Rockland Audubon Society Certified Bird Sanctuary Application

We encourage the use and planting of native plants as food sources because they provide birds and other wildlife with the basic foods they need to survive and promote biodiversity. Your sanctuary needs to provide nourishment and nesting habitat. Please avoid synthetic chemical pesticide use in your landscape.

If you have any trouble determining what plant species you have on your property and whether they’re native and bird-friendly. We can arrange a visit to your property and help you identify your species.

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Property Type

Home

School

Place of Worship

Condo/Coop

Apartment

Business

Library

Community Center

Please list your native plants/grasses

Some examples include: Common Milkweed, Liatris, Zizia, Goldenrod, Joe-Pye-Weed, Purple Coneflower, New England Aster, Switchgrass, Little Bluestem

Please list your native trees/shrubs

Some examples include: White Oak, Pussy Willow, River Birch, Serviceberry, American Holly, Eastern Red Cedar, American Plum, Flowering Dogwood, Black Chokeberry, Winterberry, Northern Spicebush, Buttonbush, American Witch-hazel

Please describe your water source

Examples include: Birdbath, Dish with Small Rocks, Mud Puddle, Pond, Rain Garden, Lake, Stream, Cup Plant

What potential nesting habitat is on your property?

Examples include: Mature Trees, Dense Shrubs/Thickets, Dead Trees/Shrubs, Burrow, Wetlands, Bird Houses, Caterpillar Host Plants

* Bonus - Bird-friendly windows (Optional)

Please check this box below if your property has bird-friendly windows.

We will review your application and get back to you. If approved, please make a small tax-deductible donation ($15 is suggested) to RAS and we’ll deliver you the sign below to put in your yard. Donations help us cover the cost of the signs. Our signs also spread the word about our certified gardens and invites others to add habitat to their properties as well. To make a donation, click here or mail a check to: Rockland Audubon Society, P.O. Box 404, New City, NY 10956.