Military Academy Nominations Form

Service Academy Nomination Application

Note: Fields marked with an * are required.

The honor of attending a service academy comes with the obligation and commitment to serve in the military for a minimum of five years upon graduation. For more information, please review the page of Frequently Asked Questions for those seeking a Military Academy Nomination.

Members of Congress may nominate candidates for appointment to four of the five U.S. service academies: U.S. Military Academy (USMA), West Point, NY; the U.S. Naval Academy (USNA), Annapolis, MD; the U.S. Air Force Academy (USAFA), Colorado Springs, CO; and the U.S. Merchant Marine Academy (USMMA), Kings Point, NY. The fifth service academy, the U.S. Coast Guard Academy (USCGA), New London, CT, does not require a congressional nomination for appointment.

Congressman Dunn may nominate up to ten individuals for each vacant academy slot allotted to our district. To request a Military Academy Nomination from our office, please complete the form below. Best wishes to you as you pursue your goal of attending one of the U.S. Service Academies and serving our country.

Your Information

Prefix *

Ms. Miss. Mr.

Suffix

2nd 3rd 4th II III IV Jr.

First Name *

MI

Last Name *

Address *

City *

State *

----Military----,----States---- AA AE AP Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code *

Gender *

Male Female

Date of Birth *

U.S. Citizen? *

Yes

No

If not, list your country of citizenship

Name of parent(s) or guardian(s) *

Contact Information

Email Address *

Best phone number to contact YOU *

(such as your personal cell phone)

Phone Type *

Voice VP TTD

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 *

(in order of attendance)

Address of high school you expect to complete. *

City *

State *

----Military----,----States---- AA AE AP Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip code *

GPA *

Class Size

Class Rank

(indicate if your school does not rank students)

Graduation Date

Test Scores: SAT

Math

Writing

Critical Reading

Composite

Test Scores: ACT

English

Math

Reading

Science

Composite

Academy Information

Number your preference(s) (up to 4) of academies — with 1 being your highest preference.

Air Force Academy

1 2 3 4

U.S. Merchant Marine Academy

1 2 3 4

U.S. Military Academy (West Point)

1 2 3 4

U.S. Naval Academy

1 2 3 4

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 refer to the Frequently Asked Questions page for complete Academy Nomination Application requirements.

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You must print and sign this form after you click the "Submit" button below. The address information is located on this page and also on the print preview page.

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