The 104 R form is a Planned Academic Program Worksheet used in the Army Senior ROTC program. It collects essential information about a cadet's academic journey, ensuring they meet the necessary requirements for commissioning in the Army. Completing this form accurately is crucial for students aiming to fulfill their educational obligations and maintain their ROTC status.
To get started on filling out the form, click the button below.
The 104 R form, known as the Planned Academic Program Worksheet, plays a crucial role in the administration of the Army Senior ROTC program. Designed to ensure that students meet the necessary academic requirements for commissioning in the Army, this form collects essential information about a cadet's academic journey. It includes details such as the student’s name, academic major, and grade point average, along with a comprehensive outline of courses taken and planned for completion. The form also requires students to provide data on credit hours, course titles, and grades achieved, facilitating a clear view of their academic progress. Importantly, it serves as a means to project a student’s academic plan, confirming whether they meet the public law requirements for the remaining years of their education. Moreover, it emphasizes the voluntary nature of the information provided, underlining its significance in determining eligibility for continued participation in the ROTC program. By ensuring that all academic pathways are documented and assessed, the 104 R form is instrumental in guiding students towards successful completion of their degrees while fulfilling their commitments to the Army.
Nj Transfer Tax - Clear documentation through the RTF-1 can streamline interactions with financial institutions during property dealings.
The District of Columbia Transfer-on-Death Deed form allows property owners to designate beneficiaries who will receive their real estate upon their death, bypassing the probate process. This straightforward tool can simplify the transfer of property and ensure that your wishes are honored. For those looking to learn more about this useful estate planning resource, the Transfer-on-Death Deed is an essential form to consider for effective estate management.
Which of These Items Is Checked in a Pre-trip Inspection - Assists drivers in familiarizing themselves with vehicle controls.
Lien Release Process - It confirms that the lienholder has received full payment and relinquishes their claim on the property.
When filling out and using the 104 R form, keep these key takeaways in mind:
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