Bird Habitat Recognition Application

Bird Habitat Recognition Application

Residential/Park/Preserve (Schools and Houses of Worship should email ssaffier@audubon.org for proper form)
Thank you for your interest in caring for birds and registering your property in our Bird Habitat Recognition Program...a network of over 1,000 properties statewide! We'd love to hear about your property so please complete the application below. It takes about 5-10 minutes. At the end, you will be prompted to a donation page and once we process the application you will receive a yard sign and other items in the mail (3-6 weeks).
First Name
Last Name
If the property you're registering is a business, school, park, or house of worship, please include name here:
Phone Number

Area Code Phone Number
E-mail
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
County
Township or Borough
Were you referred to this program by an Audubon Chapter? Is so, which one?
How did you hear about this program?
Property Type
If Residential, type
If school of any kind or house of worship, you cannot use this form. Please email ssaffier@audubon.org for the proper form.
Property Size (in acres)
Percentage of property in turf grass/lawn
Percentage of property you would consider bird habitat
Percentage of trees and shrubs that are native
20% minimum required For tree I.D., see: http://www.iconservepa.org/cs/groups/public/documents/document/dcnr_003489.pdf
Have you moved away from using synthetic pesticides and fertilizers?
Do you address stormwater with trees/shrubs, rain gardens, rain barrels, etc?
Have you worked to alleviate bird-window collisions by addressing reflectivity of glass in some way?
LVAS Link here
In the following sections, check all that apply. At least one check in each category section is required (food, nesting sites, cover, water).
Natural Food Sources

Native trees Native shrubs Native wildflowers/grasses Dead Wood Nectar plants
Supplemental Food Source

Seed Feeder Nectar Feeder Suet Fruit Mealworms
Natural Nesting Sites

Native Trees/shrub Standing Dead Trees Meadow/grassland
Supplemental Nesting

Nestboxes (bird house) Nest platform/cup Accessible barn or structure
Natural Cover

Trees/shrubs Fencerow/brambles High grass
Supplemental Cover

Log, brush, or rock pile Discarded Christmas Tree Winter roost box
Natural Water Source

Stream/creek/river Vernal pool Wetland
Supplemental Water

Bird bath Pond/fountain Drip or mist Rain garden Other (pooling area, downspout, etc.)
Natural Area Management

Not applicable - we do not have natural areas on our property Monitoring and/or controlling invasive plants Inventorying or tracking native plants Controlling deer by fencing or other means Including nestboxes if quality/quantity of standing dead wood is low Actively restoring forest, stream corridor, wetland, or grassland habitat
General Comments - anything you would like to share!
Questions? Anything specific we can help you with?
Hit "Submit" and you will prompted to the donation page. This program requests a one-time donation of $25.00. As a premium, you will receive a yard sign in the mail as well as a Habitat Discount Card which provides discounts to stores listed on the website http://pa.audubon.org/save. You will also receive the Bird Town Flyer, our eNewsletter and invitiation to special events throughout the year. No donation is requested from schools or houses of worship. Thank you for your interest and support!!
NOTE: THE FULL PROCESSING OF APPLICATIONS SUBMITTED BETWEEN AUGUST 1, 2018 and OCTOBER 1, 2018 WILL BE DELAYED. YARD SIGNS AND DISCOUNT CARDS WILL BE SENT AFTER OCTOBER 15TH. WE APOLOGIZE FOR THE DELAY AND THANK YOU FOR YOUR SUPPORT!
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