NPP Application 2

NPP APPLICATION 2
Personal Information

Please enter your name as it appears on your passport or other official documents.
Last Name
First Name
Middle Name
Suffix (Jr., Sr., etc.)
Date of Birth

Month Day Year
Date
Legal Sex

Male Female
Sex Listed onBirth Certificate:

Male Female
Preferred Name
Previous Last Name(s), if any
Email
example@example.com
Intended Major or Area of Study
Permanent Address
Street Address
Apt. #
City/Town
State/Province
Country
Zip/Postal Code
Phone (Begin with Area or Country code)
Alternate Phone (Begin with Area or Country code)
CITIZENSHIP

Place of Birth
City/Town
State/Province
Country
Citizenship

US Citizen Dual US citizen; please specify other country of citizenship below. US permanent resident visa; citizen of (mention country below) Other Citizenship
If Dual US citizen; please specify other country of citizenship
US permanent resident visa; citizen of?
Alien Registration Number
Other Citizenship
Other Citizenship Visa
If you live in the United States, but are not a U.S. citizen, how many years have you lived in the country?
If not English, language spoken in your home
If not English, list your first language
Ethnicity

Race/Ethnicity information is optional. Information you provide will not be used in a discriminatory manner and will not be used as a factorfor selection or disqualification.
Are you Hispanic or Latino?

Yes No
If yes, Country of family's origin?
How would you describe your racial background? (select one or more of the following categories):

Asian Black or African American American Indian or Alaska Native (enrolled) Native Hawaiian or Other Pacific Islander White
If Asian selected, then please specify country of family's origin
If American Indian or Alaska Native then enrolled?
Tribal Affiliation
Academic Information
School
CEEB Code
Type of school:

Public Private Correspondence Charter Parochial Home-School Other/Education Provider
School Address
Number and Street
City/Town
State/Province
Country
Zip/Postal Code
Start Date (mm/yyyy)
Date of Graduation (mm/yyyy)
Counselor's Name
Phone (Begin with area or country code)
Counselor's Email
example@example.com
Fax (Begin with area or country code)
Are you currently enrolled in school?

Yes No
Will/did you graduate from High School early?

Yes No
Current Year’s Courses

Please list name, level (Honors, AP, IB, etc.) and credit value of your current year’s courses.
Semester #1/Trimester #1
Semester #2/Trimester #2
Trimester #3
List all other high schools, colleges/universities (including summers), and academic programs you attended, beginning with ninth grade. Youmust submit transcripts from each school.

Other High Schools
School Details 1
School Name
CEEB Code
Date Attended
Location
School Details 2
School Name
CEEB Code
Date Attended
Location
School Details 3
School Name
CEEB Code
Date Attended
Location
College / Universities
College / Universities 1
College/University Name
CEEB Code
Date Attended
Location
College / Universities 2
College/University Name
CEEB Code
Date Attended
Location
Academic Information

Please list any Advanced Placement or International Baccalaureate exams taken along with the test date and score.
Test Details 1
Subject
Test Score
Test Date
Test Details 2
Subject
Test Score
Test Date
Test Details 3
Subject
Test Score
Test Date
Test Details 4
Subject
Test Score
Test Date
Test Details 5
Subject
Test Score
Test Date
Test Details 6
Subject
Test Score
Test Date
Test Details 7
Subject
Test Score
Test Date
Test Details 8
Subject
Test Score
Test Date
Test Details 9
Subject
Test Score
Test Date
Test Details 10
Subject
Test Score
Test Date
Standardized Test Information

List your test scores below. You must have the testing agency send official scores to each institution to which you are applying.
SAT Reasoning Test Details 1
Test Date
Evidence BasedReading & Writing
Math
Optional Essay
SAT Reasoning Test Details 2
Test Date
Evidence BasedReading & Writing
Math
Optional Essay
SAT Reasoning Test Details 3
Test Date
Evidence BasedReading & Writing
Math
Optional Essay
SAT Subject Details 1
Test Date
Subject
Score
SAT Subject Details 2
Test Date
Subject
Score
SAT Subject Details 3
Test Date
Subject
Score
SAT Subject Details 4
Test Date
Subject
Score
SAT Subject Details 5
Test Date
Subject
Score
SAT Subject Details 6
Test Date
Subject
Score
ACT Test Details 1
Test Date
English
Math
Reading
Science
Composite
Optional Essay
ACT Test Details 2
Test Date
English
Math
Reading
Science
Composite
Optional Essay
ACT Test Details 3
Test Date
English
Math
Reading
Science
Composite
Optional Essay
ASVAB Test Details
ASVAB Test Details 1
Test Date
AFQT Score
ASVAB Test Details 2
Test Date
AFQT Score
Academic Distinctions
Please list any academic or educational awards and honors you received in high school (e.g. National Merit, National Honor Society).Please attach your response to the end of the application.
Extracurricular and Volunteer Information

Please list any significant extracurricular or community activities and hobbies in which you have participated. Include specific accomplishments such as musicalaccolades, athletic distinctions, etc. (Please note: “PG” means Post-Graduate)
Activity Details 1
Activity
Grade Level

9 10 11 12 PG
Specific Accomplishments
Hours/Week
Week/Year
Will you participate in college?

Yes No Unsure
Activity Details 2
Activity
Grade Level

9 10 11 12 PG
Specific Accomplishments
Hours/Week
Week/Year
Will you participate in college?

Yes No Unsure
Activity Details 3
Activity
Grade Level

9 10 11 12 PG
Specific Accomplishments
Hours/Week
Week/Year
Will you participate in college?

Yes No Unsure
Activity Details 4
Activity
Grade Level

9 10 11 12 PG
Specific Accomplishments
Hours/Week
Week/Year
Will you participate in college?

Yes No Unsure
Activity Details 5
Activity
Grade Level

9 10 11 12 PG
Specific Accomplishments
Hours/Week
Week/Year
Will you participate in college?

Yes No Unsure
Activity Details 6
Activity
Grade Level

9 10 11 12 PG
Specific Accomplishments
Hours/Week
Week/Year
Will you participate in college?

Yes No Unsure
Activity Details 7
Activity
Grade Level

9 10 11 12 PG
Specific Accomplishments
Hours/Week
Week/Year
Will you participate in college?

Yes No Unsure
Employment Information

List any work experience (including summer jobs) during the past three years.
Employer Details 1
Employer Name
Job Description
Dates of Employment
Hours per Week
Employer Details 2
Employer Name
Job Description
Dates of Employment
Hours per Week
Employer Details 3
Employer Name
Job Description
Dates of Employment
Hours per Week
Employer Details 4
Employer Name
Job Description
Dates of Employment
Hours per Week
Employer Details 5
Employer Name
Job Description
Dates of Employment
Hours per Week
1. Are you a (check all that apply)

Veteran Dependant of US Veteran Active US Military National Guard or Active Reserve
2. If you are/were a part of the military, which branch (check all that apply)

Army Navy Air Force Marines Coast Guard
3. Are you applying to any service academies or other ROTC programs? If so, please list all in the additional information section.

Yes No
Additional Information Section
4. Have you ever been rejected for any reason for service in any branch of the military?If so, please describe fully in the additional information section.

Yes No
Additional Information Section
Physical Fitness Information
1. Applicant Height:
1. Applicant Weight:
3. Are you able to swim?

Yes No
4. How frequently do you swim?

Less than once a month 3-5 times a month More than 5 times a month
AFA Information:

The official score sheet for the AFA will be submitted separately.
1. Crunches:
2. Push-ups:
3. 1 mile run time:
4. Observer name and job title:
5. Observer phone number:
Service Community
Which service community are you most interested in joining in the Navy and why? If you are not selected for that community, would you still accept yourcommission as a Naval Officer. Limit responses to 250 words.
Essay Response
Discuss your reasons for wanting to become a Naval Officer. Specifically comment on leadership positions you have held, the challenges you have faced, and the lessonsyou have learned. Limit your response to 500 words.
Discipline Information
Have you ever been placed on probation, suspended, removed, dismissed or expelled from any school or academic program since 9th grade?

Yes No
Other than traffic offenses, have you ever been convicted of any misdemeanor, felony, or other crime?

Yes No
If you answered yes to either question, please provide an explanation and the approximate dates of each incident. Please
attach your response to the end of the application.
Additional Information
If you have additional information that was not specifically requested on the application or did not fit in the space provided, feel free to include it here. Ifyou need more space, please attach your response to the end of the application.
Verification

Your signature below confirms all information in this application (including any supplemental information) is factually true and honestly presented and that you are theperson submitting this application.
Signature

Clear
Date

Month Day Year
Date
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NPP APPLICATION 2

Personal Information

Permanent Address

CITIZENSHIP

Ethnicity

Academic Information

School Address

Current Year’s Courses

List all other high schools, colleges/universities (including summers), and academic programs you attended, beginning with ninth grade. Youmust submit transcripts from each school.

School Details 1

School Details 2

School Details 3

College / Universities

College / Universities 1

College / Universities 2

Academic Information

Test Details 1

Test Details 2

Test Details 3

Test Details 4

Test Details 5

Test Details 6

Test Details 7

Test Details 8

Test Details 9

Test Details 10

Standardized Test Information

SAT Reasoning Test Details 1

SAT Reasoning Test Details 2

SAT Reasoning Test Details 3

SAT Subject Details 1

SAT Subject Details 2

SAT Subject Details 3

SAT Subject Details 4

SAT Subject Details 5

SAT Subject Details 6

ACT Test Details 1

ACT Test Details 2

ACT Test Details 3

ASVAB Test Details

ASVAB Test Details 1

ASVAB Test Details 2

Academic Distinctions

Extracurricular and Volunteer Information

Activity Details 1

Activity Details 2

Activity Details 3

Activity Details 4

Activity Details 5

Activity Details 6

Activity Details 7

Employment Information

Employer Details 1

Employer Details 2

Employer Details 3

Employer Details 4

Employer Details 5

Physical Fitness Information

AFA Information:

Service Community

Essay Response

Discipline Information

Additional Information

Verification