Military Academy Nominations

Thank you for your interest in the U.S. Service Academies. As your 1st District Representative, 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 service in the military for a minimum of five years upon graduation. For a list of requirements and FAQ’s 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 the form below, no earlier than May 24, 2023. Please return all the required information to my Kirkland office no later than November 8, 2023 at 4:30 PM. 

* indicates information that you need to provide.

Your Information
First Name *
Middle
Last Name *
* Date of Birth:
Social Security Number (No Dashes):

This form requires you to print, sign and mail, fax, or hand deliver the signed copy. Your social security number will not be transmitted electronically.
* Address:
* City:
* State:
 * Zip:
Gender:
U.S. Citizen?
Yes No
If not, list your country of citizenship:
* Please provide the names of your Parents/Guardians:
Home Phone Number:
Cell Phone Number:
* Email:
Education Information
* High School:
* High School Address:
* City:
* State:
 * Zip:
* GPA:
Class Size:
Class Rank:
Graduation Date:
Test Scores

SAT Scores
Math:
Reading/Writing:

ACT Scores
Math:
English:
Reading:
Science:
Composite:
Academy Information
Select your preference of academies — with "First" being your highest preference. Please rank only the Academies to which you intend to apply.
First
Second
Third

Fourth
 
Additional Information

Name of home town paper?

Is it ok to use your name in a press release after receiving an appointment?
Yes No

Note:

Please remember to include this form along with our other required components:

  • A one-to-two page essay explaining why you want to attend an Academy;
  • Two letters of recommendation, one of which must be from your high school;
  • A list of community activities, achievements, and any employment;
  • A sealed copy of your high school transcript;
  • SAT and ACT scores (our identification number with the Educational Testing Service for the SAT test is 4477 ; for the ACT test,7738);
  • A current photo

Print This Form

You can print and sign this form after you click the Generate Form button. The address information is located on this page and also on the print preview page.

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