Rotc To Usna Form PDF Details

Are you interested in joining the US Navy, Army, Air Force or Marines? Have you considered participating in U.S military's Reserve Officer training Corps (ROTC) program to gain valuable skills and experience while aiming for a career as a commissioned officer? It is possible to complete a direct application from ROTC to the United States Naval Academy (USNA). This post will discuss what this form entails, how it works and if it’s right for you.

QuestionAnswer
Form NameRotc To Usna Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to usna nomination, usna rotc, united category nrotc, usna rotc nomination

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ROTC NOMINATION TO USNA

DATA REQUIRED BY THE PRIVACY ACT

1.AUTHORITY: 5 USC 301: 10 USC 6954; EO 9397

2.PRINCIPAL PURPOSE: To obtain background information on ROTC candidates for nomination to the United States Naval Academy.

3.ROUTINE PURPOSE: Form is used to recommend ROTC candidates for nominations to the United States Naval Academy.

4.MANDATORY OR VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVIDING INFORMATION: Disclosure of information is voluntary. Failure to disclose information may prevent the

candidate from being processed for a nomination to the Naval Academy.

5. PRIVACY SENSITIVE / OFFICIAL USE ONLY. Any misuse or unauthorized disclosure can result in both civil and criminal penalties.

 

INSTRUCTIONS

 

Please type or print all entries. Return nomination to: Nominations and Appointments Office, 117 Decatur Road, Annapolis, MD 21402-1370.

We cannot process a nomination unless the candidate has completed a Preliminary Application at www.usna.edu.

 

1. CANDIDATE INFORMATION:

 

 

 

Full Name

____________________________________________________________

Mailing Address

____________________________________________________________

 

____________________________________________________________

 

____________________________________________________________

Candidate Number ____________________________

Date of Birth ___________________

Gender _________

 

 

Month/Day/Year

 

High School Graduation Year _______________________

Congressional State & District _________________________

2. SCHOOL INFORMATION:

 

 

 

Name of school/institution

____________________________________________________________

Mailing Address

____________________________________________________________

 

____________________________________________________________

____________________________________________________________

Educational Testing Service Code (ETS)

3.PLEASE CHECK ONLY ONE OF THE BLOCKS TO CERTIFY YOUR RECOMMENDATION FOR A NOMINATION. YOU MUST ALSO INCLUDE A COPY OF YOUR UNIT’S ORDERS SO WE CAN VERIFY YOUR ELIGIBILITY TO NOMINATE.

_____

NJROTC

NAVAL/MARINE CORPS JUNIOR RESERVE OFFICER TRAINING CORPS - The candidate is

_____

MCJROTC

currently enrolled in a JROTC program at the institution listed. I recommend him/her for a nomination

 

 

for appointment to the United States Naval Academy under this category.

_____

NROTC

NAVAL RESERVE OFFICER TRAINING CORPS - The candidate is currently enrolled in the

 

 

NROTC program at the college/university listed. I recommend him/her for a nomination for

 

 

appointment to the United States Naval Academy under the NROTC category.

_____

NAVAL

HONOR SCHOOL - The candidate has been named an Honor Graduate or Prospective Honor

_____

MARINE

Graduate of the institution listed, and that institution has been named an Honor School with

_____

ARMY

Distinction for the current academic year. I recommend him/her for a nomination for

_____

AIR FORCE

appointment to the United States Naval Academy under the Honor School Category.

4.PLEASE INCLUDE A SIGNED LETTER OF RECOMMENDATION ON YOUR UNIT’S OR SCHOOL’S STATIONERY WITH THE STUDENT’S NAME AND CANDIDATE NUMBER ON THE TOP. PLEASE STAPLE YOUR RECOMMENDATION TO THIS NOMINATION FORM.

______________________________________________________________________________________________________________________

Print or Type Name, Rank, PositionTelephone Number(s)

______________________________________________________________________________________________________________________

Email Address (Mandatory)Telephone Number(s)

______________________________________________________________________________________________________________________

Signature

Date

USNA GRD 1110/5 (05/11)

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Filling out part 1 in navy rotc statement of understandig

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