Military Academy Nomination Form

Your Information

Prefix

First Name*

Last Name*

Suffix

Street Address*

Street Address Continued

City*

State*

Zip Code*

Cell Number*

Email*

Gender
MaleFemale

Birthdate

Are You A US Citizen?
YesNo

If not, what country are you a citizen of?

Parents/Guardians*

School Information

School Name*

Street Address*

City*

State*

Zip Code*

Graduation Date*

Class Rank*

Class Size*

Test Scores

SAT Scores

Math

Writing

Critical Reading

Composite

ACT Scores

English

Math

Reading

Science

Composite

Academy Information

Please rank the academies to which you intend to apply in order of preference, 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?

YesNo

Additional Information

Name of Hometown Newspaper

Is it okay to use your name in a press release after receiving a nomination or appointment?

YesNo