PNWD - Club Visitation Report
District Officer: Email:
Visitation Date: Phone:

District: Pacific Northwest (32) Zone:
Club Name: Club Number:
City: St/Prov:
# of Club Members: # of Members Attending:
How often does Club Meet:
Regular Board Meetings:
Meal at Meetings:
Meetings planned in advance:
Timed Agenda used:
Regular Interesting Programs:

1. Your impression of the effectiveness of Club officers and Chairpersons.

2. The Club is accomplishing its goal of service to youth and community?
    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 recommendation did you make)?

7. Suggested follow-up for District officers.

8. How will you follow up?



Is Club actively conducting a membership building program?
Will Club conduct a membership building program?
What Program?
How many members have been added?

Is Club sponsoring a new Club?
Will Club sponsor a new Club?
    Where?
Have contacts been made?
Are pre-organized meetings being held?
Does sponsor need a New Club Building Kit?