Congresswoman Suzan DelBene

Representing the 1st District of Washington

Military Academy Nominations

Instructions

Thank you for your interest in the U.S. Service Academies. As your 1st District Representative, 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 service in the military for a minimum of five years upon graduation. For a list of requirements and FAQ’s 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 from my office, please complete the form below, no earlier than May 20, 2016. Please return all the required information to my Bothell office no later than November 4, 2016 at 4:30 p.m.

* indicates information that you need to provide.

Your Information

marks required fields of data.

Prefix:

First Name:

MI:

Last Name:

Suffix:

Social Security Number:

Date of Birth:

Street Address:

City:

State:

ZIP Code:

Gender:

Male Female

U.S. Citizen?

Yes No

If not, list your country of citizenship:

Parents/Guardians:

Contact Information

Email:

Phone Number / Type:

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. Please rank only the Academies to which you intend to apply.

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 an appointment?

Yes No

Note:

Please remember to include this form along with our other required components:

A one-to-two page essay explaining why you want to attend an Academy;
Two letters of recommendation, one of which must be from your high school;
A list of community activities, achievements, and any employment;
A sealed copy of your high school transcript;
SAT and ACT scores (our identification number with the Educational Testing Service for the SAT test is 4477 ; for the ACT test,7738);
A current photo

Print This Form

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Recent Votes

Date	Roll Call	Bill	Vote
1/11/2017	34	H.R.39	Yea
1/11/2017	33	H.RES.40	No
1/11/2017	32	H.RES.40	Nay
1/10/2017	31	H.R.79	Yea
1/10/2017	30	H.R.79	Aye

Congresswoman Suzan DelBene

Representing the 1st District of Washington

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Military Academy Nominations

Instructions

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Military Academy Nominations

Instructions

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