Name                                                                                     Date                             

Week #         1      2      3       4       5       6       7      8   (Circle please)

GOLD STAR APPLICATION

                                    o  Little Dragon            o  Karate Kid

Academic Activity                   Fair       Good      Excellent    Superb

 

Pays attention in class                  o            o               o              o

 

Follows directions                        o            o               o              o

 

Willingly participates                   o            o               o              o

 

Completes homework                   o            o               o              o

 

Treats peers with courtesy            o            o               o              o

 

Show teacher respect                    o            o               o              o

 

Recent report card                        o            o               o              o

Teacher’s comments                                                                                           

                                                                                                                        

 

My child received an award from school for                                                   

 

                                                                                                                        

 

My child is not yet in school but works hard at home by                                  

 

                                                                                                                      

 

Parent’s /Teacher’s Signature                                                                              

It is REQUIRED that each student apply for one Gold Star a week.  Completed forms need to be placed in the completed forms rack or given to instructor before each class.

 

 

Name:                                                                                   Date:                   

Week #        1       2       3        4       5       6       7      8    (Circle please)

BLUE STAR APPLICATION

 

 

Parent Signature:                                                                                      

 

Name                                                                                     Date                

Week #         1      2      3       4       5      6      7      8   (Circle please)

 

GOLD STAR APPLICATION

                                    o   Little Dragon            o   Karate Kid

Academic Activity                   Fair       Good      Excellent    Superb

 

Pays attention in class                  o            o               o              o

 

Follows directions                        o            o               o              o

 

Willingly participates                   o            o               o              o

 

Completes homework                   o            o               o              o

 

Treats peers with courtesy            o            o               o              o

 

Show teacher respect                    o            o               o              o

 

Recent report card                        o            o               o              o

Teacher’s comments                                                                                     

 

                                                                                                                           

 

My child received an award from school for                                                    

 

                                                                                                                        

 

My child is not yet in school but works hard at home by                               

 

                                                                                                                    

 

Parent’s /Teacher’s Signature                                                                          

It is REQUIRED that each student apply for one Gold Star a week.  Completed forms need to be placed in the completed forms rack or given to instructor before each class.