Use this format for any of these categories: Presidential, Children of Deceased or Disabled Veterans, Military or Civilian Personnel in a Missing Status, or Children of Medal of Honor Recipients.

Date

Director of Admissions
HQ USAFA/RRS,
2304 Cadet Dr., Suite 200
USAF Academy CO 80840-5025

Dear Sir

I wish to attend the U.S. Air Force Academy and to serve in the United States Air Force. I request a nomination under the (name of appropriate category) for the class that enters the Academy in June 20__.

My pertinent data is:

Name (print name exactly as it appears on the birth certificate, or if legally changed, attach a copy of the court order):

Social Security Number:

Permanent address (street, city, county, state, zip code):

Temporary address (if applicable):

Permanent phone number and area code:

Temporary phone number and area code (if applicable):

Date and place of birth (spell out month):

If member of military, include rank, regular or reserve component, branch of service and organizational address including PSC Box Number:

If previous candidate, indicate year:

Information on parents:

Name, rank, social security number, component and branch of service:

If your parent is on active duty, attach a statement of service dated and signed by current personnel officer specifying all periods of active duty and any breaks therein. If your parent is retired or deceased, attach a copy of the retirement orders or casualty report; include Veterans Administration (VA) claim number and VA office where the case is filed, if appropriate; include brief statement with date and circumstances of Medal of Honor award, if appropriate.

Sincerely,

Signature