Military Academy Nominations Honorable David Jolly

Instructions

Thank you for your interest in the U.S. Service Academies. As your 13th District Representative in the U.S. House of Representatives, each year I have the privilege of nominating a limited number of people from Florida’s 13th Congressional District 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 form my office, please complete the form below and send it, along with all required supporting documents, to my St. Petersburg office located at 425 22^nd Avenue North, St. Petersburg, FL 33704. The form must be received no later than the close of business on Friday, October 7, 2016.

Include the completed application with the following items and mail or deliver all items to one of my district offices:

Current photo
High school transcript
American College Testing Program (ACT) results and/or College Board Scholastic Assessment Test (SAT) results
Resume of extracurricular activities
An essay stating your motivation and why you want to attend a service academy (500 words or less)
Minimum of three letters of recommendation (examples include: Teachers, Coaches, Clergy, Employers, Scout Leaders)

For more information or if you have any questions, please contact Paul Matthews at Paul.Matthews@mail.house.gov or (727) 823-8900.

*indicates information that you need to provide.

Your Information

Prefix:

First Name: *

MI:

Last Name: *

Suffix:

Date of Birth: *

Social Security Number:

Street Address: *

Street Address Continued:

City: *

State: *

Zip Code: *

Gender: *

U.S. Citizen: *Yes *No

If not, list your country of citizenship:

Parents/Guardians: *

Contact Information

Email: *

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

NOTE:

Please include a list of your extra curricular activities and leadership responsibilities.

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Instructions

SAT Scores

ACT Scores

NOTE:

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