Membership Invitation Application

"Bringing Out the Best in Youth, in our Communities, and in Ourselves."


    Where you ever a Junior Optimist Member? (required)
    YesNo

    Are you currently a full-time college student? (required)
    YesNo


    Street (required)
    City (required)
    State/Province (required)
    ZIP/Postal Code (required)
    Home Phone (required)
    Cell Phone (required)
    Your Email (required)


    Company Name Type of Business
    Street
    City State/Province ZIP/Postal Code
    Work Phone
    Work Email
    Business Position or Title
    May we contact you at work?
    YesNo


    Greater satisfaction and benefit come from participation in Club activities through committee membership. Check all that apply:
    Community Service: Determines, plans and supervises community serving projectsFellowship: Stimulates attendance, greets members and guestsFinance: Plans and supervises the budgetMembership: Plans and executes a year-round program for acquiring new membersNew Club Building: Conducts all activities involved in sponsoring a new Optimist ClubPrograms: Develops and executes plans to provide interesting programs for Club meetingsYouth Activities: Determines, plans and supervises youth projects

    What projects, programs and fundraisers would you like the Club to consider?


    Signature (required)
    Date (required)
    Name of Sponsor (required)
    Sponsor's Optimist Club Name (required)
    Acceptance (required)
    Note: Individuals who have committed sexual offenses against children may be denied membership and/or have their membership revoked.