Hello, all. This is a set of questions for your character''s backstory in the same vein as
Vix's Role Playing Background Questions List for Skyrim, but in a more immersive tone.
Answer this AS your character, and it may help you with your RP.
~~~~~~~~~~~~~~~~~~~~~~
NCR ( Mojave Territory) Immigration Form A6:
Foreigner Seeking Application
for Entry to NCR-controlled Territory in (Mojave)
----------------
By the order of Gen. Oliver
----------------
Please fill out the following questions to the best of your ability. If you do not know the
answer to a question, leave it blank, and you may be informed of the possible choices.
Characteristics:
Please list the following using the Empirical Measurement System. Fill out each one. If exact height or weight is unknown, please estimate.
Name:
Age:
Race (Mark as many as three with an x):
Non-Hispanic White ( )
Hispanic ( )
African-Wastlander (Black) ( )
Asian-Wastelander ( )
Would you consider yourself Chinese? ( )
Other ( )
Height:
Weight:
Background:
Please answer all of the below to the best of your ability. If any answers are not known by you, please answer with Unknown.
Place of Birth (City, State, Commonwealth; Vault, State, Commonwealth; City, Country):
Means of Arrival to Mojave:
Family Currently Living:
Family Deceased:
Means of Death:
Famous Colleagues or Acquaintances:
Previous Employments (Mark as many as four with an x)
Please Mark Both the Employment and Sub-Employment:
Caravan Member ( )
Caravan Merchant ( )
Caravan Guard ( )
Have you ever been in combat as a guard?
Yes ( )
No ( )
Caravan Mule ( )
Farmer ( )
Herder ( )
Brahmin ( )
Bighorner ( )
Nonspecific ( )
Other (_______________)
Plant Farmer
Banana Yucca ( )
Broc Flower ( )
Xander Root ( )
Nonspecific ( )
Other (________________)
Soldier ( )
Mercenary ( )
Nonspecific ( )
Roaming ( )
Specific Group (Please Name) (________________)
Within an Army or Police Force( )
Brotherhood of Steel ( )
“Boomers” ( )
Caesar’s Legion ( )
Were you a slave?
Yes ( )
No ( )
Enclave ( )
NCR ( )
Were you discharged? ( )
“Prospector” ( )
Old-World Tech ( )
Did you ever have any uncollected finds? Where?
(______________________________________)
Ammunition and Supplies ( )
Did you ever steal something owned by a living human?
Yes ( )
No ( )
Factory Worker ( )
What is your opinion on the following political groups or “factions”?
NCR
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Caesar’s Legion
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Mr. House’s New Vegas
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Brotherhood of Steel
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Criminal Record
Did you ever commit any of the following crimes? (Check as many as apply)
Thievery ( )
Robbery ( )
Breaking and Entering ( )
Assault ( )
Battery ( )
Domestic Violence ( )
Murder (of a human) ( )
Violation (of a human) ( )
Theft of Military Technology ( )
Trespassing ( )
Reason for Entry to Territory:
Employment ( )
Military ( )
Prospecting ( )
Employment within other ( )
Family
Which member of family is in NCR Territory?
Mother ( )
Step ( )
Father ( )
Step ( )
Sibling ( )
Step ( )
Aunt/Uncle ( )
Cousin ( )
Grandparent ( )
Thank you for completing this form. Return between four and six days to this office
to learn your results.
~~~~~~~~~~~~~~~~~~~~~~~~~~~
This was some work, so I'd appreciate some feedback on it. Please point out any unfinished sections
or typos, as I can only re-read it so many times. Thanks for reading, and I hope people use this!
Hello, all. This is a set of questions for your character''s backstory in the same vein as
Vix's Role Playing Background Questions List for Skyrim, but in a more immersive tone.
Answer this AS your character, and it may help you with your RP.
~~~~~~~~~~~~~~~~~~~~~~
NCR ( Mojave Territory) Immigration Form A6:
Foreigner Seeking Application
for Entry to NCR-controlled Territory in (Mojave)
----------------
By the order of Gen. Oliver
----------------
Please fill out the following questions to the best of your ability. If you do not know the
answer to a question, leave it blank, and you may be informed of the possible choices.
Characteristics:
Please list the following using the Empirical Measurement System. Fill out each one. If exact height or weight is unknown, please estimate.
Name:
Age:
Race (Mark as many as three with an x):
Non-Hispanic White ( )
Hispanic ( )
African-Wastlander (Black) ( )
Asian-Wastelander ( )
Would you consider yourself Chinese? ( )
Other ( )
Height:
Weight:
Background:
Please answer all of the below to the best of your ability. If any answers are not known by you, please answer with Unknown.
Place of Birth (City, State, Commonwealth; Vault, State, Commonwealth; City, Country):
Means of Arrival to Mojave:
Family Currently Living:
Family Deceased:
Means of Death:
Famous Colleagues or Acquaintances:
Previous Employments (Mark as many as four with an x)
Please Mark Both the Employment and Sub-Employment:
Caravan Member ( )
Caravan Merchant ( )
Caravan Guard ( )
Have you ever been in combat as a guard?
Yes ( )
No ( )
Caravan Mule ( )
Farmer ( )
Herder ( )
Brahmin ( )
Bighorner ( )
Nonspecific ( )
Other (_______________)
Plant Farmer
Banana Yucca ( )
Broc Flower ( )
Xander Root ( )
Nonspecific ( )
Other (________________)
Soldier ( )
Mercenary ( )
Nonspecific ( )
Roaming ( )
Specific Group (Please Name) (________________)
Within an Army or Police Force( )
Brotherhood of Steel ( )
“Boomers” ( )
Caesar’s Legion ( )
Were you a slave?
Yes ( )
No ( )
Enclave ( )
NCR ( )
Were you discharged? ( )
“Prospector” ( )
Old-World Tech ( )
Did you ever have any uncollected finds? Where?
(______________________________________)
Ammunition and Supplies ( )
Did you ever steal something owned by a living human?
Yes ( )
No ( )
Factory Worker ( )
What is your opinion on the following political groups or “factions”?
NCR
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Caesar’s Legion
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Mr. House’s New Vegas
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Brotherhood of Steel
Very Favorable ( )
Favorable ( )
No Opinion ( )
Unfavorable ( )
Very Unfavorable ( )
Criminal Record
Did you ever commit any of the following crimes? (Check as many as apply)
Thievery ( )
Robbery ( )
Breaking and Entering ( )
Assault ( )
Battery ( )
Domestic Violence ( )
Murder (of a human) ( )
Violation (of a human) ( )
Theft of Military Technology ( )
Trespassing ( )
Reason for Entry to Territory:
Employment ( )
Military ( )
Prospecting ( )
Employment within other ( )
Family
Which member of family is in NCR Territory?
Mother ( )
Step ( )
Father ( )
Step ( )
Sibling ( )
Step ( )
Aunt/Uncle ( )
Cousin ( )
Grandparent ( )
Thank you for completing this form. Return between four and six days to this office
to learn your results.
~~~~~~~~~~~~~~~~~~~~~~~~~~~
This was some work, so I'd appreciate some feedback on it. Please point out any unfinished sections
or typos, as I can only re-read it so many times. Thanks for reading, and I hope people use this!