[ SITE 175 : BABYLON ]

[A.O.C.I. PERSONNEL APPLICATION FORM] FACILITY DESIGNATION: Site 175 SECTION I – PERSONAL INFORMATION Full Name: ____________________________ Date of Birth: ___________________________ Place of Birth: ___________________________ Citizenship: ___________________________ SECTION II – IDENTIFICATION & SECURITY AOCI ID Number (if pre-existing personnel): ___________________________ Clearance Level Requested: ☐ Level 1 ☐ Level 2 ☐ Level 3 ☐ Level 4 Previous Clearance (if any): ___________________________ Background Check Authorization: ☐ Granted ☐ Denied Medical Examination Completed: ☐ Yes ☐ No Psych Evaluation Completed: ☐ Yes ☐ No SECTION III – POSITION REQUESTED Role Applied For: ______________________________________ Division: ☐ Containment ☐ Research ☐ Security ☐ Medical ☐ Technical ☐ Administrative Availability: ☐ Immediate ☐ Within 30 days ☐ Classified SECTION IV – QUALIFICATIONS & EXPERIENCE Education / Training: ________________________________________ Certifications / Licenses: ________________________________________ Prior Employment / Service Record: ________________________________________ Experience with Anomalous Materials or Entities: ☐ Yes ☐ No If yes, describe: ________________________________________ SECTION V – PSYCHOLOGICAL PROFILE Have you experienced hallucinations, memory loss, or temporal distortion? ☐ Yes ☐ No Do you possess any latent anomalous traits or exposure history? ☐ Yes ☐ No If yes, specify: _____________________________________ Emergency Contact (non-AOCI personnel prohibited): ___________________________ SECTION VI – AUTHORIZATION By signing below, the applicant acknowledges that false information, concealment of anomalous contact, or failure to comply with Site 175 Facility protocols may result in termination, detainment, or reassignment to experimental duty. Signature: ___________________ Date: ______________ (This scenario features LewdLeah’s Auto Cards. They’re automatically disabled.)