Military Academy Nominations

Note: Fields marked with an * are required.

Your Information

Prefix

First Name *

Middle Name

Last Name *

Suffix

Date of Birth *

Street Address *

Street Address Continued

City *

State *

Zip Code *

Gender *

US Citizen *

Yes No

If not, list your country of citizenship

Parents/Guardians *

Telephone

Telephone Number *

Voice VP TTD

What are these options?
This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Education Information

Name of High School *

High School Street Address *

City *

State *

Zip Code *

GPA *

Class Size

Rank

Graduation Date

Test Scores

SAT Scores

Math

Writing

Critical Reading

Composite

ACT Scores

English

Math

Reading

Science

Composite

Academy 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 devote a lifetime of 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

Additional Information

Name of Hometown Newspaper

Is it okay to use your name in a press release after receiving a nomination or appointment?

Yes No

Please list your extra curricular activities and leadership responsibilities.

State your reasons for wanting a nomination to a service academy: