CLUB VISITATION REPORT

Optimist International - Alabama - Mississippi District

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 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.

Zone *

Date of Visit *

Club Name *

Club Number *

Number of Members *

Number Attending Meeting *

Meeting Frequency *

Does the Board of Directors meet regularly? *YESNO

Is a meal served at the club meeting? *YESNO

Are the meetings planned in advance? *YESNO

Are timed agendas used? *YESNO

Are interesting, effective programs regularly provided? *YESNO

Has the District Club Services Committee been involved with this club? *YESNO

Is the club actively conducting a membership building program? *YESNO

Will the club conduct a membership building program? *YESNO

What Program?

How many members added?

Is the Club sponsoring a new club? *YESNO

Will the Club sponsor a new club? *YESNO

Where?

Have contacts been made?YESNO

Are pre-organized meetings being held?YESNO

Does sponsor need a New Club Building kit?YESNO

Is the Club accomplishing its goal of service to youth and community? *YESNO

Your impression of the effectiveness of Club officers and chairs *

Quality of fellowship, interest and enthusiasm: *

General condition of the Club: *

Identify and evaluate the meeting you attended: *

What topics did you discuss? What recommendations did you make? *

Suggested follow-up for District officers: *

How will you follow up? *

Lt. Governor's Name *

Lt. Governor's Email *

Lt. Governor's Phone *

By submitting this form, you attest that the statements provided are true. Distribution will be automatically made to the Governor, District Secretary- Treasurer, A&A Chair, and the Lt. Governor.