U.S. Service Academy Nomination Online Application

Note: Fields marked with an * are required.

Please note: This form is currently being tested and is not operational.

DO NOT ATTEMPT TO SUBMIT AN APPLICATION ONLINE AT THIS TIME.

The online application is expected to be operational shortly. 

Thank you for your patience.


Contact Information

Example: 111 Main Street

Example: PO Box 111

Personal Information

MM/DD/YYYY

Example: 5'10"

Example: 180 lbs.

Example: Right 20/20, Left 20/20

Example: Right 20/20, Left 20/20

Education Background


MM/DD/YYYY

MM/DD/YYYY


MM/DD/YYYY

MM/DD/YYYY


Parent/Guardian Information

Example: 111 Main Street, Allentown, PA, 18104


Example: 111 Main Street, Allentown, PA, 18104


Example: Father, US Air Force, Captain


Employment Background


Example: June 2010 to August 2010



Extracurricular School and Community Activites

Are you a member of a club or organization at your school? Do you participate in a community, religious or other activity in your spare time?

Example: Student Government, Key Club, Boy/Girl Scouts

Years of Participation


Years of Participation


Years of Participation


Years of Participation

Sports

Are you a member of a varsity sports team at your school? Do you participate in a club sport?

Example: Soccer or Football

Example: Forward or Quarterback

Years of Participation


Years of Participation


Years of Participation


Years of Participation

Awards, Honors and Recognitions

Have you received an award or honor from your school? Have you been recognized by a local, regional or national organization for a specific achievement?

Example: 5/15/2010, June 2010, Summer 2010




Violations

Please provide a complete description of the incident(s). If applicable, provide the State, name and location of the court, nature of the offense, date, and disposition of case.

References

Please provide the name and address of 3 references you have asked to write letters endorsing you candidacy. All letters must be received before an interview will be scheduled. References may include High School teachers, aduly friend, employers. etc...

Example: 111 Main Street, Allentown, PA, 18104



Essay

In appoximately 300 words or less, please state why you would like to attend one of the U.S. Service Academies.

Nominations

Which of the U.S. Service Acadmies have you submitted a formal application? *

Note: It is up to each applicant to also contact each Academy on his/her own.

Example: Navy, football or Army, lacrosse

Submitting Your Application

Before submitting, please review your application to ensure all required fields have been completed.

When a finished application is received, an interview will be scheduled by phone. Nomination interviews will begin October __, 2011. All completed forms and materials must be submitted by October __, 2001.