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1943100-50800Congressman Andy Harris, M.D.United States Military Service Academy2018 Nomination Application Packet 00Congressman Andy Harris, M.D.United States Military Service Academy2018 Nomination Application Packet Acceptance at a Military Academy involves at least a nine year obligation: four years at the Academy and a minimum of five years of active duty in the United States Military. You are obligated to serve in the United States Military at the beginning of your junior year at the Academy. It is in your best interest to request a nomination through all sources available to you: Presidential, Vice Presidential, Senatorial and Congressional. If either of your parents is currently on active duty and has served for at least eight years, or is retired from active duty or the Reserves, or was killed in action, then you may qualify got a Presidential nomination. Please check with the Admissions Office of your respective Military Academy for more details. ELIGIBILITY REQUIREMENTSAs of July 1st of the year of admission, applicants must be:17 years of age, but not yet 23A citizen of the United StatesUnmarried, not pregnant, and have no legal obligation to support a child or dependentA legal resident of Maryland’s 1st Congressional DistrictNOMINATION PROCEDURESTo be considered for a nomination by Congressman Harris, each applicant must submit a complete Application Packet to his Kent Island District Office on or before October 22, 2018. Each packet must contain the following items: Application Form (pages 2-3 in this packet)Extra- Curricular Activities Worksheet (page 4 in this packet)Nomination Board Questionnaire (pages 5-10 in this packet)Three Letters of Recommendations: One letter should be written by your High School Principal or Guidance Counselor. Other letters may be written by teachers, coaches, scout masters, clergy or community leaders who can accurately comment and attest to your character, abilities and potential success at a Military Academy. Letters should be sealed and submitted with the application packet. Official SAT/ACT Scores: Scores must be sent directly to Congressman Harris’ Office by the testing service. The institution code for SAT scores is 5158 and the ACT scores code is 7433. You are encouraged to take the SAT or ACT exams “early and often” in order to improve your academic competitiveness. Academies will accept the highest scores in each academic area, regardless of testing date. Official High School Transcript: Please include a copy of your Senior Class Schedule. Senior grades should be submitted as soon as they are available and will be accepted after the application deadline. Photograph: 4x6 color photograph with applicant’s name written on the back. Unless specifically requested, photographs will not be returned to the candidate. Note: Please do not staple items in your application packet.INTERVIEWSApplicants who submit a complete nomination packet on or before October 22, 2018 will be reviewed by Congressman Harris’ Military Service Academy Review Board (Board). Candidates will be invited to meet Congressman Harris (depending on his schedule) and be interviewed by the Board. This well- qualified, non-partisan Board ensures a fair and impartial nomination process. Applicants are encouraged to dress appropriately for the Military Service Academy interviews. MILITARY SERVICE ACADEMY NOMINATION APPLICATIONIn addition to the submitting a complete nomination application to Congressman Harris, applicants must directly contact their respective military academy to open an admission file. Nominations cannot be awarded unless a file is open with the academy. Applicants are strongly encouraged to apply to more than one academy.Congressman Harris’ nomination materials ARE SEPARATE FROM the materials you must provide to your respective academies. ___________________________________________________________________________________________________________I wish to be nominated to the following academy(s) in this order of preference:___ U.S. Air Force Academy ___ U.S. Naval Academy___ U.S. Military Academy___ U.S. Merchant Marine Academy**Please use numerals to denote preference and only mark the academies where you have filed an application and intend to interview**Full Name (last, first, middle): _______________________________________________________________________________Gender: __________ Age: __________ Date of Birth: ____________Permanent Mailing Address Temporary Mailing Address (if applicable)_______________________________________________________________________________________________________________________________ ______________________________________________________________________________________ _____________________________________________Applicant’s Phone: _______________________________ Applicant’s Email: _______________________________________Father’s Name: __________________________________ Mother’s Name: _________________________________________Parent’s Phone: ________________________________ Parent’s Email: __________________________________________Name of High School: _________________________________ High School Phone: ___________________________________High School Address: _____________________________________________________________________________________Name of Guidance Counselor: ________________________________________________________________________________ I understand the submission deadline for the nomination packet is October 22, 2018 and that my COMPLETE PACKET must be received by Congressman Harris’ Kent Island District Office by 5:00PM on October 22, 2018.__ I certify that I am resident of Maryland’s First Congressional District. Applicant’s Signature: _______________________________________________ Date: _______________Parent’s Signature: _________________________________________________ Date: _______________EDUCATIONAL HISTORYExpected or Actual Graduation Date: ______________ Estimated Class Rank and Class Size: _______/___________Grade Point Average (GPA): ______________ Grade Scale Used: _________________________________SAT Scores: Total: _____ Reading: _____ Math: _____ Evidence Based Reading and Writing: _____Date of SAT Exam: ______________ACT Scores: Total: _____ English: __________ Math: __________ Date of ACT Exam: ______________(GPA, scale, class rank and class size must be included on your High School Transcript. Home School students- simply mark rank in class as “1 of 1” if officials ranking is unavailable. ACT/SAT scores reported on your official certified transcript are acceptable.)Name of College (if applicable): _______________________________________________________________________________Grade Point Average: ______________ Credits Completed: ______________ Major: ________________________________EMPLOYMENT HISTORYPlace of Employment: __________________________________________________________________________________________Dates Employed: ___________________________________ Hours worked per week: _____________________________________Motivation for working?: _______________________________________________________________________________________Place of Employment: __________________________________________________________________________________________Dates Employed: ___________________________________ Hours worked per week: _____________________________________Motivation for working?: _______________________________________________________________________________________Place of Employment: __________________________________________________________________________________________Dates Employed: ___________________________________ Hours worked per week: _____________________________________Motivation for working?: _______________________________________________________________________________________EXTRA CURRICULAR ACTIVITIES WORKSHEETAthletic ActivitiesFor High School athletics, please mark “JV” for Junior Varsity or “V” for Varsity in the appropriate space. Please also mark “L” if you lettered in the sport. For Non-School athletics, please mark “X” for any sports you were involved in. HIGH SCHOOL9101112Baseball/Softball ________Basketball__ ______Cheerleading________Cross Country________Football________Golf________Lacrosse________Soccer________Swimming/Diving________Tennis________Track/Field________Volleyball________Wrestling__________ ________ ______ __ ______NON-SCHOOL ATHLETICS 74295016510________________________________00________________________________Baseball Basketball Football Golf Gymnastics Running Karate Lacrosse Skiing Soccer Softball Swimming Tennis Track/Field Volleyball Wrestling___________ Extra- Curricular ActivitiesPlease mark “X’ for any involvement in the below.403225062865LEADERSHIP ROLES Boys/Girls StateStudent Body PresidentClass PresidentStudent Body OfficerAthletic Team CaptainEagle ScoutJr. ROTCOther Military OfficerOther School Club OfficerNon-School Club OfficerEditor of Yearbook/Newspaper_________________________0LEADERSHIP ROLES Boys/Girls StateStudent Body PresidentClass PresidentStudent Body OfficerAthletic Team CaptainEagle ScoutJr. ROTCOther Military OfficerOther School Club OfficerNon-School Club OfficerEditor of Yearbook/Newspaper_________________________39370062865EXTRA-CURRICULAR ACTIVITIESStudent Body RepresentativeChurch ActivitiesBand/OrchestraMusic/SingingDramaSchool Yearbook/NewspaperKey ClubLanguage or Science ClubJr. ROTCCivil Air Patrol_______________________________________________00EXTRA-CURRICULAR ACTIVITIESStudent Body RepresentativeChurch ActivitiesBand/OrchestraMusic/SingingDramaSchool Yearbook/NewspaperKey ClubLanguage or Science ClubJr. ROTCCivil Air Patrol_______________________________________________2095500-3175____________________________00____________________________577850048895________________________00________________________5588000277495__________00__________398780083820COMMUNITY INVOLVMENT__________________________________________________________________00COMMUNITY INVOLVMENT__________________________________________________________________39370026670AWARDS AND HONORSNational Honor Society____________________________________________00AWARDS AND HONORSNational Honor Society____________________________________________187960026035____00____Questionnaire Page 1 Name: SERVICE ACADEMY INTERVIEW BOARD QUESTIONNAIREAnswer the following questions in the pace provided below. Please type or print clearly in black ink. Question 1: Why do you want to serve as an officer in the United State Military?Questionnaire Page 2 Name: Question 2: Why is a Military Service Academy your preferred commissioning source? What have you done to educate yourself about the academies and make yourself competitive? Questionnaire Page 3 Name: Question 3: What characteristic do you perceive is a personal weakness and what do you do to compensate and/or improve it? Questionnaire Page 4 Name: Question 4: What role does physical fitness and competition play in your life?Questionnaire Page 5 Name: Question 5: What qualities do you feel are important in a leader? Describe a historical event where a leader’s actions were instrumental to the outcome.Questionnaire Page 6 Name: Question 6: Describe ROTC and OCS/OTS. If you don’t succeed in gaining admission to a Military Academy, what alternate means of commissioning will you pursue?LETTERS OF RECOMMENDATIONSPlease list the three individuals who will be writing letters of recommendation to support your nomination.Note: One letter must be written by your High School Principal or Guidance Counselor.NAMEPhoneTitle/Organization1). 2). 3). CHECKLISTCompleted Application Form Official SAT/ACT ScoresExtra- Curricular Activities Worksheet Official High School TranscriptInterview Board Questionnaire Senior Class ScheduleThree Letters of Recommendation 4X6 Photograph The deadline to submit a complete nomination packet is 5:00 PM on October 22, 2018.Please mail your completed application, including the additional required materials to:Office of Congressman Andy Harris, M.D.Kent Island District Office100 Olde Point Village, Suite 101Chester, MD 21619Please contact the Kent Island District Office at 410-643-5425With any questions you may have. We will be happy to assist you!308610029527500 ................
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