PLANNED ACADEMIC PROGRAM WORKSHEET For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PA-C 7. TERM, YEAR, COURSE NUMBER, COURSE COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES. (CONTINUED) g. h. i. j. k. l. m. n. o. Yes 9. REVIEW: All of the above courses are required (as minimum) for the completion of the degree: No (if no, list exceptions on reverside of this form). Completion should result in degree, during (Month, Year): 10. SIGNATURE OF STUDENT: 11. DATE: (MM/DD/YYYY) 12. SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL): 13. DATE: (MM/DD/YYYY)
PLANNED ACADEMIC PROGRAM WORKSHEET For use of this form, see USACC Pam 145-4, the proponent agency is ATCC-PA-C 7. TERM, YEAR, COURSE NUMBER, COURSE COURSE CREDIT HOURS, CREDITS THAT COUNT TOWARDS ACADEMIC DEGREE, AND ACHIEVED GRADES. (CONTINUED) g. h. j. k. m. n. i. l. o. 9. REVIEW: All of the above courses are required (as minimum) for the completion of the degree: Completion should result in Yes No (if no, list exceptions on reverside of this form). degree, during (Month, Year): 10. SIGNATURE OF STUDENT: 11. DATE: (MM/DD/YYYY) 12. SIGNATURE OF REGISTRAR AND EXAMINER OF CREDENTIALS (OR OTHER INSTITUTION CERTIFYING OFFICIAL): 13. DATE: (MM/DD/YYYY)
CC104-R.docx