Nomination Request Format for Service Academy
(A separate letter must be sent to each Senator, your Representative, and the Vice President)

OR

The Honorable_____________
House of Representatives
Washington, D.C. 20515-0001
Dear Mr./Mrs.______________

OR

Vice President_____________
The Old Executive Office Building, Room 490
Washington, D.C. 20501
Dear Vice President______________

I desire to attend the United States Military Academy/United States Naval Academy/United States Air Force Academy and to be commissioned in the Regular Army/Navy/Marines/Air Force. I respectfully request that I be considered as one of your nominees for the class entering in the summer of _________.


The following data are furnished for your information:

Name of Applicant:

Permanent Address:

Telephone Number:

Temporary Address and telephone number (if different from preceding):

High School:

Date of Birth:

Social Security Number:

Names of Parents:

I have/have not requested that a pre-candidate file be initiated for me at the United States Military Academy/ United States Naval Academy/ United States Air Force Academy:


Sincerely,

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