Response

CONGRESSMAN HIMES
SERVICE ACADEMY NOMINATION APPLICATION
Class of 2027

The deadline for submitting a completed application to my office is:
OCTOBER 6, 2023 AT 5:00 P.M. EST

(No paperwork will be accepted after the deadline)

Your Information

* Prefix

* First Name

* Last Name

* Address Line 1

* City

* State

* Zip

* Cell Phone

Home Phone

* Email

* Confirm Email

* Date of Birth:

* Gender:

* U.S. Citizen?

Country of citizenship

Parent/Guardian Information

* Parent/Guardian Name

* Street Address:

* City:

* State:

* Zip Code:

Education Information

* High School:

* High School Address:

* City:

* State:

* Zip Code:

* GPA:

* Class Size:

* Class Rank:

* Graduation Date:

Test Scores

Applicants are responsible for registering for the SAT or ACT and requesting the scores be sent to your nominating representatives and perspective academies. My office's SAT code is #6173 / ACT code is #7312.

SAT Scores:

Math:

Writing:

Critical Reading:

Composite:

ACT Scores:

Math:

English:

Reading:

Science:

Composite:

Academy Information

Select your preference of academies - with "First" being your highest preference. Please rank only the Academies to which you intend to apply.

FIRST

SECOND

THIRD

FORTH

* Are you interested in an appointment on that basis?

Additional Information

Extracurricular Activities:

Name of home town paper?

* Is it ok to use your name, parent/guardian names and high school in a press release?

Transcripts:

Please upload your transcripts in word or pdf format.

* Upload transcripts:

Please upload your transcript with an official seal or stamp, in a pdf format.

Your total combined file size can not exceed 1MB. Documents must be the following file types: .pdf.

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

Upload FileNo file chosen

Essay:

Our Essay question is:

Please write about your desire to attend a United States service academy. Perhaps you may wish to describe the event(s) that made you interested in attending a service academy. Furthermore, you may want to write about a family member or friend who was influential in your decision-making. Please be clear in describing why attending a U.S. service academy is right for you.

* Upload essay:

Please do not include any links to an essay; you must attach the essay itself.

Your total combined file size can not exceed 1MB. Documents must be the following file types: .doc, .docx, .pdf.

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

Upload FileNo file chosen

Resume:

Please upload a resume indicating your extra-curricular, internships, athletic activities and employment history. This document must be one side of one page only, using font size 12 or
larger.

* Upload resume:

Please do not include any links to your resume; you must attach the resume itself.

Your total combined file size can not exceed 1MB. Documents must be the following file types: .doc, .docx, .pdf.

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

Upload FileNo file chosen

Letters of recommendations:

Upload up to 3 letters of recommendations.

* Upload letters of recommendations:

Please do not include any links to a letter of recommendation; you must attach the letters themselves.

Your total combined file size can not exceed 2MB. Documents must be the following file types: .doc, .docx, .pdf.

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

Upload FileNo file chosen

Please read before signing:

I have read and understand the information packet explaining the nominating procedure and I am familiar with the requirements. I certify that I am a legal resident of Connecticut's Fourth Congressional District. By signing this form, I swear that the material contained therein is truthful and accurate and the written material is my own. I understand that I must submit all necessary information by OCT. 6th 2023 at 5:00 P.M. EST to be considered for a nomination by U.S. Representative Jim Himes.

* Submit date:

* Submit time:

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