Spofford Pond School

 GOOD NEWS REFERRAL FORM 

This child has been referred to the Principal to report on some GOOD NEWS!

Student’s Name: Date: Time:

Homeroom Teacher:

Good News Behavior:

Teacher’s Signature:

Action taken by office:

 Verbal Congratulations
 Hand Shake
 Parent Notified
 Good News Publicized
 Prize Given:

 Other:

Comments:

Revised February 24, 2010

Administrator’s Signature: Date:

Parent/Guardian’s Signature: Date:

Revised February 24, 2010