Note: Fields marked with an * are required.
Mailing Address (if different than permanent address)
Do you wear glasses?
Do you wear contact lenses?
(College or Scholarship Program Code: SAT 2754 ; ACT 7649)
Parents or Guardians?
Was your father a career military officer?
Is he retired?
Was your mother a career military officer?
Is she retired?
Have you ever been employed?
(Employer, Position/Title, Dates of Employment)
Organization, Office Held/Awards Earned, Class Year of Participation
Type, Position, Letters/Awards, Class Yr of Participation
Award/Honor, Organization, Date
Letters must be received in the office prior to interview
Top 5 schools (include U.S. service academies, ROTC programs, colleges and universities) where you are an official candidate (Pre-Applications NOT Included)
Please note: IT IS UP TO EACH APPLICANT TO ALSO CONTACT EACH ACADEMY ON THEIR OWN.
Will you accept an offer to an academy prep school?
Are you applying to more than one service academy?
Will you accept an offer to your secondary choice?
Are you a recruited athlete?
Have you applied for a nomination to the vice president and/or your United States senators?
Have you been in contact with an academy liaison officer?
* (Please include any additional information you want to present.)
All materials should be sent to the following address by Friday, October 7, 2016.
When a completed application is received the interview place, date and time will be scheduled by phone. Nomination interviews will begin Saturday, October 1, 2016. All completed forms and requested materials must be returned by Friday, October 7, 2016.
It is the responsibility of the applicant to ensure that the application packet is submitted to the correct congressional office. Packets submitted to this office in error will not be forwarded.