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CC 104-R 2004 free printable template

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Year Hrs. Cts. Grd. d. c. Hrs. Cts. Grd. e. f. 8. STUDENT INITIALS DATE TERM 1 TERM 4 TERM 2 TERM 5 TERM 6 TERM 8 TERM 3 TERM 7 Have the student initial and date beside each term to indicate they have been counseled TERM 9 CC Form 104-R DEC 04 Page 1 of 3 g. PLANNED ACADEMIC PROGRAM WORKSHEET For use of this form see CC 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...
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PROCEDURES: Application may be submitted to the Program Director on request. All completed applications must be submitted to the Program Director for processing and inclusion in the annual program directory. (The deadline for the annual directory is November 1). The data will be transmitted quarterly to the Secretary of the Army, by electronic information standard from the National Center for Education Statistics. If any discrepancies are discovered, the Director will endeavor to resolve the discrepancies and will promptly report the information via OMB-MUR. 5. DATA TO BE INCLUDED (AR): An electronic copy of the application, all supporting documents, a copy of the Public Law 467 (National Defense Authorization Act in connection with the student commissioning program) and regulations that pertain to the academic plan, and the data will be submitted to each applicant. All applications not complete shall also be referred to the applicant as an incomplete application, with instructions on how to complete the submission. 6. APPLICATION TERMS (AR): Application information will be accepted in Adobe Reader or with other approved software for which an extension of no more than one month is permitted. For further information, contact Program Director, ATCC-PA-C, at. 6.1. SUBMISSION CATEGORIES AND PROCEDURES: The application shall be divided into the following three categories: 7. AR–00 (Completed and Submitted) 7.1. AR–03 (Application Attached) 7.2. AR–05 (Application Not Attached) The AR–00 and AR–03 forms for the application shall be submitted to ATCC-PA-C. The application form shall be accompanied by the application fee of 35. The AR–05 form shall be submitted directly to the program director. The program director shall submit the application in electronic format to the Secretary of the Army. The application shall be accompanied by a copy of the Public Law 467 to the Department of the Army. The completed application form and supporting documents shall be enclosed in a single envelope, with the fee for the application being placed in the form of the Army's National Defense Authorization Act for Fiscal Year 1974 from the date of submission of the application. 7.

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