retrolefty:
I've never applied for a free sample from a chip manufacture as I assumed that I was not the target for such programs and offerings. Most need you to register and seem to want a company name, title, etc and I never felt as a hobbyist, I should have to 'invent' such, just to get some freebies.
I put down engineer. I'm a software engineer. Omitting software seems fair. 
I put down my real address and real phone and real company URL and real company email address. It's professional. Not my fault I work for a professional company.
I even mostly put down the real application. Omitting that it's for one unit seems fair too, there is usually a <1000 units per year option.
Lady Ada does it. What more do I need to say?