Nursing by ajizai

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									                                                                           PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                                          (ROTC Cadet Comd Pam 145-4)
                                                                        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 and processing and managing of selected students for commissioning
in the Army IAW established public law and Army Regulations.
3. ROUTINE USES: 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                                                        3. AS OF DATE (DAY,MONTH,YEAR)
                                                                                        Nursing
8. INSTITUTION OF ATTENDANCE AND IDENTIFICATION                              9. CREDIT HOURS                                                         10. GRADE POINT AVERAGE (GPA)
 a. Name:           Creighton University                                     a. Total required for degree:                              136
 b. Identification (Check one):                 Host          XX               (1) Total ROTC Hours:                                     17                    a. Cumulative
                                         Extension Center                      (2) ROTC Hours that count:                                17                    b. Last Term
                                              Partnership                      (3) Total Hours Rqd w/ROTC:                               17                    c. Grading Scale
 c. If attendance is at an extension center or cross-enrolled school,        b. Transfer Credits accepted                                 0
name of the host institution:                                                c. Credits toward deg Comp to date:                          0
                                                                             d. ROTC Comp to Date (don't count towd deg):                 0          h. Total Programmed hours (w/ROTC):           139
                                                                             e. Remaining for Degree:                                   136
                                                                             f. Remaining Terms:                                          8
                                                                             g. "Adequate" Progression: e divided by f                   17


          We, the undersigned, hereby declare that the program outlined on the worksheet (on the reverse side of this statement) that

   Cadet:           0                                        is about to undertake is a formally structured program approved by                                Creighton University
                    (Cadet Name)                                                                                                                                 (Name of University or College)


  designed to meet the requirements of a                                Bachelor of Science, Nursing                           ; 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.


                                   (Date)                                                        (CADET SIGNATURE)




                                   (Date)                                        (PROFESSOR OF MILITARY SCIENCE SIGNATURE)



                                   (Date)                                   (REGISTRAR/ADVISOR/INSTITUTION CERTIFYING OFFICIAL)




 ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                                                               Page 1
                                                                           PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                                           (ROTC Cadet Comd Pam 145-4)
1. NAME OF STUDENT (LAST, FIRST, MI)                                          2. ACADEMIC MAJOR                                                    3. AS OF DATE (DAY,MONTH,YEAR)
                                                          0                               Nursing                                                                                  0
4            TERM, YEAR, COURSE NUMBER, COURSE TITLE,COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
                                          a                                                                    b                                                                     c
           Term:                 FALL                    Year: 00-01              Term:             SPRING                     Year: 00-01             Term:                FALL                    Year: O1-02
          No.                       Course Title                Hrs.             No.                     Course Title                  Hrs.           No.                     Course Title                 Hrs.
        MIL 101      Intro. To Officer Professionalism I          1            MIL 102    Intro. To Officer Professionalism II          1           MIL 211    Basic Indiv. Leadership Techniques            1
       BMS 111       Basic Human Anatomy                          4           CHEM112     Fundamentals of Biological Chem               4           NUR 224    Health Assessment                             2
       NUR 115       Seminar in Professinal Nursing               1           CHEM113     Chem Lab                                                  NUR 225    Health Assessment Practicum                   1
       PSY 111       Intro. To Psychology                         3           BMS 303     Physiology                                    4           NUR 228    Lifespan Development                          2
       SOC 101       or ANT 111 or SOC 223                        3           ENG 120     World Literature I                            3           NUR 229    Lifespan Development Practicum                1
       Chem 111      Fundamentals of General Chemistry            3            THL 100    Religious Inquiry                             3           MIC 141    Microbiology                                  4
                                                                                                                                                     Skills    Elective (or ENG 150 if required)             3
                                                                                                                                                    PHL 107    Critical and Historial Intro Philosophy       3
                     Total Term Hours:                          15                        Total Term Hours:                            15                      Total Term Hours:                            17

                                         d                                                                    e                                                                     f
           Term:               SPRING                  Year: 01-02                Term:               FALL                   Year: 02-03               Term:            SPRING                   Year: 02-03
          No.                      Course Title               Hrs.               No.                     Course Title                Hrs.             No.                    Course Title                Hrs.
        MIL 212      Adv. Individual Leadership Techniques      1              MIL 301    Fund. Small Unit Tactics and Lead.          3             MIL 302    Adv Small Unit Leadership and Tactics      3
        MIL 202      United States Military History             3              NUR 361    Informatics in Health Care                  2             NUR 353    Princip of Population-based H Care         3
        NUR 252      Human Pathophysiology                      3              NUR 362    Informatics in Health Care Practicum        1             NUR 371    Care Mgt Episodic & Chronic Health I       5
        NUR 253      Human Pathophysiology Practicum            1              NUR 351    Care Mgt Concepts H Promo, Maint            5             NUR 372    Care Mgt Processes Practicum II            5
        NUR 223      Nutrition                                  2              NUR 352    Care Mgt Practicum I                        4             NUR 377    Research for health Professionals          3
        THL 200      Theology elective                          3              NUR 341    Nursing Mgt of Pharm. Therapy               3
        PHL 250      Ethics                                     3
        ENG 121      World Literature II                        3
                     Total Term Hours:                          19                        Total Term Hours:                            18                      Total Term Hours:                            19

                                    g                                                                          h                                                               i
         Term:             SUMMER                Year: 02-03                      Term:                FALL                   Year:                    Term:          SPRING                Year:
          No.                  Course Title             Hrs.                     No.                     Course Title                 Hrs.            No.                 Course Title                      Hrs.
        MIL 351      ROTC Advanced Camp Training          3                    MIL 401    Military Professionalism and Ethics          2            MIL 402 Military Management Seminar                       2
                                                                               NUR 354    Power, Politics, & Policy in H Care          2            NUR 481 Senior Seminar                                    3
                                                                               NUR 471    Care Mgt Episodic & Chronic Health II        5            NUR 482 Sr Seminar Practicum Preceptorship               10
                                                                               NUR 472    Care Mgt Processes Practicum III             5
                                                                               NUR 495    Directed Independent Study                   1
                                                                                TPE       Elective (Category A)                        3



                     Total Term Hours:                          3                         Total Term Hours:                            18                      Total Term Hours:                            15


7. REVIEW: All of the above courses are required (as a minimum) for the completion of the degree:                      Yes             XX     No   (if no, list exceptions on another page of this form). Completion

should result in a     Bachelor of Science, Nursing            degree, during (YYMM):

5. SIGNATURE OF STUDENT:                                                                                                                           5a. DATE:


6. SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL).                                                  6a. DATE:




    ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                                                                      Page 2
                                                        PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                    (ROTC Cadet Comd Pam 145-4)
1. NAME OF STUDENT (LAST, FIRST, MI)                     2. ACADEMIC MAJOR                                  3. AS OF DATE (DAY,MONTH,YEAR)
                                            0                       Nursing                                                          0
4a        TERM, YEAR, COURSE NUMBER, COURSE TITLE,COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
                               j                                                   k                                                 l
         Term:                           Year:              Term:                            Year:             Term:                           Year:
        No.               Course Title           Hrs.      No.                Course Title           Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                0                 Total Term Hours:                 0                Total Term Hours:                0
                               m                                                   n                                                 o
         Term:                           Year:              Term:                            Year:             Term:                           Year:
        No.               Course Title           Hrs.      No.                Course Title           Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                0                 Total Term Hours:                 0                Total Term Hours:                0
                               p                                                   q                                                 r
         Term:                           Year:              Term:                            Year:             Term:                           Year:
        No.               Course Title           Hrs.      No.                Course Title           Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                0                 Total Term Hours:                 0                Total Term Hours:                0




 ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                   Page 3
                                                                           PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                                          (ROTC Cadet Comd Pam 145-4)
                                                                        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 and processing and managing of selected students for commissioning
in the Army IAW established public law and Army Regulations.
3. ROUTINE USES: 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                                                        3. AS OF DATE (DAY,MONTH,YEAR)
                                                                                        Nursing
8. INSTITUTION OF ATTENDANCE AND IDENTIFICATION                              9. CREDIT HOURS                                                         10. GRADE POINT AVERAGE (GPA)
 a. Name:           Creighton University                                     a. Total required for degree:                              136
 b. Identification (Check one):                 Host          XX               (1) Total ROTC Hours:                                     17                    a. Cumulative
                                         Extension Center                      (2) ROTC Hours that count:                                17                    b. Last Term
                                              Partnership                      (3) Total Hours Rqd w/ROTC:                               17                    c. Grading Scale
 c. If attendance is at an extension center or cross-enrolled school,        b. Transfer Credits accepted                                 0
name of the host institution:                                                c. Credits toward deg Comp to date:                          0
                                                                             d. ROTC Comp to Date (don't count towd deg):                 0          h. Total Programmed hours (w/ROTC):           154
                                                                             e. Remaining for Degree:                                   136
                                                                             f. Remaining Terms:                                          8
                                                                             g. "Adequate" Progression: e divided by f                   17


          We, the undersigned, hereby declare that the program outlined on the worksheet (on the reverse side of this statement) that

   Cadet:           0                                        is about to undertake is a formally structured program approved by                                Creighton University
                    (Cadet Name)                                                                                                                                 (Name of University or College)


  designed to meet the requirements of a                                Bachelor of Science, Nursing                           ; 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.


                                   (Date)                                                        (CADET SIGNATURE)




                                   (Date)                                        (PROFESSOR OF MILITARY SCIENCE SIGNATURE)



                                   (Date)                                   (REGISTRAR/ADVISOR/INSTITUTION CERTIFYING OFFICIAL)




 ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                                                               Page 4
                                                                           PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                                           (ROTC Cadet Comd Pam 145-4)
1. NAME OF STUDENT (LAST, FIRST, MI)                                          2. ACADEMIC MAJOR                                                    3. AS OF DATE (DAY,MONTH,YEAR)
                                                          0                               Nursing                                                                                  0
4            TERM, YEAR, COURSE NUMBER, COURSE TITLE,COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
                                          a                                                                     b                                                               c
           Term:                 FALL                    Year: 00-01              Term:             SPRING                     Year: 00-01             Term:       SUMMER                          Year: O1-02
          No.                       Course Title                Hrs.             No.                      Course Title                 Hrs.           No.                 Course Title                    Hrs.
        MIL 101      Intro. To Officer Professionalism I          1            MIL 102    Intro. To Officer Professionalism II          1           ENG 121 World Literature II                             3
        BMS 111      Basic Human Anatomy                          4            CHM 205    General Chemistry II                          3           THL 247 Ethics                                          3
        NUR 115      Seminar in Professinal Nursing               1            CHM 206    Gen Chem II Lab                               1
        PSY 111      Intro. To Psychology                         3            BMS 303    Physiology                                    4
        ANT 111      Human Variation                              3            ENG 120    World Literature I                            3
        CHM 203      General Chemistry I                          3            THL 100    Christianity in Context                       3
        CHM 204      Gen Chem I Lab                               1            PHL 107    Critical and Historial Intro Philosophy       3

                     Total Term Hours:                          16                        Total Term Hours:                            18                      Total Term Hours:                             6

                                         d                                                                     e                                                            f
           Term:                 FALL                 Year: O1-02                 Term:             SPRING                  Year: 01-02                Term:       SUMMER                          Year: 02-03
          No.                       Course Title             Hrs.                No.                    Course Title                Hrs.              No.              Course Title                        Hrs.
        MIL 211      Basic Indiv. Leadership Techniques        1               MIL 212    Adv. Individual Leadership Techniques      1              PHY 211 Physics I                                       4
        NUR 224      Health Assessment                         3               MIL 202    United States Military History             3              PHY 212 Physics II                                      4
        NUR 361      Informatics in Health Care                3               NUR 252    Human Pathophysiology                      3
        NUR 228      Lifespan Development                      3               NUR 253    Human Pathophysiology Practicum            1
        NUR 200      Freshman Seminar Leader                   1               NUR 223    Nutrition                                  2
        MIC 141      Microbiology                              4               THL 200    Theology elective                          3
        CHM 321      Organic Chem I                            3               CHM 323    Organic Chem II                            3
        CHM 322      Organic Chem I Lab                        1               CHM 324    Organic Chem II Lab                        1
                     Total Term Hours:                          19                        Total Term Hours:                            17                      Total Term Hours:                             8

                                        g                                                                     h                                                                i
           Term:               FALL                    Year: 02-03                Term:            SPRING                   Year: 02-03              Term:           SUMMER                        Year: 02-03
          No.                     Course Title                Hrs.               No.                    Course Title                Hrs.              No.                Course Title                      Hrs.
        MIL 301      Fund. Small Unit Tactics and Lead.         3              MIL 302    Adv Small Unit Leadership and Tactics      3              MIL 351    ROTC Advanced Camp Training                  3
        NUR 377      Research for health Professionals          3              NUR 353    Princip of Population-based H Care         3
        NUR 351      Care Mgt Concepts H Promo, Maint           5              NUR 371    Care Mgt Episodic & Chronic Health I       5
        NUR 352      Care Mgt Practicum I                       4              NUR 372    Care Mgt Processes Practicum II            5
        NUR 341      Nursing Mgt of Pharm. Therapy              3




                     Total Term Hours:                          18                        Total Term Hours:                            16                      Total Term Hours:                             3


7. REVIEW: All of the above courses are required (as a minimum) for the completion of the degree:                      Yes             XX     No   (if no, list exceptions on another page of this form). Completion

should result in a     Bachelor of Science, Nursing            degree, during (YYMM):

5. SIGNATURE OF STUDENT:                                                                                                                           5a. DATE:


6. SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL).                                                  6a. DATE:




    ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                                                                      Page 5
                                                                    PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                                 (ROTC Cadet Comd Pam 145-4)
1. NAME OF STUDENT (LAST, FIRST, MI)                                 2. ACADEMIC MAJOR                                       3. AS OF DATE (DAY,MONTH,YEAR)
                                                        0                        Nursing                                                              0
4a        TERM, YEAR, COURSE NUMBER, COURSE TITLE,COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
                                      j                                                          k                                                    l
         Term:                FALL                   Year:               Term:          SPRING                Year:             Term:                           Year:
        No.                     Course Title                 Hrs.       No.                 Course Title              Hrs.     No.               Course Title           Hrs.
      MIL 401    Military Professionalism and Ethics          2       MIL 402 Military Management Seminar               2
      NUR 354    Power, Politics, & Policy in H Care          2       NUR 481 Senior Seminar                            3
      NUR 471    Care Mgt Episodic & Chronic Health II        5       NUR 482 Sr Seminar Practicum Preceptorship       10
      NUR 472    Care Mgt Processes Practicum III             5
      NUR 495    Directed Independent Study                   1
       TPE       Elective (Category A)                        3



                 Total Term Hours:                           18                  Total Term Hours:                    15                Total Term Hours:                0
                                    m                                                           n                                                     o
         Term:                                      Year:                Term:                                Year:             Term:                           Year:
        No.                    Course Title                  Hrs.       No.                Course Title               Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                            0                  Total Term Hours:                     0                Total Term Hours:                0
                                     p                                                          q                                                     r
         Term:                                      Year:                Term:                                Year:             Term:                           Year:
        No.                    Course Title                  Hrs.       No.                Course Title               Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                            0                  Total Term Hours:                     0                Total Term Hours:                0




 ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                                    Page 6
                                                                          PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                                         (ROTC Cadet Comd Pam 145-4)
                                                                        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 and processing and managing of selected students for commissioning
in the Army IAW established public law and Army Regulations.
3. ROUTINE USES: 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                                                        3. AS OF DATE (DAY,MONTH,YEAR)


8. INSTITUTION OF ATTENDANCE AND IDENTIFICATION                             9. CREDIT HOURS                                                          10. GRADE POINT AVERAGE (GPA)
 a. Name:           Creighton University                                    a. Total required for degree:
 b. Identification (Check one):                 Host          XX              (1) Total ROTC Hours:                                      17                    a. Cumulative
                                         Extension Center                     (2) ROTC Hours that count:                                 17                    b. Last Term
                                              Partnership                     (3) Total Hours Rqd w/ROTC:                                17                    c. Grading Scale
 c. If attendance is at an extension center or cross-enrolled school,       b. Transfer Credits accepted                                  0
name of the host institution:                                               c. Credits toward deg Comp to date:                           0
                                                                            d. ROTC Comp to Date (don't count towd deg):                  0          h. Total Programmed hours (w/ROTC):            20
                                                                            e. Remaining for Degree:
                                                                            f. Remaining Terms:                                           8
                                                                            g. "Adequate" Progression: e divided by f                     0


          We, the undersigned, hereby declare that the program outlined on the worksheet (on the reverse side of this statement) that

   Cadet:           0                                        is about to undertake is a formally structured program approved by                                Creighton University
                    (Cadet Name)                                                                                                                                 (Name of University or College)


  designed to meet the requirements of a                                                                                       ; 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.


                                   (Date)                                                       (CADET SIGNATURE)




                                   (Date)                                       (PROFESSOR OF MILITARY SCIENCE SIGNATURE)



                                   (Date)                                   (REGISTRAR/ADVISOR/INSTITUTION CERTIFYING OFFICIAL)




 ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                                                               Page 7
                                                                          PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                                         (ROTC Cadet Comd Pam 145-4)
1. NAME OF STUDENT (LAST, FIRST, MI)                                        2. ACADEMIC MAJOR                                                  3. AS OF DATE (DAY,MONTH,YEAR)
                                                       0                                                                     0                                                 0
4            TERM, YEAR, COURSE NUMBER, COURSE TITLE,COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
                                      a                                                                    b                                                                c
           Term:              FALL                  Year: 00-01                  Term:          SPRING                     Year: 00-01             Term:            FALL                 Year: O1-02
          No.                   Course Title               Hrs.                 No.                  Course Title                  Hrs.           No.                 Course Title              Hrs.
        MIL 101 Intro. to Officer Professionalism I          1                MIL 102 Intro. To Officer Professionalism II          1           MIL 211 Basic Indiv. Leadership Techniques        1




                     Total Term Hours:                       1                          Total Term Hours:                           1                      Total Term Hours:                             1

                                    d                                                                    e                                                                 f
           Term:         SPRING                   Year: 01-02                    Term:          FALL                    Year: 02-03                Term:       SPRING                    Year: 02-03
          No.                 Course Title               Hrs.                   No.                Course Title                 Hrs.              No.                Course Title                Hrs.
        MIL 212 Adv. Individual Leadership Techniques      1                  MIL 301 Fund. Small Unit Tactics and Lead.         3              MIL 302 Adv Small Unit Leadership and Tactics     3
        MIL 202 United States Military History             3




                     Total Term Hours:                       4                          Total Term Hours:                           3                      Total Term Hours:                             3

                                    g                                                                      h                                                               i
         Term:             SUMMER                Year: 02-03                     Term:             FALL                   Year:                    Term:          SPRING                       Year:
          No.                  Course Title             Hrs.                    No.                  Course Title                 Hrs.            No.                 Course Title                      Hrs.
        MIL 351      ROTC Advanced Camp Training          3                   MIL 401 Military Professionalism and Ethics          2            MIL 402 Military Management Seminar                      2




                     Total Term Hours:                       3                          Total Term Hours:                           2                      Total Term Hours:                             2


7. REVIEW: All of the above courses are required (as a minimum) for the completion of the degree:                   Yes            XX     No   (if no, list exceptions on another page of this form). Completion

should result in a                                     0    degree, during (YYMM):

5. SIGNATURE OF STUDENT:                                                                                                                       5a. DATE:


6. SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL).                                              6a. DATE:




    ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                                                                  Page 8
                                                        PLANNED ACADEMIC PROGRAM WORKSHEET
                                                                    (ROTC Cadet Comd Pam 145-4)
1. NAME OF STUDENT (LAST, FIRST, MI)                     2. ACADEMIC MAJOR                                 3. AS OF DATE (DAY,MONTH,YEAR)
                                            0                                                  0                                    0
4a        TERM, YEAR, COURSE NUMBER, COURSE TITLE,COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES.
                               j                                                  k                                                 l
         Term:                           Year:              Term:                           Year:             Term:                           Year:
        No.               Course Title           Hrs.      No.               Course Title           Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                0                 Total Term Hours:                0                Total Term Hours:                0
                               m                                                  n                                                 o
         Term:                           Year:              Term:                           Year:             Term:                           Year:
        No.               Course Title           Hrs.      No.               Course Title           Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                0                 Total Term Hours:                0                Total Term Hours:                0
                               p                                                  q                                                 r
         Term:                           Year:              Term:                           Year:             Term:                           Year:
        No.               Course Title           Hrs.      No.               Course Title           Hrs.     No.               Course Title           Hrs.




                 Total Term Hours:                0                 Total Term Hours:                0                Total Term Hours:                0




 ROTC CADET COMD FORM 104-R (Aug 98)                                                                                                                  Page 9

								
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