Student Data:

PRIVACY ACT STATEMENT

Authority to request this information is derived from 5 United States Code, section 301, Departmental Records, and 44 United States Code, section 3101, Records Management. The purpose of this form is to enable individuals to provide the necessary information to the U.S. Naval War College Senior Enlisted Academy for admissions consideration, enrollment, and administrative processing associated therewith.


The information you provide will become a permanent part of your Naval War College Senior Enlisted Academy record. If admitted, the information provided will be used to enroll you in this program and to report your successful completion to higher authority.


Completion of this form is entirely voluntary. Failure to provide your social security number may prevent your enrollment.


INSTRUCTIONS: Please fill out this application accurately and completely for proper consideration.

Rate
 Pick a value from the drop down list

Last Name
 Please enter your last name in letter case. EX: Smith

First Name
 Please enter your first name in letter case. EX: Michael

Middle Name
 Please enter your middle name in letter case. EX: John

Suffix
 Please enter your suffix

SSN
 Please enter your SSN (numbers only - no dashes). EX: 111223333

Date of Birth
  (mm/dd/yyyy) Please enter your date of birth.

Civilian Email Address
 Enter one that will NOT change (Civilian account)

Military Email Address
 Please enter a secondary way to reach you via email.

Cell Number
-
 Please enter your cell phone number.

Student Type
 Select your student type.


    required and     optional