Showering the Community Collection Report

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This survey collects data from your Showering the Community shift. Please submit the data at the end of your shift. If your troop is covering multiple shifts, please complete the survey for each shift that has a different set of girls helping. If a majority of the girls are the same for multiple shifts, one survey can be completed.

Name of volunteer completing the survey: *

Contact information for volunteer: *

Troop Number *

Program Level *

District *

Neighborhood *

Total number of girls in the troop who helped during this shift: *

Total number of adults in the troop who helped during this shift: *

Total number of items collected during this shift: *

Showering the Community Store: Store name, street and city (ex. Walmart, Ronald Reagan Drive, Lake St. Louis) *

What time was your shift? *

Did you receive any cash donations that were used to purchase additional items during this shift? *

No, we did not receive any cash donations

Yes, less than $5

Yes, $5-20

Yes, $20-50

Yes, more than $50

Is your troop responsible for dropping off the donated items to an agency?

Yes, my troop is dropping off at our local agency

No, the District or Neighborhood April Showers Coordinator is handling the items

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