104 r 2026

1. Click ‘Get Form’ to open the 104 r in the editor.
2. Begin by entering your name in the 'NAME OF STUDENT' field, ensuring you include your last name, first name, and middle initial.
3. Next, specify your 'ACADEMIC MAJOR' to provide context for your academic plan.
4. Fill in the 'AS OF DATE' field with the date of form preparation in MM/DD/YYYY format.
5. Indicate your institution of attendance and select the appropriate identification option (Host, Extension Center, or Cross-Enrolled).
6. Complete the GPA and credit hours sections by entering your current GPA and total required credits for your degree.
7. For each term listed, input course details including course number, title, credit hours, and grades achieved.
8. Finally, have the student initial and date beside each term to confirm counseling has occurred.

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