APPLICATION FOR NOMINATION TO A U.S. SERVICE ACADEMY

Full Name\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Last)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(First)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(Middle)\_\_\_\_\_\_\_\_\_\_\_\_\_

(Nickname)\_\_\_\_\_\_\_\_\_

Social Security Number\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Birth
Date\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Sex\_\_\_\_\_\_\_\_\_\_\_\_ Height\_\_\_\_\_\_\_\_\_\_
Weight\_\_\_\_\_\_\_\_\_\_

Name of High School:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date of Graduation\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Permanent Address:

City, State, Zip and County:

Home Phone:

Email:

Day Time Phone Number:

(We must be able to get in touch with you between 8:00 am and 5:00 pm)

Temporary Address:

Temporary Phone:

Father\'s Name and Address:

Father\'s Business Phone:

Mother\'s Name and Address:

Business Phone:

Please check the academies from which you have requested a pre-candidate
questionnaire:

U.S. MILITARY ACADEMY

U.S. NAVAL ACADEMY

U.S. AIR FORCE ACADEMY

U.S. MERCHANT MARINE ACADEMY

Please check the academy from which you are working with on athletic
placement and include the contact name and sport:

U.S. MILITARY ACADEMY

U.S. NAVAL ACADEMY

U.S. AIR FORCE ACADEMY

U.S. MERCHANT MARINE ACADEMY

Below please list the four academies according to your preference, only
listing the academies you are considering:

First
Choice:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Second
Choice:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Third
Choice:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Fourth
Choice:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\*MAKE SURE YOU HAVE SELECTED YOUR CHOICES CAREFULLY. IF YOU CHANGE YOUR
PREFERENCES, YOU MUST NOTIFY THIS OFFICE IMMEDIATELY.

OTHER NOMINATIONS:

If you are seeking a nomination through another source such as your
Senator, please list:

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

PLEASE TYPE OR PRINT CLEARLY

Date:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Congressman Adam Smith

1717 Pacific Ave, Ste. 2135

Tacoma, WA 98402

Full Name :
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Address:

City, State, Zip

Email:

Telephone
(H)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(Day)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Age:\_\_\_\_\_\_\_\_\_\_\_ Birth date:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
SS#\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I authorize Congressman Adam Smith or any member of his staff to obtain
any information about my status with the service academies. This
includes inquiring with Department of Defense Medical Examination Review
Board about any medical conditions that may prevent my receiving a
nomination or appointment to one of the Service Academies.

SIGNATURE:

PARENT SIGNATURE:

NINTH CONGRESSIONAL DISTRICT

UNITED STATES SERVICE ACADEMY PROGRAM INFORMATION

I. THE NINTH CONGRESSIONAL DISTRICT UNITED STATES SERVICE ACADEMY
PROGRAM

The Ninth Congressional District Service Academy Program is designed to
encourage all likely candidates for the U.S. Service Academies,
irrespective of race, gender, or political persuasion, to apply for a
nomination; to ensure the best qualified candidates from the District
are provided nominations to the U.S. Service Academies; and to optimize
the number of candidates from the District that actually enter academies
each year. The Ninth District Tacoma Office assists in implementing the
program, reviews each candidate\'s file, interviews each candidate, and
provides its recommendations to Congressman Smith.

II\. HOW TO BE CONSIDERED FOR NOMINATIONS TO THE U.S. SERVICE ACADEMIES.

To be considered for admission to a service academy, the candidate must
meet the eligibility requirements, qualify medically, pass a physical
aptitude test, and obtain a nominatim source authorized by Congress. To
obtain a nomination, the candidate should apply through the congressman
representing the district in which he/ she lives and through both
Senators from his/ her state of residence.

III\. HOW TO CONTACT THE ACADEMIES:

All prospective candidates should request a pre-candidate questionnaire
from each of the four academies from which he/ she would consider a
nomination. It is important to establish a file with the academies, as
well as with this office. The phone numbers and addresses of the
academies follow:

U.S. Air Force Academy, Admissions Office, Colorado Springs, CO
80840-5651

Phone: 719-472-2520.

U.S. Military Academy, Admissions Office, West Point, NY 10996-1797

Phone: 917-938-4041 or 1-800-822 USMA

U.S. Merchant Marine Academy, Admissions Office, Kings Point, NY
11024-1699

Phone: 516-773-5000 or 1-800-732-6267

U.S. Naval Academy, USNA Candidate Guidance Office, Annapolis, MD 21402

Phone: 202-267-4361 or 1-800-638-9156

\*\*The U.S. Coast Guard Academy does not require a nomination. If you
would like an application to this academy, you may contact them directly
at The U.S. Coast Guard Academy, Admissions Office, New London, CT
06320-4195; phone: 203-444-8501.

IV\. TESTING-WHAT YOU SHOULD KNOW.

The service academies require candidates to take the SAT and/ or the
ACT. Testing information can be obtained through your high school
guidance counselor. It is recommended that a candidate take one or both
of these test several times, to try to improve scores, and to have the
results reported to this office and to the service academies. You will
be responsible for providing certified copies of your test scores to
this office.

V. YOUR FILE

You should establish a file at each Service Academy to which you desire
a nomination and a second file with the Ninth Congressional District
Office in Tacoma. Your file at each Service Academy must include ALL
information specified by that particular academy. To complete your file
through this office for a nomination to a U.S. Service Academy, the
following information must be received no later than 5:00 p.m. November
1st in the Tacoma office.

A. Your Application

Your Ninth Congressional District Application (attached) should be
typed, if possible, and filled out completely. he SAT and/ or ACT scores
must be verified by your counselor or principal\'s signature in the
space provided on your application. If your application is not complete,
it will be returned to you for further information.

B. Photograph (optional)

Please submit one recent photograph of yourself (approximately 4 x 5
inches).

C. Required Letters of Recommendation

Three letters of recommendation are required; at least one either from
your high school principal or counselor. Up to three additional letters
of recommendation may be submitted from individuals who can assess your
character, your leadership ability, and any activities other than
academic such as scouting, church and/ or community service,
extra-curricular activities, employment record. All letters submitted
will be made a part of your Ninth District academy file.

D. Personal Letter

Please submit a personal letter from you stating why you want to attend
a U.S. Service Academy and the goals you have for a military career.
Your letter may be as brief as you like but should not exceed 250 words.

E. High School Transcript

Your high school transcript should accompany your file. If you receive
an updated version of your transcript before the November 1st deadline,
please submit it to this office.

F. SAT Scores and/ or ACT Scores

We will accept SAT/ACT scores that are pre-printed on the high school
transcript if they are initialed by the counselor. Also, the SAT/ACT
score sheets and/ or copies of these sheets are acceptable.

VI\. NOMINATIONS THROUGH PERSONAL INTERVIEWS

The following criteria must be met in order to receive an interview:

\*Your file must be complete and in the Tacoma office by November 1st.

\*You must qualify academically (please refer to the SAT/ACT
requirements).

VII\. DEADLINE AND RESPONSIBILITY

The deadline to submit all required information to this office on
November 1st at 5:00 p.m. It is the responsibility of the student to
make sure all required information is received in a timely manner. It is
suggested that nothing be left to chance. You are encouraged to call and
check the status of your file. It is suggested that you get all of your
information in early.

VIII\. WHERE TO SEND ALL INFORMATION

All documents outlined in this paper are to be submitted to:

Congressman Adam Smith

1717 Pacific Ave, Suite 2135

Tacoma, WA 98402

Attn. Ms. Rebecca Snyder

Please call Rebecca Snyder in my Tacoma District Office at
1-888-764-8409 or 253 593-6600 if you have any questions regarding
application for entry into a U.S. Service Academy.

SOURCES OF NOMINATIONS

THE PRESIDENT

Appointments are limited by law to children of career officers and
enlisted personnel of the Armed Forces including the Coast Guard. The
parent must have either served continuously on active duty for at least
8 years and still be serving, or be retired from active duty with pay.

Office of the President

The White House

Washington, D.C. 20500

THE VICE PRESIDENT Office of the Vice President

The White House

Washington, D.C. 20500

THE CONGRESSMAN

The Honorable Adam Smith

1717 Pacific Ave, Suite 2135

Tacoma, Washington 98402

THE SENATORS

The Honorable Patty Murray

Call for information: 206-220-6400

The Honorable Maria Cantwell

Call for information: 206-553-5545

SERVICE ACADEMY FACT SHEET

The following requirements apply to entrance to all four academies to
which Members of Congress make nominations: Air Force, Merchant Marine,
Navy and West Point (Army).

GENERAL REQUIREMENTS: Applicants must be at least 17 years of age, but
not past their 22nd birthday of July 1 of the year of admission to an
academy (for the Merchant Marine admission, applicants must not be past
their 25th birthday of July 1 of the year of admission); must never have
been married; must be a citizen of the United States by birth or
naturalization of July 1 of the year of admission; must be men and women
of good morale character who are trustworthy, emotionally stable and
motivated.

MEDICAL QUALIFICATIONS: All physical examinations are conducted at
designated Department of Defense medical examining centers. Examinations
will be conducted only for those candidates who have been officially
scheduled by the Department of Medical Examination Review Board- a
tri-service agency responsible for scheduling and evaluating examination
for all the U.S. Service Academies. You will receive instructions for
taking the Medical Examination directly from the Medical Review Board.

PHYSICAL APTITUDE: Your strength, endurance, and agility are measured by
the Physical Aptitude Examination (PAE). Candidates are advised to
prepare for this examination by engaging in vigorous activities such as
running, general conditioning to exercises, and competitive games.
Details on PAE can be found in the appropriate academy manual, together
with height and weight limitations.

ACADEMIC QUALIFICATIONS: To be considered for a nomination to an
Academy, the applicant must take the Scholastic Aptitude Test (SAT) and/
or the American College Testing Program (ACT). It is strongly
recommended that both tests be taken to see which one measures the
educational background most favorably. The deadline for application for
these tests is usually about one month in advance of the test date.
Applicants are advised to check carefully with their guidance
counselors.

NINTH DISTRICT APPLICATION: Candidates must have their completed file in
Congressman Smith\'s Tacoma Office by November 1st. No information will
be accepted after this date. Qualified candidates will be notified soon
after this deadline of their interview time.

INTERVIEW: All qualified applicants will be interviewed for the
nomination.

\*\*NOTE: A nomination by Congressman Adam Smith does not guarantee you
an appointment by