Use this form to submit a nest monitoring report. You can submit online, or you can print up this report and mail to: Eagle Nature Foundation, 300 E. Hickory St., Apple River, IL 61001.

Please submit as much information as you can. You smart phone can assist in location information. If you do not know everything, you are at least supplying us with enough information to perform follow up monitoring.

Your information
Observer's name:	*	Report Date:	*
Mailing Address:		Email Address:	*
City:	*	Phone Number:
County:		State/Zip:

Unrecorded Nest, Basic Information
Unrecorded Nest?    If this is an urecorded nest, please complete this section as best as possible
Nest Name:		Lattitude/Longitude:
Location:
Distance/Directions to nearest town:
Directions to nest:
Observer Location:
Ownership:	Private City County State Federal Other	Landowner:
		Nest Address:
Nest Tree Species:		Phone:
Size of Nest::		Nest Position:	In major fork On limbs next to trunk Extended far out on limbs Other
# Years at Site:
Permission to Visit Nest Site:

Nest Site Visit Information
Nest Name:		Observation Date:	*
Observation Time:	From* To*	Weather:
Nest Condition:	Good Fair Poor	Tree Condition:	Good Fair Poor
Active Nest:	with # of Adults *	Tags/Bands:
Nest Status:	Nest Building Incubating Hatched Other	If "Other" status:
Number of Chicks:		Est. Hatch Date:
Condition of Chicks:	Good Fair Poor
Threats Observed:
Behaviors Observed-Adults:
Behaviors Observed-Chicks:
Additional Comments:
		A few are required, those are marked with *