United States Naval Academy Sponsor Application

Sponsor Application :

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USNA Sponsor Application
New Sponsors: Click [Submit a New Application].
Returning USNA Sponsors: Login to your existing information by entering Sponsor Number, First Name, Last Name, and Birth
Date, then click [Log In].
Sponsor Number:
First Name:
Last Name:
Birth Date(DD-MON-YYYY, e.g. 02-FEB-1988):

Log In

Clear

Submit New Application

Cancel

PRIVACY ACT STATEMENT
AUTHORITY: Title 5 U.S.C. S301.
PRINCIPLE PURPOSE: To assist the Naval Academy to manage the USNA Sponsor program.
ROUTINE USE: This information is used to assign midshipmen to sponsors, to maintain a record of the names and addresses of
families assigned as sponsors or who are interested in the Sponsor Program, and to contact sponsors either by phone or written
correspondence. The Naval Academy will also use the information to conduct background checks available through national,
state, local agency and NCIC databases.
DISCLOSURE: Disclosure is voluntary. Failure to provide the requested information will result in the Naval Academy's inability to
endorse you as a sponsor.

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USNA Sponsor Application
Collection of this information comes under the Privacy Act Statement.
Click here for Application Instructions
We appreciate your interest in the Sponsor Program at the U.S. Naval Academy. Please read the Application Instructions
thoroughly and complete each section in the space provided. This application will be evaluated for the current sponsor year.
Sponsors must be at least 28 years old and live within 22 miles of the Naval Academy in order to be considered. In addition, active
duty military must have a rank/rate of E-6 or O-3 and above.
If you have questions, please contact the Sponsor Program Office via email or call 410-293-7031.

Personal Information
Title:
First Name:

(Required)

Preferred Name:
Last Name:

(Required)

Name Suffix:
Gender:
Birth Date:
(DD-MON-YYYY, e.g. 02-FEB-1988)
Marital Status:

(Required)
(Required)
(Required)

Home Address:

(Required)

City:
State:
Zip Code:

(Required)
(Required)
(Required)

Email Address:
Home Phone Number:

(Required)
(Required)

Work Phone Number:
Cell Phone Number:

If you are on Active Duty, in the Reserves, or Retired from the U.S. Armed Forces, please indicate the Military Branch,
Rank/Rate, and current Military Status.
Military Branch:

Select Branch and Rank/Rate from List

Rank/Rate:

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Military Status:
Current Employer:
Employer Address :
(Limited to 255 Characters)
Employer Phone Number:
Occupation:
Sponsor Status:

(Required)

Have you ever been convicted of a felony, domestic violence, drug-related offense, sex offense,
DWI/DUI, or had your driver's license revoked?

(Required)

If yes, give a complete description of the incident(s). State where and when each incident occurred, the nature of the
offense(s) and the date and disposition of the case(s).
(Limited to 255 characters)

Provide a Statement of Interest as to why you would like to be a part of the Sponsor Program and what you feel you
have to offer.
Statement of Interest :
(Limited to 1000 Characters)

(Required)

Spouse Information
If married, please provide the following information concerning your spouse. This information is required so that your household
can be accurately evaluated for participation. All information is Required, except Spouse Employer Information and Occupation.
Spouse First Name:
Spouse Preferred Name:
Spouse Last Name:
Birth Date:
(DD-MON-YYYY, e.g. 02-FEB-1988)
Spouse Employer:
Spouse Employer Address :
(Limited to 255 Characters)

Spouse Employer Phone Number:

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Spouse Occupation:

Has your spouse ever been convicted of a felony, domestic violence, drug-related offense, sex offense,
DWI/DUI, or had their driver's license revoked?
If yes, give a complete description of the incident(s). State where and when each incident occurred, the nature of the
offense(s) and the date and disposition of the case(s).
(Limited to 255 characters.)

Household and General Midshipman Preferences
To assist the Sponsor Program Office in matching you with suitable Midshipman, please indicate your general household
information and midshipman preferences.
Children:

(Required)

Pets:

(Required)

Allow Smoking:

(Required)

Number of Midshipmen You Wish to Sponsor:
(Limited to 4 per class year):
Midshipman Gender:

(Required)
(Required)

Midshipman Home State:

(Required)

Midshipman Military Background:

(Required)

Do you prefer non smoker?:

(Required)

Midshipman Varsity Sport Affiliation:

(Required)

Indicate your top interests from the following categories:
(Select up to five.)
Sports
Baseball

Football

Ice Skating

Skiing

Volleyball

Basketball

Golf

Lacrosse

Soccer

Water Polo

Bowling

Gymnastics

Martial Arts

Swimming

Weightlifting

Boxing

Hockey

Running

Tennis

Wrestling

Cycling
Outdoor Activities
Auto Racing/Cars

Flying/Aeronautics

Horses

Rollerblading

Sky Diving

Boating/Sailing

Gardening

Hunting/Shooting

Scuba/Skin Diving

Water Sports

Crabbing/Fishing

Hiking/Camping

Crafts/Hobbies
Antiques

Collecting

Art/Drawing

Computers

Cooking

Photography

Woodworking

Music
All Music

Classical

Country

Rhythm And Blues

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Rock

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Alternative
Other
Board Games

Languages

Philosophy

Scouting

Theater

Card Playing

Movies

Politics

Shopping

Travel

Dancing

Museums

Reading

Television

Writing

History

Please prioritize your preferences for selecting midshipman below. Preferences should be ranked from highest,
Priority 1, to lowest, Priority 5.
Priority 1:

(Required)

Priority 2:

(Required)

Priority 3:

(Required)

Priority 4:

(Required)

Priority 5:

(Required)

Specific Midshipman Request
If you wish to Sponsor particular midshipman, please enter their information in the following section. If unavailable, assignment
will be addressed by general household information and midshipman preferences. All information is Required.
Last Name

First Name

Home State

Is Midshipman
Aware
of Your Request?

Gate and Vehicle Pass Information
Please enter your vehicle information for Friends of the Naval Academy (FONA) Pass. Information for at least one vehicle must
be entered. All vehicle information must be entered.
Year

Make

Model

Color

State Registered

License Plate
Number

Training Information
Sponsors are required to attend training every three years. Please indicate which training session you will be attending.
Session One:

(Required) Click Here for Session Dates

Session Two:

(Required)

Session Three:

(Required)

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Additional Comments and Special Considerations
Please enter any additional comments and special
considerations:
(If you answered "OTHER" in any section, please explain
in this section. Limited to 2000 characters.)

PRIVACY ACT STATEMENT
AUTHORITY: Title 5 U.S.C. S301.
PRINCIPLE PURPOSE: To assist the Naval Academy to manage the USNA Sponsor program.
ROUTINE USE: This information is used to assign midshipmen to sponsors, to maintain a record of the names and addresses of
families assigned as sponsors or who are interested in the Sponsor Program, and to contact sponsors either by phone or written
correspondence. The Naval Academy will also use the information to conduct background checks available through national,
state, local agency and NCIC databases.
DISCLOSURE: Disclosure is voluntary. Failure to provide the requested information will result in the Naval Academy's inability to
endorse you as a sponsor.
Select 'Submit' to submit completed application to the Sponsor Program office.
Select 'Print' to print a copy for your records.
Select 'Exit' to exit without saving.
Submit

Print

Exit

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