2.

PROFESSION (RANK IF APPLICABLE)

PERSONAL DATA

Larry Shmit special Operator

3. EMPLOYER 4. NATIONALITY
PRT white
5. SEX 6. AGE AND D.O.B. 7. EDUCATION AND OCCUPATIONAL HISTORY
F ✔ M 22 highschool

8. STATISTICS SCORE ×5 DISTINGUISHING FEATURES 11. BONDS SCORE

Strength (STR) 11 55 sandy (cowerker motor pool) 35

Constitution (CON) 14 70 sturdy joe (best friend) 35
Dexterity (DEX) 8 40 clumsy

PSYCHOLOGICAL DATA
Intelligence (INT) 7 35 slow
Power (POW) 13 65 stuborn
STATISTICAL DATA

Charisma (CHA) 7 35 Ugly

9. DERIVED ATTRIBUTES MAXIMUM CURRENT 12. MOTIVATIONS AND MENTAL DISORDERS

Hit Points (HP) 13 doing the right thing, helping others, doing his job
well, patriotism, hobby art
Willpower Points (WP) 13
Sanity Points (SAN) 65
Breaking Point (BP) 52
10. PHYSICAL DESCRIPTION
a tall ugly and offish man 13. INCIDENTS OF SAN LOSS WITHOUT GOING INSANE

Violence adapted Helplessness adapted

Accounting (10%) First Aid (10%) 30 Ride (10%)

Alertness (20%) 80 Forensics (0%) Science (0%):

Anthropology (0%) Heavy Machinery (10%)

Archeology (0%) Heavy Weapons (0%) 70 Search (20%) 40

Art (0%): History (10%) SIGINT (0%)

HUMINT (10%) Stealth (10%) 30

Artillery (0%) Law (0%) Surgery (0%)
APPLICABLE SKILL SETS

Athletics (30%) 80 Medicine (0%) Survival (10%) 50

Bureaucracy (10%) Melee Weapons (30%) 50 Swim (20%) 50
Computer Science (0%) Military Science (0%): Unarmed Combat (40%) 60
50
Craft (0%): land Unnatural (0%)

Navigate (10%) 50 Foreign Languages and Other Skills:

Criminology (10%) Occult (10%)

Demolitions (0%) 40 Persuade (20%)

THIS IS A WORK OF FICTION

Disguise (10%) Pharmacy (0%)

Dodge (30%) 50 Pilot (0%):

Drive (20%)

Firearms (20%) 80 Psychotherapy (10%)

Check a box when you attempt to use a skill and fail. After the session, add 1 to each checked skill and erase all checks.
 14. WOUNDS AND AILMENTS

INJURIES

Has First Aid been attempted since the last injury? yes: only Medicine, Surgery, or long-term rest can help further

15. ARMOR AND GEAR

EQUIPMENT

16. WEAPONS SKILL % BASE RANGE DAMAGE ARMOR PIERCING LETHALITY KILL RADIUS AMMO

(a)

(b)

(c)

(d)

(e)

(f)

(g)

17. PERSONAL DETAILS AND NOTES 18. DEVELOPMENTS WHICH AFFECT HOME AND FAMILY
REMARKS

19. SPECIAL TRAINING SKILL OR STAT USED THIS IS A WORK OF FICTION

Please indicate why this agent was recruited and why the agent agreed to be recruited.

20. AUTHORIZING OFFICER 21. AGENT SIGNATURE

UNITED STATES
DD 315 112382
TOP SECRET//ORCON//SPECIAL ACCESS REQUIRED-DELTA GREEN
FORM
AGENT DOCUMENTATION SHEET