school Notification Form

We know you are proud of the hard work that has gone into earning The Congressional Award. If you
would like for our office to notify your school of your achievement, complete this form and either
include it with your Record Book submission or submit via email to your Program Manager.

* School and press notifications will be sent only for participants who have already earned an award. Requests prior to earning an award will be denied.

School/Press Notification Form

PARTICIPANT INFORMATION
Name*
First Last
Award Level*
Hidden
Award Level
Your Email*
Region*
- North
- South
- West
School notification or press notification?*
- School
- Press
PRESS INFORMATION
Publication Name*

The name of the newspaper/press outlet
Contact Name*

The name of the individual contact or reporter you are trying to reach
Contact Title

The job title of the individual contact or reporter you are trying to reach
Press Contact Email*
Website
Brief blurb highlighting the activities you completed to earn your Congressional Award (200 words maximum):*
Please note that with each Press Notification we send, we include a brief description of the Award already (who we are, how many hours for your Award level, etc.)
SCHOOL INFORMATION
School Name*
Address*
Street Address Address Line 2 City

Please only enter the address of the school/university
State / Territory*
Address*
ZIP / Postal Code Country
Contact Name*

The name of the individual or school faculty you are trying to contact
Contact Title

The job title of the individual or school contact (e.g. Principal, School Counselor, etc.)
Phone
School Contact Email*
Website

The website of your school/university

School Notification Form

School/Press Notification Form

PARTICIPANT INFORMATION

PRESS INFORMATION

SCHOOL INFORMATION

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