Good News Report

	Geneva City School District Good News Report

	It is the intent of the Geneva City School District to honor and celebrate student and staff awards and achievements. Information to be included in the official Board of Education Good News Report must be received via online form two weeks before the regularly scheduled Board meeting. Information that is received after that date will be included in the following month’s Good News Report.

	Your Name:*

	Phone Number:*

	E-mail Address:

	Name of Person or Group to be Recognized:*

	Name of Award Received: (if relevant)

	Name of Awarding Agency: (if relevant)

	Date of Award or Recognition:*

	Briefly describe the award or achievement:*

	Does the person/group know you are submitting this report?* Please note, reports cannot be submitted anonymously. The person/group will be notified that you are the submitter if they do not already know.
	--Please Select--Yes No

	TERMS OF ACCEPTANCE and SIGNATURE

	I, the applicant, warrant the truthfulness of the information provided in this Good News Report.

	Electronic Signature:* Please type your First and Last Name

	Please check the box if you agree.*
	I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

	Press "Done" when you have completed this form.