Boost Application

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Project 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

Project BOOST Teacher Recommendation


Project BOOST Scholar Program

Student Selection Criteria


Please check off all that apply:

The Students Should


Possess leadership qualities (organized,
demonstrate good judgment in decisionmaking, have high expectations for
him/herself and others as well, be
respected by peers)
Demonstrate particular talents that could
be nurtures by this type of program
Have a wide range of interests and
pursue these special interests he or she
has.
Be self motivated
Have a great desire to excel
Have advanced comprehension skills and
acquire basic skills knowledge quickly
Be observant (pays attention to details;
takes a close look at things and can show
relationships or make connections)
Possess Creativity, commitment to
task and concentration.
Possess and demonstrate the ability for
expressing feelings, moods and emotions
Possess and demonstrate the ability to be
sensitive to others feelings as well as
situations.
Demonstrate extraordinary academic
ability (e.g. Level 3 or 4 in 2-3 subject
areas on standardized tests)
Demonstrate exceptional talent in
another Intelligence such as music or
art* (*Multiple intelligences must be
considered)
Student s
name:
School:
Home
Address:
Parents
name:

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

Project BOOST Teacher Recommendation


To the teacher: The Project BOOST Scholars Program will consist of talented students at
several middle schools across New York City. BOOST scholars have been established in
order to further the intellectual and social development of students who have
demonstrated excellence and leadership potential. The students have selected you as one
of two teacher references needed to complete the application process. Your candid
evaluation of this candidates academic and personal ability to participate in this program
will not be shared with the student. All references must be returned to
By
Candidates name:
Last

First

Middle

Class

1. Please evaluate the candidates academic qualities in relationship to other students of


same age.
Academic Qualities Truly
Excellent
Good
Average
Below
Outstanding
Average
Intellectual Curiosity
Academic Potential
Academic Achievement
Academic Self Confidence
Problem Solving
Grasp of Concepts
Organizational Ability
Willingness to Participate
in Class
Ability to Work Without
supervision
Initiative
Perseverance
2. Please evaluate the candidates personal qualities in relationship to other students of
same age.
Personal Qualities
Truly
Excellen Good
Average
Below
Outstandi t
Average
ng
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)

Project BOOST Peer Recommendation


To the Peer: The Project BOOST Scholars Program will consist of talented students at
several middle schools across New York City. BOOST scholars have been established in
order to further the intellectual and social development of students who have
demonstrated excellence and leadership potential. The students have selected you as one
of two teacher references needed to complete the application process. Your candid
evaluation of this candidates academic and personal ability to participate in this program
will not be shared with the student. All references must be returned to
By
Candidates name:
Last

First

Middle

Class

1. Please evaluate the candidates academic qualities in relationship to other students.


Personal Qualities

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.

2. What are your childs most notable strengths?

3. What are the areas in which you believe he/she could improve?

4. What else would you like us to know about your child?

5. How will you ensure your childs successful participation in the Project BOOST Pr

BOOST Scholars Peer Recommendation


To the candidate: This part of the application gives you the opportunity to tell us
something about yourself. Remember, we need as much information as possible in order to
give your application serious consideration. Complete In your own handwriting and use
black ink. Please try to fit your answers into the space provide. Please read carefully and
answer all questions.
1. Briefly list in order of importance to you, your activities in and out of school
(music, art, drama, sports, etc.). Please describe how much you spend on these
activities, as well as your level or ability.

2. Do you have any special interests or hobbies?

3. Please list any achievements or awards you have received in the last two
years of which you are particularly proud.

4. Is there anything else you would like us to know about you?

5. Use this space to describe how you believe you will benefit from becoming a
Project BOOST member

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