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 UnitTroop

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?*

YesNo

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

YesNo

Please describe briefly any event publicity.*

Additional Comments:

Troop/Group Information*

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

Service Unit Information*

	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*