NAVCRUIT 1131/4 (Rev 10-2014) Page 1 of 3

From:

Total Quarter/Semester Hours:

Date(Academic Advisor for Applicant)

To: Commander, Navy Recruiting Command (Code _____) Commander, Naval Education and Training Command (Code ______)

Via: Commanding Officer, Navy Recruiting District

Subj: OFFICER ACADEMIC DEGREE PLAN FOR

(APPLICANT NAME ONLY)

Course Previously Earned/Transferred From Another Institution

Total Quarter/Semester Hours:

TitleHoursCourse NumberCourse

TitleHoursCourse NumberCourse

Year: 20Quarter/Semester:

OFFICER ACADEMIC DEGREE PLAN Governing Authority: COMNAVCRUITCOMINST 1131.2E Chapter 8

NAVCRUIT 1131/4 (Rev 10-2014) Page 2 of 3

Hours TitleCourse NumberCourse

Total Quarter/Semester Hours:

Quarter/Semester: Year: 20

Total Quarter/Semester Hours:

TitleHoursCourse NumberCourse

Year: 20Quarter/Semester:

Course Number TitleHoursCourse

Year: 20Quarter/Semester:

Total Quarter/Semester Hours:

NAVCRUIT 1131/4 (Rev 10-2014) Page 3 of 3

TitleAcademic Advisor SignatureAcademic Advisor Name (Print)

credit hours is required for full-time status during #(School) Quarter(s)/Semester(s).

1. Each quarter/semester must be listed in succession. All electives must be noted and must be degree-specific If the elective is a required technical elective, it must be specified as such. Other technical electives and all humanities electives need only be listed as "____# hours, humanities/other techical elective.".

2. Based on my knowledge of present course scheduling, the above courses will be offered when indicated. Completion of this plan will meet the requirement for a (BA/BS)___________degree in (major) __________________________ to be issued in (Mo/Yr)________ from (school)__________________________

Total Quarter/Semester Hours:

TitleHoursCourse NumberCourse

Year: 20Quarter/Semester:

For Official Use Only - Privacy Sensitive