Military Academy Nominations


Thank you for your interest in the U.S. Service Academies. As your 3rd District Representative in the U.S. House of Representatives, each year I have the privilege of nominating a limited number of people to four of the five service academies. The honor of attending a service academy comes with an obligation and commitment to serve in the military for a minimum of five years upon graduation. For more information, please review my page of Frequently Asked Questions for those seeking a Military Academy Nomination. Best wishes to you as you pursue your goal of attending one of the U.S. Service Academies and serving our country.

Please review the requirements before completing this form.

To request a Military Academy Nomination form my office, please complete the form below.

* indicates information that you need to provide.

Academy Information
Number your preference (1 to 4) of academies — with 1 being your highest preference. If you are seeking nomination to more than one academy, please submit one application for each academy.
Other Sources
Please list other sources of academy nominations pursued. (i.e. Presidential, Senatorial, etc.)
American Citizen: *
Permanent Address
(Must be within the 3rd District of North Carolina)
Temporary Address
Parents' Information
(If different from your own)
Contact information
Education Information
Medical Information
If not, what is your visual acuity uncorrected?

in a class of
SAT Scores
Please attach a copy of your most recent transcript and photograph

Extracurricular Activites



Additional Information
Three Personal References ....(please submit letters)


Print This Form

You can print and sign this form after you click the Generate Form button. The address information is located on this page and also on the print preview page.

Please return no later than October 31st to:
Congressman Walter B. Jones
Attn: Deborah Marm
1105-C Corporate Drive
Greenville, North Carolina 27858