Academy Nominations

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* indicates required field.

If you wish to be considered for more than one, rank in order of preference by dragging the boxes horizontally.

Name of Applicant

First Name:*

Middle Initial:

Last Name:*

Date of Birth:*

Address in Minnesota

Street Address:*

Address 2:

City:*

State:* MN

Zip Code:* +4 (Determine your ZIP+4)

Temporary address if currently outside district:

E-mail Address:*

Daytime Phone:*

Evening Phone:*

Place of Birth:*

Gender:* Male Female

Height:

Weight:

Father or Guardian's Name:
Phone:

Mother or Guardian's Name: Phone:

High School Name & Address:

Graduation Date: GPA:

  Class Rank: Number of Students:

Highest SAT Score:

  Verbal Date: Math Date:

Highest Composite ACT Score:

  Verbal Score: Math Score:

College Currently Attending:

College GPA:

How long have you been a resident of Minnesota?

Are either of your parents Active, Retired or Disabled Military?

Do you have a pre-candidate Open at any Academy? Where and when did you apply?