Military Academy Nominations - Application Form

Instructions

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 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 form my office, please complete the form below.

You will also need to submit:

  • 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; and your SAT or ACT scores (our identification number with the Educational Testing Service for the SAT test is 4775; for the ACT test, 7739).

The deadline for submission of materials to my office is November 4, 2016. All materials should be sent to:

U.S. Congressman Rick Larsen
Attn: Service Academy Nominations
2930 Wetmore Avenue, Suite 9F
Everett, WA 98201

* indicates information that you need to provide.

Your Information
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U.S. Citizen: *
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Telephone
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Education Information
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Test Scores

SAT Scores

 

ACT Scores

Academy Information

Please indicate the academies to which you intend to apply, in order of preference, with 1 being your highest preference.

 
 
 
 

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?

Additional Information

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

 

NOTE:

Please include a list of your extra curricular activities and leadership responsibilities.

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