HCHS Adoption Application

Please complete this application in its entirety. Submission of an application does not guarantee adoption. HCHS reserves the right to approve or deny an application based on the best interests of the animal.

Huntington County Humane Society

390 Thurman Poe Way
Huntington, Indiana 46750
260-356-0355

ADOPTION APPLICATION

Thank You for Choosing Adoption 🐾

Thank you for your interest in adopting from the Huntington County Humane Society.

Please complete all applicable sections of this application. The information you provide helps our team learn more about your household and find a good match for both you and the animal.

PLEASE NOTE

Submission of an application does not guarantee approval, adoption, or availability of a specific animal.

Animals may have multiple interested adopters. HCHS works to ensure each adoption is a good fit for both the animal and the adopter.

Please check your spam/junk folder for communication from HCHS.

Name Of Animal

If the animal you are interested in is not listed above, please enter their name below.

Please note: Submission of an application does not place an animal on hold. An adoption is not considered approved until confirmed by HCHS staff.

APPLICANT INFORMATION

First Name *

Last Name *

Date Of Birth *

Street Adress *

City *

State *

Zip Code *

Email Address *

Confirm email *

Phone Number *

Drivers License # *

HOUSEHOLD & HOUSING

Spouse / Partner's Name

Spouse / Partner's Date Of Birth

How Many Children Are In Your Home? *

What is your current living arrangement? *

What is the name and phone number of your landlord/homeowner?

Do you plan on moving in the next 6 months? *

PET HISTORY

Have you previously owned or currently own any pets? *

Please provide for ALL animals owned in the last THREE YEARS: Name, Species, Breed (dog), Age, Indoor or Outdoor, and if you still own the pet and/or why the pet is no longer in your care.

Are/Were all of your animals spayed/neutered?

Are all the pets listed current on vaccinations?

Please provide the name and phone number of your veterinarian.

ADOPTION PREFERENCES

What kind of animal are you looking to adopt? *

Who will be primarily responsible for the care of this pet? *

What is your desired age range? *

In general, how many hours will this pet be left alone during the day? *

Have you ever brought an animal(s) to a shelter/rescue within the last year? *

Please explain the circumstances.

Application Verification
HCHS may contact your veterinarian, landlord, homeowner, or other references provided on this application to verify information. Please ensure all contact information is accurate before submitting.

BACKGROUND & AGREEMENT

Have you been convicted of a crime in the last FIVE (5) years? *

If yes, please explain.

Before You Submit
Please review your application carefully and make sure all information provided is complete and accurate. By signing below, you certify that the information provided is true to the best of your knowledge.

I have read and understand the HCHS application. The information I have provided within this application is accurate. I authorize HCHS to contact my veterinarian(s) and/or landlord/homeowner to verify the information provided in this application. I authorize HCHS to perform a criminal background check. I understand the Huntington County Humane Society reserves the right to approve or reject my application. *

Applicant Signature

Date *

Thank You for Choosing Adoption! 🐾

By choosing to adopt, you are giving a shelter animal the opportunity to become part of a family and opening space for another animal in need.

Our team will review your application and contact you regarding the next steps.

APPLICATION REMINDER

Submitting an application does not reserve an animal. Adoptions are completed with approved applicants based on availability and the best fit for the animal and household.

Please watch your email, including your spam and junk folders, for communication from HCHS.

Huntington County Humane Society

390 Thurman Poe Way • Huntington, Indiana 46750
260-356-0355

HELPING PETS FIND THEIR PEOPLE