The 104 R form, known as the Planned Academic Program Worksheet, is essential for students in the Army Senior ROTC program. This form collects necessary information to evaluate a cadet's academic plan and ensure they meet the requirements for commissioning in the Army. Completing this form accurately is crucial for maintaining eligibility in the ROTC program; fill it out by clicking the button below.
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PLANNED ACADEMIC PROGRAM WORKSHEET
For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PA-C
DATA REQUIRED BY PRIVACY ACT STATEMENT OF 1974
1.AUTHORITY: Title 10, US Code 2101 and 2104
2.PRINCIPAL PURPOSE(S): To provide information and data necessary for administering the Army Senior ROTC program, processing, and managing of selected students for commissioning in the Army IAW established public law and Army Regulations.
3.ROUTINE USE(S): To provide a projected academic plan to determine if the applicant meets the public law requirements of two remaining academic years.
4.VOLUNTARY DISCLOSURE AND EFFECT ON INDIVIDUAL NOT PROVIDING INFORMATION: Voluntary information is necessary to determine eligibility of the individual for acceptance,
continuance, or discontinuance in the Army ROTC program.
1. NAME OF STUDENT (LAST, FIRST, MI)
2. ACADEMIC MAJOR
2a. CIP CODE
3. AS OF DATE (MM/DD/YYYY) (Date of form preparation)
4. ACADEMIC SCHOOL
5. CREDIT HOURS
6. GRADE POINT AVERAGE (GPA)
Select Semester or Quarter (S/Q)
Semester
Term:
a. IDENTIFICATION (Check one):
Host
Curr GPA:
CUM:
CGPA:
Extension Center
a. Total required for degree:
1
Cross-Enrolled
(1) ROTC Hours that do not count:
(2) Total Hours Rqd for NAPS:
b. HOST SCHOOL
c. HOST FICE
Normal Academic Progression Standard
b. Credits toward degree Comp to date:
c. Transfer Credits accepted:
d. Remaining for Degree:
e. Number of authorized S/Qs:
7.TERM, YEAR, COURSE NUMBER, COURSE TITLE, COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
a.
Year:
No.
Course Title
Hrs. Cts. Grd.
Total Term Hours:
d.
b.
e.
c.
f.
8. STUDENT INITIALS & DATE:
(Have the student initial and date beside each term to indicate they have been counseled)
TERM 1:
TERM 2:
TERM 3:
TERM 4:
TERM 7:
TERM 5:
TERM 8:
TERM 6:
TERM 9:
USACC Form 104-R, SEP 13
Page 1 of 3
7.TERM, YEAR, COURSE NUMBER, COURSE TITLE, COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES. (CONTINUED)
g.
h.
i.
j.
k.
l.
m.
n.
o.
Hrs.
Cts.
Grd.
9. REVIEW: All of the above courses are required (as minimum) for the completion of the degree:
YES
NO (if no, list exceptions on reverside of this form).
Completion should result in
degree, during (Month, Year):
10.
SIGNATURE OF STUDENT:
11.
DATE: (MM/DD/YYYY)
12.
SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL):
13.
Page 2 of 3
STATEMENT OF UNDERSTANDING
We, the undersigned, hereby declare that the program outlined on the worksheet (on the reverse side of this statement) that
Cadet
is about to under take a formally structured program approved by
(FULL NAME, Last, First, MI)
(Name of University or College)
designed to meet the requirments of a
degree; that the degree to be attained is the culmination of an
(Type of Degree)
undergraduate college program of at least four years; and that the remaining credit hours shown on the worksheet are necessary either to fulfill
discipline requirements or to fulfill credit hour requirements, or both, for the attainment of the degree. If the Cadet is an ROTC Scholarship
participant, the scholarship will be in force for the number of semesters indicated in Block 5.
(Date) (MM/DD/YYYY)
(CADET SIGNATURE)
(PROFESSOR OF MILITARY SCIENCE SIGNATURE)
Page 3 of 3
The 104 R form is similar to the Academic Plan form used by many educational institutions. Like the 104 R, the Academic Plan outlines a student's intended course of study, detailing the courses they plan to take in order to fulfill their degree requirements. Both documents serve to ensure that students are on track to meet graduation criteria. They require the student to provide their major, credit hours, and GPA, allowing academic advisors to assist in monitoring progress and making necessary adjustments to the student’s academic trajectory.
Another document that parallels the 104 R form is the Degree Audit Report. This report provides a comprehensive overview of a student’s academic progress towards their degree. Similar to the 104 R, it breaks down completed courses, credits earned, and requirements still needed for graduation. The Degree Audit Report helps students and advisors identify any gaps in coursework, ensuring that students remain informed about their academic standing and can make informed decisions about their future course selections.
The Student Educational Plan is also comparable to the 104 R form. This plan is often created in collaboration with academic advisors and outlines the courses a student will take over their academic career. Both documents emphasize the importance of planning and organization in achieving academic goals. The Student Educational Plan typically includes timelines and milestones, guiding students through their academic journey, much like the structured approach of the 104 R form.
The Asurion F-017-08 MEN form is crucial for anyone navigating consumer protection and warranty-related claims, much like academic documents help students maintain their educational path. To further understand the importance and utility of the Asurion F-017-08 MEN form, you can refer to the detailed guide available at https://templates-guide.com/asurion-f-017-08-men-template.
Lastly, the Course Registration Form shares similarities with the 104 R form. This form is used by students to officially enroll in classes for a given semester. Like the 104 R, it requires students to provide detailed information about the courses they intend to take, ensuring that they meet the necessary prerequisites and degree requirements. Both forms facilitate communication between students and educational institutions, helping to streamline the registration process and maintain academic accountability.
Completing the 104 R form is an essential step in outlining a planned academic program for students involved in the Army Senior ROTC program. This form helps to ensure that the academic path aligns with the necessary requirements for commissioning in the Army. Following the steps below will guide you through the process of filling out this form accurately.
After completing these steps, ensure that all information is accurate and clear. This form will play a crucial role in the student's academic journey within the ROTC program.
The 104 R form, known as the Planned Academic Program Worksheet, is essential for students in the Army Senior ROTC program. It provides a structured outline of the academic path that cadets must follow to meet commissioning requirements. Alongside this form, several other documents are commonly used to support a cadet’s academic and administrative needs. Below is a list of these documents, each serving a unique purpose in the overall process.
These documents collectively support the academic and administrative framework necessary for cadets in the ROTC program. Each plays a vital role in ensuring that students are prepared for both their academic pursuits and future military service.
Failing to include the full name of the student in the correct format (Last, First, MI).
Not providing the academic major or entering an incorrect one.
Omitting the CIP code, which is essential for tracking academic programs.
Incorrectly filling out the AS OF DATE, leading to confusion about the form's validity.
Neglecting to specify the academic school the student is attending.
Miscalculating credit hours or failing to include all relevant courses.
Not providing an accurate grade point average (GPA), which can affect eligibility.
Failing to check the appropriate identification box for the type of enrollment.
Forgetting to have the student initial and date beside each term after counseling.
Not obtaining the necessary signatures from both the student and the registrar.
When filling out the 104 R form, it is essential to follow specific guidelines to ensure accuracy and compliance. Here are seven important dos and don'ts: