United States Naval Academy



18 Jan 14From: MIDN Joseph David Marine, 555 55 5555/8001To: Commanding General, Marine Corps Recruiting CommandVia: Senior Marine United States Naval AcademySubj: REQUEST FOR APPOINTMENT TO COMMISSION AS A SECOND LIENTENANT IN THE UNITED STATES MARINE CORPS Encl: (1) Request for Appointment documents1. I hereby submit my application for appointment to commission as a second lieutenant in the U.S. Marine Corps (Active) upon completion of all academic requirements for my degree no later than 23 May 2014. I will have written verification of this degree on 23 May 2014 and desire to be commissioned on 23 May 2014.2. My commissioning will be coordinated by Marine Liaison, Major Jennifer L. Grieves, Office of the Senior Marine Corps Representative, 107 Maryland Ave. Annapolis, MD 21402. 3. My Home of Record is as stated on my current Academy contract. I have provided each of my prior service contracts and separation documents from all services and academies to reflect pay and service time. __ Army __ Navy __ Air Force__ National Guard _X_ Service Academy __ Reserve Officers Training Corps. (Check all that apply) 4. I completed OCS (N/A) and expect to commission as: _X__ Ground _ __ Student Naval Aviator ___ Student Naval Flight Officer.5. Upon reporting to TBS, my marital status will be: ___ married _X_single. I will provide supporting documents under separate cover.6. I desire my commission to report the following: religious preference ____26____, race ____E____ and cultural ethnicity _____P_____. (Reference RFA Guide for appropriate race/ethnicity information) 7. I desire to be assigned to The Basic School (TBS) class # __5-14___ which convenes _10 Jun 2014___.__________________Signature___________________Witnessing OfficerRaceA AMERICAN INDIAN OR ALASKA NATIVEB ASIANC BLACK OR AFRICAN AMERICAND NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDE WHITEF DECLINED TO RESPONDH AMERICAN INDIAN/ALASKA NATIVE, ASIANJ AMIN/ALNAT, ASIAN, BLACKK AMIN/ALNAT, ASIAN, BLACK, NATHAW/PACISLL AMIN/ALNAT, AS, BL, NATHAW/PACISL, WHITEM AMIN/ALNAT, ASIAN, BLACK, WHITEN AMIN/ALNAT, ASIAN, NATHAW/OTH PAC ISLP AMIN/ALNAT, ASIAN, NATHAW/PACISL, WHITEQ AMIN/ALASKA NATIVE, ASIAN, WHITER AMIN/ALNAT, BLACK OR AFRICAN AMERICANS AMIN/ALNAT, BLACK, NATHAW/PACISLT AMIN/ALNAT, BLACK, NATHAW/PACISL, WHITEU AMIN/ALNAT, BLACK, WHITEV AMIN/ALNAT, NATHAW/PACISLW AMIN/ALNAT, NATHAW/PACISL, WHITEX AMERICAN INDIAN/ALASKA NATIVE, WHITEY ASIAN, BLACK OR AFRICAN AMERICANZ ASIAN, BLACK, NATHAW/PACISLReligion00 NO PREFERENCE 01 NO RELIGIOUS 02 SEVENTH-DAY 04 ASSEMBLIES OF GOD 05 GRACE GOSPEL 06 AMERICAN BAPTIST 07 INDEPENDENT BAPTIST 08 SOUTHERN BAPTIST 09 NATIONAL ASSC OF 10 BAPTIST - CHURCHES 12 BRETHREN CHURCH 13 CHRISTIAN - NO 14 BUDDHISM 16 CHRISTIAN 18 CHURCH OF CHRIST 19 CHURCH OF GOD IN 20 CHURCH OF GOD 24 CHRISTIAN CHURCH 26 PROTESTANT 32 FRIENDS 34 JEHOVAH'S WITNESSES 36 JEWISH 38 CHURCH OF LATTER 40 LUTHERAN CHURCHES 41 LU THERAN COUNCIL 44 METHODIST 45 EVANGELICAL 46 EVANGELICAL 47 EVANGELICAL 48 MUSLIM 49 HINDU 50 CHURCH OF THE 53 EASTERN ORTHODOX 55 FULL GOSPEL 56 PENTECOSTAL 57 UNITED PENTECOSTAL 58 PRESBYTERIAN 60 REFORMED CHURCHES 62 ROMAN CATHOLIC 64 SALVATION ARMY 66 UNITARIAN 68 UNITED CHURCH OF 70 PROTESTANT - OTHER 72 PROTESTANT - NO 74 OTHER RELIGIONS 75 ATHEIST99 UNKNOWNA0 AMERICAN COUNCIL OF CHRISTIAN CHURCHESAA ASBURY BIBLE CHURCHESAB BIBLE PROTESTANT CHURCHAC CONGREGATIONAL METHODIST CHURCHAD EVANGELICAL METHODIST CHURCH OF AMERICAAE FUNDAMENTAL METHODIST CHURCH, INC.AF INDEPENDENT CHURCHES AFFILIATEDAG INDEPENDENT FUNDAMENTAL BIBLE CHURCHESAH TIOGA RIVER CHRISTIAN CONFERENCEAJ UKRANIAN EVANGELICAL BAPTIST CONFERENCEAK METHODIST PROTESTANT CHURCHAL MILITANT FUNDAMENTAL BIBLE CHURCHESAM UNITED CHRISTIAN CHURCHAN NATIVE AMERICANAV ADVENTIST CHURCHESB0 ASSOCIATED GOSPEL CHURCHES, THEBA ANGLICAN ORTHODOX CHURCH, THEBB BAPTIST BIBLE FELLOWSHIPBC BRETHREN IN CHRIST FELLOWSHIPBD CHRISTIAN CRUSADEBE INDEPENDENT BAPTIST CHURCHESBF INDEPENDENT LUTHERAN CHURCHESBG SOUTHWIDE BAPTIST FELLOWSHIPBH BIBLE PRESBYTERIAN CHURCHCA AMERICAN BAPTIST ASSOCIATIONCC CATHOLIC CHURCHESCD BAPTIST MISSIONARY ASSC OF AMERICACE FREE WILL BAPTISTSCG GENERAL ASSC OF REGULAR BAPTIST CHURCHESCH AMERICAN BAPTIST CONVENTIONCI AMERICAN BAPTIST CHURCHES IN THE USACJ WORLD BAPTIST FELLOWSHIPD0 GENERAL COMM ON CHAPLINS & AF PERSONNELDA ADVENT CHRISTIAN CHURCHDB AFRICAN METHODIST EPISCOPAL CHURCHDC AFRICAN METHODIST EPISCOPAL ZION CHURCHDD BAPTIST GENERAL CONFERENCEDE CHRISTIAN METHODIST EPISCOPAL CHURCHDF CHRISTIAN REFORMED CHURCHDG CHURCH OF GOD (ANDERSON, IN)DH CHURCH OF GOD IN NORTH AMERICADJ EVANGELICAL CONGREGATIONAL CHURCHDL FREE WILL BAPTISTS, NC STATE CONVENTION DM MORAVIAN CHURCHDN NATL ASSC OF CONGREGATIONAL CHRISTIANDP NATIONAL BAPTIST CONVENTION OF AMERICADQ NATIONAL BAPTIST CONVENTION, USA. INC.DR NORTH AMERICAN BAPTIST CONFERENCEDS PRIMITIVE METHODIST CHURCH, USADT PROGRESSIVE NATL BAPTIST CONVENTION,INC.DU REFORMED CHURCH IN AMERICADV CHURCH OF GOD GENERAL CONFERENCEDW SEVENTH DAY BAPTIST GENERAL CONFERENCEDX CHURCHES OF GOD, GENERAL CONFERENCEDY SCHWENKFELDER CHURCHES, THE GENERAL CONFDZ SWEDENBORGIAN CHURCH, GENERAL CONFERENCEE0 INDEPENDENT DENOMINATIONAL ENDORSING AGYEA ANGLICAN CATHOLIC CHURCHED CHURCH OF GOD OF PROPHECYEE EPISCOPAL CHURCHESEH INDEPENDENT FUNDAMENTAL CHURCHES OF AMEREJ FELLOWSHIP OF GRACE BRETHREN CHURCHESEK PLYMOUTH BRETHRENEL REFORMED CHURCH IN THE UNITED STATESEM REFORMED EPISCOPAL CHURCHEN REORGANIZED CHURCH OF LATTER DAY SAINTSEP CHURCHES OF CHRISTFA JEWISH-REFORMFB JEWISH-CONSERVATIVEFC JEWISH-ORTHODOXGA LUTHERAN CHURCH IN AMERICAGB AMERICAN LUTHERAN CHURCH, THEGC LUTHERAN CHURCH-MISSOURI SYNODGD EVANGELICAL LUTHERAN CHURCHES, ASSC OFHH HOLINESS CHURCHESJ0 NATIONAL ASSOCIATION OF EVANGELICALSJA CHRISTIAN AND MISSIONARY ALLIANCEJB CHRISTIAN CHURCHES & CHURCHES OF CHRISTJC CHURCH OF GOD (CLEVELAND, TN)JD CHURCH OF THE UNITED BRETHREN IN CHRISTJE CHURCHES OF CHRIST IN CHRISTIAN UNIONJF CONSERVATIVE BAPTIST ASSC OF AMERICAJG CONSERVATIVE CONGREGATION CHRISTIAN CONFJH ELIM FELLOWSHIPJJ EVANGELICAL FREE CHURCH OF AMERICAJK EVANGELICAL FRIENDS ALLIANCEJL EVANGELICAL METHODIST CHURCHJM INTL CHURCH OF THE FOURSQUARE GOSPELJN OPEN BIBLE STANDARD CHURCHES, INC.JP PENTECOSTAL CHURCH OF GOD OF AMERICA,INCJQ PENTECOSTAL HOLINESS CHURCHJR MISSIONARY CHURCH, THEJS GENERAL CONF OF THE BRETHREN CHURCHJT CENTRAL BIBLE CHURCHJU FREE LUTHERAN CONGREGATIONS, THE ASSC OFJV ELIM MISSIONARY ASSEMBLIESJW KANSAS YEARLY MEETING OF FRIENDSJX MISSIONARY CHURCH ASSOCIATIONJY OHIO YEARLY MEETING OF FRIENDSKF BAHA'I FAITHKK EASTERN RELIGIONSLA ASSOCIATE REFORMED PRESBYTERIAN CHURCHLB CUMBERLAND PRESBYTERIAN CHURCHLC PRESBYTERIAN CHURCH IN THE USLD UNITED PRESBYTERIAN CHURCH, EVANGELICALLE ORTHODOX PRESBYTERIAN CHURCH, THELF REFORMED PRESBYTERIAN CHURCH, EVANGELICALLG UNITED PRESBYTERIAN CHURCH IN THE USALH PRESBYTERIAN CHURCH IN AMERICALJ PRESBYTERIAN COUNCIL FOR CHAPLINS & MILNA UNITED METHODIST CHURCH, THENB FREE METHODIST CHURCH OF NORTH AMERICANC PRIMITIVE METHODIST CHURCH, THEND THE WESLEYAN CHURCHNE SOUTHERN METHODIST CHURCHQQ EUROPEAN-FREE CHURCHESXC IGLESIA NI CHRISTOXJ CHURCHES OF THE NEW JERUSALEMYW WICCA (WITCHCRAFT)ZB AGNOSTICEthnicity1 OTHHSP 2 USCANINDIAN 3 OTHASIAN 4 PR 5 FILIPINO 6 MEXICAN 7 ALASKA NATIVE 9 CUBAN A AFRICAN B CARIBBEAN D INDIAN E MELANES F AUSTRALASIAN/ABORIGINEG CHINESE H GUAMANIAN J JAPANESE K KOREAN L POLYNES P EUROPEAN/ANGLO Q OTHPACIS S LATINAMER T ARAB V VIET W MICRONES Z DECLINED TO RESPOND ................
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