USACC Form 104-R PDF Details

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

Annual review: per USACC Pam 145-4, the worksheet must be reviewed annually (at a minimum) for each contracted Cadet and revised, as necessary.

Authentication: the worksheet must be authenticated by an appropriate school academic official (academic advisor/counselor) when completed or revised.

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

ROTC classes: Cadet must take ROTC classes at Host school or nearest manned Extension Unit.

CIP code: only used for HQ STEM Scholarships. Not necessary for all other scholarships.

QuestionAnswer
Form NameUSACC Form 104-R
Form Length4 pages
Fillable?Yes
Fillable fields676
Avg. time to fill out60+ min
EditionJUNE 2026
Previous editionsObsolete
Other namesUSACC Form 104-R, 104-R, 104R, 104 R, Planned Academic Program Worksheet
Official sourceUSACC Form 104-R (Rev JUNE 2026), Army ROTC

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