Yes and no. You cannot receive an appointment from USNA without being 3Q (and having a Nom). The 3 Qs are: Scholastic (grades, test scores, ECAs, etc.), Physical (Passing the CFA) and being medically qualified. If a waiver is required to be medically qualified then the commissioning source, the SA or ROTC service) determines if a waiver is granted or not. The only way you would hear "ahead of time" is if USNA issues an LOA. If an LOA is given it will determine what is needed in order for that to be turned into an appointment. Most candidates will never know if they are 3Q or not during the process. USNA does not issue a 3Q letter like USMA does. A candidate will know 2 of the 3 Qs... you know if you pass the CFA and will know if you are medically qualified. If you receive an LOA, it means you are scholastically qualified. Hopefully that makes sense.