Academy Nominations

Thank you for your interest in the U.S. Service Academies. As your First District Representative in the U.S. House of Representatives, each year I have the privilege of nominating a limited number of people to four of the five service academies. The honor of attending a service academy comes with an obligation and commitment to serve in the military for a minimum of five years upon graduation. For more information, please review my page of Frequently Asked Questions for those seeking a Military Academy Nomination. Best wishes to you as you pursue your goal of attending one of the U.S. Service Academies and serving our country.

To request a Military Academy Nomination from my office, please complete the form below. You can print and sign this form after you click the Generate Form button. The address information is located on this page and also on the print preview page.

* indicates information that you must provide.

Your Information

Full Name: *

Email: *

Phone Number: *

Social Security Number: *

Date of Birth: (MM/DD/YYYY) *

Gender: *

U.S. Citizen: *
Yes No

Country of Citizenship (if not U.S.):

Are you or your parents registered to vote in South Carolina's First Congressional District? * Yes No

If so, which voting precinct?

Permanent Address

Street Address: *

Address, line 2:

City: *

State: *

Zip Code: *

+4 Extension:

Mailing Address (if different)

Street Address:

Address, line 2:

City:

State:

Zip Code:

+4 Extension:

Parent/Guardian Information

Mother's Name:

Mother's Daytime Phone:

Father's Name:

Father's Daytime Phone:

Application Information

Number your preference (1 to 4) of academies — with 1 being your highest preference

U.S. Air Force Academy:

U.S. Merchant Marine Academy:

U.S. Military Academy (West Point):

U.S. Naval Academy:

An appointment to the Service Academies is based on a desire by the candidate to dedicate his/her life to military service and implies recognition by the appointee of an obligation to the government to devote him/herself to a military career. Are you interested in an appointment on that basis?

Yes No

Current Applications:

Have you applied for a ROTC scholarship? * Yes No

If so, where?

Education Information

Name of High School: *

Guidance Counselor:

Guidance Office Phone:

SAT Scores:

Subject	Test #1	Test #2	Test #3
Math
Verbal
Writing

ACT Scores:

Subject	Test #1	Test #2	Test #3
English
Math
Reading
Science

Athletic Activities:

Sport	JV/V	Awards/Honors	Grade

Extracurricular Activities:

Activity	Position Held	Awards/Honors	Grade

Community/Volunteer:

Activity	Position Held	Awards/Honors	Grade

Other Awards/Honors:

Awards/Honors	Grade

Additional Information

Please list any jobs you have held during the school year or summer, with a brief description of each:

Have you taken/been scheduled to take the medical exam administered by DODMERB? * Yes No

If so, when?: (MM/DD/YYYY)

Have you taken/been scheduled to take your Physical Aptitude Exam? * Yes No

If so, did you pass? Yes No

Medical Issues:

Have you ever been convicted of a felony/misdemeanor? * Yes No

Office Information
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Myrtle Beach Office

Washington, DC
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Washington, DC 20515
Phone: (202) 225-3176
Fax: (202) 225-3407
Hours: Monday-Friday 8:30AM-5:30PM

Charleston Office
2000 Sam Rittenberg Blvd, Suite 3007
Charleston, SC 29407
Phone: (843) 852-2222
Fax: (843) 852-2909
Hours: Monday-Friday 8:30AM-5:30PM

Myrtle Beach Office
1800 N. Oak Street, Suite C
Myrtle Beach, SC 29577
Phone: (843) 445-6459
Fax: (843) 445-6418
Hours: Monday-Friday 8:30AM-5:30PM
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Date	Roll Call	Bill	My Vote
12-5	619	S.2367	Yea
12-5	618	H.R.6602	Yea
12-5	617	S.CON.RES.50	Yea
12-4	616	ADJOURN	No
12-4	615	JOURNAL	Yea
12-4	614	H.R.6582	Yea
11-30	613	H.R.6429	Yea
11-30	612	H.R.6429	Nay
11-29	611	H.RES.821	Yea
11-27	610	H.R.915	Yea

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Academy Nominations

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