Congressman Mike Lawler's 2024 Service Academy Nomination Application
Complete this application by Friday, September 27, 2024 to be eligible for a Service Academy Nomination from Congressman Lawler's Office.

You must complete all required fields, including SAT and/or ACT scores.

All submissions will receive an interview assuming they are eligible. Interviews are expected to start sometime in October. You will receive an email with more details at a later date.

Please call our office at 845-201-2060 and ask for Donna Chiapperino if you have any questions.
Sign in to Google to save your progress. Learn more
Email *
First Name of Student *
Last Name of Student *
Graduation Year *
High School / School Currently Attending *
Home Street Address *
Home City *
Home Zip Code *
Student Cell Number *
Parent or Guardian Name *
Parent or Guardian Cell Number *
Parent or Guardian Email *
County *
GPA
SAT Scores Math
SAT Scores Writing
SAT Scores Critical Reading
SAT Scores Composite

ACT Scores Math

ACT Scores English

ACT Scores Reading

ACT Scores Science

Please check the Service Academy (s) to which you will be applying. Note that you have a better chance of receiving a nomination if you apply to more than 1.
 *
Required
An appointment to the Service Academies is based on a desire by the candidate to devote a lifetime of military service and implies recognition by the appointee of an obligation to the government to devote him / herself to a military career.
Are you interested in an appointment on that basis?

 *
Required
Are you in the Scouts? If so have you obtained the level of Eagle Scout or Gold Award?
 *
State any leadership positions you have held with your school, sports, clubs, and communities.

 *
State extracurricular activities

 *
Maximum 500 words.

Share an instance where you chose to act with integrity even when it was not the easiest or most convenient path. How did this choice impact you and those around you?

 *
Maximum 500 words.

Describe a time when you took on a leadership role that was not accompanied by a leadership title. What challenges did you face and how did you address them? What were your key takeaways from this experience?

 *
Do you have an LOE? If yes, list which academy below.
Do you have an LOA? If yes, list which academy below.
Are you actively being recruited for a sport? If yes, please list sport and Academy.
Miscellaneous Information
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms