Date_______________

The Honorable_____________                    
United States Senate                                    
Washington, D.C.   20510-0001              

Dear Senator_________________

OR

The Honorable_____________              
House of Representatives                 
Washington, D.C.   20515-0001

Dear Mr./Mrs.______________

OR

Vice President_____________         
The Old Executive Office Building, Room 490 
Washington, D.C.   20501

Dear Vice President______________



I desire to attend the United States Military Academy and to be

commissioned in the Regular Army.  I respectfully request that 

I be considered as one of your nominees for the class entering 

West Point in the summer of _________.



The following data are furnished for your information:

Name of Applicant:  ________________________________________________

Permanent Address:__________________________________________________

Telephone Number:___________________________________________________

Temporary Address and telephone number (if different from preceding):

_____________________________________________________________________

High School:_________________________________________________________

Date of Birth:_______________________________________________________

Social Security Number:______________________________________________

Names of Parents:____________________________________________________

I have/have not requested that a pre-candidate file be initiated for

me at the West Point Admissions Office.


                                Sincerely,