Format Of Request For Congressional Nomination

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FORMAT OF REQUEST FOR CONGRESSIONAL NOMINATION
(This is intended as a guide. A separate letter must be sent to each Senator and Representative to whom
you apply or you can request a nomination on-line. You can access each Senator and Representative at
the following websites
or )
Date
Honorable (Name of Appropriate Authority)
(Visit website listed above for correct address for your
Senators and Representative)
Dear (Mr. /Mrs. /Ms. Name) OR Dear Senator (Name)
I want to attend the Air Force Academy and to serve in the United States Air Force. I request that I be considered as
one of your nominees for the class that enters the Academy in June 20__.
My pertinent data is:
Name (print name exactly as it appears on the birth certificate, or if legally changed, attach a copy of the court
order):
Social Security Number:
Permanent address (street, city, county, state, zip code):
Temporary address (if applicable):
Permanent phone number and area code:
Temporary phone number and area code (if applicable):
Name of father:
Name of mother:
Date and place of birth (spell out month):
Name and address of high school:
Date of graduation:
Approximate grade point average (GPA); rank-in-class; and PSAT, PACT/PLAN, SAT and ACT if you have taken
these tests. Include critical reading and math scores for the PSAT and SAT tests; and English, math, reading, and
science reasoning for the ACT test and PACT/PLAN composite.
Extracurricular activities:
Reasons for wanting to enter the Air Force Academy:
Thank you for considering me as one of your nominees to the Air Force Academy.
Sincerely
Signature

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