Activity Reporting Form

Activity Reporting Form
Your Name*
Professional Title
Name of Your Organization*
Type of Organization*
Your Email*
Primary Phone*
Address Where You Facilitated the Money Fit Activity

Street Address

Street Address Line 2

CityState

Zip Code
Presentation Format*

In PersonLive Video Conference/WebinarHybrid of In-person (You) with Video ComponentVideo/Audio RecordingOther
Topic(s) of Money Fit Activity (Check all that apply)*

Berenstain Bears Trouble with MoneyBudgetingCreditMy Life My ChoicesSavingSpending PersonalitiesWho Wants to Live like a MillionaireOther
Date of Activity*

MonthDayYear
Total Sessions/Presentations*
Total Minutes Spent in Activity*
Total Number of Participants/Students in Activity*
How would you rate the activity and materials? (Optional)
Overall Financial Education Program
Student/Participant Engagement
Interest of Participants/Students in the Topic
Quality of Money Fit Materials (e.g. Powerpoint, Video, Handouts)
Comments or Feedback on Your Experience with the Money Fit Activity (Optional)*
Feel free to include suggestions for improvement, feedback about problems with materials or presentation, etc. Comments may be used in Money Fit marketing and materials but will not include personally identifying information.
HIDDEN: *Disclosure: By submitting your feedback, you give us permission to use your comments in future promotional or educational materials. To protect your privacy, we will only identify you by first name and last initial, last name and first initial, or initials only, without including any other personally identifying information.

I give permission
HIDDEN: Name of the Money Fit Activity
Does NOT need to be exact
Should be Empty:

Activity Reporting Form

How would you rate the activity and materials? (Optional)