Afrotc Form 48, 20060801, Employee Information Form
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1
2I.
ADMINISTRATIVE DATA
(Shaded areas are for detachment use only)
1. NAME
(Last, First, MI)
2. ACADEMIC INSTITUTION/AFROTC DETACHMENT
3. ACADEMIC MAJOR
4. INSTITUTIONAL OFFICIAL REVIEW
5. INITIAL REVIEW
INSTITUTION OFFICIALS SIGNATURE/DATE
COMPLETION OF THIS EDUCATION PLAN SHOULD RESULT IN MY OBTAINING A
DEGREE DURING
DO NOT SIGN BLOCK 6--SIGNATURE REQUIRED AFTER GRADUATION
STUDENTS SIGNATURE
AFROTC REVIEWER'S SIGNATURE/DATE
6. I CERTIFY THAT I HAVE SUCCESSFULLY COMPLETED ALL DEGREE REQUIREMENTS AND
WILL GRADUATE AS STATED IN BLOCK 5.
SIGNATURE OF CADET/DATE
II.
ACADEMIC PLAN/TERM REVIEW
TERM:
YEAR:
TERM:
YEAR:
Credit
Credit
Deviations
Course
Credit
Credit
Deviations
Course
COURSE TITLE
COURSE TITLE
Hours
Hours
Number
Hours
Hours
Number
Attempt
Comp
Attempt
Comp
TOTAL CREDIT HOURS ATTEMPTED
TOTAL CREDIT HOURS ATTEMPTED
REMARKS
REMARKS
Fall Term Reevaluation Complete:
Signature/Date of Instituion Official
STUDENT'S SIGNATURE
AFROTC REVIEWER'S SIGNATURE/DATE
STUDENT'S SIGNATURE
AFROTC REVIEWER'S SIGNATURE/DATE
AFROTC FORM 48, 20060801, V1
PLANNED ACADEMIC PROGRAM
PAGE
OF
PREVIOUS EDITIONS ARE OBSOLETE.
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