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Annual Bluebird Report Form - Bluebirds Across Nebraska (BAN)
P.O. BOX 67157 Lincoln NE 68506-7157
Note: If
you had boxes in more than one County, please submit a separate report for
each County |
*Last Name:
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*First Name:
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*County
(you live in):
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*Are You a BAN member?
Yes
No |
*Address:
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*City:
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*State:
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*Zip:
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Telephone
Email
(To receive a copy of the Statewide
Bluebird Directory, please provide your e-mail address) |
*County
(bluebird boxes located):
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Would you like a BAN brochure?
Yes
No |
*Year monitored::
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Approximately how
often did you check your trail?
(i.e. once a week, every
other week, every day, etc) |
|
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How many
bluebird boxes did you monitor? |
* |
How many
nesting attempts did bluebirds have?
(count all attempts whether successful,
abandoned, destroyed by predators ,etc) |
* |
How many
successful broods of bluebirds?
(a single nesting where one or more bluebirds fledged) |
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| Total number
of bluebird eggs? |
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| Total number
of bluebird eggs hatched? |
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Total number
of bluebird
fledged?
(bluebirds that successfully left the
nest)
Note: Please indicate if the birds fledged were mountain bluebirds
which are generally found in the western part of the Nebraska.
|
*
Mountain
Yes
No |
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How many
bluebird boxes did wrens: |
Try to Use
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Successfully use?
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How many
bluebird boxes did
house sparrows: |
Try to Use
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Successfully use?
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How many
bluebird boxes did
tree swallows: |
Try to Use
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Successfully use?
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| How many
tree swallows successfully fledged from your bluebird boxes? |
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What other birds
successfully used your bluebird boxes? |
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Please document any special comments, concerns, or problems here:
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Please
submit this form by October 15
You can also submit a printed form using the following link:
PDF Format |
