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County Coordinator Application Please
provide the following information concerning your interest in the conservation
of Eastern Bluebirds. Just give us a brief description of your experience
and desire to help bring back bluebirds to Kentucky. This experience could
be having a nesting box in your backyard or having a large trail with dozens
of boxes. We need someone devoted and willing to help promote bluebird
conservation and recovery in every county of Kentucky.
Name__________________________________________________________________ Address________________________________________ County __________________ City______________________________ State___________ Zip code______________ Phone_______________________________ E-mail_____________________________ Provide a brief description of your experience and desire to promote the conservation and recovery of Eastern Bluebirds: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ _________________________________________________________continue on back Please print, fill out, & mail this form to: Kentucky Bluebird Society, P.O. Box 3425, Paducah, KY 42002 |