United States Naval Academy Admissions Banner OMB 0703-0036 EXP: RENEWAL PENDING

USNA Summer Seminar Application

NOTE: This Summer Seminar Application also functions as the Preliminary Application. Please do not submit a USNA Preliminary Application if this Summer Seminar Application is submitted.

AGENCY DISCLOSURE NOTICE: The public reporting burden for this collection of information, 0703-0036, is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at whs.mc-alex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
Click here for Privacy Act Statement.

Click here for Application Instructions.

Please read Application Instructions thoroughly. Failure to comply with instructions can jeopardize your chances of gaining acceptance to the United States Naval Academy Summer Seminar.

Please complete each section in the space provided.

Personal Information 
  
Last Name: (Required)
Suffix:
First Name: (Required)
Middle Name:
Birth Date:
(DD-MON-YYYY, e.g. 02-FEB-1988)		 (Required)
Citizenship: (Required)
If you are not a U.S. Citizen, please describe
your current status in the naturalization
process (years with green card, etc.):
(Limited to 500 Characters)
Gender: (Required)
Height:
(Inches, e.g. 5 feet 6 inches would be entered as 66)		 (Required)
Weight:
(Pounds)		 (Required)
Social Security Number:
(No Dashes)		 (Required)

Race: (Required)
(Check All that Apply)
American Indian/Alaska Native:
Asian:
Black or African American:
Native Hawaiian or Other Pacific Islander:
White:
Declined to Respond:

Ethnicity: (Required)
Current Mailing Address: (Required)
City: (Required, All Except APO/FPO)
APO/FPO: (Required, Military Post Offices Only)
State: (Required, State & U.S. Territories Only)
Country: (Required, International Only)
Zip Code: (Required, All Except International)
Zip Code Extension:
Postal Code: (International Only)
Email Address: (Required)
Area Code & Home Phone Number: (Required, Unless Area Code & Cell Phone Number is Entered)
Area Code & Cell Phone Number: (Required, Unless Area Code & Home Phone Number is Entered)
Congressional State: (Required)
Congressional District: (Required)

Click here for instructions or if you need assistance finding your Congressional District.

Please select your top two areas of Academic Interest out of the following areas: Bachelor of Science Degrees in the Engineering Curriculum, Bachelor of Science Degrees in the Math and Sciences Curriculum, or Bachelor of Science Degrees in the Humanities/Social Sciences Curriculum. This is not binding in any way should you receive an appointment and attend the Naval Academy. 

Primary Academic Interest: (Required)
Secondary Academic Interest: (Required)

Please indicate how you first learned about the Naval Academy Summer Seminar: (Required)

First Name of Parent or Guardian: (Required)
Last Name of Parent or Guardian: (Required)
Relationship Type: (Required)
Area Code & Cell Phone Number: (Required)
Email Address: (Required)

Education 
  
Education Level: (Required)
Expected Year of High School Graduation:
(YYYY)		 (Required)
High School Name: (Required)

Click here for instructions or if you need assistance finding your High School.

 
Enter the highest scores you have received on the following College Entrance tests.
(Leave blank if you did not take one of the tests.)

 SAT Math:SAT Evidence Based Reading and Writing:SAT Reading:SAT Writing and Language:
 ACT Math:ACT English:
 PSAT Math:PSAT Evidence Based Reading and Writing:

Does your high school rank students? (Required)

Enter your class standing. Please provide your best estimate if your school does not rank students. 
(Do Not Enter Percentages.) 
Class Rank: (Required)
Class Size: (Required)

Remarks or Additional Comments:
(Limited to 2000 Characters)

Grade Summary: (Required for All)
(IB/AP/H indicates International Baccalaureate, Advanced Placement or Honors course.) 

CoursesIB/AP/HGrade (90-100=A 80-89=B 70-79=C Not Taken=N)
English 9:
English 10:
English 11:
Algebra I:
Algebra II:
Geometry:
Pre-Calculus:
Calculus 1:
Calculus 2:
Trigonometry:
Physics:
Chemistry:

Activities 
  
Athletic Participation: (Required for All)Number of Sports
  
How many varsity sports have you participated in?:
How many sports have you earned a varsity letter in?:
How many sports teams were you designated as a captain?:
How many special awards for sports such as All-Star/All-State/District/City or County have you received?:
How many club, intramural or junior varsity sports have you participated in?:
  
Non-Athletic Participation: (Required for All) 
  
Have you ever participated in any of the following activities during the 9th, 10th, or 11th grade? 

Boy/Girl Scouts:
Community Service:
Student Government:
School Club:
Science/Robotics Club:
School Newspaper:
Civil Air Patrol:
Band/Orchestra:
National Honor Society:
Drama Club:
JROTC Program:
Sea Cadets:
Church Group:
Part-Time Job:
Drill Team:
Debate Team:
Cheerleader:
Pilot's License:
Other (Explain in Remarks):

Did you ever hold a leadership role (officer, club president, drum major, etc.) in a non-athletic extra-curricular activity?: (Required)
Remarks or Additional Comments:
(Limited to 1000 Characters)

Personal Statement 
  
Please answer the following questions briefly: Why are you interested in attending Naval Academy Summer Seminar?
Have you received any awards (STEM-related, leadership etc) or been involved with any activities, groups, conferences in these mentioned areas?
(Limited to 1000 Characters)		 (Required)

Navy Sports 
  
Have you been contacted by and spoken with a Naval Academy Athletic Association Coach about being recruited for a USNA Sport?: (Required)
If Yes, please indicate the name of USNA Coach:
If you have not already been contacted by a Naval Academy Athletic Association Coach, would you like to be considered for USNA Sport Recruitment?: (Required)
If Yes, please indicate which Sport:

If you are being recruited for a USNA Sport or would like to be considered for USNA Sport Recruitment,
please be sure to fill out the Sport Questionnaire that will be displayed when this Summer Seminar Application is submitted.

Medical Conditions 
  
Due to the nature of the activities that take place during Naval Academy Summer Seminar, the following questions should be answered in their entirety. 
  
Do you currently have any educational accommodation (i.e. IEP, 504 plan, or special classes, etc)?: (Required)
If you selected Yes, please explain:
(Limited to 1000 Characters)
Do you have any medical conditions (any history of asthma, heart conditions, color deficient vision, hearing impairments, etc.)?: (Required)
If you selected Yes, please explain:
(Limited to 1000 Characters)
Do you require the use of an inhaler during physical fitness?: (Required)
Do you require the use of any daily medications?: (Required)
If you selected Yes, please explain:
(Limited to 1000 Characters)
Do you have any allergies (i.e. food, nuts, medication, latex, etc.)?: (Required)
If you selected Yes, please explain:
(Limited to 1000 Characters)

Session Selections 

Please indicate which sessions you can definitely attend.
Note: Keep in mind that if you are selected for a session you state you can attend and, subsequently, inform USNA that you cannot attend that session, there is no guarantee that you will be placed in another session. Due to capacity levels, you may need to be put on a waiting list for that session.		 

Session 1 (01 - 06 June 2019): (Required)
Session 2 (08 - 13 June 2019): (Required)
Session 3 (15 - 20 June 2019): (Required)
  
Please indicate which workshops you would like to attend in order of preference. (Required for All) 

Preference Order Workshop
1st:
2nd:
3rd:
4th:
5th:
6th:
7th:
8th:
9th:
10th:
Please indicate desired T-Shirt Size: (Required)
Please indicate desired Shorts Size: (Required)

By SUBMITTING this electronic application, I am accepting the following:
1.I certify that the information submitted on this application is complete and correct to the best of my knowledge. Failure to completely and honestly provide any information requested by the USNA may be grounds for withdrawal of any offer of appointment or may subsequently result in dismissal from the USNA and its summer programs.
2.If there is a change in information I have provided or has been submitted on my behalf to the USNA, I will immediately inform the Admissions Office.
3.I have NO convictions or beliefs which would prohibit my serving in an unrestricted military status.
4.I am not married, and have never been married.
5.For female applicants: I am not pregnant and have not given birth to any children. If I should become pregnant, I will notify the Dean of Admissions, USNA, in writing, as to my medical status.
6.For male applicants: I have never fathered any children. If I should father a child, I will notify the Dean of Admissions, USNA, in writing.
7.I have no legal obligation to provide financial support for any person. If I should incur this obligation, I will notify the Dean of Admissions, USNA, in writing.
Select 'Submit' to submit completed application to the United States Naval Academy.
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