**Congressman Eric Cantor**

**Seventh District of Virginia**

![](media/image1.png){width="3.4541666666666666in" height="3.3625in"}

***U.S. Service Academies Application***

***Class of 2013***

**[Congressman Eric Cantor's Nominations Process
Timetable]{.underline}**

**[Class of 2013]{.underline}**

**[October 10, 2008]{.underline}**

All applications and required materials MUST be postmarked and addressed
to Congressman Eric Cantor by this date. If you do not submit all of the
requested information by the postmark deadline, your application may not
be given full consideration.

In addition to the enclosed application, the following materials are
needed to complete your file and will be used in the selection process.
**All application materials should be submitted together in a single
package (with the potential exception of official SAT/ACT scores).** The
enclosure of unsolicited material may not be used for consideration for
a Congressional Nomination.

> **1. THREE (3) REFERENCES**
>
> -The applicant should submit three references attesting to the
> applicant=s qualifications and motivations to attend a service
> academy.
>
> -Those persons used as references should not be relatives of the
> applicant. High school instructors, high school guidance counselors,
> coaches, and former employers are preferred.
>
> -Please have references use the enclosed forms as cover sheets for
> their statements of reference.
>
> -Letters of reference should arrive in sealed envelopes within your
> application package.

**2. APPLICANT=S STATEMENT**

> -The applicant should submit an essay of 500-750 words. 
>
> -The essay should be typed and double-spaced, and state what
> motivates him or her to consider matriculating at a service academy
> and, thereafter, serving as a commissioned officer in the armed forces
> of the United States.

**3. ACADEMIC TRANSCRIPT**

> -The applicant should submit a certified high school or most recent
> college transcript, which includes class rank.

**4. SAT/ACT SCORES**

> -The applicant should request that SAT and/or ACT examination results
> be forwarded to Congressman Cantor=s Glen Allen office.

-SAT code: 5089

-ACT code: 7730

**5. APPLICANT=S PHOTO**

> -The applicant should paperclip a personal photo to the application.
>
> -The submitted photo should include only the applicant.

**[Early to Mid-November, 2008 (Tentative)]{.underline}**

Interviews with Congressman Cantor=s Seventh District Service Academies
Advisory Board will be held for qualified candidates with completed
files. Congressman Cantor's office will contact candidates with specific
information regarding interviews once the application deadline has
passed.

**[Mid-December, 2008 (Tentative)]{.underline}**

Notification will be sent to nominees by Congressman Cantor.

**[Congressman Eric Cantor's Service Academies Nominations
Summary]{.underline}**

**[Class of 2013]{.underline}**

One of my most important responsibilities as your Congressman is
nominating young men and women for admission to our country's Service
Academies. The following summaries are brief overviews of the selection
processes you are entering.

Admission to a Service Academy is a two-tiered process. First, the
candidate must apply through the Academy directly and meet the minimum
standards for admission set by the Academy itself. These standards
include, among others, medical, physical and academic qualifications.
The second tier in pursuing admission is the Congressional Nominations
process.

An individual must meet the admissions requirements of the Academy as
well as receive a Congressional Nomination in order to be offered an
appointment to the Academy.

Applicants should direct any questions regarding the admissions process
of a particular Academy to that Academy's Admissions office. Information
can be obtained through the contact information below:

U.S. Air Force Academy (USAFA): http://www.usafa.edu or (719) 333-2520

U.S. Merchant Marine Academy (USMMA): http://www.usmma.edu or (516)
773-5391

U.S. Military Academy (USMA): http://www.usma.edu or (845) 938-4041

U.S. Naval Academy (USNA): http://www.usna.edu or (410) 293-4361

**[Guide to Nominations for USAFA, USMA, USNA]{.underline}**

The President, Vice President, Members of Congress and some ROTC
organizations have the authority to nominate persons for admission to
USAFA, USMA and USNA.

As a Congressman, I am entitled to fill five vacancies at each Academy.
These vacancies are "charged" to Virginia's Seventh District. I may only
nominate young men and women to a particular Academy when a vacancy
occurs in one of these charged slots, either by reason of graduation or
withdrawal.

It is in the best interest of the District to spread out the charged
slots at each Academy so that a young man or woman from the Seventh
District will have the opportunity to fill at least one vacancy each
year. I have spread out the charged slots, and thus, every year
graduating high school seniors in the District can compete for admission
to these Academies.

When a vacancy does occur, I may nominate up to ten candidates for
admission. One nominee will be offered an appointment to fill the
vacancy, and the other nominees, assuming that each meets the Academy's
minimum requirements, are placed into a nationwide qualified candidate
pool. At that point, it is left to the discretion of the Academy to
choose candidates to fill the remaining slots in its incoming class.

My goal as a Congressman is to have as many young men and women from the
Seventh District as possible admitted to the Academies. The only way I
can accomplish that is by nominated highly qualified, committed
candidates to each Academy.

**[Guide to Nominations for USMMA]{.underline}**

Unlike the Academies described above, the U.S. Merchant Marine Academy
uses state quotas to determine admission, rather than district quotas.

The Commonwealth of Virginia is entitled to five slots in each class of
midshipmen at the Academy. Each Congressman may submit up to ten names
per year for the Virginia "list." The Virginia nominees then compete
against one another for the five slots. The young men and women who will
fill those slots are chosen by the Academy.

Once Virginia's five slots are filled, the remaining nominees who meet
the Academy's minimum admissions standards are placed into a nationwide
qualified candidate pool. At that point, it is left to the discretion of
the Academy to choose candidates to fill the remaining slots in its
incoming class.

**[Guide to Nominations for the U.S. Coast Guard Academy]{.underline}**

Congressional nominations are not incorporated into the admissions
process for the U.S. Coast Guard Academy. For more information regarding
admission to the Academy, contact its Admissions office at (860)
444-8500.

**[Congressman Eric Cantor's Congressional Nomination Selection
Points]{.underline}**

**[Class of 2013]{.underline}**

Applicants should keep the following in mind as they proceed through the
U.S. Service Academies Congressional Nominations application process:

> 1\. A Congressional Nomination is only part of the process leading to
> admission to the U.S. Service Academies. Applicants are required to
> notify the Academies in which they are interested and to work within
> the Academies= admissions systems.
>
> Unless an applicant is making significant progress toward fulfilling
> the application requirements of academies in which he/she is
> interested, that candidate may not be given full consideration for a
> nomination.
>
> 2\. All correspondence regarding a service academy appointment should
> be addressed to:

The Honorable Eric Cantor

ATTN: Service Academy Program

4201 Dominion Blvd, Suite 110

Glen Allen, Virginia 23060

> 4\. Applications should be postmarked no later than **October 10,
> 2008.**
>
> If you anticipate a problem meeting this deadline, please write to the
> address listed above or call (804) 747-4073 or (800) 438-3793.

5.  The applicant will receive a letter of confirmation from Congressman
    Cantor=s Glen Allen office for materials received.

6.  The applicant will be contacted regarding an interview with
    Congressman Cantor's Service Academies Advisory Board once the
    application deadline has passed.

**[Congressman Eric Cantor's Application for\
U.S. Service Academies Congressional Nominations]{.underline}**

**[Class of 2013]{.underline}**

**PERSONAL INFORMATION**

Last Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ First:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ MI: \_\_\_\_\_\_\_\_

Nickname: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Sex:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Birth: \_\_\_\_\_\_/\_\_\_\_\_ /\_\_\_\_\_\_\_\_ Social Security
\# \_\_\_\_\_\_ - \_\_\_\_\_\_- \_\_\_\_\_\_\_

Email address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Seventh District Address:**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Zip:
\_\_\_\_\_\_\_\_\_\_ County:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Home phone: \_\_\_\_\_ - \_\_\_\_\_ - \_\_\_\_\_\_\_ Daytime phone:
\_\_\_\_\_- \_\_\_\_\_\_ - \_\_\_\_\_\_

Cell phone: \_\_\_\_\_ - \_\_\_\_\_ - \_\_\_\_\_\_\_

**Mailing Address: (if different from above)**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Zip:
\_\_\_\_\_\_\_\_\_\_ County:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Temporary Address:**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Zip:
\_\_\_\_\_\_\_\_\_\_ County:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Father\'s name:
**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

Mother\'s name:
**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Have you ever applied for a Congressional Nomination from Congressman
Cantor?**

**Please circle one: yes no If yes, what year?
\_\_\_\_\_\_\_\_\_\_\_\_\_**

 

**EDUCATIONAL INFORMATION**

**(Reported information is not a substitute for required official
documentation.)**

**High School**

High School:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

County: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date of
Graduation: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Guidance Counselor:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Phone:
\_\_\_\_\_ - \_\_\_\_\_ - \_\_\_\_\_\_

Grade Point Average/Scale: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Class
Standing: \_\_\_\_\_\_\_ of \_\_\_\_\_\_\_\_\_

**College/Preparatory School**

College/Preparatory School:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Major:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Credit Hours Earned: \_\_\_\_\_\_\_

Grade Point Average/Scale: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**College Entrance Examinations**

**SAT** 1st exam date and score:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2nd exam date and score:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

3rd exam date and score:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**ACT** 1st exam date and score:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

2nd exam date and score:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

3rd exam date and score:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**ACTIVITIES, HONORS & EMPLOYMENT**

**Extracurricular Activities**

(Please include both school-related and outside activities; note
leadership positions held.)

Freshman:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Sophomore:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Junior:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Senior:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Additional sheets may be used if necessary.)

**Athletic Activities\
**(Please note varsity letters earned and leadership positions held.)

Freshman:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Sophomore:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Junior:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Senior:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Additional sheets may be used if necessary.)

**Scholastic honors**

Freshman:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Sophomore:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Junior:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Senior:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Additional sheets may be used if necessary.)

**Employment**

Please list any part-time or full-time jobs you have held since you have
been in high school:

**Dates Employer Hours/week**

**\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_**

**OTHER NOMINATING SOURCES**

Are you eligible for a Presidential Nomination? Please circle one. YES
NO

Please check all other Service Academies' nominating sources that you
plan to pursue.

\_\_\_\_\_\_\_\_Senator John Warner \_\_\_\_\_\_\_\_Senator Jim Webb

\_\_\_\_\_\_\_\_President George Bush \_\_\_\_\_\_\_\_Vice President
Dick Cheney

\_\_\_\_\_\_\_\_JROTC

**ACADEMY PREFERENCE**

Please circle the number indicating your first choice, second choice,
etc. If you have no interest in a particular Academy, circle 'N' for not
interested. Please also circle either 'Y' for yes or 'N' for no
regarding whether you have opened a file with an Academy.

**U.S. Air Force Academy U. S. Merchant Marine Academy**

**Colorado Springs, Colorado Kings Point, New York**

(Commissioned into Air Force) (Merchant shipping with commission into
Naval Reserves)

N 1 2 3 4 N 1 2 3 4

Opened a file? Y N Opened a file? Y N

**U.S. Military Academy U.S. Naval Academy**

**West Point, New York Annapolis, Maryland**

(Commissioned into Army) (Commissioned into Navy/\
Marine Corps)

N 1 2 3 4 N 1 2 3 4

Opened a file? Y N Opened a file? Y N

**HIGHER EDUCATION PURSUITS**

If you wish, please use the space below to list any higher education
institutions or programs you plan to pursue or are pursuing.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**REFERENCES**

The applicant should submit three references attesting to the
applicant=s qualifications and motivations to attend a Service Academy.
Those persons used as references should not be relatives of the
applicant. High school instructors, high school guidance counselors,
coaches, and former employers are preferred. NOTE: Please have
references use the enclosed forms as cover sheets for their statements
of reference. Letters of reference should arrive in sealed envelopes
within your application package. Please list the names of and
information pertaining to the individuals who will be writing letters of
recommendation on your behalf.

REFERENCE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
State: \_\_\_\_\_\_\_ Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Daytime phone: \_\_\_\_\_ \_\_\_\_\_ - \_\_\_\_\_\_\_ Ext. \_\_\_\_\_\_

How long known by applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Relationship to applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

REFERENCE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
State: \_\_\_\_\_\_\_ Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Daytime phone: \_\_\_\_\_ \_\_\_\_\_ - \_\_\_\_\_\_\_ Ext. \_\_\_\_\_\_

How long known by applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Relationship to applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

REFERENCE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
State: \_\_\_\_\_\_\_ Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Daytime phone: \_\_\_\_\_ \_\_\_\_\_ - \_\_\_\_\_\_\_ Ext. \_\_\_\_\_\_

How long known by applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Relationship to applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**ACKNOWLEDGMENT**

I request that Congressman Cantor consider my application for a
Congressional Nomination to the United States Service Academy or
Academies that I have listed.

I affirm that I have never been convicted or arrested for violating a
state or federal statute.

I have enclosed the additional requested information with my
application:

> THREE (3) REFERENCES
>
> APPLICANT=S STATEMENT
>
> ACADEMIC TRANSCRIPT
>
> SAT/ACT SCORES\
> (official scores may be sent separately/directly from testing centers)
>
> APPLICANT=S PHOTO

I understand that the enclosure of unsolicited material may not be used
for consideration for a Congressional Nomination.

I understand that the postmark deadline for applications is October 10,
2008. If I have not submitted all of the requested information
postmarked by the deadline, I understand that my application may not be
given full consideration.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Signature

**RETURN APPLICATION POSTMARKED NO LATER THAN**

**OCTOBER 10, 2008 TO:**

**The Honorable Eric Cantor**

**ATTN: Service Academy Nominations**

**4201 Dominion Blvd., Suite 110**

**Glen Allen, VA 23060**

**[Congressman Eric Cantor's Service Academies Reference
Form]{.underline}**

**[Class of 2013]{.underline}**

**PLEASE USE THIS FORM AS A COVER SHEET FOR YOUR STATEMENT.**

APPLICANT:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

REFERENCE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ State:
\_\_\_\_\_\_\_\_\_ Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Daytime phone: \_\_\_\_\_- \_\_\_\_\_ - \_\_\_\_\_\_ Ext. \_\_\_\_\_\_\_

How long known by applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Relationship to applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(References should not be relatives of the applicant.)

The applicant has requested that Congressman Cantor consider him or her
for a Congressional Nomination for admission to one or several of the
United States Service Academies. In your own words, on an attached page,
please state your personal knowledge of his or her qualifications and
motivation to attend a Service Academy.

Please sign and date your statement at the bottom and place in a sealed
envelope. Please give your sealed recommendation to your applicant to be
returned with his or her application.

**[Congressman Eric Cantor's Service Academies Reference
Form]{.underline}**

**[Class of 2013]{.underline}**

**PLEASE USE THIS FORM AS A COVER SHEET FOR YOUR STATEMENT.**

APPLICANT:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

REFERENCE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ State:
\_\_\_\_\_\_\_\_\_ Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Daytime phone: \_\_\_\_\_-\_\_\_\_\_ - \_\_\_\_\_\_ Ext. \_\_\_\_\_\_\_

How long known by applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Relationship to applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(References should not be relatives of the applicant.)

The applicant has requested that Congressman Cantor consider him or her
for a Congressional Nomination for admission to one or several of the
United States Service Academies. In your own words, on an attached page,
please state your personal knowledge of his or her qualifications and
motivation to attend a Service Academy.

Please sign and date your statement at the bottom and place in a sealed
envelope. Please give your sealed recommendation to your applicant to be
returned with his or her application.

**[Congressman Eric Cantor's Service Academies Reference
Form]{.underline}**

**[Class of 2013]{.underline}**

**PLEASE USE THIS FORM AS A COVER SHEET FOR YOUR STATEMENT.**

APPLICANT:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

REFERENCE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

City: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ State:
\_\_\_\_\_\_\_\_\_ Zip: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Daytime phone: \_\_\_\_\_ - \_\_\_\_\_ - \_\_\_\_\_\_ Ext.
\_\_\_\_\_\_\_

How long known by applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Relationship to applicant:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(References should not be relatives of the applicant.)

The applicant has requested that Congressman Cantor consider him or her
for a Congressional Nomination for admission to one or several of the
United States Service Academies. In your own words, on an attached page,
please state your personal knowledge of his or her qualifications and
motivation to attend a Service Academy.

Please sign and date your statement at the bottom and place in a sealed
envelope. Please give your sealed recommendation to your applicant to be
returned with his or her application.