Please enable JavaScript in your browser to complete this form.Applicant(s) - Step 1 of 13ApplicantName *FirstLastMaiden NameDate of Birth *Phone *Can we text this number? *YesNoEmail *Co-ApplicantNameFirstLastMaiden NameDate of BirthPhoneCan we text this number?YesNoEmailAddressAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextApplicantEmployer *Occupation *Phone *How many days a week do you work? *1 Day2 Days3 Days4 Days5 Days6 Days7 DaysHow many hours a day do you work? Selected Value: 0 Number of years at Current Employer *Previous employer (if less than 1 year)Co-ApplicantEmployerOccupation PhoneHow many days a week do you work? *1 Day2 Days3 Days4 Days5 Days6 Days7 DaysHow many hours a day do you work? Selected Value: 0 Number of years at Current Employer Previous employer (if less than 1 year)PreviousNextHave you ever completed an application at another animal shelter, or other rescue organization? *YesNoName of Animal Shelter or Rescue OrganizationAnimal Shelter or Rescue Organization PhoneWhat was the outcome of this application?PreviousNextWhat is the total number of people living in your household? Selected Value: 0 Please list the name, date of birth, and relationship of each person living in your household belowName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of Birth Name *FirstLastDate of Birth Name *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthName *FirstLastDate of BirthPreviousNextHow long have you lived at your current residence? Selected Value: 0 Previous AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease answer all questions honestlyDoes anyone in your home have pet allergies? *YesNoIf so, please describe the pet allergies *Has anyone living in your home ever been convicted of a felony? *YesNoIf so, please explain *Do you own or rent your home? *OwnRentPlease select the type of residence that best describes your home *Single Family HomeCondo/TownhomeApartmentMobile HomeDo you have a fenced yard? *YesPartialNoIf yes, please describe your fence *Material used, fence height, etc.PreviousNextWhy are you looking to adopt a dog? *How would you describe your activity level? *LowModerateHighHow do you plan to exercise your pet? *How many hours will your pet be alone during the day? Selected Value: 0 Where will your pet sleep at night? *Do you plan to take your pet to basic obedience classes? *YesNoUndecidedDo you plan to crate train your pet? *YesNoWhat will happen to your pet if you move locally or out of state? *The ASPCA estimates a yearly $1,300 in total care expenses for owning a dog. This includes things such as food, grooming, and vet care. This amount may increase if your pet becomes ill or injured. Are you willing to take on this financial responsibility *YesNoWhat would cause you to return your pet to WCHS? *Should behavior or training issues arise after you adopt your pet, are you willing to seek help from certified dog trainer or behaviorist and take financial responsibility for such services? *YesNoMany Shelter pets require training classes and other resources to assist in the adjustment of entering a new home. Would you be willing to put forth these efforts to care for your pet? *YesNoDo you have the time, patience, and financial means to address unforeseen issues such as excessive barking, chewing, marking, or accidents in the house? Including digging, nipping behavior, mouthing, and separation anxiety? *YesNoPreviousNextHow many pets do you have in your home? Selected Value: 0 Cats & DogsPets NameSpeciesBreedAgeGenderMaleFemaleFixed?YesNoHow long have you owned this pet?Pets NameSpeciesBreedAgeGenderMaleFemaleFixed?YesNoHow long have you owned this pet? Pets NameSpeciesBreedAgeGenderMaleFemaleFixed?YesNoHow long have you owned this pet?Pets NameSpeciesBreedAgeGenderMaleFemaleFixed?YesNoHow long have you owned this pet?Pets NameSpeciesBreedAgeGenderMaleFemaleFixed?YesNoHow long have you owned this pet?PreviousNextWhich Veterinary Care Clinic is used for your pets care? *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneWhich Veterinary Care Clinic is used for your pets care?AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneWhich Veterinary Care Clinic is used for your pets care?AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhonePreviousNextHow many pets have you previously owned? Selected Value: 0 Pets Name *Species *Breed *Age *Gender *MaleFemaleFixed? *YesNoHow many years did you own this pet? *Why do you no longer own this pet? If the pet had passed, please provide the reason for their passing. *Pets Name *Species *Breed *Age *Gender *MaleFemaleFixed? *YesNoHow many years did you own this pet? *Why do you no longer own this pet? If the pet had passed, please provide the reason for their passing. *Pets Name *Species *Breed *Age *Gender *MaleFemaleFixed? *YesNoHow many years did you own this pet? *Why do you no longer own this pet? If the pet had passed, please provide the reason for their passing. *Pets Name *Species *Breed *Age *Gender *MaleFemaleFixed? *YesNoHow many years did you own this pet? *Why do you no longer own this pet? If the pet had passed, please provide the reason for their passing. *Pets Name *Species *Breed *Age *Gender *MaleFemaleFixed? *YesNoHow many years did you own this pet? *Why do you no longer own this pet? If the pet had passed, please provide the reason for their passing. *PreviousNextWhich Veterinary Care Clinic was used for your pets care?AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneWhich Veterinary Care Clinic was used for your pets care?AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneWhich Veterinary Care Clinic was used for your pets care?AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhonePreviousNextPersonal ReferencesPlease list (2) personal references who ARE NOT related to you and who knows, or has known, your pets both current and past. If you have never owned a pet, please list (2) personal references who can vouch for you.Reference 1 *FirstLastPhone *Reference 2 *FirstLastPhone *PreviousNextCompatibility QuestionnaireThank you for your interest in adoptiong your new companion from Will County Humane Society. Below will be a list of questions that will help our knowledgeable staff guide you towards a great fit for your household. Please answer the following questions as honestly as possible.What are you looking for in your new companion? *What kind of energy level are you looking for, and why? *High activity, medium activity, low activity, etc.What age range are you looking for, and why? *Do you have an active household? *YesNoIf so, please explain:Does your household have experience with rescue pets? *Are you looking for a specific breed for your next pet? *YesNoIf so, please explain:PreviousNextOur GoalHere at the Will County Humane Society, we do our best to make sure each of our pets finds their forever home. We want to make sure the worst is behind them and that they live happily every after with their new families. We understand that there is an adjustment period for all pets and their families before everyone is on the same page. Each adjustment period will vary based on the pets personality and past. If approved, we will use the adoption screening form questionnaire provided to find your families perfect fit. Rest assured, if your new companion is not at our facility at the time of your visit, we will happily welcome you back at a later point in time. Application SubmissionBy checking this box and submitting the application, you confirm that you have provided all the required information for the Will County Humane Society to complete all necessary screenings. *I agree to allow Will County Humane Society to conduct all necessary screeningsPreviousEmailSubmit Application