Instructions

The honor of attending a service academy comes with the obligation and commitment to serve in the military for a minimum of five years upon graduation. For more information, please review the page of Frequently Asked Questions for those seeking a Service Academy Nomination.

Members of Congress may nominate candidates for appointment to four of the five U.S. service academies: U.S. Military Academy (USMA), West Point, NY; the U.S. Naval Academy (USNA), Annapolis, MD; the U.S. Air Force Academy (USAFA), Colorado Springs, CO; and the U.S. Merchant Marine Academy (USMMA), Kings Point, NY. The fifth service academy, the U.S. Coast Guard Academy (USCGA), New London, CT, does not require a congressional nomination for appointment.

Congressman Russell may nominate up to ten individuals for each vacant academy slot alloted to our district. To request a nomination from our office, please complete, print out, and sign the form below. Send it, along with the rest of the items noted below in bullet points, to the Del City office. All applications must be received in the Del City office by 5 p.m. close of business Thursday, October 18, 2018. Best wishes to you as you pursue your goal of attending one of the U.S. Service Academies and serving our country.

A complete nomination file consists of the following items:

  • Current photo
  • High school transcript
  • American College Testing Program (ACT) results and/or College Board Scholastic Assessment Test (SAT) results
  • Resume of extracurricular activities
  • An essay stating why you want to attend a service academy (500 words or less)
  • Minimum of three letters of recommendation


Your Information
First Name *
Middle
Last Name *
* Date of Birth:
Social Security Number (No Dashes):

This form requires you to print, sign and mail, fax, or hand deliver the signed copy. Your social security number will not be transmitted electronically.
* Address:
* City:
* State:
* Zip:
Gender:
U.S. Citizen?
Yes No
If not, list your country of citizenship:
* Please provide the names of your Parents/Guardians:
Home Phone Number:
Cell Phone Number:
* Email:
Education Information
* High School:
* High School Address:
* City:
* State:
* Zip:
* GPA:
Class Size:
Class Rank:
Graduation Date:
Test Scores

SAT Scores

Math:
Writing:
Critical Reading:
Composite:

ACT Scores

Math:
English:
Reading:
Science:
Composite:
Academy Information
Select your preference of academies — with "First" being your highest preference. Please rank only the Academies to which you intend to apply.
First
Second
Third

Fourth

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?
Yes No
Additional Information

Name of home town paper?


Is it ok to use your name in a press release after receiving an appointment?

Yes No

Note:

Please include a list of your extra curricular activities and leadership responsibilities.

Print This Form

You can print and sign this form after you click the Generate Form button. The address information is located on this page and also on the print preview page.

Stay Connected

Use the form below to sign up for my newsletter and get the latest news and updates directly to your inbox.