HSSI Adoption Pre-Approval Application

Contact Information

We require complete contact information so that we may reach you in the event you are approved for adoption.

This should be the primary phone we should use to contact you if needed.
Please enter your current postal mailing address. Include Apartment number or P.O. Box if necessary.



Pets in the Household

Adoption Preferences

If all information above is the most up to date that it can be, please sign below and submit your adoption survey! Please allow up to a week for your application to be reviewed and one of our adoption counselors will give you a call to help find your new best friend!

To sign with a touch enabled device, sign with your finger. To sign from a device without touch, click and drag the mouse pointer to create your signature. Use the "clear" button to retry a signature.

Humane Society of Southern Illinois | 95 Humane Road, Murphysboro, IL 62966 | 618-457-2362