Request for Money Earning Activity (MEA)

Request for Money Earning Activity (MEA)
This form should be completed whenever a Girl Scout establishes a need to earn money for a specific activity or event.

Reminder: No money earning activities can take place during council-wide product sale periods.
Girl/Troop Information
Date Submitted*
Service Unit*
Troop Number*
Name of person submitting request*
Program level*

TroopBronzeSilverGold
Participated in most recent Fall Product Sale?*

YesNo
Participated in most recent Cookie Sale?*

YesNo
County*
Leader/Advisor Information
Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address including Zip*
Home phone
Work phone
Cell phone
Email address*
Proposed Money Earnng Activity
Detailed description of the proposed money-earning activity.*
Number of girls participating
Date of activity*
Amount we hope to raise
I/We had a meeting(s) with parents/troop leader about this activity on the following dates:
If this MEA is approved, and the venue requires a CE-200, please mark yes.*

YES, a CE-200 is neededNO, a CE-200 is not needed
Please provide the full name of the county health department below. For example: Yates County Public Health
Reason for Money Earning
Explain why this MEA is needed. If for travel, please indicate date of trip. *
Besides MEA, please explain other avenues you have/will use to secure needed funds.
Should be Empty: