Military Academy Nominations

Instructions

The honor of attending a service academy comes with the obligation and commitment to serve in the military for a minimum of five years upon graduation. For more information, please review the page of Frequently Asked Questions for those seeking a Military Academy Nomination.

Members of Congress may nominate candidates for appointment to four of the five U.S. service academies: U.S. Military Academy (USMA), West Point, NY; the U.S. Naval Academy (USNA), Annapolis, MD; the U.S. Air Force Academy (USAFA), Colorado Springs, CO; and the U.S. Merchant Marine Academy (USMMA), Kings Point, NY. The fifth service academy, the U.S. Coast Guard Academy (USCGA), New London, CT, does not require a congressional nomination for appointment.

Representative Harder may nominate up to ten individuals for each vacant academy slot allotted to our district. To request a Military Academy Nomination from our office, please complete the form below. Best wishes to you as you pursue your goal of attending one of the U.S. Service Academies and serving our country.

Your Information

* marks required fields of data.

Prefix: *

First Name: *

MI:

Last Name: *

Suffix:

Social Security Number: *

This form requires you to print, sign and mail, fax, or hand deliver the signed document. Your social security number will not be transmitted electronically.

Date of Birth: *

Street Address: *

City: *

State: *

ZIP Code: *

Gender: *

Male Female

U.S. Citizen? *

Yes No

If not, list your country of citizenship:

Parents/Guardians: *

Contact Information

Email: *

Phone Number / Type: *

What are these options?
Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option "Voice" is a standard audible telephone.

Education Information

Name of High School: *

High School Street Address: *

City: *

State: *

ZIP Code: *

GPA: *

Class size:

Rank:

Graduation Date:

College/ Preparatory School

College (if applicable):

City, State:

Dates of Attendance:

College GPA:2

Credit Hours Earned:

Major:

Date of Graduation:

Military Service, if any (include branch, rank, service number, and length of service):

Test Scores

SAT Scores

Math:

Writing:

Critical Reading:

Composite:

ACT Scores

English:

Math:

Reading:

Science:

Composite:

Academy Information

Number your preference (1 to 4) of academies — with 1 being your highest preference

U.S. Air Force Academy:

U.S. Merchant Marine Academy:

U.S. Military Academy (West Point):

U.S. Naval Academy:

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?

Yes No

Application history

Have you ever applied for a Congressional Nomination before? *

If yes state year and outcome:

Have you applied to other Offices? *

Senator:

Applied before:

Additional Information

Name of hometown newspaper:

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

Yes No

Note:

Extracurricular Activities

Please list your involvement in school and community activities in the listed categories. Include information relative to offices held, awards and honors received, and dates of participation. Please print neatly. This does not count as your professional resume.

Athletics:

Music and Drama:

School Activities, Societies, Clubs, and Offices Held:

Scholastic Awards and Honors:

Community Service/Volunteer Work:

Print This Form

You can print and sign this form after you click the "Generate Application for Review" button below. The address information is located on this page and also on the print preview page.

Please Read Before Signing:

I have read and understand the information provided with this application regarding the nominating process and I am familiar with the requirements. I certify that I am a citizen of the United States and a resident of the Tenth Congressional District of California. I affirm that I have never been convicted or arrested for violating a state or federal statute. I understand the deadline for my application is October 31st. If all the required components are not received by the District Office (4701 Sisk Road, Suite 202, Modesto, CA) by the deadline, I understand that my application will be considered incomplete and therefore not considered for a congressional nomination.

Representative Josh Harder

Representing the 10th District of California

Military Academy Nominations

Instructions

College/ Preparatory School

Note:

Print This Form

Office Locations

Washington, DC Office

Modesto Office

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Military Academy Nominations

Instructions

College/ Preparatory School

Note:

Print This Form

Washington, DC Office

Modesto Office