Military Academy Nominations

Instructions

Thank you for your interest in the U.S. Service Academies. As your 12th 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.

indicates information that you need to provide.

Your Information

First Name:

MI:

Last Name:

Email:

Date of Birth:

Social Security Number:

Street Address:

City:

State:

Zip Code:

Gender:

U.S. Citizen? *

Yes No

If not, list your country of citizenship:

Parents/Guardians:

Contact Information

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

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.

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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.

Nominaciones a Academias Militares

Instrucciones

Gracias por su interés en las Academias de Servicio Militar de los EE.UU. Como su congresista, representando el Distrito 12 de Nueva York en la Cámara de Representantes, cada año tengo el privilegio de nominar a un número limitado de personas a cuatro de las cinco academias de servicio militar. Asistir a una academia de servicio militar es un honor que conlleva la obligación y el compromiso de servir en el ejercito por cinco años, mínimo, después de la graduación.

Para obtener más información, revise la sección de preguntas frecuentes para aquellos que buscan obtener una nominación una de las academias militares.

Mis mejores deseos para ti en alcanzar el objetivo de asistir a una de las academias de servicio militar de los Estados Unidos y servir a nuestro país.

Para solicitar una nominación para asistir a una academia militar, complete este formulario.

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Military Academy Nominations

Instructions

SAT Scores

ACT Scores

NOTE:

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Nominaciones a Academias Militares

Instrucciones

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