Military Academy Nominations Form

Before filling out this form, you must review the nominations information sheet and FAQ by clicking here

Please note, this form may not be saved nor edited once it has been submitted. It is recommended you fill out your information in a separate word processing application, then transfer it into this application.

Your Information

Prefix *

First Name *

Last Name *

Date of Birth: *

Gender: *

U.S. Citizen? *
Yes No

If not, list your country of citizenship:

Phone Number: *

Email Address: *

Please provide the names of your Parents/Guardians: *

Occupation: *

Permanent Address in Maryland

Street Address: *

City: *

State: *

Zip: *

County: *

Other County:

Do You Have A Temporary Address Other Than Your Permanent Address, Due To Prep School Or College Attendance: *

Temporary Address If Applicable (PREP SCHOOL, etc)

Street Address:

City:

State:

Zip:

Temporary Address Will Apply Through:

Temporary Phone Number:

Education Information

High School: *

High School Address: *

City: *

State: *

Zip: *

High School GPA: *

SAT Score:

ACT Score:

Graduation Date:

List AP Courses Taken Or In Progress, Indicating AP Scores where applicable:

Have You Attended A College Or University? *

If Yes: List The School Name Of The College Or University You Have Or Are Attending:

List The Dates Of Attendance:

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

I am not a legal resident of the Fourth Congressional District but I am a legal resident of Maryland and am only seeking a nomination to the Merchant Marine Academy: *

I have sought a nomination in a previous year: *

If yes: To which nominating source(s) did you apply for a nomination?

What Years did you apply for?

Were you nominated?

If yes: What nominating source awarded you a nomination?

Please list the names of the people who will be submitting letters of recommendation on your behalf: *

I hereby give permission to Congressman Brown's office to include my name in promotional material and/or provide my contact information to any local media who may be interested in contacting me if I receive a nomination and/or appointment to a US Service academy.

Permission: *

Final Information

By submitting this web form application, I certify that:

I have read the Information Sheet explaining the nominating procedure and am familiar with the requirements; and
The information contained here is factual to the best of my knowledge; and
I understand that if this application and the supporting documents are not received by Congressman Brown's office by the October 19, 2018 deadline, I will not be scheduled for an interview nor be given consideration for a nomination.
I understand that an interview, which will be held on November 17, 2018, is required to be considered for a nomination.
I understand that submitting this application form does not complete my application and that it will not be considered complete until I have arranged for the following information to be mailed to Congressman Brown's Office:
- An official transcript for all educational institutions I have attended, mailed directly from the school(s)
- Official ACT and/or SAT score reports ordered directly from the testing service
- 2 letters of recommendation sent directly by their authors
I am a legal resident of the Fourth Congressional District of Maryland or that I am a legal resident of Maryland seeking a nomination for the Merchant Marine Academy; and
I meet the following eligibility requirements for the service academies:
- 17 years old but not yet 23 years old to enter all academies, except the Merchant Marine Academy, which has a maximum of 25 years of age
- A citizen of the United States;
- Unmarried, not pregnant, and have no legal obligation to support a child or dependent;

Full Name: *

Personal Statement

In 250 words or less, please provide a personal statement that addresses the following questions.

(1) Why do you want to attend one of the United States Service Academies?

(2) What experiences in your life have prepared you for the rigors and demands of life at an academy?

(3) Given the long term commitment required by attending a service academy where do you see yourself in 10 years, in terms of professional and personal achievement?

Please upload your statement in word or pdf format

Upload personal statement:

Your total combined file size can not exceed 1MB. Documents must be the following file types: .doc, .docx, .pdf

Macintosh users: Your document must have a file extension. Resave it using your word processor with the appropriate extension from the above list.

Resume

Please upload a resume indicating your extra-curricular, internships, athletic activities and employment history. This document must be one side of one page only, using font size 12 or larger.

Please upload your statement in word or pdf format

Upload resume:

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Military Academy Nominations Form

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