Prospect Request for Information Form

Personal Information

* Denotes Required

First Name *

Last Name *

Email Address *

Birthdate*

Mobile Phone

Mailing Address*

Country

Street

City

Region

Postal Code

High School Name*

CEEB

High School Graduation Year (4 digit Year)*

By submitting this form, I authorize the United States Military Academy to collect, store, and use the personal information provided for the purpose of responding to my inquiry, sending information about academic programs, admissions, events, and other opportunities related to the United States Military Academy. I understand that my information will be kept confidential and used only in accordance with applicable privacy laws.

I also consent to being contacted by mail, email, or text message by representatives of the United States Military Academy. I understand that I may opt out of communications at any time.