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Simple PDF Documents
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The 104 R form, officially known as the Planned Academic Program Worksheet, plays a crucial role in the administration of the Army Senior ROTC program. This form is essential for students aiming to secure a commission in the Army, as it outlines their academic trajectory and ensures compliance with public law requirements. Key components of the form include personal identification details, academic major, credit hours, and grade point average (GPA). Students must provide a comprehensive academic plan that demonstrates their progress and outlines the courses they will undertake in the upcoming terms. The form also requires students to indicate the number of authorized semesters or quarters they have left to complete their degree. Each entry must be verified by the student and certified by the registrar or another official from their academic institution. By meticulously documenting their academic journey, students not only affirm their commitment to the ROTC program but also facilitate the evaluation of their eligibility for continued participation. This structured approach is designed to support cadets in achieving their educational goals while fulfilling the requirements of military service.

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Document Specifics

Fact Name Details
Form Title Planned Academic Program Worksheet
Governing Authority Title 10, US Code 2101 and 2104
Principal Purpose To gather information for administering the Army Senior ROTC program and managing student commissioning.
Routine Use To assess if the applicant meets public law requirements for academic standing over the next two years.
Voluntary Disclosure Providing information is voluntary but necessary for determining eligibility in the Army ROTC program.
Required Information Includes student name, academic major, course details, and credit hours.
Completion Confirmation Students must confirm that all courses listed are required for degree completion.

How to Write 104 R

Completing the 104 R form is an essential step in outlining a student's academic plan within the Army ROTC program. This form helps ensure that all necessary information is accurately captured for proper processing and management. Follow these steps carefully to fill out the form correctly.

  1. Begin by entering the NAME OF STUDENT in the format of Last, First, Middle Initial.
  2. Next, specify the ACADEMIC MAJOR of the student.
  3. Fill in the CIP CODE associated with the academic major.
  4. Provide the AS OF DATE in MM/DD/YYYY format, indicating when the form is being prepared.
  5. Indicate the ACADEMIC SCHOOL the student is attending.
  6. Record the total CREDIT HOURS required for the degree.
  7. Enter the GRADE POINT AVERAGE (GPA) and select whether it is based on Semester or Quarter.
  8. List the TERM, YEAR, COURSE NUMBER, COURSE TITLE, COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES for each course taken.
  9. Have the student initial and date beside each term under STUDENT INITIALS & DATE to confirm counseling.
  10. Check the box for REVIEW to confirm all listed courses are required for degree completion, and indicate the expected completion date.
  11. Obtain the SIGNATURE OF STUDENT and the DATE in MM/DD/YYYY format.
  12. Finally, secure the SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS or other certifying official, along with the corresponding date.

Once you have completed these steps, review the form for accuracy before submitting it. This careful attention to detail will help ensure that the academic program is correctly outlined and meets all necessary requirements.

↓ 104 R File

Dos and Don'ts

When filling out the 104 R form, it’s essential to follow specific guidelines to ensure accuracy and compliance. Here are some do's and don'ts to keep in mind:

  • Do double-check all personal information for accuracy, including your name and academic major.
  • Do ensure that all required fields are completed before submission.
  • Do use the correct format for dates (MM/DD/YYYY) as specified on the form.
  • Do consult with your academic advisor if you have questions about course selections.
  • Don't leave any sections blank; if a section does not apply, indicate it clearly.
  • Don't use abbreviations or shorthand that may confuse the reader.
  • Don't forget to sign and date the form in the required areas.

Documents used along the form

The 104 R form, known as the Planned Academic Program Worksheet, is a crucial document for students participating in the Army Senior ROTC program. Alongside this form, several other documents are commonly used to ensure that students meet their academic and program requirements. Below is a list of these forms, each with a brief description.

  • USACC Form 104-1: This form is used to document a cadet's academic progress and performance, providing a comprehensive overview of grades and completed courses.
  • USACC Form 104-2: This form serves to outline the scholarship agreement between the cadet and the ROTC program, detailing the terms and conditions of financial support.
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  • USACC Form 104-3: This document is utilized to request an academic leave of absence, allowing cadets to pause their studies for various reasons while maintaining their ROTC status.
  • USACC Form 104-4: This form is intended for documenting any changes in a cadet's academic major or program, ensuring that all modifications are officially recorded.
  • USACC Form 104-5: This form is used to verify a cadet's enrollment status and academic standing with their educational institution, confirming eligibility for the ROTC program.
  • USACC Form 104-6: This document outlines the requirements for graduation and commissioning, providing a checklist for cadets to ensure they meet all necessary criteria.
  • USACC Form 104-7: This form is for reporting any disciplinary actions or academic infractions that may affect a cadet's standing within the ROTC program.
  • USACC Form 104-8: This document is used to submit requests for academic counseling or guidance, helping cadets navigate their educational paths effectively.
  • USACC Form 104-9: This form is utilized for documenting internships or practical experiences related to the cadet's field of study, enhancing their educational experience.

These forms work together with the 104 R form to create a structured framework for cadets, supporting their academic journey and ensuring compliance with ROTC program requirements. Properly completing and submitting these documents is essential for maintaining eligibility and achieving academic success.