United State Service Academies Nomination Recommendation Form
The following Letter of Recommendation form has to be completed by the candidate’s evaluator. The evaluators are required to give analysis and make comments that will be stated in the form which will assist in determining the nomination of the candidate as one of the nation’s service academies: U.S. Military Academy, U.S. Naval Academy, U.S. Air Force Academy or U.S. Merchant Marine Academy.
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UNITED STATES SERVICE ACADEMIES NOMINATION LETTER of RECOMMENDATION FORM Thank you for agreeing to complete this recommendation form for the candidate who selected you. Your analysis and comments of this young person will help determine if this individual will receive a congressional nomination for one of our nation's service academies: U.S. Military Academy, U.S. Naval Academy, U.S. Air Force Academy or U.S. Merchant Marine Academy. As you might expect, the process is selective to ensure that qualified an d sincere candidates receive nominations to the institutions that mold our future leaders. Your recommendation will be considered by my Academy Advisory Committee in assisting me to ensure we send Northwest Indiana’s best and brightest to be educated and t rained to be America’s future leaders. Your recommendation, or lack thereof, may determine whether or not an applicant is selec ted. Prior to completing this form, you are advised to discuss with the candidate his/her interest in the Academies. Your conversation will assist you in completing this form and will help the candidate to assess his/her interest in applying. I encourage you to comment whenever you desire to clarify or extend your evaluation. Your information is a vital part of the application process; therefore, it is extremely important and sincerely appreciated. This recommendation may be mail ed or fax ed to my office. Please complete it as soon as possible. Mailing Address: Honorable Pete Visclosky 7895 Broadway, Suite A Merrillville, Indiana 46410 Phone (219) 795 -1844 or (888) 423 -7383 Fax (219) 795 -1850 Sincerely, Pete Visclosky Member of Congress RECOMMENDATION FORM Candidate Name: TO BE COMPLETED BY THE EVALUAT OR: Name: ____ _______________________________ _______________ __ ____________________ Telephone: _________________ ___________________________________________________ School: _______________ _____________________________________ ___________________ Current Position: ____________________________________________ ___________________ Grade Level: _________________ _______________________________ _________ __________ Subject Taught: _____________________________________________ __________________ _ How well do you know the applicant? □ Ve ry Well (more than one year): □ Fairly Well (more than one semester): □ Not Very W ell (less than one semester): Do you feel comfortable being asked to evaluate the candidate? □ Yes □ No How strongly do you recommend this candidate for a service academy? On a scale of 1 (not recommended) to 5 (strongly recommended): __ __ INSTRUCTIONS: Using the scale below, rate each statement on how it best describes the candidate in relation to other students. Enter only one response for each statement. 5 = Top 5% 4 = Top 10% 3 = Top 25% 2 = Average 1 = Below Average N/A = Not Observed 1. Gets along w ith others. Shows concern for the welfare of others . __ __ 2. Communicates effectively in face to face discussion. __ __ 3. Communicates effectively in written work. ___ _ 4. Exhibits leadership skills. ___ _ 5. Sets realistic goals. Exerts maximum effort to achieve h is/her goals. ___ _ 6. Seeks academic challenges beyond that required by normal class work. ___ _ 7. Actively participates in extracurricular activities. __ __ 8. Accepts criticism and makes improvement from it. ___ _ 9. Exercises care about his/her appearance. ___ _ 10. Shows a strong motivation for a service academy / career. ____ Please comment below. We need your honest input. Describe personal circumstances (positive and negative) which may have impacted on this individual’s development (scholastic, personal, physical , career). You may want to consider the following: family obligations, family background, economic status, motivation, after school employment, etc. Teachers, if there is a significant disparity between the student's SAT/ACT scores and his/her classroom pe rformance, please comment in the space provided below. Signature: ______________________________________________________________
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