Apply to Become an At-Large Optimist Member
Thank you for your interest in becoming an At-Large Optimist member.   For just $100 USD / 100$ CAD annually.

Benefits for becoming a Member at Large:
  • Electronic Copy of the Magazine
  • Access to Leadership Development webinars that have both Optimist and Non Optimist applications.
  • Access to training materials on the Learning Management System
  • Access to the Professional Development Program.
  • Monthly contact with like-minded people in their region through Zoom conference calls.
  • Opportunities to participate in nearby Club activities, Optimist International sponsored projects or coordination through O-I collaborate organizations (Ronald McDonald House, etc.) and other web portals (Dosomething.org) that connect people with community service opportunities.
  • Daily/weekly social media blasts using fliers created for Facebook and Instagram.
To learn more about the At-Large membership, click here.
 
At-Large - Member's Information
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* E-Mail
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Prefix  (e.g. Mr, Mrs, Dr, etc)
Nick Name
** First Name
Middle Name/Initial
** Last Name
Suffix  (e.g. JR, SR, III)
Gender Male  Female  N/A
 
* Country
* Address
(Home)
* City
* State/Province
ZIP/Postal Code
Home  (xxx-yyy-zzzz {ext})
Cell  (xxx-yyy-zzzz {ext})
Business  (xxx-yyy-zzzz {ext})
* Language


Which Region are you from?
Region
(Please check the regions below)
Regions / DistrictShow Regions
Northeast & Great Lakes Region
01 New York - New England State of New York, except counties of Westchester and Rockland, New York City, and Long Island;
State of Connecticut;
State of Maine;
State of Massachusetts;
State of New Hampshire;
State of Rhode Island;
State of Vermont
17 Michigan State of Michigan, except the Upper Peninsula
24 Ohio State of Ohio
45 Southwestern Ontario Province of Ontario, west of a boundary north from Lake Erie on Highway 73 to Highway 401, west to Highway 402, west to Highway 4 at Lambeth, north on Highway 4 to Country Road 3, west to the International Waterway
46 Midwestern Ontario Province of Ontario, west of Highway 24 and east of a boundary north from Lake Erie on Highway 73 to Highway 401, west to Highway 402, west to Highway 4 at Lambeth, north on Highway 4 to Country Road 3, west to the International Waterway
47 Central Ontario Province of Ontario, east of Highway 24 and west of Highway 62, 127 and north of 60 and 62 to Pembroke on the north and Belleville on the south, eastward from Belleville along Highway 2 east to and including Cornwall, and the area between Highway 2 and the St. Lawrence River; Westward from Pembroke along Highway 17 including Amproir and Ottawa, and the area between Highway 17 and the Ottawa River
91 Northeast & Great Lakes Region
01 Northeast & Great Lakes Region
 
Southeast Region
21 GATEway State of Georgia;
State of Tennessee, counties of the Eastern and Central Regions
22 South Carolina State of South Carolina
29 Alabama - Mississippi State of Alabama;
State of Mississippi
39 Louisiana State of Louisiana
60 North Florida State of Florida, north of and including the counties of Sarasota, Manatee, Polk, Osceola and Brevard
61 South Florida State of Florida, south of and including the counties of Hardee, Highlands, Okeechobee and Indian River;
Caribbean Islands of Cuba, Hispaniola (Haiti and the Dominican Republic);
Territory of Puerto Rico
78 Caribbean The Caribbean Islands, with the exception of Cuba, Hispaniola (Haiti and the Dominican Republic) and Puerto Rico
92 Southeast Region
 
Mid-Atlantic Region
02 Atlantic Central State of New York, counties of Westchester and Rockland, New York City, and Long Island;
State of Pennsylvania;
State of Delaware, the portion north of the Chesapeake and Delaware Canal;
State of New Jersey, counties of Westchester and Rockland
03 Kentucky - West Virginia State of Kentucky;
State of West Virginia, except counties of Berkley, Jefferson and Morgan
16 Capital - Virginia District of Columbia;
State of Virginia, except the counties of Lee, Wise, Scott and Washington;
State of West Virginia, the counties of Berkley, Jefferson and Morgan
33 Maryland - South Delaware State of Maryland;
State of Delaware, the portion south of the Chesapeake and Delaware Canal
43 North Carolina East State of North Carolina, east of and including the counties of Person, Orange, Wake, Harnett, Cumberland, Hoke and Scotland
44 North Carolina West State of North Carolina, west of and including the counties of Caswell, Alamance, Chatham, Lee, Moore and Montgomery;
State of Tennessee, eastern
02 Southeast Region
93 Mid-Atlantic Region
03 Mid-Atlantic Region
 
Middle American Region
04 Indiana North State of Indiana, north of Interstate 74 and north of Interstate 465 at Indianapolis
05 Indiana South State of Indiana, south of Interstate 74, including Indianapolis south of Interstate 465
12 Illinois State of Illinois
30 East Missouri State of Missouri, east of and including the counties of Schuyler, Adair, Macon, Randolph, Howard, Cooper, Boone, Callaway, Osage, Maries, Pulaski, Phelps, Dent, Shannon, Carter and Ripley
36 West Missouri State of Missouri, west of, but not including the counties of Schuyler, Adair, Macon, Randolph, Howard, Cooper, Boone, Callaway, Osage, Maries, Pulaski, Phelph, Dent Shanon, Carter and Ripley
37 Kansas State of Kansas
94 Middle American Region
04 Middle American Region
05 Great Plains Region
 
Great Plains Region
09 Southern Wisconsin State of Wisconsin, south of and including the counties of LaCrosse, Monroe, Juneau, Adams, Columbia, Dodge, Washington and Ozaukee
10 Nebraska State of Nebraska;
State of Colorado, county of Sedgwick County
13 Alberta, Montana, Saskatchewan & Northern Wyoming Province of Alberta;
Province of Saskatchewan;
State of Montana;
State of Wyoming, counties of Teton, Park, Hot Springs, Big Horn, Washakie, Sheridan, and Johnson
23 Wisconsin North - Upper Michigan State of Wisconsin, north of and including the counties of Trempeauleau, Jackson, Wood, Portage, Waushara, Marquette, Green Lake, Fond du Lac and Sheboygan;
State of Michigan, the Upper Peninsula
35 Dakotas - Manitoba - Minnesota State of North Dakota;
State of South Dakota;
State of Minnesota;
Province of Manitoba
40 Iowa State of Iowa
95 Great Plains Region
09 International Region
 
Southwest Region
06 South Texas State of Texas, east of and including the counties of Val Verde and Crockett, south of and including the counties of Schleicher, Menard, Mason, Llano, east and south of and including the counties of Matagorda, Wharton, Colorado, Austin, Washington, Burleson, Robertson, Leon, Houston, Angelina, Jasper and Newton, west of and including the counties of Milam, Lee Fayette, Lavaca, Jackson and Calhoun
07 Oklahoma State of Oklahoma
19 New Mexico - West Texas State of New Mexico;
State of Texas, counties of El Paso, Hudspeth, Culberson, Loving, Reeves, Jeff Davis, Presidio, Pecos, Brewster and Terrell
25 Colorado - Wyoming State of Colorado, except the county of Sedgwick;
State of Wyoming, except the counties of Sheridan, Johnson, Teton, Park, Hot Springs, Big Horn and Washakie
34 TennArk State of Arkansas;
State of Tennessee, counties of the Western Region
38 TexHoma State of Texas, north of and including the counties of Winkler, Ward, Crane, Upton, Reagan, Irion, Tom Green, Concho, McCulloch, San Saba, Lampasas, Hamilton, Bosque, Hill, Limestone, Freestone, Anderson, Cherokee, Nacodoches, San Augustine and Sabine; and State of Oklahoma.
96 Southwest Region
06 Southwest Region
07 West Coast Region
 
West Coast Region
14 Pacific Southwest State of California, counties of Tulare, Kings, San Luis Obispo, Santa Barbara, Ventura, Kern west of Highway 395 and 14, and western section of Los Angeles County (Los Angeles County to be divided by a line starting at the Pacific Ocean, north on Interstate Highway 110 to Interstate Highway 210, west on I-210 to Highway 2, thence northeasterly along Highway 2 to the eastern boundary of the county)
15 Pacific Southeast State of California, counties of Riverside, San Bernardino, Inyo, Kern east of Highway 395 and 14, and that portion of Orange County lying north of a line described as follows: from the Orange County-Riverside County border westward along State Highway 74 (Ortega Highway) to Intersection with Interstate Highway 5, thence due west to intersection with Salt Creek, thence southwest along the bed of Salt Creek to the Pacific Ocean; and the eastern section of Los Angeles County (Los Angeles County to be divided by a line starting at the Pacific Ocean, north on Interstate Highway 110 to Interstate Highway 210, west on I-210 to Highway 2, thence northeasterly along Highway 2 to the eastern boundary of the county);
State of Nevada, county of Clark;
State of Hawaii
20 Pacific Central State of California, north of and including the counties of Monterey, Fresno and Mono;
State of Utah;
State of Nevada, except Clark County
31 Arizona State of Arizona
32 Pacific Northwest State of Washington;
State of Oregon;
State of Idaho;
State of Alaska;
Province of British Columbia, excluding the portion east of the Continental Divide
41 California South State of California, counties of San Diego and Imperial and that portion of Orange County lying south of a line described as follows: from the Orange County-Riverside County border westward along State Highway 74 (Ortega Highway) to intersection with Interstate Highway 5, thence due west to intersection with Salt Creek, thence southwest along the bed of Salt Creek to the Pacific Ocean
97 West Coast Region
 
St. Lawrence Region
49 Eastern Ontario Province of Ontario, east of Highway 62 and 127 and south of 60 and 62 to Pembroke, south of Highway 17 on the north to Ottawa then along the north of Highway 2 to Cornwall and then along the St. Lawrence River
50 Quebec Central Province of Quebec, west of the Richellieu River, Highways 158, 347, 348, 349 and 155 south of a line drawn from Riviere aux Rats to Manouane, east of a line drawn from Manouane to St. Donat de Montcalm and Highways 125 and 25, north of highways 640 and 40, south of Riviere des Mille Iles, lac de Deux Montagnes, east of the Ontario-Quebec border
52 Quebec South Province of Quebec, west of Highway 173 and Riviere Chaudiere, south of the St. Lawrence River, and east of the Richelieu River
53 Quebec West Province of Quebec, east of the Quebec-Ontario border, north of Lac des Deux Montagnes, Riviere des Mille Iles, south of Highways 40 and 640, west of Highways 25 and 125, and a line drawn from Manaouane to Riviere aux Rats west of Highways 155, 169, and 167, except for the city of Chapais on Highway 113
54 Quebec East - North Shore Province of Quebec, on the north shore and north of the St. Lawrence River and east of Highways 167, 169, 155, 351, 350, 349, 348 and 158, including Iles-aux-Coudres and Ile-d’Orléans plus the Maritime province of Newfoundland
55 Quebec East - Acadie Province of Quebec, on the south shore and south of the St. Lawrence River and east of Riviere Chaudiere and Highway 173, including the Iles-de-la-Madeleine, and the Maritime provinces except Newfoundland and Nova Scotia
98 St. Lawrence Region
 
International Region
0
 
Non-Region Region
82 Asia The Continent of Asia
90 Not In District Non-District
99 International Region
 
 
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