Gold Coast Region BBYO
CHAPTER ACTIVITY PROGRAM EVALUATION FORM
5850 S Pine Island Rd.
Davie, FL 33328
(954) 252-1912 / FAX: (954) 252-2856
www.goldcoastbbyo.org
E-mail: terryoliphant@goldcoastbbyo.org
1.
Chapter Name/Chapter #__________________________________
(Each Chapter must submit an evaluation form for each event)
2. Other Participating Chapters________________________________
3.
Name of Program_________________________________________
4.
Type of Program (check all that apply)
____ Jewish Heritage
____ Sisterhood/Fraternity
____ Creativity
____ Recreation/Athletic/MBA
____ Regional
5.
_____
_____
_____
_____
_____
Community Services
Social Action
Social
Fundraiser - I$F
Fundraiser - Chapter
Date of Program______________________________________
6. Total attendance from your chapter_______________________
Total attendance for the event____________________________
7. Was the outline of this event followed? Yes_____
No_____
8. Please describe the event in detail (write on back if necessary)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
9.
Please rate the following aspects of the event:
Excellent
Publicity
____
Planning
____
Participation
____
Followed Original Planning Outline
____
Overall Success
____
Good
____
____
____
____
____
Fair
____
____
____
____
____
10.
Would you consider entering this program for an award? __________
11.
Required Signatures:
Chapter Godol/N’siah
Program Planner
Chapter Advisor
_________________________
_________________________
_________________________
Poor
____
____
____
____
____