Military Academy Fair Participation Request - For Congressional Staff Use Only

Please be advised that submission of this form does not constitute our firm commitment to attend the upcoming event. However, every effort will be made to ensure a USCGA representative will be in attendance.

To assist us with scheduling, please submit your request three weeks in advance of your military academy fair.

*Event Name:**
*Event Date:**
*Event Start Time:**
*Event End Time:**
*Senator/Representative's Name:**
*State and District:**
*Physical Location of the Event*
*EventStreet Address:**
*City:**
*Zip Code:**

*Event Point of Contact:**
*POC Telephone Number:**
*POC Email Address:**
Will Senator/Representative attend the event?*	Yes No
*Expected Overall Attendance:**
May the USCGA invite students outside of your congressional district to attend as we don't require a congressional nomination?*	Yes No
Have you already contacted a Coast Guardvolunteer to attend your event?*	Yes No
CGA Confirmed Attendee:
CGA Attendee Email:
Additional Planning Logistics for USCGA Presenter:

*REQUIRED FIELDS