Evaluation Report for Money-Earning Activity (MEA)

Troop/Group Co-Leader or SUM must submit this form within two weeks of completing the activity.

If this form is not submitted within two weeks, future MEAs may be denied.

Was this a Service Unit or Troop MEA?

Service Unit Name

Troop Number

Service Unit Manager Name

First NameLast Name

SUM Email

example@example.com

SUM Phone

Area CodePhone Number

Co-Leader Name

First NameLast Name

Co-Leader Phone

Area CodePhone Number

Co-Leader Email

example@example.com

Program Level of Girl Scouts who participated

MEA Activity

MEA Start Date

Date

MEA End Date

Date

Location of MEA

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Anticipated MEA Proceeds

Actual MEA Proceeds

Anticipated MEA Expenses

Actual MEA Expenses

How did the girls prepare for this MEA?

What did the girls learn?

How was this MEA linked to the Girl Scout Program?

If the girls did not reach their goal, what is the alternative plan?

What would the girls have done differently?

What advice would the girls give to others?

Were the girls in uniform for this MEA?

Was there any pre- or post-event publicity for this activity?

Please describe briefly any event publicity.

Additional Comments:

Troop/Group Information

Rows	Number
Girls Registered in Troop
Girls Participating in MEA
Adults Participating in MEA

Service Unit Information

Rows	Number
Troops Participating in MEA
Girls Participating in MEA
Adults Participating in MEA

Name of Person Submitting Form

First NameLast Name

Email of Person Submitting Form

example@example.com

Signature