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Full First Name
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Provide your complete first name. E.g. James > Jim is insufficient.
Middle Name
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If you have no middle name, please state: N/A
Last Name
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Street Address
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Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Phone Number
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Email Address
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What are your short-term career intentions within the next 2-years?
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If Military, are you Active Duty, Reserves, Transitioning out or Retired?
High School Diploma or Equivalent?
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Yes
No
Do you have any experience with professional Role Playing?
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I have no experience
Entry Level: 6 months to 1 year
Intermediate: 2 – 4 years
Advanced: 5+ years
If yes, have you ever performed in any of the following Role Playing industry capacities?
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N/A
Team Lead
Analyst
Instructor
Trainer
Do you have an active Secret Government Clearance or higher?
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Yes
No
If yes, when was the last time your clearance was actively used?
If not, do you meet the qualifications to get a Secret Government Clearance?
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Yes
No
N/A: I already have a clearance
Do you have a valid driver’s license that is in good standing with your State of residence?
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Yes
No
Do you own a personal vehicle in good working order?
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Yes
No
Do you possess map reading and navigational capabilities?
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Yes
No
Do you feel comfortable walking in wooded areas, trail systems/ goat paths after dark?
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Yes
No
Do you have experience navigating the DC Metro train system?
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Yes
No
Are you available to attend a 6-day paid mandatory training?
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Yes
No
Can you commit to providing a minimum of 12 business days a month from 7:00AM to 10:00PM for one calendar year?
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Yes
No
I acknowledge I have read and understand the Role Playing Qualifications for this position
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Yes
No
I acknowledge and wish to contractually engage with this Program as an Independent Contractor and I understand that I will neither be an employee of this Program nor obtain any benefits that are afforded to employees of this Program.
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Yes
No
I acknowledge that 1099 Contracting with this Program will always be on a Part-Time basis
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Yes
No
I acknowledge this Program will only hold my clearance at the SECRET Level
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Yes
No
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What is the name of the person or organization that has referred you?
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free-text answer
Ethnicity (Check One)
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Hispanic or Latino – a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Not Hispanic or Latino
I wish not to identify.
Race (Check all that apply)
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American Indian or Alaska Native – a person having origins in any of the original peoples of North or South America (including Central America), and who maintains tribal affiliation or community attachment.
Asian – a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, or Vietnam.
Black or African American – a person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander – a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific islands
White – a person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
I wish not to identify.
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