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[SHIVERS]

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U.M.I.R.A.
PRE-INTERVIEW SCREENING

Please fill out as many applicable fields as you can.

NAME: ___________
PRONOUNS: ___________
AGE: ___________
HEIGHT: ___________
SPECIES (approx.): ___________
MORPH (approx.): ___________
POSITION APPLIED FOR: UMIRA Agent
ASSIGNMENT/FIELD: TBD

1. Are you familiar with scraps?    [ ] YES    [ ] NO
2. Are you comfortable working with/near scraps?    [ ] YES    [ ] NO
3. Can you see scraps?    [ ] YES    [ ] NO    [ ] YES, BY USING TOOLS (such as specialized goggles, glasses, etc.)
4. Can you touch, interact with, and/or use scraps?    [ ] YES    [ ] NO    [ ] YES, BY USING TOOLS (such as specialized gloves, etc.)
5. If you answered no to either of the previous questions, would you be comfortable using such tools to see/interact with scraps?    [ ] YES    [ ] NO

6. What are your thoughts on scrap ghosts? ___________
7. What are your thoughts on cryptids and other extranormal creatures/entities? ___________



(continued on back of page: )

8. Have you had any extranormal experiences?    [ ] YES    [ ] NO
9. If yes, briefly list any extranormal experiences you may have had:
You will have more time to elaborate during the interview, if need be.  ___________

Skills and/or Abilities: ___________
Likes: ___________
Dislikes: ___________
Hobbies: ___________
Fears: ___________

Please return to the front desk when you have finished.