* 1. What is your first name?

* 2. What is your last name?

* 3. What is your email address?

* 4. What is your street address?

* 5. What is your age?

* 6. What is the highest level of school that you have completed?

* 7. In essay format please let us know why you want to attend ChupacabraCon and how you anticipate the convention will help you in your career.

* 8. Explain your financial situation and how it applies to this scholarship opportunity.

* 9. Tell us a little about how you hope to contribute to the hobby.  Are you a writer, artist, designer etc?  Do you have any games already published (if so please list)?  If not, what types of games are you interested in publishing?  [Note: please do not include any intellectual property you do not want made public]