Bird Species at Risk Survey Form
Name:
Email:
Phone:
Date (Day/Month/Year): ____________________
Start Time: ____________
End Time: ____________
Location: ______________________________________________________________________________
UTM Coordinates
Easting
Zone
Northing
Datum
Acadian Flycatcher
Hooded Warbler
American White Pelican
Horned Grebe
Bald Eagle
King Rail
Kirtland’s Warbler
Bank Swallow
Barn Owl
Least Bittern
Barn Swallow
Loggerhead Shrike
Black Tern
Louisiana Waterthrush
Bobolink
Northern Bobwhite
Canada Warbler
Olive-sided Flycatcher
Cerulean Warbler
Peregrine Falcon
Chimney Swift
Piping Plover
Common Nighthawk
Prothonotary Warbler
Eastern Meadowlark
Red Knot
Eastern Wood Pewee
Red-headed Woodpecker
Eastern Whip-Poor-Will
Short-eared Owl
Golden Eagle
Wood Thrush
Golden-winged Warbler
Yellow Rail
Henslow’s Sparrow
Yellow-breasted Chat
Notes (number of individuals, evidence of nesting, interesting behaviour, type of vegetation/habitat)