Your Information
Full Name*
Permanent Address*
Mailing Address(if different)
Email*
Telephone Number
Date of Birth*
County*
City*
US Citizen? —Please choose an option—YesNo
Resident in AZ01? —Please choose an option—YesNo
Academy Ranking
Number your preference (1 to 4) of academies — with 1 being your highest preference
U.S. Air Force Academy
—Please choose an option—1234
U.S. Merchant Marine Academy
U.S. Military Academy (West Point):
U.S. Naval Academy:
Other Sought Nominations
ROTC Applications
ROTC App. Locations
Parent/Guardian Information
Father's Name
Father Phone
Mother's Name
Mother Phone
Academic Information
High School
Expected Graduation Date*
Counselor
Counselor Phone
SAT
Test 1 Math
Test 1 Verbal
Test 1 Writing
Test 2 Math
Test 2 Verbal
Test 2 Writing
Test 3 Math
Test 3 Verbal
Test 3 Writing
ACT
Test 1 English
Test 1 Reading
Test 1 Science
Test 2 English
Test 2 Reading
Test 2 Science
Test 3 English
Test 3 Reading
Test 3 Science
Athletic Activites
Sport
JV/V
Awards/Honors
Grade
Extracurriculars (School Sponsored)
Activity
Position Held
Community/Volunteer (Not school Sponsored)
Other Awards
Employment Synopsis
Details*
