Military Academy Nominations Form | Congressman Matt Cartwright

Applicant Information

First Name: *

Last Name: *

Street Address: *

Street Address: (Continued)

City: *

State: *

Zip Code: *

Email Address: *

Home Number: *

Cell Number: *

Date of Birth: *

Are you a U.S. Citizen? * Yes No

Parent/Guardian Information

Names of Parents/Guardians: *

Street Address: *

Street Address: (Continued)

City: *

State: *

Zip Code: *

Email Address: *

Phone Number: *

Education Information

High School Name: *

High School Address: *

City: *

State: *

Zip Code: *

Class Rank: *

Class Size: *

Cumulative Unweighted GPA: *

Expected Graduation Date: *

If post School Graduate, list current school and address:

School Name:

High School Address:

City:

State:

Zip Code:

Test Scores

SAT

Math:

Writing:

Reading:

Multiple Choice:

Essay:

ACT

Math:

English:

Reading:

Science Reasoning:

Composite:

Academy Information

To which academies are you seeking a nomination?

Please only request a nomination to the academies to which you plan to apply. You must begin the application process at each academy before our office can nominate you. It is your responsibility to notify our office if these preferences change. Every attempt will be made to nominate you for your first choice.

First Pick:

Second Pick:

Third Pick:

Fourth Pick:

Additional Information

You may also seek nominations from other sources. (Your United States Senators; the President of the United States who nominates children of military personnel; the Vice President of the United States; the Secretary of the Army, Navy or Air Force who nominates members of regular military, reserve components and participants in the ROTC). Have you applied for nominations from all the sources available to you?: * Yes No

If yes, who?:

If no, why not?:

Name of hometown newspaper or local news website:

Is it ok to use your name and photograph in a press release after receiving an appointment or nomination? Yes No

Is it ok to use your name and photograph on Congressman Cartwright's social media pages after receiving an appointment or nomination? Yes No

List of extracurricular activities: * (1.5 line space, Times New Roman)
* Please email a .pdf version of your Extracurricular Activities to ServiceAcademyPA08@mail.house.gov.

Community Involvement Essay: * (500 words, 1.5 line space, Times New Roman)
* Please email a .pdf version of your completed essay to ServiceAcademyPA08@mail.house.gov.

Why I Want to Attend a Service Academy Essay: * (750 words, 1.5 line space, Times New Roman)
* Please email a .pdf version of your completed essay to ServiceAcademyPA08@mail.house.gov.

File Attachments

Each candidate must submit 2 letters of recommendation. Letters of recommendation must reflect the candidate's (1) leadership characteristics (2) ability to work in a team environment (3) ability to work under pressure (4) motivation, personality traits, athletic ability, other general comments

Official High School Transcript (front and back) *

Letter of Recommendation (1) *

Letter of Recommendation (2) *

Official SAT Score Report *

Official ACT Score Report

Profile Image (JPG format only, headshot must be 4"x 6", plain background) *

There is a 2MB upload limit for all attachments combined.

Documents must be the following file types: .doc, .docx, .pdf, .txt. Image must be the following file types: .jpg, .jpeg.

Macintosh users: Your document must have a file extension. Resave it using your word processor with the appropriate extension from the above list.

Application Agreement

Please read the following statements before signing the application, as your signature indicates your agreement with the following statements. If you do not include your signature, your application will not be considered for nomination:

It is my sincere desire to attend a U.S. Service academy and I intend to pursue a vigorous academic course of study if appointed. I understand that attending a service academy also requires a minimum of five years of military service following graduation and I fully commit to this responsibility. I am a U.S. Citizen or will be by July 1, 2024. I will be at least 17 years of age, but not yet 23 years of age on July 1, 2024. I am not married. I am not pregnant, nor do I have any child support obligations. I am a legal resident of the 8th congressional district of Pennsylvania.

I certify that the information I have provided in my nomination packet is accurate. Any changes to this information will be reported immediately. Additionally, I understand that I will not be considered for a nomination if my nomination packet is incomplete or not submitted by September 27, 2024 at 5pm.

Signature (Print Name): *

Date Signed: *