Boost Application
Boost Application
Boost Application
Candidates
name:
Last
First
Middle
Home Address:
Number and Street
City
Apartment
State
Zip
Home
Telephone:
Email Address:
How do you feel about your abilities compared to other students in your grade? Please put a
check in one of the columns.
Self
Evaluation
Academic
Ability
Social Skills
Ambition
Judgment
Leadership
Athletic
Ability
Math Ability
Creativity
Verbal
Expression
Written
Expression
Study Skills
Reading
Ability
Truly
Outstanding
Comments (Optional)
Excellent
Good
Average
Below
Average
Always
Evident
Evident Most
of the Time
Not Usually
Evident
0B
Teacher Recommendation
The successful BOOST candidates have a good balance of academic and personal qualities.
With this in mind, please tell us why you believe this candidate would be a good BOOST
student. Please provide specific information about personality, character intellectual
interests, ability, achievement and potential. In addition, please add any observation you
think would help us know the candidate better.
Signature
Date
First
Middle
Class
Independence
Leadership
Social Self Confidence
Peer Compatibilities
Resilience
Concern for Others
Warmth of Personality
Emotional Stability
Maturity (Relative to Age)
First
Middle
Class
Truly
Excellen
Outstandi t
ng
Good
Average
Below
Average
Energy
Integrity/Honesty
Self Discipline
Receptiveness to others
ideas
Independence
Leadership
Social Self Confidence
Peer Compatibilities
Resilience
Concern for Others
Warmth of Personality
Emotional Stability
Maturity (Relative to Age)
2. Please tell us about specific instances you can recall that makes this students charact
personality.
Signature
1B
Date
Parent Questionnaire
1. Please tell us why you think your child would be a good BOOST Scholar.
3. What are the areas in which you believe he/she could improve?
5. How will you ensure your childs successful participation in the Project BOOST Pr
3. Please list any achievements or awards you have received in the last two
years of which you are particularly proud.
5. Use this space to describe how you believe you will benefit from becoming a
Project BOOST member