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The 104 R form, officially known as the Planned Academic Program Worksheet, serves a critical role in the administration of the Army Senior ROTC program. This form is designed to collect essential information from students who are pursuing a commission in the Army, ensuring they meet the necessary academic requirements as mandated by public law and Army regulations. It includes sections for personal details, such as the student's name and academic major, along with a structured outline of their academic progress. Students must provide information about their credit hours, grade point averages, and a detailed list of courses they have completed or plan to take. This comprehensive approach allows for an assessment of whether the student can fulfill the remaining academic requirements for their degree within the next two years. Additionally, the form emphasizes the importance of voluntary disclosure, highlighting that the information provided is crucial for determining eligibility for continued participation in the ROTC program. Ultimately, the 104 R form acts as a roadmap for students, guiding them through their academic journey while ensuring compliance with the standards set forth by the Army. It is a significant document that not only aids in academic planning but also plays a vital role in the overall success of cadets in the ROTC program.
Similar forms
The 104 R form, known as the Planned Academic Program Worksheet, shares similarities with the FAFSA (Free Application for Federal Student Aid). Both documents serve as essential tools for students pursuing education, particularly in the context of financial aid and academic planning. The FAFSA collects information about a student's financial situation to determine eligibility for federal aid, while the 104 R focuses on the academic courses and requirements needed for ROTC program participants. Both forms require detailed personal information and academic history, ensuring that students meet necessary guidelines for their respective programs.
Another document akin to the 104 R is the academic transcript. An academic transcript provides a comprehensive record of a student’s academic performance, including courses taken, grades earned, and credits completed. Like the 104 R, transcripts are used to assess a student’s progress towards their degree. While the 104 R outlines future academic plans, the transcript reflects past performance, making both documents vital for academic evaluation and planning in higher education.
The Degree Audit Report (DAR) is also similar to the 104 R form. A DAR is an official document that outlines the courses a student has completed and those remaining to fulfill degree requirements. This report helps students track their academic progress, similar to how the 104 R helps ROTC students plan their academic journey. Both documents serve as guides to ensure that students stay on track to meet their educational goals.
Additionally, the Student Educational Plan (SEP) bears resemblance to the 104 R form. An SEP is a personalized document that outlines a student's course selections and academic objectives. Just like the 104 R, it is often used to ensure that students are aware of the courses they need to take to graduate on time. Both documents facilitate communication between students and academic advisors, ensuring that students make informed decisions about their education.
The Program of Study (POS) is another document that aligns with the 104 R. A POS details the specific courses and requirements needed for a particular academic program. It serves as a roadmap for students, guiding them through their educational journey. Both the POS and the 104 R emphasize the importance of planning and tracking academic progress, ensuring that students remain compliant with program requirements.
The Enrollment Verification form is also comparable to the 104 R. This document is used to confirm a student's enrollment status at an educational institution. Similar to the 104 R, it provides information that may be required for financial aid or military benefits. Both documents play a crucial role in validating a student's academic status and eligibility for various programs.
The Course Registration form shares similarities with the 104 R form as well. This form is used by students to officially enroll in courses for an upcoming semester or term. While the 104 R focuses on long-term academic planning, the Course Registration form captures immediate course selections. Both documents are essential for ensuring that students are actively managing their academic paths and meeting their educational goals.
The Illinois Motor Vehicle Bill of Sale form is a legal document that records the sale of a vehicle between two parties in the state of Illinois. It acts as proof of purchase and documents the transfer of ownership from the seller to the buyer. This form is essential for both the seller's and buyer's protection and is required for the registration of the vehicle, and you can get an editable document download to facilitate the process.
Lastly, the Academic Advising Worksheet is akin to the 104 R. This worksheet is used during advising sessions to help students map out their academic plans and discuss course selections with their advisors. Like the 104 R, it encourages proactive planning and communication about academic goals. Both documents aim to assist students in navigating their educational experiences effectively.
Form Specifications
| Fact Name | Details |
|---|---|
| Form Title | Planned Academic Program Worksheet |
| Governing Agency | ATCC-PA-C |
| Authority | Title 10, US Code 2101 and 2104 |
| Principal Purpose | To provide necessary information for administering the Army Senior ROTC program. |
| Routine Use | To project an academic plan for determining eligibility for the Army ROTC program. |
| Voluntary Disclosure | Information is necessary for determining eligibility for acceptance or continuation in the program. |
| Required Student Information | Includes name, academic major, CIP code, and GPA. |
| Course Information | Details on term, year, course number, title, credit hours, and grades are required. |
| Signature Requirement | Student and certifying official must sign and date the form. |
Different PDF Templates
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For those looking to ensure a seamless transition in their property transactions, it's essential to utilize the California Bill of Sale form, which can be easily accessed online. You can find the necessary document at californiapdffoms.com/, helping to minimize any potential misunderstandings between the buyer and seller while formalizing the transfer of ownership.
How to Fill Out Edd Form - Consulting with a healthcare provider is recommended when filling out the DE 2501.
Sample - 104 R Form
PLANNED ACADEMIC PROGRAM WORKSHEET
For use of this form, see USACC Pam
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.
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1. NAME OF STUDENT (LAST, FIRST, MI) |
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2. ACADEMIC MAJOR |
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2a. CIP CODE |
3. AS OF DATE (MM/DD/YYYY) (Date of form preparation) |
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4. ACADEMIC SCHOOL |
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5. CREDIT HOURS |
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6. GRADE POINT AVERAGE (GPA) |
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Select Semester or Quarter (S/Q) |
Semester |
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Term: |
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Term: |
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a. IDENTIFICATION (Check one): |
Host |
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Curr GPA: |
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CUM: |
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Curr GPA: |
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CGPA: |
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Extension Center |
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a. Total required for degree: |
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1 |
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Term: |
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Term: |
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(1) ROTC Hours that do not count: |
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Curr GPA: |
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CUM: |
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Curr GPA: |
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CGPA: |
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(2) Total Hours Rqd for NAPS: |
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Term: |
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Term: |
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b. HOST SCHOOL |
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c. HOST FICE |
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Normal Academic Progression Standard |
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Curr GPA: |
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CUM: |
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Curr GPA: |
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CGPA: |
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b. Credits toward degree Comp to date: |
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Term: |
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Term: |
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c. Transfer Credits accepted: |
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Curr GPA: |
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CUM: |
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Curr GPA: |
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CGPA: |
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d. Remaining for Degree: |
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Term: |
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Term: |
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e. Number of authorized S/Qs: |
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Curr GPA: |
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CUM: |
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Curr GPA: |
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CGPA: |
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7.TERM, YEAR, COURSE NUMBER, COURSE TITLE, COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
a.
Term: |
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Year: |
No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
d.
Term: |
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Year: |
No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
b.
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Term: |
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Year: |
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No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
e.
Term: |
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Year: |
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No. |
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Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
c.
Term: |
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Year: |
No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
f.
Term: |
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Year: |
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No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
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: |
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TERM 7: |
TERM 5: |
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TERM 8: |
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TERM 6: |
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TERM 9: |
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USACC Form
Page 1 of 3
PLANNED ACADEMIC PROGRAM WORKSHEET
For use of this form, see USACC Pam
7.TERM, YEAR, COURSE NUMBER, COURSE TITLE, COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES. (CONTINUED)
g.
Term: |
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Year: |
No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
h.
Term: |
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Year: |
No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
i.
Term: |
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Year: |
No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours:
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j. |
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k. |
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l. |
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Term: |
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Year: |
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Term: |
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Year: |
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Term: |
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Year: |
No. |
Course Title |
Hrs. Cts. Grd. |
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No. |
Course Title |
Hrs. Cts. Grd. |
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No. |
Course Title |
Hrs. Cts. Grd. |
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Total Term Hours: |
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Total Term Hours: |
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Total Term Hours: |
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m. |
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n. |
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Term: |
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Year: |
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Term: |
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Year: |
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Year: |
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No. |
Course Title |
Hrs. |
Cts. |
Grd. |
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Course Title |
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Cts. |
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Course Title |
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Total Term Hours: |
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Total Term Hours: |
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Total Term Hours: |
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9. REVIEW: All of the above courses are required (as minimum) for the completion of the degree: |
YES |
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NO (if no, list exceptions on reverside of this form). |
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Completion should result in |
degree, during (Month, Year): |
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10. |
SIGNATURE OF STUDENT: |
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11. |
DATE: (MM/DD/YYYY) |
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12. |
SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL): |
13. |
DATE: (MM/DD/YYYY) |
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USACC Form |
Page 2 of 3 |
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PLANNED ACADEMIC PROGRAM WORKSHEET |
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For use of this form, see USACC Pam |
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STATEMENT OF UNDERSTANDING |
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We, the undersigned, hereby declare that the program outlined on the worksheet (on the reverse side of this statement) that |
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Cadet |
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is about to under take a formally structured program approved by |
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(FULL NAME, Last, First, MI) |
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(Name of University or College) |
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designed to meet the requirments of a |
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degree; that the degree to be attained is the culmination of an |
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(Type of Degree) |
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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) |
(Date) (MM/DD/YYYY) |
(PROFESSOR OF MILITARY SCIENCE SIGNATURE) |
USACC Form |
Page 3 of 3 |