First Name
MI
Last Name
Address Line 1
Address Line 2
City
State
Alabama
Alaska
America Samoa
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
Email
Phone
Date of Birth:
Gender:
Male
Female
U.S. Citizen:
Yes
No
Parent/Guardians:
School Information
Name of High School:
Address:
City:
State:
South Carolina
Zip Code:
GPA:
Class Rank:
Graduation Date:
SAT Scores
Math:
Critical Reading:
Writing:
Composite:
ACT Scores
Math:
Science:
English:
Reading:
Writing:
Academy Information
Air Force Academy:
1st
2nd
3rd
4th
U.S. Merchant Marines:
1st
2nd
3rd
4th
U.S. Military Academy (West Point):
1st
2nd
3rd
4th
U.S. Naval Academy:
1st
2nd
3rd
4th
Name of hometown newspaper:
Is it okay to use your name in a press release after receiving an appointment?
Yes
No
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