Service Academy Nominations | U.S. House of Representatives

PRIVACY ACT STATEMENT: Submission of the requested information constitutes authorization to release it to Congresswoman Miller, her academy advisory committee, and the academy admissions offices.

DEADLINE FOR SUBMISSION: Friday, October 23, 2026 at 4:00 PM CST
You must reside in the 15th Congressional District to receive this nomination.

The following materials must be mailed or hand delivered to our Quincy District Office (3236 Broadway St, Suite 200, Quincy, IL 62301) by October 23, 2026 at 4:00 PM CST:

3 letters of recommendation (teachers, employers, pastor, advisors, etc.)
Sealed High School Transcripts and Sealed College Transcripts (if applicable)
Digital Headshot Photo (.jpg, .png, .tiff, or .gif, 10MB max)
Essay: “Why I want to attend a Service Academy” (200 words; .doc, .docx, .pdf, or .txt)
SAT/ACT Scores (.jpg, .png, .tiff, .gif, or .pdf, 10MB max)

Required fields are followed by *.

Personal Information

First Name: *

Last Name: *

Street Address: *

City: *

State: *

Zip Code: *

Cell Phone: *

Home Phone: *

Email Address: *

Confirm Email: *

Mailing Address (if different from above):

Date of Birth: *

Gender: *

Height (feet & inches): *

Weight (lbs.): *

Did you pass the Candidate Fitness Assessment? *

Candidate Fitness Assessment Score: *

Is your corrected visual acuity in each eye at least 20/20? *

Are you a U.S. Citizen? *

Academy Preferences

Rank academies, for which you submitted an application, 1–4 according to your preference. If not applying there, leave blank.

United States Air Force Academy:

United States Merchant Marine Academy:

United States Military Academy (West Point):

United States Naval Academy:

Other applications for nomination you have applied for (check all that apply): Tammy Duckworth
Dick Durbin
Vice President
Other

If “Other” was selected, input name of elected official here:

Family Information

Father’s Contact Information

First Name:

Middle Initial:

Last Name:

Address Line 1:

City:

State:

Zip Code:

Email:

Confirm Email:

Phone:

Cell Phone:

Father’s Occupation:

Mother’s Contact Information

First Name:

Middle Initial:

Last Name:

Address Line 1:

City:

State:

Zip Code:

Email:

Confirm Email:

Phone:

Cell Phone:

Mother’s Occupation:

Legal Guardian:

Legal Guardian Phone:

Legal Guardian Email:

Are you on active duty or in a reserve component of the armed forces? *

If yes, which service?

Do you have any dependents (children or spouse)? *

Educational Information

High School: *

High School Full Address: *

High School Phone Number: *

Date of Graduation: *

Grade Point Average/Scale (e.g. 4.5/4.0): *

Class Ranking: _______ of _______: *

College/Preparatory School

College/Preparatory School:

College/Preparatory Address:

Major:

Credit Hours Earned:

Grade Point Average/Scale:

Date of Graduation:

Signatures

I have read and understand the information provided in this application regarding the nominating process. I affirm that I have never been convicted or arrested for violating a state or federal statute. I understand the deadline for my application is October 23, 2026 at 4:00 PM CST. If I have not submitted all of the required information by the deadline, I understand that my application will be considered incomplete. I have answered all questions truthfully and to the best of my knowledge. I understand that any false information could result in me not getting a nomination. I also understand that filling out an application does not guarantee me a nomination, and a nomination does not guarantee an offer of admission to an academy. I also give permission for my name to be released to the media in the event that I am nominated by Congresswoman Mary Miller.