Apply online to become a donor today

Preliminary application for egg donors

To become a donor at Manchester Fertility,
you need to fill out the application form below.

Fields marked with a * are required.

Please note all appointments are now virtual online appointments or via telephone. Please state your preference when we speak to you on our follow up call.

Date of Birth

Date of Birth *

Please note, we only accept egg donors aged between 18 and 35. Initial enquiry must be prior to 36th birthday.

Personal Information

Title *

Forename(s) *

Surname *

Email *

Telephone

Postcode * Find Address

Address *

Physical Characteristics

Height * ft in.

Weight * stone lbs.

Your BMI: (please enter your height and weight)

To be accepted as an egg donor your BMI should be between 19 and 29

Eligibility

Are you adopted? *

Have you had a clear smear in the last 3 years? *

Do you have a history of inheritable conditions (personal or family), or any existing children with any health issues? *

Please provide further information *

Are you a smoker? *

Sorry, but if you have smoked a cigarette or e-cigarette in the last 3 months then we cannot accept you on our donor programme.

For advice and support regarding quitting smoking, visit www.smokefree.nhs.uk

Please give details of contraception used *

Have you ever been pregnant? *

Please provide further information *

Additional Information

How did you hear about this programme? *

I have read and accept the Privacy Policy *

We'll use the information you submit to contact you to arrange an appointment. We'll never share your information with a third party.