Service Academy Nomination

Thank you for your interest in the U.S. Service Academies. As your 2nd District Representative in the U.S. House of Representatives, each year I have the privilege of nominating a limited number of people to four of the five service academies. The honor of attending a service academy comes with an obligation and commitment to serve in the military for a minimum of five years upon graduation. For more information, please review my page of Frequently Asked Questions for those seeking a Military Academy Nomination. Best wishes to you as you pursue your goal of attending one of the U.S. Service Academies and serving our country.

To request a Military Academy Nomination from my office, please complete and PRINT the form below. All Service Academy applications MUST be submitted on paper to my Concord office. If you complete this form online, your application will NOT be considered.

For 2021 applications, all materials must be received in person or by mail no later than October 8, 2021. Any applications received after this date will not be accepted.

Note: A complete nomination file consists of the following items printed off and received in person by the due date:

Complete Application (Printed)
Current Photo
High School transcript
American College Testing Program (ACT) results and/or College Board Scholastic Assessment Test (SAT) results
Resume of extracurricular activities
An essay stating why you want to attend a service academy (500 words or less)
Three letters of recommendation

Required fields are followed by *.

Your Contact Information

Prefix

First Name *

Last Name *

Suffix

Email Address *

Street Address *

City *

State *

Zip Code *

Phone Number *

Date of Birth *

Gender *

US Citizen * Yes
No

Country of Citizenship

Parent/Guardian Information

Parent/Guardian Name *

Street Address *

City *

State *

Zip Code *

Education Information

High School Name *

Street Address *

City *

State *

Zip Code *

GPA *

Class Size

Rank

Graduation Date

SAT Test Scores

Math

Writing

Critical Reading

Composite

ACT Test Scores

English

Math

Reading

Science

Composite

Academy Information

First Pick

Second Pick

Third Pick

Fourth Pick

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

Extracurricular Activities

Name of Hometown Newspaper

Is it ok to use your name in a press release? Yes
No

forms

Service Academy Nomination