(Modify or Amend as appropriate; this is only a sample)
Date Honorable ________________________ or Honorable ________________________ House of Representatives United States Senate Washington, DC 20515 Washington, DC 20510 Dear Congressman: Dear Senator: It is my desire to attend a Service Academy of the United States. I respectfully request that I be considered as one of your nominees for the class entering in the summer of 20____. (following HS graduation) My choice for a Service Academy nomination is indicated by the box checked below. In the event that I am not selected for the nomination, my alternate choices, if any, are indicated by the numbers two through four in the appropriate boxes. ( ) United States Air Force Academy, Colorado Springs, Colorado ( ) United States Merchant Marine Academy, Kings Point, New York ( ) United States Military Academy, West Point, New York ( ) United States Naval Academy, Annapolis, Maryland The following personal data is provided for your information: Full name _______________________________________________________________ Name of parents _________________________________________________________ Address: (use ZIP code and phone number) PERMANENT TEMPORARY __________________________________ ____________________________________ __________________________________ ____________________________________ __________________________________ ____________________________________ My date of birth: ________________ Place of birth: _____________________ Social Security Number: ________________________________________________ High school attended: (name and address) ________________________________ My approximate standing is ______________ in a class of _________________ I have requested my high school transcript of work completed to date be forwarded to your office as soon as possible. I have also listed on the reverse side of this letter, the results of my ACT or College Board test I have taken. I have been active in high school extracurricular activities as indi- cated on the reverse side. I should greatly appreciate your consideration of my request for one of your nominations. Sincerely yours, (signature)
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