Congressman Steve Scalise

Representing the First District of Louisiana

Service Academy Nominations

Instructions

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. Congressman Scalise may nominate up to ten individuals for each vacant academy slot allotted to our district.

For more information, complete the online request form below to request a Nomination Application with Congressman Scalise’s office or contact the Academy Coordinator at 985-893-9064.

Also, please review the page of Frequently Asked Questions for those seeking a Military Academy Nomination.

*indicates information you must include.

Your Information

First Name: *

Middle Name:

Last Name: *

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:

Email: *

Parents/Guardians: *

Telephone

Telephone Number: *

Voice

TTD

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 a nomination or appointment?

Yes No

NOTE:

Please include a list of your extra curricular activities and leadership responsibilities.

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