Academic Convention Application Sign-up

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Please fill out the following application before March 31st. All comments are screened.

Player Information
Player Name:
Player Age:
Contact Email:
AIM (if applicable):
Other characters played in game/Player vouching for you (strike what doesn't apply):

Character Information
Full name of Character:
LJ handle of Character:
Fandom of Character:

Appearance:
General Background:
Links to character/series information:
Potential Lecture Topic:

Short Writing Sample: