u.s. senator tom cotton nomination application€¦ · senator tom cotton’s 2016 nomination...

SenatorTomCotton’s2016NominationApplication PAGE1of10

U.S.SenatorTomCotton

NominationApplicationFORTHE

UnitedStatesServiceAcademies

PLEASEREADBEFORECOMPLETINGAPPLICATION:AcceptinganappointmenttoaServiceAcademyinvolvesfouryearsofstudy

followedbyaneight-yearminimumserviceobligation(withfiveyearsofactivedutyrequired).Itistoyouradvantagetoapplytomorethanoneacademyandtorequestanominationthroughallsourcesavailabletoyou:Presidential,VicePresidential,

SenatorialandCongressional.

OFFICIALDEADLINEPOLICY:Applicationpacketsmustbepost-markedonorbeforeFRIDAY,NOVEMBER4,2016.PleasecontactRebekahHillmerifyoushouldexperiencetechnicaldifficultiesthatmightpreventyoufrommeetingthisdeadline.Applicationsthatarepostmarked

afterthisNOVEMBER4deadlinewillautomaticallybedisqualified.

HAVEYOUCONTACTEDYOURLOCALACADEMYLIAISON?TheSenatorialnominationmaterialsareseparatefromthematerialsyoumustprovidetotheacademies.Theserviceacademiesdesignatealumniwithineachcongressionaldistricttopre-screencandidatesandassistwiththeacademies’

applications.Toreceivetheacademy’sCandidateKitorApplication,candidatesmustdirectlycontacttheacademiestoopenanadmissionsfile.

Ifyouarestillunsurewhatthismeansorwouldlikehelpcontactingyourliaison(s),pleasecontactRebekahHillmerat(501)223-9081orbye-mailat

rebekah_hillmer@cotton.senate.gov.

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SECTIONI.EligibilityRequirements

AsofJuly1oftheyearofadmission,applicantsmustbe:

ü 17yearsofage,butnotyet23ü AcitizenoftheUnitedStatesü Unmarried,notpregnant,andhavenolegalobligationtosupportachildordependentü AlegalresidentofArkansas

NOTE:Ifyourfatherormotherservedeightyearsinthemilitary,orwaskilledin

action,youmaybeeligibleforaPresidentialorVicePresidentialnomination.PleasecontacttheServiceAcademiesformoreinformation.

SECTIONII.InterviewsSenatorCotton’sAcademyLiaison,RebekahHillmer,willreviewapplicantswhocompleteanominationfileonorbeforeFRIDAY,NOVEMBER4,2016.EligiblecandidateswillbeinvitedtomeetwithSenatorCotton’sAcademyNominationBoardforaninterview.Thisprofessional,non-partisanboardensuresafairandimpartialprocessforallapplicants.Applicantsareexpectedtodressappropriatelyforthemilitaryacademyinterviews.Youngmenmayweardressslacksandshirt,andatie.Acoatisoptional.Youngwomenmaywearadressoraskirtordresspantswithablouse.NominationswillbeannouncedinJanuary2017.

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SECTIONIII.APPLICATIONREQUIREMENTSINDEX

ITEMSINCLUDEDINTHISPACKET:

ü Applicationform (PAGES4-6)ü Extra-curricularActivitiesWorksheet (PAGE6-7)ü InterviewBoardQuestionnaire (PAGES7-8)ü TERMSOFAGREEMENT (PAGE9)ü FinalChecklist (PAGE10)

ITEMSNOTINCLUDEDINTHISPACKET:

ü 3LettersofRecommendation:YourHighSchoolPrincipalorGuidanceCounselorshouldwriteoneletter.Theotherlettersmaybewrittenbyteachers,coaches,scoutmasters,clergyorcommunityleaderswhocanaccuratelycommentonapplicant’scharacter,abilitiesandpotentialforsuccessatanAcademy.

ü SAT/ACTScores:Scoresmaybesubmittedwiththecandidate’sofficialhighschooltranscript.YouareencouragedtotaketheSATorACTexams“earlyandoften”inordertoimproveyouracademiccompetitiveness.Academieswillacceptthehighestscoresineachacademicarea,regardlessoftestingdate.

ü OfficialHighSchoolTranscript:Pleaseincludeacopyofyourseniorclassschedule.Seniorgradesmaybesubmittedassoonastheyareavailable.CounselorsmayfaxoremailthemandonlytheseniorgradesmaybeforwardedaftertheNovember4,2016deadline.

SECTIONIV.OfficeofU.S.SenatorTomCottonContact

ATTN:REBEKAHHILLMERP.O.BOX25216

LITTLEROCK,AR72221PH:(501)223-9081

REBEKAH_HILLMER@COTTON.SENATE.GOV

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U.S.SENATORTomCotton

OFFICIALNOMINATIONAPPLICATION

FULLNAME:___________________________________________________________________________________________________ (First) / (Middle) / (Last)DOB:__________________ AGE:________________ GENDER: M/F_ Iwishtobenominatedtothefollowingacademy(s)inthisorderofpreference*NOTE:Rankonlytheacademiesforwhichyouhavefiledanapplicationandintendtointerview._____U.S.AirForceAcademy _____U.S.NavalAcademy_____U.S.MilitaryAcademy _____U.S.MerchantMarineAcademyIamapplyingforanominationfromthefollowingnominationresources(otherthanSenatorTomCotton):_____SenatorJohnBoozman_____Presidential_____VicePresidential_____U.S.Representative*_____JROTC _____None *Ifyouhaveselected“U.S.Representative”,pleasespecify:_____________________________ CONTACTINFOAPPLICANTINFOApplicant’sCell:(_____)_____________ Applicant’sEmail:____________________PermanentMailingAddress TemporaryAddress(ifstudentisaway)________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________County:______________________________ PARENTINFOFather’sName:___________________ Mother’sName:___________________Parent’sCell:(_____)______________ Parent’sCell:(_____)_______________Parent’sEmail____________________ Parent’sEmail:_____________________NameofHighSchool:___________________________________________________HSAddress:_____________________________________________________________HSPhone:____________________Counselor’sName:______________________

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U.S.SenatorTomCotton

EDUCATIONALHISTORYDateofGraduation:_______________ EstimatedClassRank&ClassSize:_____/_____GradePointAverage:______________ GradeScaleUsed:__________________________SATScores:Total:________________ Verbal:________ Math:________ Date:__________ACTScores:Total:________________ Math:________ English:________ Date:__________

Reading:________ ScienceReasoning:_________GradepointAverage,Scale,ClassRank&Sizemustbeincludedonyourhighschooltranscript.Homeschooledstudents–simplymarkrankinclassas1of1ifofficialrankingisunavailable.ACT/SATscoresreportedonyourofficialcertifiedtranscriptareacceptable.College(ifapplicable):______________________________________________________________GradePointAverage:___________ HoursCompleted:__________ Major:__________EMPLOYMENTHISTORYStartingwithmostrecent-useadditionalsheetsifnecessary.

Placeofemployment:_______________________________________________________DatesEmployed:__________________HoursWorkedperWeek:_______________MotivationforWorking:_______________________________________________________________________________________________________

Placeofemployment:_______________________________________________________DatesEmployed:___________________ HoursWorkedperWeek:__________MotivationforWorking:_______________________________________________________________________________________________________

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EXTRACURRICULARACTIVITESATHLETICACTIVITIES:Mark“JV”JuniorVarsityor“V”Varsityintheappropriatespace.Alsospecifywithan“L”ifyouletteredinthesport.HIGHSCHOOL 9101112 NON-SCHOOLATHLETICSBaseball/Softball ________ Baseball ____Basketball ________ Basketball ____Cheerleading ________ Football ____CrossCountry ________ Golf ____DrillTeam ________ Gymnastics ____Football ________ Running ____Golf ________ Karate ____Soccer ________ Racquetball ____Swimming/Diving ________ Skiing ____Tennis ________ Soccer ____Track/Field ________ Softball ____Volleyball ________ Swimming ____Wrestling ________ Tennis ________________ ________ Track/Field ________________ ________ Volleyball ________________ ________ Wrestling ____EXTRA-CURRICULARACTIVITIES LEADERSHIPROLESMarkan“X”toindicateinvolvement.StudentBodyRepresentative ___ Boys/GirlsState ___Scouting ___ StudentBodyPresident ___ChurchActivities ___ ClassPresident ___Band/Orchestra ___ StudentBodyOfficer ___Music/Singing ___ AthleticTeamCaptain ___Drama ___ EagleScout ___SchoolYearbook/Newspaper ___ Jr.ROTC ___KeyClub ___ OtherMilitaryOfficer ___LanguageorScienceClub ___ OtherSchoolClubOfficer ___Jr.ROTC ___ Non-schoolClubOfficer ___CivilAirPatrol ___ Editor,Yearbook/Newspaper_____________________________________ ___ ___________________________ ___AWARDSANDHONORS COMMUNITYINVOLVEMENTNationalHonorSociety ___ ___________________________ _____________________________________ ___ ___________________________ _____________________________________ ___ ___________________________ ___

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U.S.SENATORTomCotton

INTERVIEWBOARDQUESTIONNAIREAnswerthefollowingquestionsinthespaceprovidedbelow.PleasetypeorprintlegiblyinblueorblackinkandreturnyourresponsestoSenatorCotton’sofficeonorbeforeNovember4,2016.Whyareyouinterestedinattendingamilitaryserviceacademy?Whathaveyoudonetolearnmoreaboutwhatacommitmenttooneoftheacademiesentails? Whatdoyoufeelisyourstrongestpersonalattribute?

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Whatcharacteristicdoyouperceivetobeapersonalweaknessandwhatdoyoudotocompensateand/orimproveit?Whatroledoescompetitionplayinyourlife?Whatqualitiesdoyoufeelareimportantinaleader?Describealeadershiproleyouhaveheldandhowyou’veexhibitedanyoftheseleadershipqualities.

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U.S.SENATORTomCotton

LETTERSOFRECOMMENDATIONListthreeindividualswhowillwritealetterofrecommendationsupportingyournomination.YourHighSchoolPrincipalorGuidanceCounselormustwriteoneletter. NamePhoneTitle/Organization

1) _________________________________________________________________

2) _________________________________________________________________

3) _________________________________________________________________

TERMSOFAGREEMENT

IcertifythatIhavereadthetermsofthedocumentthatIamsigning.

Iunderstandthedeadlineforthereceiptoftheapplicationpacket,officialhighschooltranscript,collegeaptitudetestscoresandallrecommendationlettersisNovember4,2016.

IunderstandthatapplicationpacketmustbesubmittedtotheLittleRock,Arkansas,OfficeofU.S.SenatorTomCottononorbeforeNovember4,2016.Ialsounderstandthatifmypacketispost-markedafterNovember4,2016,IwillautomaticallybedisqualifiedfromSenatorTomCotton’s

NominationApplicationcyclefortheyear2016.

IamalegalresidentoftheStateofArkansas.Applicant’sSignature:______________________________________________Date:_________________________

Parent’sSignature:__________________________________________________Date:_________________________

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U.S.SenatorTomCotton

FINALCHECKLISTPleasecompletebeforesubmittingapplication.1) ___PhotoAttachedtoApplication**PhotoPolicy:Unlessspecificallyrequested,photographswillnotbereturnedtothecandidate.

2) ___CompletedApplicationForm(PAGES4-6)

3) ___Extra-curricularActivitiesWorksheet(PAGES6-7)

4) ___InterviewBoardQuestionnaire(PAGES7-8)

5) ___HighSchoolTranscript

6) ___SeniorClassSchedule

7) ___ACT/SATScores(maybeonTranscript)

8) ___ThreeLettersofRecommendation(PAGE9)Pleasemailyourcompletedapplication,Requiredattachmentsandrecommendationsto:

U.S.SENATORTOMCOTTONATTN:REBEKAHHILLMER

P.O.Box25216LittleRock,AR72221PH:(501)223-9081

REBEKAH_HILLMER@COTTON.SENATE.GOV