BCAC POST ACTIVITY EVALUATION FORM

Chapter Post Activity Evaluation Form

To be completed by Committee Chair for each event.
I. GENERAL INFORMATION
Committee Name:
Committee Chairperson:
Email
example@example.com
Phone Number

Area CodePhone Number
Activity Name:
Activity Date:
Start & End date, total service hours spent on this activity, from planning to the close of the final event.
Activity Time:
Activity Location(s):

VirtualFace-to-Face
Provide Specific Details on Activity Location(s):
Total Expenses:
II. PROGRAMMATIC THRUSTS
Was the national, regional, or chapter initiative as identified in the preliminary report addressed?

YesNo
Were the thrusts, as indicated on the preliminary report met?

YesNo
Address the "no" responses, if any:
III. SUMMARY & OBJECTIVE(S)
Brief Summary of Activity:
Were all the objectives met as described in the preliminary report for this activity?

YesNo
IV. DEMOGRAPHICS
Total # of Attendees:
Groups:
Breakdown the amount of families and individuals.
Age Groups:
How many participants in each age group? 11-14, 11-17, 14-18, 18-25, 26-40, 41-60, over 60

Chapter Post Activity Evaluation Form