Service Academy Nominations

Instructions

Thank you for your interest in the U.S. Service Academies. As your Third District Representative in the U.S. House of Representatives, each year I have the privilege of nominating a limited number of students to our four military service academies. The honor and prestige 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, you may begin the process by completing the pre-application form below. After this form is submitted, you will receive a full nomination application packet. The full nomination packet is due in my Grand Rapids district office on November 1, 2013. If you have questions, please contact my staff member, Connie Giarmo, at (616) 451-8383 or by email: connie.giarmo@mail.house.gov.

* indicates information that you need to provide.

Your Information
*
*
*
*
*
*
*
*
*
U.S. Citizen: *
*


Telephone
*

Print This Form

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