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Service Academy Nomination Form

Instructions

Thank you for your interest in the U.S. service academies. As your U.S. Representative, I have the privilege of nominating a limited number of people to four of the five service academies each year. 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. Best wishes as you pursue your goal of attending one of the U.S. service academies and serving our country.

Your Information

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Contact Information

What are these options?
These options are for constituents who rely on other means of telecommunication so that we can use the proper technology to call them. The default option “Voice” is a normal audible telephone.

Education Information
Test Scores

SAT Scores

ACT Scores

Academy Information

Number your preference (1 to 4) of academies — with 1 being your highest ranking of preference and 4 being your lowest ranking of preference.

An appointment to the service academies is based on a desire by the candidate to devote himself or herself to a lifetime of military service and recognition of an obligation that he or she has to our country.

Additional Information

Note:

Please include a list of your extracurricular activities and leadership responsibilities.

Print This Form

Please 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.