enoZDistrict
Club Number
-
The _________________________________________________
Optimist Club of _______________________________________
ytiC
Date of visit
No. of members ______
No. attending ________
How often does Club meet?
Is Clubs 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
Distribution
District Secretary-Treasurer
Governor
Governor-Elect
District Club Services Chair
Lieutenant Governor
District Officer
Date
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
17
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 1and July 1, and a
report must be filed within 30 days after each visit. This report
form is not to be used for the Annual Club Planning Conference,
social affairs, Zone meetings, 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 optional Club visits to give information to the Governor
and other District personnel.
Photocopy and distribute to those listed below.
State/Province
Telephone: Res. Bus.
Name/Title (Please print)
Club Visitaon Report
click to sign
signature
click to edit