Berkshire Wildlife Trackers Application

Berkshire Wildlife Tracking Monitoring Program Training

Application Form

You can print this form (here’s a more printer-friendly version to download), fill it in, and send it to us.  We’d love to have you on the team.

Date:_____________________

Name:_________________________________________________________________________
Mailing Address:__________________________________________________________________
Town/State/Zip:__________________________________________________________________
Physical Address:_________________________________________________________________
Telephone(s): ______________________ email _______________________________________

I am interested in encouraging, supporting or being involved in the creation and ongoing success of the Berkshire Wildlife Trackers Monitoring Program.

Please check all items that apply to your interest and circumstances, and return this form to our host organization: Berkshire Environmental Action Team (BEAT), 27 Highland Ave., Pittsfield, MA 01201-2413

_______ I am ready to commit to being a member of a local wildlife habitat monitoring team.

_____ I realize this commitment requires 6 day-long training sessions and transect monitoring with a team once each season [4 times a year] on an ongoing basis.

_____ Enclosed is a check for $25. payable to BEAT (Berkshire Environmental Action Team, Inc.) to reserve one of the training slots for me. [This will be applied to the $450 program fee.]

_____ I am interested and would like to be contacted to further discuss my potential involvement.

_____ I cannot commit to the training and annual monitoring; however, I would like to support the effort. I will:

_____ assist a participant with funding support.
_____ make a general contribution to support the project.
_____ help with the promotion and clerical aspects of the project.
_____ other: [Please give us the benefit of your ideas and suggestions]

I suggest you contact ______________________________, another potentially interested person.

Questions/Suggestions/Ideas/Words of Encouragement…