Indicates required field Application AgreementPlease review the application process timeline thoroughly. Applications including ALL supporting documents (including letters of recommendation) are due by 11:59 pm on Friday, September 26th 2025. Incomplete applications will not be accepted. Due dates are final and extensions will not be provided. By submitting this application, you confirm acknowledgement of all application deadlines.I agreePlease confirm that your contact information (phone, email, parent/ guardian contact) is correct. By submitting this application, you confirm that you understand all communications will be sent to the email address provided. Please remember to check your email regularly for updates. We suggest adding FL04.Nominations@mail.house.gov to your address book to avoid missing essential emails.I agreeIt is my sincere desire to attend a U.S. Service Academy, and I intend to pursue a vigorous academic course of study if appointed. I understand that attending a service academy also requires a minimum of five years of military service following graduation, and I fully commit to this responsibility. I have read the information explaining Congressman Bean’s nominating procedures and the information I am submitting is accurate. I understand that I must also follow the application procedure(s) set forth by each U.S. Service Academy I wish to be considered for, including scheduling, and completing a DoDMERB assessment and a Candidate Fitness Assessment. I certify that I am a U.S. citizen and a legal resident of the Fourth Congressional District of Florida. I will be at least 17 years, but not yet 23 years of age on 1 July of 2025. I am not pregnant, nor do I have any child support obligations. I understand that my application must be completed in full and returned to Congressman Bean before the end of business on 11:59 pm on Friday, September 26, 2025 to be given consideration.I agreePlease Initial your Agreement:DateAttachmentsTranscriptPlease ensure all sensitive data is removed from the transcripts prior to submission.One file only.2 MB limit.Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Photograph/ headshotOne file only.2 MB limit.Allowed types: gif jpg jpeg png. EssayPrompt: Considering the complex challenges facing our nation, how would you leverage your education and experience at a service academy to promote effective leadership and foster unity both within the military and across civilian spheres, contributing to the advancement of national security and the well-being of our society?One file only.2 MB limit.Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods. Please email two letters of recommendation to FL04.Nominations@mail.house.gov. Emails MUST include the subject line: “Last Name_First Name_ Recommendation Letter”Your InformationPrefix:- Select -Ms.Miss.Mr.Mx.First Name: MI: Last Name: Suffix:- None -2nd3rd4thIIIIIIVJr.AddressAddressAddress 2CityState- Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZIPDate of BirthEmail:Phone Number:Phone Type:- None -Standard voice telephoneVideophone [VP]Text-telephone device [TTD]What are these options?Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone.Parent InformationParents/Guardian Names:Parent/Guardian Phone Number (If under 18)Parent/Guardian Email Address (If under 18)Education InformationName of High School:High School Street Address:AddressAddress 2CityState- Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingZIPGraduation YearGPA:Please fill out all fields in either SAT or ACT scores.SAT ScoresReading/WritingMathComposite: 0 Date Taken:ACT ScoresMathScienceEnglishReadingWritingComposite: 0 Date Taken:Academy InformationNew markupNumber your academy preference(s) – with 1 being your highest preference. Only one selection is required, and you can select up to four. Please note that you must complete a preliminary application for each academy you are seeking nomination.First Choice:- Select -U.S. Air Force AcademyU.S. Merchant Marine AcademyU.S. Military Academy (West Point)U.S. Naval AcademySecond Choice:- None -U.S. Air Force AcademyU.S. Merchant Marine AcademyU.S. Military Academy (West Point)U.S. Naval AcademyThird Choice- None -U.S. Air Force AcademyU.S. Merchant Marine AcademyU.S. Military Academy (West Point)U.S. Naval AcademyFourth Choice- None -U.S. Air Force AcademyU.S. Merchant Marine AcademyU.S. Military Academy (West Point)U.S. Naval AcademyN/A- None -U.S. Air Force AcademyU.S. Merchant Marine AcademyU.S. Military Academy (West Point)U.S. Naval AcademyEnter the corresponding rank for your preferred academy.First Choice Rank:Second Choice Rank:Third Choice Rank:Fourth Choice Rank:Additional InformationApplying to other nominating sources?- Select -YesNoApplying for ROTC scholarship? - Select -YesNoList of extracurricular/community service experience (including Scouts). Please indicate length of participation.List of athletic experience. Please indicate length of participation in school years.List of employment experience. Please indicate length of employment.Interviews will be held on a weekday at one of the Congressman’s district offices. Please select your top two preferred interview time windows.Morning (9 am – 11:00 am)Mid-Day (11:00 am – 1:00 pm)Afternoon (1:00 pm – 4:00 pm)CFA Information DateExaminer Name and titleExaminer phoneExaminer emailBasketball Throw (Only the best of the three scores will be submitted):First ThrowSecond ThrowThird Throw40-Yard Agility Run Time (to the nearest 10th of a second): Pull-Ups (For Men or Women) Number of Repetitions: Flexed Arm Hang (Women Only) Number of SecondsNumber of CrunchesNumber of Push-ups1 mile run time (minutes, seconds) CAPTCHA: enabled to secure this form. If you are having difficulty using Captcha's visual option, please visit the Accessibility page for more assistance.