Congressman John Shimkus

Representing the 15th District of Illinois

Military Academy Nominations

NOTICE: The application deadline is November 1, 2016. Please contact my Maryville office at (618) 288-7190 if you have questions.

Thank you for your interest in attending one of our nation's military academies. As a 1980 graduate of West Point, I take special pride in nominating promising young men and women to the United States military academies. It is my pleasure to consider you for a nomination to one of these prestigious institutions.

To be eligible for a nomination, you must be an American citizen, at least 17 years old and no more than 23 years old on July 1, not married, under no legal obligation to support a child, and a legal resident of the 15th District of Illinois.

You may contact my Maryville office at (618) 288-7190 to get an application packet mailed to you. Please note that you must start an application process with the academy you are applying to as well as the nomination process through my office.

The Military Academy Nomination form may be completed below and mailed to Congressman John Shimkus, 15 Professional Park Drive, Maryville, IL 62062.

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:

Telephone

Telephone Number:

Cell Phone Number:

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. Select "Not Interested" for academies with no 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.

Print This Form

You can print and sign this form after you click the Generate Form button. The address information is located on this page and also on the print preview page.

Congressman John Shimkus

Representing the 15th District of Illinois

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Military Academy Nominations

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