Thank you for considering egg donation as a way to help others.

Forward Fertility, LLC is a Madison, Wisconsin based service connecting people who want to be egg donors or gestational surrogates with recipients who are in need of those services.

This is the first part of the EGG DONOR application. Once you submit your answers, you will receive an email indicating what to do next.

Each year in the United States, there are about 10,000 egg donor cycles completed. Many families are looking for egg donors right now and you could be just the person to help their dream come true.

Compensation for egg donors starts at $4500+ per cycle. Donors may complete up to 6 cycles.

Please be thorough when answering completing this application.

Looking forward to learning about you......

Forward Fertility, LLC
info@forwardfertility.com
Madison, Wisconsin
Egg Donation, Gestational Surrogacy, & Embryo Donation
1. By selecting "Agree", you are stating that you understand you are applying to be an Egg Donor through Forward Fertility, LLC. You can complete a separate application to be a gestational surrogate at www.forwardfertility.com.
 
"" 
2. By selecting "Agree", you are stating that you have answered all questions to the best of your ability, without purposeful omission or deception. You understand that egg donation is considered "tissue donation" according to the FDA. This is a process that requires maturity, as it is a serious issue related to all parties involved.
 
"" 
3. Are you a US citizen or permanent resident?
 
"" 
4. Are you eligible to work in the United States?
 
"" 
5. What is your FIRST name?
 
250 characters remaining "" 
6. City
 
250 characters remaining "" 
7. State
 
"" 
8. Have you applied, been screened to be an egg donor, or donated your eggs before?
 
"" 
If YES, provide the name and location of the donor program(s).
9. How many times have you donated your eggs?
 
"" 
If you have donated before and you know the outcome, please indicate it here.
10. Is your work schedule flexible?
 
"" 
11. If a background check were run on you, would it show any problems with the law (i.e. DUI, custody issues, lawsuits)?
 
"" 
If yes, please explain.
12. Have you ever had any arrests, convictions, sentences, etc.?
 
"" 
If yes, please explain.
13. What is the most number of consecutive days that you have been incarcerated?
 
"" 
14. Are you adopted?
 
"" 
15. Date of Birth (only your calculated age is shared with Recipients)
 
   
16. How would you describe your background? (Please select all that apply to you.)
 











Please describe "Other".
17. What is your height?
 
"" 
18. What is your weight?
 
"" 
19. What is your eye color?
 
"" 
20. What is your natural hair color?
 
"" 
21. What is your natural skin complexion?
 
"" 
22. What is your highest level of completed education?
 
"" 
23. Are you currently under a physicians care for any reason?
 
"" 
If yes, please explain.
24. Do you have both ovaries?
 
"" 
25. What kind of contraception do you use?
 
"" 
Explain "Other":
26. What was your age at the onset of menses?
 
"" 
27. Have you ever lost your period due to exercise or weight loss?
 
"" 
If yes, please indicate your age, for how long, and the outcome.
28. How many pregnancies have you had?
 
"" 
29. How many children have you given birth to?
 
"" 
30. Have you ever been treated or diagnosed with endometriosis?
 
"" 
31. Have you ever been seen by psychiatrist, psychologist, social worker, counselor, or any other mental health professional for any reason?
 
"" 
If yes, for what reason / result.
32. Have you ever used medications such as antianxiety or antidepressants to treat an emotional or psychological problem?
 
"" 
If yes, please list why and date last used.
33. How many cigarettes do you smoke per day?
 
"" 
34. How many drinks do you usually consume in a week?
 
"" 
35. When is the last time you had marijuana?
 
"" 
36. When is the last time you have used recreational or illicit drugs (cocaine, LSD, heroin, barbiturates, narcotics, opiates, amphetamines, hallucinogens, tranquilizers, PCP, steroids for non-medical reasons, or etc.)?
 
"" 
37. Have you had acupuncture, ear and/or body piercings or tattooing on your body?
 
"" 
38. When was the last time you have had a tattoo or body piercing?
 
"" 
39. How many sexual partners have you been with during the past 6 months?
 
"" 
40. Egg Banking is a process by which mature eggs are removed from a woman's ovary. They can be frozen, unfertilized by any sperm, and thawed at a later date for that woman to become pregnant. Forward Fertility, LLC offers the option for egg donors to bank their own eggs for future use as part of the egg donation cycle (the donor getting some eggs and the recipients getting some eggs) in exchange for a smaller financial compensation. Would you be interested in this option, if you became a donor?
 
"" 
Please Explain if you chose other.
41. Where did you hear about Forward Fertility?
 












Please give details about how you found Forward Fertility.
42. How long have you been considering egg donation?
 
"" 
43. What is your email address for communication with you regarding your pre-screen application?
   
44. What is your preferred password for future login reference?
   (6-20 characters with 4 or more letters and 1 or more numbers)  
45. Verify your password.
   

Please add no-reply@donorapplication.com to your email contact list to prevent our response from being flagged as spam.