APPLICATION FOR POLLINATOR PATCH CERTIFICATION
Contact Name: *
Your answer
Organization (if applicable):
Your answer
Address
Your answer
Phone Number:
Your answer
Email Address: *
Your answer
Habitat Type:
Habitat Location
Pollinator Paradise Size
Shelter
Shelter Please specify the type of shelter you have provided (ex. bee nest box, bare earth, wood piles).
Your answer
Plants
Please estimate the number of native plants per square metre in your Pollinator Paradise. Depending on the species and size of the plants, densities of 2-10 plants per square metre are probably the most effective. Please estimate the percentage of plants that are native to southern Ontario. Native Plants % Exotic Plants %
Your answer
Water
Have you provided a water source that is regularly changed?
Maintenance Practices
Maintaining productive pollinator habitats requires a plan. Please indicate which actions you have taken (or will take) to maintain your Pollinator Paradise (check all that apply):
Thank you! Once your Pollinator Paradise has been certified you will receive your recognition sign and instructions for submitting comments and/or photos for display on the Pollinator Paradise map.
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