17
District Zone
Club Number
❒ ❒ - ❒ ❒ ❒
The _________________________________________________
Optimist Club of _______________________________________
City State/Province
Date of visit
No. of members ______
No. attending ________
How often does Club meet?
Is Club’s Board of Directors meeting regularly?
❒ yes ❒ no
Is a meal served at Club meetings?
❒ yes ❒ no
Are meetings planned in advance ?
❒ yes ❒ no
Are timed agendas used?
❒ yes ❒ no
Are interesting, effective programs regularly
provided for Club meetings?
❒ yes ❒ no
1. Your impression of the effectiveness of Club officers and Chairs. _________________________________________________
__________________________________________________________________________________________________________
2. Is the Club accomplishing its goal of service to youth and community?
❒ yes ❒ no
If
not
, what reasons can you identify? ___________________________________________________________________________
__________________________________________________________________________________________________________
3. Quality of fellowship, interest and enthusiasm._____________________________________________________________________
__________________________________________________________________________________________________________
4. General condition of the Club.__________________________________________________________________________________
__________________________________________________________________________________________________________
5. Identify and evaluate the meeting you attended. ___________________________________________________________________
__________________________________________________________________________________________________________
6. What topics did you discuss (what recommendations did you make)? __________________________________________________
__________________________________________________________________________________________________________
7. Suggested follow-up for District officers.
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
8. How will you follow up?_______________________________________________________________________________________
__________________________________________________________________________________________________________
9. Has the District Club Services Committee been involved with this Club?
❒ yes ❒ no
Club Visitation Report
Distribution
District Secretary-Treasurer
Governor
Governor-Elect
District Club Services Chair
Lieutenant Governor
In addition to the Annual Club Planning Conference, the
Lieutenant Governor is to make an official visitation to
each Club in the Zone between April 1 and July 1. Each
visit must be at a regular Club meeting, between April 1
and July 1, and a report must be filed within 30 days after
each visit. This report form is not to be used for the Annu-
al Club Planning Conference, social affairs, Zone meet-
ings, etc. However, a Lieutenant Governor is encouraged
to make optional visits to Clubs and offer aid at any time it
would be helpful. This report may be used for such option-
al Club visits to give information to the Governor and other
District personnel.
Photocopy and distribute to those listed below.
District Officer
Name/Title
(Please Print)
Date Telephone:
Res. Bus.
District officer’s signature
Is Club actively conducting a
membership building program? ❒ yes ❒ no
Will Club conduct a membership building program? ❒ yes ❒ no
What program?
How many members have been added?
Is Club sponsoring a new Club? ❒ yes ❒ no
Will Club sponsor a new Club?
❒ yes ❒ no
Where?
Have contacts been made?
❒
yes
❒
no
Are pre-organized meetings being held? ❒
yes
❒
no
Does sponsor need a New Club Building Kit?
❒
yes
❒
no
