Service Academy Nominations | U.S. House of Representatives

Contact Information

First Name: *

Last Name: *

Social Security Number:

Date of Birth: *

Gender: *

U.S. Citizen? * Yes No

Parents: *

Are you the dependent of an active member of the United States military?: * Yes No

Street Address: *

Street Address: (Continued)

City: *

State: *

Zip Code: *

Email Address: *

Phone Number: *

Phone Type: *

Education

High School Name: *

High School Address: *

City: *

State: *

Zip Code: *

Graduation Date: *

Rank: *

Class: *

GPA: *

SAT Test Scores

Evidence-Based Reading and Writing:

Math:

Composite:

ACT Test Scores

Math:

Science:

English:

Reading:

Writing:

Composite:

Academy Preference

First Pick: *

Second Pick: *

Third Pick: *

Fourth Pick: *

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

Other Information

Name of Hometown Newspaper:

Is it ok to use your name in a press release after receiving an appointment? Yes No

Paste or type in an essay stating why you want to attend a service academy (500 words or less): *

Attachments

Please upload your current photo *

Please upload a single PDF containing all three letters of recommendations*

Please upload your resume of extracurricular activities*

Documents must be the following file types: .doc, .docx, .pdf, .txt, .jpg, .jpeg, .png

Macintosh users: Your document must have a file extension. Resave it using your word processor with the appropriate extension from the above list.

Applicant Agreement

Please read the following paragraph before signing the application, as your signature indicates your agreement with the following statements. If you do not include your signature, your application will not be considered for nomination.

It is my sincere desire to attend a U.S. Service Academy, and I intend to pursue a vigorous academic course of study if appointed. I understand that attending a service academy also requires a minimum of five years of military service following graduation, and I fully commit to this responsibility. I am a U.S. Citizen, or will be by July 1 of the year I will attend the Academy. I will be at least 17 years, but not yet 23 years of age, on July 1 of the year I attend the Academy. I am not married. I am not pregnant, nor do I have any child support obligations. I am a legal resident of the Congressional District of Illinois. I certify that the information I have provided in the application packet is accurate. Any changes to this information will be reported immediately. Additionally, I understand that I will not be considered for a nomination if the required documents are incomplete or are not postmarked by the first Monday of November, 2023.

Check this box if you agree to the above application agreement.: *

Today's date: *