U.S. Rep. Marion Berry -- First District, Arkansas

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SEND ME AN EMAIL Learn More About the Arkansas's Recovery and Reinvestment Act Click here to read H.R. 3962: Affordable Health Care for America Act as Introduced	Application for Nomination to the United States Service Academies Personal Information First name: Middle initial: Last name: Date of birth: Social Security Number: Male Female Height (feet and inches): Weight (pounds): Father's name: Mother's name: E-mail address: Current Mailing Address Street: City: State: Zip: Phone: Permanent Arkansas Address Street: City: State: Zip: Phone: Background High School(s) attended: Date of graduation: Class rank: Class size: List all SAT/ACT scores and dates taken: Please list all sports, extracurricular, and community activities you have been involved in: Please list all awards, honors, or special recognition that you have received: Please list any full- or part-time jobs you have held: Have any of your immediate family members served in the military? Have any of your immediate family members graduated from a U.S. Service Academy? Essay: Please describe what special qualities or characteristics you possess that make you a qualified candidate for a U.S. Service Academy. Which academies are you interested in? U.S. Air Force Academy U.S. Military Academy U.S. Merchant Marine Academy U.S. Naval Academy I attest that I have filled out this form truthfully and accurately to the best of my ability. Digitally Sign: Date	CONTACT MY OFFICE 2305 Rayburn H.O.B. Washington, DC 20515 (202) 225-4076 (202) 225-5602 FAX Map and driving directions 108 E Huntington Jonesboro, AR 72401 (870) 972-4600 (800) 866-2701 (870) 972-4605 FAX Map and driving directions 112 S. First Street Cabot, AR 72023 (501) 843-3043 (501) 843-4955 FAX Map and driving directions 1 E 7th St., Suite 200 Courthouse Square Mountain Home, AR 72653 (870) 425-3510 (870) 425-3511 FAX Map and driving directions Privacy Policy

Application for Nomination to the United States Service Academies