SIGHTINGS FORM Sighting Your name Your email address * Please fill out the form as completely as possible. Precise date and location information is most important. Use the 'add another sighting' button at the bottom to provide information about each species seen or each sighting date. Thanks for participating! Species * Use common or scientific name Number of individuals seen Date of sighting * County of sighting Town of sighting * Location of sighting * Please give an address, specific location directions or latitude/longitude coordinates Habitat code 1: Light source SunlightMercury vaporBlacklightIncandescent lightOther Habitat code 1: Light source Use 'sunlight' for day-flying moths, other choices for nocturnal moths Habitat code 2: Surrounding landscape Deciduous woods Coniferous woods Mixed woods Residential Urban Agriculture Field Use as many categories as needed to describe the landscape within a one mile radius of the moth’s location Habitat code 3: Nearby host plant for moth listed Ash Basswood Beech Birch Black walnut Cherry Hickory Larch/tamarack Lilac Maple Oak Sassafras Tulip tree White pine Alder Dogwood Raspberry Sumac Willow Clover Elm OtherOther List only the plants that are known to be host plants for the species you are reporting (host plants on website, linked to moth species name). Only list a plant if an entire population of the plant can be found within a one mile radius of the moth’s location Identification code VisualBinocularsNet/release Photos of any of the target species are encouraged. A photo must be submitted for the following species to assure correct identification: Promethea, Imperial, Orange-striped oakworm, Pink-striped oakworm, Columbia, Tuliptree Are you submitting photo(s) of moths? Yes No Photo(s) Drop a file here or click to upload Choose File Maximum file size: 52.22MB Please use one of the following file types: .jpg, .gif or .tiff Permission to put your photo on the Project Silkmoth website Yes No Notes Any other pertinent information you might have (e.g. air temperature, moon phase, cloud cover, sex of moth, other observations) Permission to put your sighting on a Google Map Yes No Please indicate below if you would allow permission for the latitude/longitude coordinates (not the address) of your location to be used in creating a Google map of moth sightings for the Project Silkmoth website. Only the moth name, sighting date and lat/long coordinates will be put on the Google Map plus1 Add Another Sighting minus1 Remove Sighting This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
