are addicted to. Also, please list the frequency of usage, dosage, and preferred method of use.

28. Please list any debts that need to be paid.

29. Have you ever poked a dead animal with a stick?

30. Do you want to leave your body to science after you die?

31. Have you ever seen a dead body?

32. Do you have any allergies?

33. Do you hear voices and/or noises that other people claim not to hear?

34. In what form do you want to get paid? (Please specify your preferred type of payment)

33. Have you answered every question on this test truthfully?

35. Have you pledged loyalty to any social, political, religious, or governmental organizations?

36. Do you know of having any past lives?

37. Are you in full control of your body at this time?

38. Have you sold your soul to the devil or to any other supernatural entities?

39. Have you traveled to other dimensions and/or alternate realities?

40. Did you ever have an imaginary friend?

41. Have you traveled in time? If so, please specify whether it was the past and/or the future.

42. Should a team member be willing to make sacrifices for the sake of the group?

43. Do you sometimes feel that things you see on the TV or read in the newspaper have a special meaning for you?

44. Do you sometimes see special meanings in advertisements, shop windows, or in the way things are arranged around you?

45. Have you ever seen things invisible to other people?

46. Do you have any moral compunctions against killing sentient beings?

47. When you look at a person, or yourself in a mirror, have you ever seen the face change right before your eyes?

48. Have you lied on any question in this application?

49. Is there anything you would like us to know that we didn’t ask about?

50. How did you hear about us?