Academy Nominations Application - Senator James Lankford

Your Information

Prefix*

First Name*

Middle Name or Initial

Last Name*

Common Name (if Any)

Permanent Address*

Street Address Address Line 2 City State ZIP Code

Your Temporary Address

Autofill

Same as above

Temporary Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Email*

Date of Birth*

Are You A U.S. Citizen?

How Many Years Have you Lived in Oklahoma?

Are you a legal Resident of Oklahoma?

Name of Parent(s)/Guardian(s)

Either parent a career military service member?

Sibling(s) attending/have attended a Service Academy?

Please note Branch of Service and Rank of Parent

Is Your parent a Disabled Veteran?

Please Note Academy your sibling attended and Date of Graduation

Academy Preference

Put in order your preference with the academy you have an OPEN portal with. Please do NOT put a number next to an academy if you do not have a portal. This section will be used in the final nomination selection process.

U.S. Air Force Academy

U.S. Merchant Marine Academy

U.S. Military Academy

U.S. Naval Academy

Please indicate if you are seeking nominations from any of the following sources:

Senator Markwayne Mullin

Representative Kevin Hern

Representative Josh Brecheen

Representative Frank Lucas

Representative Tom Cole

Representative Stephanie Bice

President

Vice President

Other

It is in your best interest to request a nomination through all sources available to you. If your father or mother is active duty military, retired military, or was killed in action, you may be eligible for a Presidential or Vice Presidential nomination. Please consult the Service Academy Information Sheet for applicable addresses.

Have you ever attended one of the Academy Summer Seminars?

If so, which one and when?

Have you ever been contacted directly by an Academy?

If yes, which Academy and who?

Have you ever served in the military in any capacity?

If yes, what is the highest rank you held?

Academic Information

High School Name

High School Address*

Street Address Address Line 2 City State ZIP Code

Guidance Counselor Name

Guidance Counselor Phone Number

Graduation Year

Your GPA

Class Rank

Test Scores

SAT Verbal

SAT Math

ACT English

ACT Math

ACT Reading

ACT Science/Reasoning

ACT Plus Writing (Required by USMA)

Composite Score

Are you scheduled to re-take any of your tests?

Date(s)

Click Here if you attended College

College Attended

College Address*

Street Address Address Line 2 City State ZIP Code

Major

Years Attended

Hours Completed

Your College GPA

Advanced Placement Courses Taken and AP Score

Academic Awards of Special Achievements

Extracurricular Activities

Please use the text fields below to note your involvement in extracurricular activities. Use your discretion to detail pertinent specifics about your involvement in these activities, such as dates of involvement.

Athletics

School Sponsored Extracurricular Activities

Community Activities

Employment

Hobbies/Outside Interests

Permission Check Box*

By Checking this Box, I allow Senator James Lankford's office to discuss my file with the pertinent officials and release my name to the media, if nominated.

ACADEMY NOMINATION APPLICATION

Your Information

Your Temporary Address

Academy Preference

Academic Information

Test Scores

Extracurricular Activities