The 104 R form, officially known as the Planned Academic Program Worksheet, is a vital document for students participating in the Army Senior ROTC program. It serves as a comprehensive plan, detailing every aspect of a cadet's academic journey, in accordance with the USACC Pam 145-4 and adheres to privacy guidelines outlined by the Privacy Act Statement of 1974. Ready to map out your academic path and meet the requirements for commissioning in the Army? Click the button below to fill out your 104 R form today.
The USACC Form 104-R, known as the Planned Academic Program Worksheet, plays a crucial role in the administration and management of students participating in the Army Senior ROTC program. This form is governed by the USACC Pam 145-4 and is subject to the Privacy Act Statement of 1974, ensuring that personal data is handled with the necessary confidentiality and care. The primary aim of Form 104-R is to outline a student's academic plan, ensuring it aligns with the requirements for commissioning in the Army, as per public law and Army regulations. It requires detailed information such as the student's name, academic major, grade point average, credit hours, and a semester-wise breakdown of courses needed for graduation. Additionally, the form includes a section for student initials and date, signifying their acknowledgment and understanding of the academic path laid out for them. It culminates in signatures from the student, registrar, examiner of credentials, or another certifying official, alongside a Statement of Understanding section, reinforcing the commitment to the planned academic journey. This form is not just a bureaucratic requirement but a vital document ensuring students are on the right path to fulfill their academic and ROTC program requirements efficiently and effectively.
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
Completing the 104 R form is a crucial step for students in the Army ROTC program. It serves as a planned academic program worksheet, helping both the student and the administrators ensure that the academic path chosen aligns with the requirements for commissioning. Careful attention to detail is needed when filling out this form to ensure that all information is accurate and reflective of the student's academic plan. Here are the steps needed to fill out the form correctly:
By carefully following these steps, students and ROTC administrators can collaborate to ensure that academic plans are accurately documented and aligned with the program's requirements. This diligent preparation supports the student's journey towards commissioning and their future career in the Army.
What is the 104-R Form used for?
The 104-R Form, also known as the Planned Academic Program Worksheet, is used within the Army Senior ROTC program. Its primary purpose is to provide information and data necessary for administering the program, including processing and managing selected students for commissioning in the Army in accordance with established public law and Army Regulations.
Who should complete the 104-R Form?
Students participating in the Army Senior ROTC program who are planning their academic program towards commissioning should complete the form. It is an essential part of the cadet's administrative process.
What information does the form require?
The form requires detailed information on the student's academic major, the credit hours completed and required for the degree, GPA, as well as a planned academic schedule of courses leading to degree completion. Students must also initial and date the form to confirm they have been counseled on their academic plan.
How does the 104-R Form affect ROTC participants?
The form helps to ensure that ROTC participants are on track to meet all academic requirements for commissioning. It provides a structured plan that guides the student through their academic career, ensuring they meet both ROTC and academic degree requirements.
What is the significance of the Privacy Act Statement on the 104-R Form?
The Privacy Act Statement ensures that participants are aware their personal information is collected with authority and is used solely for the purpose of managing and administering the ROTC program. It highlights the voluntary disclosure of information and its impact on the individual's participation in the ROTC program.
Can the 104-R Form be revised?
Yes, revisions to the form may be necessary if a student's academic plan changes. Any modifications need to be documented, initialed, and dated to keep all parties informed and the academic plan current.
What happens if a student does not provide the information required on the 104-R Form?
Voluntary disclosure of information is necessary for participation in the ROTC program. Failure to provide the required information may affect the student's eligibility for acceptance, continuance, or discontinuance in the program.
How often should the 104-R Form be updated?
It should be updated whenever there is a change in the student's academic plan, typically at least once per academic year or when transitioning between academic institutions or programs.
Who reviews and signs the 104-R Form?
Both the student and an ROTC program administrator, typically the Professor of Military Science or another certified official, must sign the form. This ensures mutual agreement and acknowledgment of the academic plan and progress.
What is the importance of the Statement of Understanding in the 104-R Form?
The Statement of Understanding is a formal acknowledgment by both the cadet and the ROTC program that the academic plan is structured and approved, aiming for the successful completion of a degree required for commissioning. It underscores the commitment of both parties to adhere to the outlined program.
Filling out the 104-R form accurately is crucial for students in the Army ROTC program. However, several common mistakes can lead to potential delays or issues in the process. Recognizing and avoiding these errors can streamline your experience.
Incorrect or incomplete student name: Always ensure the full legal name is entered correctly, matching other official documents.
Failing to specify the academic major clearly, along with the correct CIP code. This information must be precise to assess eligibility and program alignment.
Not updating the as of date to reflect the current submission date, leading to confusion about the form’s currency.
Academic school details entered incorrectly. It's important to include the full and official name of the institution.
Incorrectly calculating credit hours can impact the assessment of academic load and progression.
Misunderstanding the GPA section: Both current and cumulative GPAs must be accurately reported for an accurate assessment.
Omitting the selection between Semester or Quarter systems, which is vital for academic planning.
Courses listed incorrectly in terms of title, number, credit hours, and grades. Each course must be detailed accurately for proper academic credit.
Neglecting to initial and date beside each term, evidencing that the student has reviewed and understands their academic plan.
Avoiding these mistakes not only ensures that the form is filled out correctly but also helps in a smoother processing of the ROTC program requirements.
When completing or reviewing the 104-R Planned Academic Program Worksheet, it's vital to be thorough and accurate, ensuring all necessary information and accompanying documents are in order. This form is essential for students in the Army ROTC program, as it maps out their academic journey towards commissioning. However, the 104-R form often requires additional forms and documents for a comprehensive submission. Let's look at some commonly associated documents that complement the 104-R form.
Each of these documents plays a crucial role in the administrative and evaluation processes of the Army ROTC program. Together with the 104-R form, they create a complete picture of the student's academic and personal background, ensuring both eligibility and preparedness for the challenges ahead in military leadership training. Handling these documents with care and attention to detail is imperative for a successful submission.
The FAFSA (Free Application for Federal Student Aid) form is similar because it collects detailed personal and financial information from students to determine their eligibility for student financial aid, similar to how the 104-R form collects detailed academic information to determine eligibility for an ROTC program.
The Common Application for college admission, which gathers a student's personal, educational, and extracurricular activity information to apply to multiple colleges. Like the 104-R form, it is used in an administrative process to assess a candidate's suitability and preparedness for a program.
The Student Academic Plan (SAP) form, used by academic advisors in colleges to plot out the courses a student needs to take to complete their degree on time. It mirrors the 104-R form's function of planning out academic coursework to ensure timely graduation.
The Transcript Request Form that students use to request their academic records be sent to institutions, scholarships, or employers. Similar to the 104-R, it facilitates the sharing of academic information but for more varied purposes.
Course Registration Forms allow students to sign up for classes each term. These forms, like the 104-R, require students to think about their academic trajectory and how each class fits into their degree requirements.
The Graduate School Application form shares similarities because it requires detailed academic and personal information to evaluate a candidate’s fit and preparedness for advanced study, much as the 104-R assesses readiness for an ROTC commission.
A Scholarship Application Form, which solicits detailed academic, extracurricular, and personal information to determine a candidate's eligibility for financial awards. This parallels the 104-R's role in assessing eligibility for a specific program.
The Internship Application Form collects information on a student's academic standing, areas of interest, and relevant experience. This is akin to the 104-R’s gathering of academic data to ensure the student's program aligns with ROTC requirements.
A Military Enlistment Application also bears resemblance, as it gathers comprehensive personal and educational information to assess eligibility and placement within the military, similar to the academic and extracurricular assessment conducted through the 104-R form.
Filling out the USACC Form 104-R, the Planned Academic Program Worksheet, is a crucial step in managing your journey through the Army Senior ROTC program. It's designed to outline your academic plan and ensure your eligibility for commissioning. To help you complete this form accurately, here are some do's and don'ts to keep in mind:
Approaching this form with attention to detail and thoroughness will smooth your path in the ROTC program and help ensure that your academic and commissioning goals are met. Always seek assistance if you encounter difficulties or have questions about the form.
The USACC Form 104-R, a Planned Academic Program Worksheet, is an essential document for cadets participating in the Army Senior ROTC program. However, there are several misconceptions about the form that need to be clarified to ensure cadets and their advisors use it correctly and effectively.
Misconception 1: The form is only for scholarship recipients. Reality: While scholarship cadets do use the form, it's also required for all cadets in the ROTC program to plan their academic path toward commissioning.
Misconception 2: It's a one-time requirement. Reality: The form is not just for initial planning; it must be updated regularly to reflect any changes in the cadet’s academic or ROTC curriculum.
Misconception 3: The form is solely for the cadet's use. Reality: Although the cadet fills out the form, it requires review and signatures from academic and ROTC advisors, ensuring the plan meets all necessary requirements.
Misconception 4: All courses listed will count towards the ROTC requirements. Reality: Not all courses on a cadet’s academic plan will count towards ROTC requirements; some are specific to the cadet's major or general education.
Misconception 5: It guarantees graduation and commissioning on schedule. Reality: While the form helps plan for these outcomes, actual graduation and commissioning depend on fulfilling all academic and ROTC requirements and any unforeseen circumstances.
Misconception 6: It must be completed in one sitting. Reality: Filling out the form requires careful planning and consultation; it should be completed over several sittings if necessary.
Misconception 7: Electronic signatures are sufficient. Reality: Depending on the policies of the host institution or ROTC unit, original signatures may be required for validation.
Misconception 8: It's only for undergraduate students. Reality: The form is primarily designed for undergraduates but must also be completed by post-baccalaureate students seeking a commission through the ROTC program.
Misconception 9: Only academic courses are listed. Reality: The form also includes ROTC courses and activities that are critical for commissioning eligibility.
Misconception 10: A cadet can wait until their senior year to complete it. Reality: The form should be started as early as possible in a cadet’s ROTC career to avoid delays in commissioning and to ensure all requirements are met on time.
Cadets and their advisors should familiarize themselves with the specific instructions and requirements of the USACC Form 104-R to make the most of its use for academic and ROTC program planning.
Filling out the USACC Form 104-R, or the Planned Academic Program Worksheet, is an essential step for students in the Army ROTC program. Here are key takeaways to ensure the form is completed accurately and effectively:
Completing the USACC Form 104-R with diligence is not only a requirement but also a crucial step towards a successful ROTC experience and future commissioning. Paying close attention to detail and ensuring all sections are accurately filled out will facilitate a smoother process for everyone involved.
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