Fillable Student Academic Plan Form (Apf) - Fall-Spring printable pdf download

VETERANS AFFAIRS OFFICE ________-________ STUDENT ACADEMIC PLAN FORM (APF)

Indicate Academic Year

Print Clearly

Reset Form

Student Name_______________________________________________ ID#_________________________

Declared Degree_________ Major____________________________ Minor _______________________

Please list the specific courses you intend to take. “Code” indicates how the course counts toward requirements in your degree. Use the following five codes:

•

MA = Requirement for major

MI = Requirement for minor

GE = General education requirement

•

UC = University or college graduation requirement (e.g., foreign language, composition, etc.)

E = Elective

Fall Quarter

Winter Quarter

Spring Quarter

Course Name

# of Units

Code

Course Name

# of Units

Code

Course Name

# of Units

Code

Alternative Courses

Course Name

# of Units

Code

Course Name

# of Units

Code

Course Name

# of Units

Code

Total units for fall: ______________

Total units for winter:____________

Total units for spring: ___________

Confirmed by Student:

Revised APF Signature Lines

Confirmed by College or Major Advisor:

I understand that while the above courses are

I have met with this student and reviewed college and

applicable to my present program, it is my

/or major requirements and transferable credit. To

responsibility to meet all eligibility and graduation

the best of my knowledge, I certify that the above

_________________________________

criteria.

courses are applicable to the student’s present or

College or Major Advisor Signature/Date

intended program.

__________________________________

_________________________________

_____________________________________________

Student

Signature/Date

College or Major Advisor Signature/Date

College or Major Advisor Name (Please print), Office

Location, & Phone Number

Original to Veterans Affairs Office

Copy – Academic Advisor

Copy – Student

05/14

Per VA regulations, students must have an Academic Plan Form (APF) on file. The VA will only pay for the courses that are required for your degree/graduation

requirement. The courses you are enrolled in must be listed on your APF and approved by your advisor. It is your responsibility to keep your APF current each

quarter with your enrolled classes. If changes are needed, after the add/drop period, come in and get a copy of your APF, update it, and get it signed by your advisor.

Failure to do so will result in a change of training time reported to the VA.

I have read this disclosure and agree to the terms. Signature: ________________________________________ Date:______________

VA Rep Initials:_____________