OHIO DISTRICT OPTIMIST LT. GOVERNOR ELECT NONINATION FORM Name:   Address:     Home No.: Work No.:     Fax No.: Cell No.:   Email Address: Employer's Name (Company):   May we contact place of business?: Yes No     Date of Birth: (mm/dd/yy) Age:     Partner's Name:   Children's Names: Home Optimist Club Name:   Year and Club Served as President:        Year:    Club:   Would your job keep you from traveling around the zone to visit clubs and fulfilling the dutites of Lt. Gov. and out of state for training? Yes No   Do you know that this is a one(1) year commitment? Yes No   Does your spouse/partner support you in this endeavor? Yes No Optimist Awards & Honors:     Why do you want to be Lt. Governor?