Optimist Club Of HernandoBecome a MemberOptimist Club Of HernandoP.O. Box 532 Hernando, Mississippi 38632[email protected]Membership InvitationPrintable PDF Name(Required) First Last Were you ever a Junior Optimist Member?(Required) Yes No Are you currently a full-time college student?(Required) Yes No Home AddressAddress(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneCell Phone(Required)Personal Email(Required) Business AddressCompany NameType of BusinessAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Work PhoneBusiness Email Business Position or TitleMay we contact you at work? Yes No Individuals who have committed sexual offences against children my be denied membership and/or have their membership revoked. Please complete and give to your local Optimist ClubOptimist International Member Interest FinderGreater satisfaction and benefit come from participation in Club activities through committee membership.Check all that apply:(Required) Community service: Determines, plans, and supervises community serving projects. Fellowship: Stimulates attendance, greets members and guest. Promotes fellowship beyond Club and community. Finance: Plans and supervises the budget. Membership: Plans and executes a year-round program for acquiring new members. New Club Building: Conducts all activities involved in sponsoring a new Optimist Club. Programs: Develops and executes plans to provide interesting programs for Clun meetings. Youth Activities: Determines, plans and supervises youth projects. About YouOccupationWhat projects, programs and fundraisers would you like the club to consider? Add RemoveNameDateOptimist International • 4494 Lindell Blvd. • St. Louis, MO 63108 • 800.500.8130 • www.optimist.org • [email protected] NameThis field is for validation purposes and should be left unchanged.
