Please complete this application form if you are interested in becoming a butterfly monitor in Illinois or Indiana. Once you complete the form, click the Continue button at the bottom.

More information about the Illinois/Indiana Butterfly Monitoring Network (IIBMN) is available at www.bfly.org.

Name and address

First name:

Last name:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Site Preference

Do you have a site preference? If not, how far from your home are you willing to travel to your monitoring site?

How did you hear about the IBMN?

Email Preferences

Do you wish to receive communications from the IBMN via email or standard mail (email strongly recommended)?