PLEASE READ THE INSTRUCTIONS AND ANSWER ALL OF THE QUESTIONS COMPLETELY. Please upload a photo along with your application. All donors must have graduated from or currently be attending college or university. Donors must live in the San Francisco Bay Area, or within one to two hours' drive of San Francisco. We only work with local fertility clinics and local donors. IMPORTANT: You CANNOT be a donor if you are using any of the following methods of birth control: - Injections (Depo-Provera) - Implant (Nexplanon) - Hormonal IUD (Mirena) (You would need to switch your form of birth control to be able to donate.) The forms of birth control that are compatible with donating are: - Oral birth control pills - Non-hormonal IUD (Paragard) - Condoms
For the following questions if the answer is "yes", please explain.
Family Health History
PLEASE READ CAREFULLY
For this section the word “family” refers to you and your immediate family, grandparents, aunts, uncles, great aunts, great uncles, and cousins.
For each of the following relatives, please state their age now if alive, or their age at the time of their death. If they are deceased, please indicate the cause of death.
If you do not have the information, please obtain it before sending in your application. Incomplete applications cannot be processed.
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