Nomination Request Format for Service Academy
(A separate letter must be
sent to each Senator, your Representative, and the Vice President)
Date
The Honorable_____________
United States Senate
Washington, D.C. 20510-0001
Dear Senator_________________
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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