Alright, it's been a long and taxing day but I finally wrote a sample for the sheet. It's short and dumb but it fits the criteria. 
More importantly, I completely revised the character concept yesterday. So if you haven't read the new version [url=https://www.roleplayerguild.com/posts/5152754]you may want to[/url]. 

Now, if you don't mind, I'm going to go collapse into a coma.