Sponsor Application Screenshots

United States Naval Academy Sponsor Program

Sponsor Application Screenshots

OMB: 0703-0054

Document [pdf]
Download: pdf | pdf


USNA Sponsor Application
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:
Military Status:
Current Employer:
Employer Address :


(Limited to 255 Characters)
Employer Phone Number:
Occupation:
Sponsor Status:
(Required)
Can you speak a language besides English?:

(Required)

If Yes, please indicate the language. If you speak more than one or if you
speak a language that is not listed, select "Multiple" or "Other" and specify
the name of the language in Additional Comments.:
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 4000 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:
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:
Pets:
Allow Smoking:

(Required)
(Required)
(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


Basketball


          
Bowling


Boxing


Cycling


     Outdoor Activities

Football


Golf


Gymnastics


Hockey



Auto Racing/Cars


Boating/Sailing


Crabbing/Fishing


     Crafts/Hobbies
          

          
     Music
          
     Other

          

Antiques


Art/Drawing


All Music


Alternative


Board Games


Card Playing


Dancing


History



Ice Skating


Lacrosse


Martial Arts


Running



Skiing
Soccer


Swimming
Tennis



Flying/Aeronautics


Gardening
Hiking/Camping



Collecting


Computers


Classical



Cooking



Country



Languages


Movies


Museums



Volleyball


Water Polo


Weightlifting


Wrestling



Horses


Hunting/Shooting



Photography



Rhythm And Blues



Philosophy


Politics


Reading



Scouting


Shopping


Television



Rollerblading


Scuba/Skin Diving



Sky Diving


Water Sports



Woodworking



Rock



Theater


Travel


Writing



Please prioritize, from the pull-down list, 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)

Additional Comments and Special Considerations
Please enter any additional comments, special considerations or other
information you desire to provide:


(If you answered "OTHER" in any section,
please explain in this section. Limited to
255 Characters.)

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


File Typeapplication/pdf
File Modified2022-04-27
File Created2022-04-27

© 2024 OMB.report | Privacy Policy