Service Academy Nominations

To request a Military Academy Nomination form my office, please complete the form below.

Service Academy Nominations | Congressman Ami Bera

Service Academy Nominations

First Name: *
Last Name: *
Street Address: *
City: *
State: *
Zip: *
Phone Number: *
Email: *
High School Name:

Academy Preference: Indicate your preference in numerical order. Please do not designate any academy you would not accept. Due to the competitive nature of the nomination process, you may receive a nomination to the academy of your second, third, or fourth choice.
First Second
Third Fourth






The information above is correct. I am an U.S. Citizen or will be by July 1, 2019; am at least 17 but not 23 years of age on July 1, 2019; am unmarried, not pregnant; have no child support obligation; and am a legal resident of the State of California.