Salutation:*

Select OneMr.Mrs.Ms.Dr.Rev.Prof.Maj.Col.Fr.

First Name:*

Middle Initial:*

Last Name:*

Date Of Birth:*

Gender:*

Select OneMaleFemale

Home Phone:*

Mobile Phone:*

E-mail Address:*

Address:*

Address 2:*

City:*

County:*

State:*

Select OneAKALARASAZCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWY

Zip Code(5-Digit):*

Zip Code(4-Digit):

Mailing Address:*

Address 2:*

City:*

State:*

Select OneAKALARASAZCACOCTDCDEFLFMGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWY

Zip Code(5-Digit):*

Zip Code(4-Digit):

Name and address of high school *

Date of expected graduation *

GPA *

SAT or ACT Scores *

Parents or Guardians *

Are you a U.S. Citizen or legal resident? *

Yes

No

If no, please explain status below

Which military academy are you interested in attending? *

U.S. Naval Academy (Navy or Marine Corps)

U.S. Air Force Academy

U.S. Military Academy

U.S. Merchant Marine Academy