Military Academy Nominations

Note: Fields marked with an * are required.

Your Information

Prefix

First Name *

Middle Name

Last Name *

Suffix

Date of Birth *

Street Address *

Street Address Continued

City *

State *

Zip Code *

Gender *

US Citizen *

Yes No

If not, list your country of citizenship

Parents/Guardians *

Telephone

Telephone Number *

Voice VP TTD

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 *

Graduation Date

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 a nomination or appointment?

Yes No

Human Validation