Donor Application To qualify as an Egg Donor you need to: be between the ages of 19 and 32 have regular periods no history of genetically transmitted diseases within the past year never had a positive AIDS or HIV test have reliable transportation be a non-smoker college education is desirable but not mandatory not use recreational drugs meet the required BMI be committed to being an egg donor First Name :* Middle Name : Last Name :* Maiden Name : Address :* City :* Province * Please Choose One... Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon - Australia Belgium England USA Mexico New Zealand Singapore Spain France United Kingdom International Postal Code :* Phone :* Cell Phone :* Email :* Birth Date :* Months Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Day 01020304050607080910111213141516171819202122232425262728293031 Year 1960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020 Height :* -- 1 2 3 4 5 6 7 8 feet -- 1234567891011 inches Weight (lb -EX: 120) :* Ethnic Background* Please Choose One... American Indian Alaskan Native Asian Black/African American Pacific Islander Caucasian/White Hispanic/Latino Other Marital Status : Smoker?* Please Choose One... Smoker Non-Smoker Have you ever donated eggs before?* Yes No How did you hear about us? Comments / Questions Enter Desired Username :* PLEASE NOTE: If you dont receive your password, please check your spam inbox for our e-mail. Please make sure you add our e-mail address to your whitelist, so our e-mails don't disappear into your Junk Mail.