AL-098-02(b) CIVILIAN INTAKE FORM

We understand your experiences during the Kerenza invasion may have been difficult. Please fill in this form as best you are able, and ask an Alexander ensign if you require assistance.
[notes from Alexander intake marked with "[]"
Incept:  01/30/75

Name:  Kady Grant

DoB:  11/17/57

Place of Birth: Willarie III

Place of Residence: Kerenza mining colony WUC-980-I

Sex:  my personal information is none of your business   [Female]

Weight:  128lb

Height:  5'2- how is this relevant

Education:  is this for conscription?  [Highschool senior - McCaffry tech]

Occupation:  getaway driver, may have run over a few of the invasion force on my way out. oops? ♥  [Student]

Hobbies: Computer networks, comics, callenging up authority structures......what do you mean I'm not being helpful?

Secondary skills: I have a bright & sunny personality. no, truly! ☀

Do you have any existing medical conditions we should be aware of?:  I think I sprained something having Ezra's stupid ***** into the truck after they shot him. As if he needed another way to ***** with me. ****er

Wetware implants/cybernethics?:  we lived on an ice planet in the middle nowhere. Where, pray tell, were we getting fancy cybernethics?

Allergies?:  my ex, people invading my planet

Emergency contact(s):  Helena Grant [Mother - refugee: Hypatia]
Isaac Grant:  [Father - offworld (engineer on Jump Station: Heimdall)]

Anything else to add: I'm not taking these tests, you can't MAKE people join the military.

INTERNAL USE ONLY: [Potential discipline case. Claims of bright and sunny personality dubious at best.]

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Play Sarah Smiles near me, and i'll at best, start crying and at worst, murder you brutally