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Mail Dropbox Washington Office
2256 Rayburn
House Office Building
Washington, D.C. 20515
phone: (202) 225-2461
fax: (202) 225-2493
email:

Northwest Indiana Office
7895 Broadway, Suite A
Merrillville, IN 46410
phone: (219) 795-1844
(888) 423-PETE (toll-free)
fax: (219) 795-1850

UPDATE APPLICATION FOR A NOMINATION TO U. S. SERVICE ACADEMY

APPLICATION UPDATE Candidate...If you have already submitted an application and wish to send additional information, e.g., new SAT/ACT scores, change in the order of your choices of Military Academies, recent awards/accomplishments, etc., or if you have decided that you no longer wish to be considered for a nomination (wish to withdraw), type your information below and click on SUBMIT.

PRIVACY ACT STATEMENT: Submission of the requested information constitutes authorization to release it to Congressman Visclosky, his academy advisory committee, and the academy admissions offices.

ACADEMY PREFERENCE: Be sure to fill out an application with the Admissions Office of each of the academies. It is strongly urged that you make alternate plans should you not receive a nomination / appointment.

* required entries

I. PERSONAL INFORMATION:
 SSN: *
   
 Full Name: *
   
 E-Mail Address: *
   


II. Update *

   


III: PLEASE READ BEFORE SIGNING*

I have read and understood the Privacy Act Statement. The information provided in this up-date is true and correct to the best of my knowledge.

*   
*

*
After you click Submit, you will be able to review and print your update.

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