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Egg Donor ▾
Egg Donation
What Is Involved in Being a Donor?
Become an Egg Donor
Egg Donor FAQs
Egg Donor Application
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Sperm Donor Application
First name
Last name
Email
Birthday
Race
Height
Hair color
Blood type
Weight
Eye color
Do you have sex with men in the last 3 years
Mother's ethnicity
Family country of origin
What is the highest education you have?
Which institution did you obtain or currently obtaining your degree(s) from?
What is your current location? (City, State/Country)?
Where were you born?
Do you have any siblings?
Mother's Age / Height / Occupation / Deceased?
Father's ethnicity
Religion
What was your major in your highest degree?
Please provide your high school/college GPA.
What is your current occupation or profession?
What is your current marital status?
Father's Age / Height / Occupation / Deceased?
Paternal Grandfather's Age / Height / Occupation / Deceased?
Paternal Grandmother's Age / Height / Occupation / Deceased?
Maternal Grandmother's Age / Height / Occupation / Deceased?
Sibling2: Brother or sister / Age / Height / Occupation / Deceased?
Maternal Grandfather's Age / Height / Occupation / Deceased?
Sibling1: Brother or sister / Age / Height / Occupation / Deceased?
Sibling3: Brother or sister / Age / Height / Occupation / Deceased?
Have you ever worn eyeglasses or do you currently wear them?
Please describe your personality traits.
Please provide your motivations to become a sperm donor.
What activities do you enjoy outside of work/school?
What is your favorite sports?
Do you enjoy traveling? If so, which countries have you visited?
Donating sperm is a significant commitment, involving at least two doctor's visits and health checkups . Are you prepared to make this commitment?
Are you willing to be matched with any family, irrespective of their sexual orientation, marital status, race, or the gender of the egg recipient?
Would you be open to meeting your intended parents if they express the desire to do so?
Would you be open to meeting the child in the future if they wish to meet you?
Are you comfortable sharing your contact information with your intended parents, should they express interest and you feel comfortable doing so?
Do you have any children? If so, please provide their ages
Do you have any past or present medical conditions, including surgeries, birth defects, or mental health conditions? If yes, please list them below.
Do you consume alcohol? If yes, please specify the number of drinks per week?
Are you aware of any genetic disorders in your family? if yes, list them below
Are you currently taking any medications, including prescription and over-the-counter medications, for physical or mental health conditions? If yes, please list the medications and the reasons for taking them.
Do you smoke or use any recreational drugs?
Do you use recreational drugs? If yes, please list the drugs you use and their frequency of use.
How often do you engage in physical activity?
Do any of your family members have a history of the following conditions: cancer, mental retardation, autism, physical malformation, cystic fibrosis, lupus, high blood pressure, memory loss, depression, kidney diseases, bipolar disorder, cardiopathy, ADD/ADHD, anemia, birth defects, blindness, blood transfusion, or Canavan's disease? if yes, please list them
How often do you engage in physical activity?
ave you ever donated sperm before? If so, did a pregnancy result?before? If so, did a pregnancy result?
Please upload a recent picture of you
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Please upload a recent picture of you
Upload File
Upload supported file (Max 15MB)
Please upload a recent picture of you
Upload File
Upload supported file (Max 15MB)
Please upload a recent picture of you
Upload File
Upload supported file (Max 15MB)
Please leave your phone number, and let us know when is a good time to call?
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