The 104 R form, also known as the Planned Academic Program Worksheet, is essential for students in the Army Senior ROTC program. This form collects information necessary for managing students and ensuring they meet the academic requirements for commissioning in the Army. Completing this form accurately is crucial for the eligibility and continuation in the ROTC program.
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The 104 R form, officially known as the Planned Academic Program Worksheet, plays a vital role in the administration of the Army Senior ROTC program. This form collects specific information from students to ensure they meet the requirements for commissioning in the Army. Designed with both the student and the administrative needs of the ROTC in mind, it is essential for managing academic progress over the remaining years of study. Users must provide key details, such as their name, academic major, and credit hours, along with a structured outline of their courses, grades, and grade point average (GPA). The contents of this form help verify that applicants comply with public law requirements, establishing their qualifications for continued participation in the ROTC program. Students are encouraged to disclose pertinent information voluntarily, as this will influence their eligibility status. The form culminates in an official acknowledgment from both the student and the registrar, ensuring that all data is accurate and reflective of the academic path needed to obtain a degree. By outlining current and future courses, it assists in tracking academic progress, thereby enhancing accountability within the ROTC structure.
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.
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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)
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After you've gathered all necessary information, it's time to complete the 104 R form. Ensure that you have accurate details on academic progress, courses, and signatures ready to go. Follow the steps below to fill out the form correctly.
Completing the form accurately is crucial for processing and managing academic records efficiently. Make sure to double-check all entries before submission.
The 104 R form, officially known as the Planned Academic Program Worksheet, is essential for managing the Army Senior ROTC program. This form collects important information regarding students to ensure they meet public law requirements for commissioning in the Army.
This form is required to be completed by students participating in the Army ROTC program. It serves to outline their academic plans for the next two years, ensuring they are on track to meet their degree requirements.
While students may feel that disclosing their information is voluntary, it is important to note that the information is crucial for determining eligibility for acceptance into the ROTC program. Failure to provide this information may adversely affect a student’s participation.
The form is subject to the Privacy Act of 1974, which ensures that individuals' information is handled sensitively. This means that the data collected is to be used solely for managing the ROTC program and will not be disclosed without proper authorization.
Completing the 104 R form allows the student to project their academic plan. It helps identify if they are on track to complete their degree requirements within the required timeframe, which is essential for ROTC scholarship recipients.
If a student deviates from the academic plan submitted, they may risk their standing in the ROTC program. It could lead to complications regarding their eligibility for continuation in the program or for receiving scholarship funds.
Both the student and an official from the institution, such as a registrar or credentials examiner, need to sign the form. Additionally, if the student is a part of the ROTC scholarship program, their signature is also required to confirm understanding of the program’s structures.
If there are any deviations from the planned courses as listed on the 104 R form, they must be noted on the reverse side of the worksheet. This helps maintain clarity and ensures that all parties are aware of any changes to the academic trajectory.
Completing the 104 R form accurately is essential for students participating in the Army Senior ROTC program. However, several common mistakes may occur during this process. Understanding these pitfalls can help ensure the form is filled out correctly, which is vital for both eligibility and academic planning.
One frequent error is failing to provide the correct academic major. Many individuals mistakenly enter a major that they are interested in rather than the one officially recognized by their institution. This discrepancy can lead to complications in assessing academic progress.
Another common oversight involves neglecting to include the appropriate CIP code for their major. The Classification of Instructional Programs (CIP) code serves as a unique identifier for academic programs. Without this code, the processing of the form may be stalled, impacting the student's ability to meet program requirements.
Accurate entry of credit hours is crucial, yet students occasionally miscalculate or misunderstand how to count their completed courses. It is imperative that individuals review their transcripts thoroughly to ensure that the total number of credits listed reflects their actual academic standing.
Inclusion of GPA information also poses a challenge. Some may enter their cumulative GPA instead of the current GPA for the term, leading to inconsistencies in the information presented. Clarity in this section is essential for evaluating academic performance.
Not consulting with an academic advisor can result in missing important details. Students often complete the form independently without getting the necessary guidance. This can lead to misunderstandings about required courses or the academic progression standard that must be followed.
Additionally, failing to sign and date the completion section can cause delays in processing the form. Each student must provide their initials and date beside their term to confirm they have received proper counseling. Without these signatures, the form may be deemed incomplete.
Lastly, not reviewing the entire document before submission can lead to overlooked errors. Students should take the time to go through their completed forms thoroughly, ensuring that all information is accurate and up to date. Missing this step could result in significant consequences for their ROTC participation.
The 104 R form, formally known as the Planned Academic Program Worksheet, serves a crucial role in managing the academic paths of students involved in the Army Senior ROTC program. Several other documents are commonly used alongside this form to ensure comprehensive management and assessment. Each document supports the processes of evaluation, eligibility, and progression within the program.
Understanding these additional documents can significantly enhance the experience of students in the Army ROTC program. Together with the 104 R form, they create a framework that supports both academic and military objectives, facilitating the successful journey of cadets toward commissioning in the Army.
Completing the 104 R form accurately is essential for ensuring eligibility and managing the Army Senior ROTC program effectively. Here are five things you should and shouldn't do when filling out this form.
This is incorrect. The 104 R form is applicable to any student participating in the Army Senior ROTC program, regardless of whether they are at a military academy or a civilian institution.
In reality, the form merely provides a planned academic program. Approval for scholarships depends on other criteria, including qualifications and availability of funds.
The data collected is protected under the Privacy Act. It is crucial for students to understand that their information is kept confidential and used only for specific purposes related to the ROTC program.
This is not true. The form must be completed as it provides essential data for assessing a student's eligibility and academic progression within the Army ROTC program.
In fact, the form records various academic metrics, including credit hours completed, courses being taken, and remaining credits needed for graduation.
This is a misunderstanding. The form should be updated regularly to reflect any changes in academic status or course enrollment throughout the program.
In truth, it is strongly recommended that students seek guidance from academic advisors to ensure the form is completed accurately and fully, which helps in maintaining compliance with program requirements.
This document outlines important points for completing and utilizing the 104 R form, which is a Planned Academic Program Worksheet used by the Army Senior ROTC program. Understanding these takeaways can help ensure accurate and effective use of the form.
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