Initial Donor Application

In order to be qualified to work with our agency as an Egg Donor, you must:
Be between the ages of 21-30
Be a resident of the United States or Canada
Be height-weight proportionate (BMI must be 30 or lower)
Not smoke, take illegal drugs, or be alcohol dependent
Not have any psychiatric illness or be on psychiatric drugs
Know at least one half of your genetic make-up
Have a minimum of a high school education, or equivalent
Be willing to travel if necessary for retrieval
Be willing to forgo intercourse for the duration of the egg donation process (about 1 month)
Be dependable, your intended parents will be counting on you to make all required appointments and injections
Be able to give yourself daily injections in the stomach with a small needle during the egg donation process
Have read and understood the Egg Donation Process, and be willing to fully follow Dr.'s recommendations
Not have had any tattoos or piercings within the past 12 months
Not have had the Depo Provera shot for at least 8 months
Have a genuine desire to assist a couple or individual in creating or adding to their family
Have US citizenship
Have no felony convictions
Not have traveled to any countries in the past 6 months where there is an active Zika Virus transmission, including Brazil, The Carribbean, Mexico or Cape Verde, Africa
 Date of Birth:
Login Information

Please provide your name, email and password to create a profile.

You will use this profile to complete your application.

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Password:Confirm Password:
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