Military Academy Nominations

Instructions

Thank you for your interest in the U.S. Service Academies. As your 3rd 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.

Please review the requirements before completing this form.

To request a Military Academy Nomination form my office, please complete the form below.

* indicates information that you need to provide.

Academy Information
Number your preference (1 to 4) of academies — with 1 being your highest preference. If you are seeking nomination to more than one academy, please submit one application for each academy.
 
Other Sources
Please list other sources of academy nominations pursued. (i.e. Presidential, Senatorial, etc.)
Personal
*
 
*
American Citizen: *
Permanent Address
(Must be within the 3rd District of North Carolina)
*
 
*
*
 
*
Temporary Address
 
 
Parents' Information
*
 
(If different from your own)
Contact information
*
 
*
 
Education Information
*
*
*
*
*
 
*
Medical Information
*
 
If not, what is your visual acuity uncorrected?
 
 
 

Academic
in a class of
 
Weighted
 
SAT Scores
 
 
 
 
Please attach a copy of your most recent transcript and photograph
 

Extracurricular Activites
 
 
 
 

 

 

Essay
Additional Information
Three Personal References ....(please submit letters)
 
 

NOTE:

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Please return no later than October 31st to:
Congressman Walter B. Jones
Attn: Deborah Marm
1105-C Corporate Drive
Greenville, North Carolina 27858