When advised to do sodownload, complete please type as much as possible, and submit enrollment forms in person to the rotc offices. Usacc form 104r, sep southern california army rotc. Rotc forms department of military science army rotc. Cc form 104 r is a cadets academic plan to graduate. Any rotc scholarship request is based off this form and date that you are scheduled to graduate.
Cc form 2 r statement of understanding cc form 174 r green to gold active duty option program application cc form 228 r financial statement da form 705 army physical fitness test scorecard. Dd form 2005 privacy act statement health care record pdffillable. This video is meant to assist cadets as they create their academic plans using the da form 104 r. This is probably the most important document that you will fill out as a cadet. Editable pdf forms will not open up in a web browser, they must be. C form 103 r applicant snapshot cc form 104 r planned academic program worksheet.
This pamphlet provides processes and procedures for all of the army rotc incentives programs. For use of this form, see cc pam 1454, the proponent agency is. Sign, fax and printable from pc, ipad, tablet or mobile. Use this stepbystep guideline to complete the form cc 104 r 20 swiftly and with perfect precision. Waivers, student files, and the 104r with examples. Click on the cc 104r menu item to download an updated copy of the 104r 3.
Cadet command form 104r planned academic program worksheet must be fully typed, signed by academic advisor, signed by the cadet and turnedin to your primary military science instructor. File asu 104r april 19 version blank academic worksheet for asu cadets excel. At104 schedule for appointment of agent by corporation. Cc 104 r sep 20 planned academic worksheet cc form 6 r briefing on government sponsored benefits for rotc cadets cc form 7 r authorization for access to student records. Msi resources university of oregon rotc this page contains three folders. Basic course initial enrollment forms these forms are to be filled out by applicants that are seeking to contract andor seek a scholarship. To provide information and data necessary for administering the army senior rotc program, processing, and managing of selected students for commissioning. Fill out, securely sign, print or email your form 104r 202020 instantly with. This must be updated every semester with grades from the previous semester and any changes in your coursework. It is a requirement for any cadet that enrolls in the program to complete within their first semester. They are to be submitted in person, at our offices. Nonscholarship cadets need to read this thoroughly prior to contracting pdf da form 5973 cadet scholarship contract.
Scholarship cadets need to read this thoroughly prior to contracting pdf dd form 4 enlistment document. This must be submitted to us if you elect to do the smp program with the usar pdf. Da form 3425r medical fitness statement pdf fillable. Below is a list of the most current united states army cadet command forms, checklists, policies, pamphlets, sops and regulations. All contracting cadets need to read this thoroughly pdf fillable dd form 93 record of emergency data pdf.
For use of this form, see usacc reg 1451, the proponent agency is atccroi. How to open a 104r form cadets are asked to save a copy on their own computers as they will be required to update this document every semester. Cc pam 1451 reserve officers training corps army rotc. The cc fm 104r is completed for each prospect you are working into the program to ensure academic alignment. How to prepare a planned academic worksheet cc form 104r. Date mmddyyyy usacc form 104r, sep page 3 of 3statement of understandingplanned academic program worksheetfor use of this form, see usacc pam 1454, the proponent agency is atccpacfull name, last, first.
The advanced tools of the editor will direct you through the editable pdf template. All contracting cadets need to read this thoroughly pdf fillable da form 4824r simultaneous membership program agreement for army reservists. How to prepare a planned academic worksheet cc form 104r the cc fm 104r is completed for each prospect you are working into the program to ensure academic alignment. Da form 3425 r medical fitness statement pdf fillable. Cc form 104 r planned academic worksheet cc form 104 r. Act cadet application and enrollment record for use of this form, see cc pam 1454, the proponent agency is atccpc. Financial statement cc form 228r nco evaluation report da form 21668 test phone. Editable pdf forms will not open up in a web browser, they must be downloaded and opened in adobe reader program. In support of earning a degree, the form documents a cadets planned sequence of academic and rotc courses that lead to graduation.
The way to complete the online 104r september 20 on the internet. If the cadet is an rotc scholarshipparticipant, the scholarship will be in force for the number of semesters indicated in block 5. Active dutyreserve rotc applicant snapshot for use of this form see, cc reg 1451, proponent agency is atccopis appendix b authority 10 usc 2102 and 2107 principal purpose to physically identify each applicant. The intent of this form is to input the data on the pc to prevent errors, especially in the formulas. The usacc form 104r is a required document for contracting with army rotc. At104 schedule for appointment of agent by corporationnonprofit organizaiton or limited liability companyapril 2019 fillable author. The form also shows the number of credits and semesters or quarters the cadet needs to. Cc form 9 r, 15 feb replaces all previous editions, which are obsolete. Appendix b active dutyreserve rotc applicant snapshot.
Age 46 civil conviction 52 standardized test scores 56 cgpa 58. Usacc form 104r, sep page 1 of 3for use of this form, see usacc pam 1454, the proponent agency is atccpacdata required by privacy act statement of 1974curr gpa. Use this stepbystep guide to complete the army 104 r form quickly and with perfect precision. Cc form 104 r, dec 04 page 3 of 3 full name, last, first, mi name of university or college statement of understanding professor of military science signature type of degree cadet signature planned academic program worksheet for use of this form, see cc pam 1454, the proponent agency is atccpac 0 0 0. Scholarship form cc form 173 r applicant snapshot form cc form 103 r medical examination forms dd form 2351. Planned academic program worksheet rotc cadet comd pam 1454. Cc form 104 r planned academic program worksheet dated sep 20 cc form 104 r is a cadets academic plan to graduate. Page 1 of 6 dual citizenship see cc pam 1454, 239 2. Routine uses to be used by the hq rotc cadet command selection board in consideration of the applicant. Form is used to apply for the green to gold program.
Cc form 104r, academic planning record osu army rotc. Have cc form 104 r planned academic program worksheet which indicates 2 or 3 years remaining 4 semesters6 quarters for 2year applicants or 6 semesters9 quarters for 3year applicants as a fulltime student to degree completion summer sessions are authorized but cannot interfere with advance camp attendance. This must be submitted to us if you elect to do the smp program with. The way to complete the online 104r pdf filler on the internet. Release waiver liability form pdf fillable cc form 104 r academic alignment sheet pdf fillable cc form 6 r briefing of government benefits word cc form 9 r cadet. Cc form 104 r fill online, printable, fillable, blank. This form is a cadets academic plan to follow in order to graduate on time. Cadet command form 104 r is your academic worksheet to plan and visualize your progression to your desired degree during your time at rutgers. In the top menu click the forms dropdown to expand it c. Timeinserivce da form 4187 statement of understanding cc form 2 r financial statement cc form 228 r. Cc form 9r april 19 version cadet enrollment record pdffillable.
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