Military Academy Nominations

Instructions

Thank you for your interest in the U.S. Service Academies. As your 2nd 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.

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

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Your Information

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Prefix:

First Name:

MI:

Last Name:

Suffix:

Social Security Number:

This form requires you to print, sign and mail, fax, or hand deliver the signed copy. Your social security number will not be transmitted electronically.

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?
Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard 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 an 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 Application for Review" button below. The address information is located on this page and also on the print preview page.