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The 104 R form serves as a crucial tool for students enrolled in the Army Senior ROTC program, streamlining the process of academic planning and compliance with established regulations. This Planned Academic Program Worksheet is designed to gather essential information about a cadet's academic journey, ensuring they meet the necessary public law requirements for their remaining years of study. The form requires students to provide personal details such as their name, academic major, and grade point average, alongside a comprehensive outline of their coursework. Each term's courses, credit hours, and grades are meticulously documented, allowing both students and academic advisors to track progress toward degree completion. Additionally, the form includes a statement of understanding that reinforces the commitment to a structured program aimed at fulfilling degree requirements. As students navigate their educational paths, this form plays a pivotal role in facilitating their success within the ROTC framework, ultimately guiding them toward commissioning in the Army.

104 R Example

PLANNED ACADEMIC PROGRAM WORKSHEET

For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PAS

OMB Control Number: 0702-XXXX

OMB Expiration Date: XX/XX/XXXX

The public reporting burden for this collection of information, 0702-XXXX, is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, [email protected]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR COMPLETED

FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO REQUESTING ROTC PROGRAM.

AUTHORITY: PRINCIPAL PURPOSE:

ROUTINES USE(S):

VOLUNTARY DISCLOSURE:

DATA REQUIRED BY PRIVACY ACT STATEMENT OF 1974

Title 10, US Code § 2101 and 2104 and 2107 and 2107a.

To provide information and data necessary for administering Army Senior ROTC program, processing, and managing of selected students for commissioning in the Army IAW established public law and Army Regulations.

To provide a projected academic plan to determine if the applicant meets the public law requirements of two remaining academic years.

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)

Cadet ID

2. ACADEMIC MAJOR

 

2a. CIP CODE

 

3. AS OF DATE (MM/DD/YYYY)

 

 

 

 

Reset Form

 

 

 

 

 

 

 

 

 

 

 

 

(Date of form preparation)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. GRADE POINT AVERAGE (GPA)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

 

Term:

 

 

 

 

 

4. Type of Degree Currently Pursuing

 

 

 

5. CREDIT HOURS

 

 

 

 

 

 

 

 

 

 

 

 

Select Semester or Quarter 0

 

 

 

Curr GPA:

CGPA:

 

Curr GPA:

CGPA:

 

 

 

 

 

 

 

 

a. Total Required for degree:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

 

Term:

 

 

 

7.

 

b. HOST SCHOOL

 

(1)

ROTC Hours that do not count:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Curr GPA:

 

 

Curr GPA:

 

 

 

 

 

a. Bde

 

 

 

 

CGPA:

 

 

CGPA:

 

 

 

 

 

 

 

(2)

Total Hours Rqd for degree:

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

 

Term:

 

 

 

 

 

 

 

c. ACADEMIC SCHOOL

 

 

 

Number of Required Hrs per Term:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Curr GPA:

CGPA:

 

Curr GPA:

CGPA:

 

 

 

 

 

 

 

 

b. Credits toward degree Comp to date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

 

Term:

 

 

 

 

 

 

 

 

 

 

 

c. Transfer Credits accepted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Curr GPA:

CGPA:

 

Curr GPA:

CGPA:

8.

ACADEMIC SCHOOL

 

 

 

 

 

 

 

 

 

d. Remaining for Degree:

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

 

Term:

 

 

 

 

IDENTIFICATION (Check one):

 

 

 

e. Number of Authorized S/Qs:

 

 

 

 

Curr GPA:

 

 

Curr GPA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CGPA:

 

 

CGPA:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9. TERM, YEAR, COURSE NUMBER (No.), COURSE TITLE, COURSE CREDIT HOURS (Hrs), ACHIEVED GRADES (Grd), AND DISTANCE LEARNING (DL).

a.

Term:

No.

Year:

Course Title

Hrs. DL? Grd.

b.

Term:

No.

Year:

Course Title

Hrs. DL? Grd.

c.

Term:

No.

 

 

Year:

Course Title

Hrs.

DL?

Grd.

Total Term Hours:

0

0

Total Term Hours:

0

0

Total Term Hours:

0

0

d.

Term:

 

 

Year:

 

 

 

 

 

 

No.

Course Title

 

Hrs. DL? Grd.

Total Term Hours:

 

0

0

e.

Term:

No.

 

Year:

Course Title

Hrs. DL? Grd.

 

 

 

 

Total Term Hours:

 

0 0

 

 

 

 

f.

Term:

No.

 

 

 

Year:

 

 

 

 

 

 

 

 

 

 

Course Title

 

 

Hrs. DL? Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

 

0

0

10. STUDENT INITIALS & DATE:

TERM 1:

 

TERM 4:

 

 

TERM 7:

 

 

TERM 10:

 

 

(Have the student initial and date beside each term they

TERM 2:

 

TERM 5:

 

 

TERM 8:

 

 

TERM 11:

 

 

have completed to indicate they have been counseled.

TERM 3:

 

TERM 6:

TERM 9:

 

 

 

TERM 12:

 

 

 

 

 

 

 

 

 

 

 

 

 

USACC Form 104-R, JULY 2025

 

PREVIOUS EDITIONS ARE OBSOLETE

 

 

 

 

 

Page 1 of 3

PLANNED ACADEMIC PROGRAM WORKSHEET

For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PAS

OMB Control Number: 0702-XXXX

OMB Expiration Date: XX/XX/XXXX

11. TERM, YEAR, COURSE NUMBER (No.), COURSE TITLE, COURSE CREDIT HOURS (Hrs), ACHIEVED GRADES (Grd), AND DISTANCE LEARNING (DL). (CONTINUED)

g.

j.

Term:

 

Year:

No.

Course Title

Hrs. DL? Grd.

 

 

 

 

 

Total Term Hours:

 

 

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

 

 

Year:

 

 

 

 

 

 

 

 

No.

 

 

Course Title

Hrs.

 

DL? Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h.

k.

Term:

 

Year:

i.

No.

Course Title

Hrs.

DL? Grd.

 

 

 

 

Total Term Hours:

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

l.

 

Term:

 

 

 

Year:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No.

 

Course Title

 

Hrs.

DL? Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

Year:

No.

Course Title

Hrs. DL? Grd.

 

 

 

Total Term Hours:

 

0

0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Term:

 

 

Year:

 

 

 

 

 

 

 

 

 

 

 

No.

Course Title

 

Hrs.

 

 

DL? Grd.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Term Hours:

0

0

Total Term Hours:

0

0

Total Term Hours:

0

0

m.

Term:

No.

 

 

 

 

n.

 

 

 

 

o.

 

 

 

 

 

Year:

 

 

Term:

Year:

 

 

 

Term:

 

Year:

 

 

Course Title

Hrs.

DL?

Grd.

No.

Course Title

Hrs.

DL?

Grd.

No.

Course Title

Hrs.

DL?

Grd.

Total Term Hours:

 

0

 

0

 

 

 

 

Total Term Hours:

 

0

0

 

 

 

 

Total Term Hours:

 

0

 

0

12. REVIEW: All of the above courses are required (as minimum) for the completion of the degree:

Completion should result in a (Degree Type)

 

(Academic Discipline)

Yes

No (if no, list exceptions on reverse of this form).

 

 

Completion Date (Month, Year)

13. SIGNATURE OF STUDENT:

14. DATE: (MM/DD/YYYY)

15. SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS OR ROTC ADVISOR (OR OTHER INSTITUTION CERTIFYING OFFICIAL):

16. DATE: (MM/DD/YYYY)

USACC Form 104-R, JULY 2025

PREVIOUS EDITIONS ARE OBSOLETE

Page 2 of 3

PLANNED ACADEMIC PROGRAM WORKSHEET

For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PAS

OMB Control Number: 0702-XXXX

OMB Expiration Date: XX/XX/XXXX

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 or graduate degree program of no more than two 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.

IAW USACC Pam 145-4, the worksheet must be reviewed annually (at a minimum) for each contracted Cadet and revised, as necessary. The worksheet must be authenticated by an appropriate school academic official (academic advisor/counselor) when completed or revised. The PMS will review the worksheet with the Cadet each school term to monitor alignment/mission set and academic progress. This review will be noted on Cadet counseling records.

Any changes to this degree plan, adding/dropping classes, or change of major must first be discussed/approved with the PMS.

(Date) (MM/DD/YYYY)

(CADET SIGNATURE)

(Date) (MM/DD/YYYY)

(PROFESSOR OF MILITARY SCIENCE SIGNATURE)

USACC Form 104-R, JULY 2025

PREVIOUS EDITIONS ARE OBSOLETE

Page 3 of 3

Instructions for Planned Academic Program Worksheet USACC 104-R Reset Form button – erases the form.

1.Cadet’s name and Cadet ID

2.Cadet’s Academic Major. 2a. Only used for HQ STEM Scholarships. Not necessary for all other scholarships.

3.Date of form preparation or date of form update.

4.Select type of degree the Cadet is pursuing – Bachelors, Masters, or Associates (MJC Only).

5.Block 5 calculates how many scholarship terms the Cadet needs to graduate.

Dropdown: select appropriate term type and degree plan. NOTE: Making the correct selection is required for Block 5 to calculate correctly.

a.Input the total hours required for the degree

1)Input ROTC hours that are not included in the total for the degree.

2)Populates the sum of 5a and 5a(1)

3)Calculates the average number of hours required for each term based on the selection in the dropdown and the sum from 5a(2).

b.Input the number of credit hours the Cadet has completed (if any) to date at the school.

c.Input any transfer credits the school has accepted.

d.Calculates how many hours the Cadet has remaining for their degree.

e.Calculates the number of scholarship terms the Cadet needs to complete their degree based on calculations from 5a(3) and 5d.

6.Input the term GPA and the cumulative GPA for each term completed.

7.Select the Cadet’s Brigade, ROTC Program, and Academic School.

8.Select Academic School’s identification: If the academic school is the same as the Host School, select Host; If the academic school is not the Host School, select either Extension Unit or Cross-Town.

1.Host – Academic School is the Same as Host School.

2.Extension Unit – Academic School is a manned partner school.

3.Cross-Town – Academic School is an unmanned partner school. NOTE: Cadet must take ROTC classes at Host school or nearest manned Extension Unit.

9.Each group represents one term. Select the term from the dropdown: Fall, Winter (for quarter schools), Spring, or Summer; Select the year for the term selected; input the Course Number, Course Title, course Credit Hours, check the column for DL? if the class is online. Once the term is finished, input the grade received.

10.Student should initial and date beside each term.

11.Follow the instructions for #9 above.

12.Verify that the courses listed above in #9 and #11 are required for the degree. Input the expected graduation date.

13.Signature of Cadet.

14.Date Cadet signed document.

15.Signature of Registrar or ROTC advisor and other institution certifying official.

16.Date certifying official signed document.

17.Statement of Understanding. Cadet should read the Statement of Understanding and then sign and date; PMS should sign and date.

File Breakdown

Fact Name Description
Form Purpose This form is used to collect information necessary for managing the Army Senior ROTC program and to assess students for commissioning in the Army.
Governing Authority The authority for this form is derived from Title 10 of the U.S. Code, specifically sections 2101 and 2104.
Privacy Act Compliance The form adheres to the Privacy Act Statement of 1974, ensuring that personal data is handled appropriately.
Voluntary Disclosure Providing information on this form is voluntary, but it is essential for determining eligibility for the Army ROTC program.
Required Information Students must provide details such as their name, academic major, GPA, and a projected academic plan.
Course Information The form includes sections for listing courses, credit hours, and grades, which are crucial for academic tracking.
Review Requirement Students must confirm that all listed courses are required for their degree completion.
Signatures Needed The form requires signatures from the student and a certifying official, such as a registrar, to validate the information provided.

Guide to Using 104 R

Filling out the 104 R form is essential for managing your academic program within the Army Senior ROTC program. Follow these steps carefully to ensure all necessary information is provided accurately.

  1. Enter the student's name: Fill in the last name, first name, and middle initial.
  2. Specify the academic major: Write down the student's declared major.
  3. Input the CIP code: Provide the Classification of Instructional Programs (CIP) code related to the major.
  4. Fill in the date: Use the MM/DD/YYYY format for the date of form preparation.
  5. Indicate the academic school: Name the institution where the student is enrolled.
  6. List credit hours: Enter the total credit hours required for the degree.
  7. Provide the GPA: Fill in the current grade point average, including cumulative GPA if applicable.
  8. Select semester or quarter: Check the appropriate box for the academic term type.
  9. Detail course information: For each course, include the term, year, course number, title, credit hours, and achieved grades.
  10. Initial and date: Have the student initial and date beside each term to confirm counseling.
  11. Complete the review section: Confirm whether all listed courses are required for degree completion and note exceptions if necessary.
  12. Signatures: Obtain the signatures of the student and the registrar or certifying official, along with the corresponding dates.

After completing the form, ensure all sections are filled out correctly. Review the information for accuracy before submission to avoid delays in processing.

Get Answers on 104 R

  1. What is the purpose of the 104 R form?

    The 104 R form, also known as the Planned Academic Program Worksheet, serves multiple essential functions. Primarily, it collects information necessary for managing the Army Senior ROTC program. This includes processing selected students for commissioning in the Army. The form helps ensure that students meet the public law requirements for their remaining academic years, thereby facilitating their path toward successful completion of their degree and commissioning.

  2. Who is required to fill out the 104 R form?

    Any student participating in the Army ROTC program is required to complete the 104 R form. This includes cadets who are currently enrolled in college and are pursuing a degree while also fulfilling ROTC requirements. The information provided in this form is vital for determining their eligibility for acceptance, continuance, or discontinuance in the program.

  3. What information is collected on the 104 R form?

    The form collects various types of information, including:

    • Student's name and academic major
    • Current grade point average (GPA)
    • Details about the academic courses the student has taken or plans to take
    • Credit hours required for the degree
    • Signatures of both the student and the certifying official

    This information is crucial for assessing the student’s academic progress and planning their academic trajectory.

  4. What happens if a student does not provide the necessary information on the form?

    Voluntary disclosure of information is essential for evaluating a student's eligibility for the ROTC program. If a student fails to provide the necessary information, it may hinder their ability to be accepted or continue in the program. Therefore, it is strongly advised that students complete the form thoroughly and accurately to avoid any potential issues with their academic standing or ROTC participation.

  5. How does the 104 R form impact a student's academic planning?

    The 104 R form plays a significant role in academic planning for ROTC cadets. By outlining the courses and credit hours required for degree completion, it helps students visualize their academic path. This structured approach allows students to plan their semesters effectively, ensuring they meet both academic and ROTC requirements in a timely manner.

  6. What should a student do after completing the 104 R form?

    Once a student has completed the 104 R form, they should review it carefully to ensure all information is accurate. The student must then sign the form, indicating they have been counseled about their academic plan. Afterward, the form should be submitted to the appropriate certifying official, such as the registrar or the professor of military science, for their signature and approval. This process finalizes the academic plan and ensures it aligns with ROTC requirements.

Common mistakes

Filling out the 104 R form can be a straightforward process, but many individuals make common mistakes that can lead to delays or issues with their application. Understanding these pitfalls can help ensure that your submission is accurate and complete.

One frequent mistake is failing to provide the correct name format for the student. The form requires the last name, first name, and middle initial. Omitting any part of this information can cause confusion and may result in processing delays. It’s essential to double-check this section before submitting.

Another common error is neglecting to include the academic major and the corresponding CIP code. This information is crucial for determining the student’s eligibility within the ROTC program. Without it, the application may be considered incomplete, leading to further complications.

Many applicants also overlook the importance of accurately noting the academic school and the date of form preparation. Providing the wrong school name or an incorrect date can create discrepancies in the application process, potentially affecting the student’s standing in the program.

In addition, students often miscalculate their credit hours and grade point average (GPA). This information must reflect the most current academic status. Errors in these figures can misrepresent a student’s academic performance and may impact eligibility for the ROTC program.

Another mistake involves the course information. When listing courses, it’s vital to ensure that all details, including term, year, course number, title, credit hours, and grades, are accurate. Incomplete or incorrect entries can lead to misunderstandings regarding a student’s academic progress.

Lastly, students frequently forget to sign and date the form. Both the student’s signature and the registrar’s certification are essential to validate the document. Missing signatures can delay processing and may require the student to resubmit the form, wasting valuable time.

By being aware of these common mistakes, students can take proactive steps to ensure that their 104 R form is filled out correctly. Careful attention to detail will help facilitate a smoother application process and support their academic journey in the Army ROTC program.

Documents used along the form

The 104 R form, known as the Planned Academic Program Worksheet, is an essential document used in the Army Senior ROTC program. It helps manage and track students' academic progress and ensures they meet the necessary requirements for commissioning. Alongside the 104 R form, several other documents are commonly used to support the academic and administrative processes of ROTC students. Below is a list of these documents, along with brief descriptions of each.

  • Cadet Enrollment Application: This form is used by prospective cadets to apply for entry into the ROTC program. It collects personal information, educational background, and other relevant details.
  • ROTC Scholarship Application: This document allows students to apply for scholarships offered through the ROTC program. It includes financial information and academic achievements to assess eligibility.
  • Academic Progress Report: This report provides a summary of a cadet's academic performance, including GPA and completed coursework. It helps advisors monitor students' progress toward their degrees.
  • Statement of Understanding: This document outlines the cadet's commitment to the ROTC program and the requirements for degree completion. It must be signed by both the cadet and the professor of military science.
  • Course Registration Form: This form is necessary for cadets to officially register for courses each semester. It ensures that the selected courses align with their academic plans and ROTC requirements.
  • Transfer Credit Evaluation: This evaluation assesses any credits earned from other institutions. It determines how those credits apply to the cadet's degree program within the ROTC framework.
  • Graduation Application: This form is submitted by cadets nearing completion of their degree. It initiates the graduation process and confirms that all academic requirements have been met.

These documents work together to facilitate the academic journey of ROTC cadets. Each form plays a vital role in ensuring that students remain on track for successful completion of their degrees and commissioning requirements.

Similar forms

The 104 R form, known as the Planned Academic Program Worksheet, serves a specific function within the Army Senior ROTC program. Several other documents share similarities with the 104 R form in terms of purpose, structure, and the information they require. Below is a list of seven such documents:

  • Transcript Request Form: Like the 104 R form, this document is used to collect essential academic information. It requests details about courses taken, grades received, and credits earned, which helps in assessing a student's academic progress.
  • Degree Audit Report: This report outlines the courses a student has completed and those still needed for graduation. Similar to the 104 R form, it helps students plan their academic journey to ensure they meet graduation requirements.
  • Academic Advising Worksheet: This document aids students in mapping out their academic path. It shares the 104 R form's focus on course selection and credit hours, ensuring that students remain on track for degree completion.
  • Enrollment Verification Form: This form verifies a student's enrollment status and academic progress. It parallels the 104 R form in its role of providing official documentation necessary for various administrative processes.
  • Course Registration Form: Used to register for classes, this form collects similar information about courses and credit hours. It ensures that students make informed choices about their academic schedules, akin to the planning aspect of the 104 R form.
  • Scholarship Application Form: This application often requires detailed academic information, including GPA and course load. It is similar to the 104 R form in that it assesses eligibility based on academic performance.
  • Financial Aid Application (FAFSA): The FAFSA collects financial and academic data to determine eligibility for financial aid. Like the 104 R form, it requires information about the student's academic standing and future plans.

Dos and Don'ts

When filling out the 104 R form, consider the following important do's and don'ts:

  • Do ensure all personal information is accurate, including your name and academic major.
  • Do double-check the course details, including credit hours and grades.
  • Do review the academic plan to confirm it meets the required public law standards.
  • Do have your student initials beside each term to indicate counseling has occurred.
  • Don't leave any sections blank; every part of the form needs to be completed.
  • Don't forget to sign and date the form at the end to validate the information provided.

Misconceptions

Understanding the 104 R form can be challenging. Here are five common misconceptions about this document:

  • The 104 R form is only for students in ROTC programs. While primarily used by ROTC cadets, the form can also be relevant for students in related programs seeking to track their academic progress.
  • Completing the form guarantees acceptance into the Army ROTC program. The form provides necessary information, but acceptance depends on meeting various eligibility criteria, including academic performance and other factors.
  • The 104 R form is a one-time submission. This is not accurate. Students may need to submit updated forms each semester or when their academic plans change.
  • Only the student needs to sign the form. In addition to the student’s signature, a registrar or certifying official must also sign to validate the information provided.
  • The form is only concerned with grades. While grades are important, the 104 R form also focuses on the overall academic plan, including required credits and course progression.

Key takeaways

Here are key takeaways about filling out and using the 104 R form:

  • The form is essential for students in the Army Senior ROTC program.
  • Provide accurate personal information, including your name, academic major, and school.
  • Indicate the date you prepare the form to ensure timely processing.
  • List all relevant courses, including course titles, credit hours, and grades achieved.
  • Ensure you check the appropriate identification box for your academic status.
  • Initial and date each term to confirm you have received counseling on your academic plan.
  • Review the completed form carefully to confirm all required courses for your degree are listed.
  • Obtain necessary signatures from both the student and the registrar to validate the information.