The Seed Scout Donor Application

The Seed Scout Donor Application

We are a known-donor, ethical matchmaking resource for people looking to start their families! Please fill out the information below to apply:
Name*

First NameLast Name
Pronouns
Date of Birth*

MonthDayYear
Date
Highest level of education*
Occupation/Job*
Location*

Street Address

Street Address Line 2
CityState / ProvinceCountry
About You
Have you previously donated sperm?*
If YES, describe the situation (i.e. how many people, how did you meet them, was it successful).
Have you ever applied to be a donor at a sperm bank before? *
If yes, were you accepted? If no, why were you declined? *Please note that being declined by a sperm bank does not mean you would be declined by us.
Have you had a semen analysis done before? *
If yes, please provide the date.
Have you had a carrier gene test done before?*
If yes, please list which test.
List any medications/supplements you are currently taking (i.e. finasteride, testosterone, PrEP, wellbutrin)*
Why are you interested in becoming a donor? *
Who would you be interested in donating for? Please select all that apply.*

Homosexual CoupleHeterosexual CoupleSingle Parent
How did you hear about Seed Scout? *
Contact Information
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Instagram Handle
@your-handle
Thank you for your interest! Your willingness to take part plays a meaningful role in helping make family's dreams come true.
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About You