Builder of Excellence Award

For every new Junior Optimist Club built with 25 or more Members, the adult Optimist Member who helped will receive a Builder of Excellence Medallion different than the one currently given to adults who build an adult Optimist Club. There is a maximum of one adult Builder of Excellence per Junior Optimist Club.

A maximum of two Junior Optimist Members who help build a Club with a minimum of 12 Members will be mentioned in The Torch and in the weekly updates, and receive recognition at the Junior Optimist International Convention.

Application:

New Junior Optimist Club Built: ____________________________________________________________

Name of Junior Optimist Member who organized the Club: _____________________________________

Name and number of Junior Optimist Club you belong to: ______________________________________

New Junior Optimist Club Built: ____________________________________________________________

Name of Junior Optimist Member who organized the Club: _____________________________________

Name and number of Junior Optimist Club you belong to: ______________________________________

If you are an Adult Member, please fill out the following: New Junior Optimist Club Built: ____________________________________________________________

Name of Adult Member who organized the Club: ______________________________________________

Name and number of Junior Optimist Club you belong to: ______________________________________

Please return this form to: Optimist International Junior Optimist Department 4494 Lindell Boulevard Saint Louis, MO 63108 Fax: (314) 371-6006 junioroptimist@optimist.org