The 104 R form, officially known as the Planned Academic Program Worksheet, is a crucial document within the Army Senior Reserve Officers' Training Corps (ROTC) program. This form is designed to outline a student's academic plan, ensuring it aligns with the requirements for commissioning in the Army in accordance with public law and Army Regulations. It serves not only as a planning tool but also as a means to document the cadet's progress and eligibility for continuance or discontinuance in the ROTC program.
The complexity of preparing future leaders for the Army through the Senior ROTC program is encapsulated in the meticulous process outlined in the 104-R form, officially named the Planned Academic Program Worksheet. Designed under the auspices of the USACC Pamphlet 145-4, with ATCC-PA-C as its proponent agency, this form plays a pivotal role in the administrative machinery that ensures students are on the right academic trajectory for commissioning. It gathers essential data as mandated by the Privacy Act Statement of 1974, covering a broad spectrum from verifying the authority under Title 10, US Code 2101 and 2104, to delineating the principal purposes such as facilitating the ROTC program's management and processing student selections for commissioning in alignment with public law and Army Regulations. Further, the form outlines routine uses like projecting academic plans to match public law prerequisites, emphasizing the importance of voluntary disclosure for eligibility assessments within the ROTC framework. Each section—from student identification and academic major to a detailed ledger of courses with corresponding credit hours, GPAs, and term achievements—serves as a structured guide for tracking academic progress towards fulfilling degree requirements, underpinned by the need for counseling and official endorsements from students, faculty, and ROTC officials to solidify their commitment to completing the prescribed academic program.
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
Filling out the 104-R form is an essential step for students who are participating in the Army Senior ROTC program. This form helps to outline the student's academic plan, ensuring compliance with the requirements set forth for commissioning. It's used to map out the courses a student intends to take, clarifying how these courses will contribute to the completion of their degree within the stipulated time frame. Completing this form accurately is critical for the ROTC program administration to verify the student's eligibility and academic progression. Here are the steps to fill out the form:
After completing the form, it is important to review all information for accuracy and completeness. Be sure to discuss any uncertainties or changes in your academic plan with your ROTC program advisor or the designated official at your institution. Hand in the completed document as directed by your ROTC program guidelines. This will ensure that your academic trajectory aligns with the ROTC program requirements and supports your journey towards commissioning.
What is the 104 R form used for?
The 104 R form, also known as the Planned Academic Program Worksheet, is used by students in the Army ROTC program to outline their academic plan. This plan includes the courses they intend to take until graduation. It serves the main purpose of providing the necessary information to administer, process, and manage the selection of students for commissioning in the Army, in accordance with public law and Army Regulations.
Who should fill out the 104 R form?
Students who are part of the Army Senior ROTC program and are planning their academic courses leading up to commissioning need to fill out the 104 R form. It is a crucial step in ensuring they meet all necessary requirements within the stipulated academic timeframe.
What information is required when completing the 104 R form?
To complete the 104 R form, students need to provide various pieces of information such as their name, academic major, academic school, credit hours, grade point average (GPA), and a detailed list of courses for each term including the course number, title, credit hours, and grades achieved or anticipated. They will also indicate if those courses count towards their degree and their plan for each academic term.
Is the information provided on the 104 R form confidential?
Yes, the information collected on the 104 R form is subject to the Privacy Act Statement of 1974. This means the information is confidential and used only for the purposes of managing and processing the individual's participation and progress in the Army ROTC program.
What happens if a student does not provide all required information on the 104 R form?
Providing all the required information on the 104 R form is voluntary; however, failure to provide necessary details can affect a student's eligibility for acceptance, continuance, or discontinuance in the Army ROTC program. It is essential for participants to provide complete and accurate information to avoid potential issues with their program status.
How often should the 104 R form be updated?
It's recommended that the 104 R form be reviewed and updated as necessary to reflect any changes in the student's academic plan, such as changes in major, academic standing, or course selections. This ensures that all parties involved, including the program administrators and the students themselves, have the most current information regarding the student's academic progress and plan.
Filling out the USACC Form 104-R, officially known as the Planned Academic Program Worksheet, is a crucial step for students enrolled or planning to enroll in the Army Senior ROTC program. This form helps in managing and processing selected students for commissioning. However, mistakes can occur during this process, which may affect a student's eligibility or progression within the program. Here are eight common mistakes to avoid:
Incorrect or Incomplete Name: Not fully writing the name in the format requested (Last, First, MI) can lead to processing delays or errors in identification.
Omitting the Academic Major or CIP Code: It's essential to specify both the academic major and the CIP (Classification of Instructional Programs) code accurately to ensure the curriculum is correctly aligned with ROTC requirements.
Wrong Date Format: The form requests dates in the MM/DD/YYYY format. Entering dates in any other format can lead to misunderstandings or processing delays.
Incorrect School Information: Not correctly stating the academic school or institution can lead to validation issues, especially concerning the accreditation or ROTC program eligibility.
Failing to Accurately Represent Credit Hours and GPA: Credit hours and GPA (including Current and Cumulative) must be accurately recorded. This information is vital for assessing academic eligibility and progression.
Misunderstanding Required Credits Toward Degree: Students often confuse total credits with those required for their degree. Explicitly stating required credits helps in evaluating completion projections accurately.
Forgetting to Initial and Date Each Term Section: Having the student initial and date beside each term indicates they have been counseled and understand their academic plan. Missing initials can imply a lack of understanding or agreement.
Signature Oversights: Not signing the form or missing the date beside signatures (both by the student and the certifying official) can render the worksheet incomplete. This may stall the student's progression in the ROTC program.
Avoiding these mistakes helps ensure that the Planned Academic Program Worksheet accurately reflects the student's academic journey and ROTC program requirements, facilitating a smoother administration process.
When filling out the 104 R form, known as the Planned Academic Program Worksheet, individuals are often required to gather and submit additional documentation. This worksheet is a crucial piece of documentation for students in the Army ROTC program, as it outlines their academic plans and ensures they meet the necessary requirements for commissioning. Along with this form, there are several other documents that are frequently used to support the application process.
These documents, along with the 104 R form, create a comprehensive package that allows the reviewing officers to assess a student’s readiness and eligibility for the ROTC program. Accurately filled and properly submitted, they collectively pave the way for a student's successful journey towards commissioning in the Army.
The FAFSA (Free Application for Federal Student Aid) shares similarities with the 104 R form, primarily in its collection of personal and academic information to assess eligibility. Both documents require detailed academic data and plans, aiming to provide financial assistance or program placement based on the information provided. The key difference lies in their purpose: while the 104 R form is tailored towards ROTC program participants, FAFSA applies broadly to students seeking financial aid for higher education.
Academic plans or advisement reports generated by universities for their students bear resemblance to the 104 R form in structure and intent. These documents outline a student's academic progress, including courses taken, grades received, and future enrollment plans, similar to the detailed course planning found in the 104 R form. Both serve as roadmaps for achieving academic goals within specified timeframes, ensuring students and advisors are on the same page regarding degree requirements and progress.
The NCAA (National Collegiate Athletic Association) eligibility form, which student-athletes must complete to participate in college sports, is akin to the 104 R form. Both require detailed academic records and future course plans to ensure participants meet the required standards for program eligibility. While the 104 R form focuses on ROTC requirements, the NCAA form emphasizes adherence to academic standards for athletes, ensuring they balance their studies with their sports commitments.
The Common Application, used by prospective college students to apply to multiple institutions simultaneously, shares commonalities with the 104 R form through the collection of personal and academic information. Both forms serve as a means to evaluate an individual's eligibility and fit for a particular program or institution. However, the 104 R form is specific to the ROTC program and its unique requirements, whereas the Common Application has a broader purpose for college admission.
The Scholarship Application Forms, which students fill out to apply for scholarships, share similarities with the 104 R form in their aim to collect academic achievements and plans. Both forms assess the applicant's academic qualifications and future academic intentions to determine eligibility for financial support or program placement. While the 104 R form is designed for ROTC participants, scholarship applications cater to a wider array of financial aid opportunities.
Job applications, particularly those requiring detailed educational backgrounds, can resemble the 104 R form in the need to provide comprehensive personal and academic information. Both forms are tools for evaluators to assess qualifications and suitability, whether for program admission or employment. The 104 R form's emphasis is on academic planning and eligibility for ROTC, contrasting with the broader career-focused purpose of job applications.
The DS-160, a non-immigrant visa application for the U.S., while primarily focused on travel and identification information, similarly requires applicants to furnish educational and vocational details, echoing the 104 R form's collection of academic data. Both forms are critical in determining the applicant's eligibility for their respective goals—be it program participation or entry into the United States. The scope of the DS-160 extends beyond academia, delving into personal background and intent for travel.
When filling out the 104 R form, a Planned Academic Program Worksheet, it is crucial to pay close attention to the details to ensure accurate and complete submission. The following are essential dos and don'ts to guide you through the process:
Adhering to these guidelines will help ensure that your 104 R form is correctly filled out and submitted, supporting your journey in the Army ROTC program and your academic achievements.
Understanding the 104-R form is essential for those involved in the Army ROTC program, yet several misconceptions exist surrounding its use and purpose. Here are five common misunderstandings clarified:
Clearing up these misconceptions about the 104-R form helps cadets and those involved in the Army ROTC program understand its importance in facilitating a smooth path to commissioning and future military career planning.
Filling out the 104-R form accurately is essential for students enrolled in the Army ROTC program for several reasons. Here are four key takeaways to understand when dealing with this form:
Because the 104-R form plays a critical role in the ROTC program's administration and the student's academic journey, thoroughness and accuracy cannot be overstated. It's not just a formality; it's a roadmap for success in achieving both academic and military leadership development goals.
Navpers 1336 3 - Integrates with other administrative processes, ensuring that special requests are considered in the context of wider personnel management practices.
Hazmat Bol Template - Includes terms and conditions to limit liability and outline procedures for claims, insurance, and transportation methods.