Request Information:
Contact Information
First Name
Last Name
E-mail Address
E-mail Address 1 Confirm
Phone Number
Check if you would like to receive a hard copy mailed to you.
An email with attachments will be sent when this form is submitted. Check if you would like to receive a hard copy mailed to you as well.
Address Line 1
Address Line 2
City
ZIP/Postal Code
State/Province
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
British Columbia
California
Canal Zone
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Marshall Islands
Maryland
Massachusetts
Michigan
Military Americas
Military Europe
Military Pacific
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northern Mariana Islands
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Republic of Palau
Rhode Island
Saskatchewan
Sichuan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
How did you learn about us?
Academy Representative
Alumni, Friend or Family
College/Career Event
Internet Search
Maritime Academy Brochure
Maritime Academy Website
None
Other
School Counselor
Veterans Representative
What can we do for you?
Academic Information
Anticipated Entry Term
Fall 2025
Academic Program
Undecided (549)
Deck Officer, BS (850)
Engineering Officer, BS (851)
Power Systems, BS (860)
Location
Great Lakes Maritime Academy