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Sperm Donor Enquiry Form


Please fill out this basic questionnaire. This is the first step in your journey to become a donor in our sperm donor program. We have high standards and conduct an extensive screening process to select our donors. You are under no obligation and your information is confidential.


Name:

Address*
You must be between the ages of 18 and 45 to donate.
Please enter a number from 18 to 45.
What is the highest level of education you have completed?
Are you currently enrolled at a university or trade school?
What are you enrolled in?
What is your current Employment Status?
What is your current Occupation?
What are your current career goals and what are you doing to achieve them?
Please select the national ancestries on your biological Mother’s side of the family. You can select multiple ancestries.
Please select the national ancestries on your biological Father’s side of the family. You can select multiple ancestries.
Are you adopted?
Can you provide 2 generations of Medical History (Biological Parents & Grand Parents)?
Are you currently a father of your own biological children?
In the last 12 months have you been diagnosed or treated for any infectious disease?
Please explain:
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Have you ever donated at another centre in the UK or abroad OR by private arrangement (e.g over the internet, for a friend)?
Have you ever been convicted of a criminal offence?
Where did you hear about us?

Contact Us

16-17 Boundary Rd
Hove BN3 4EF
Parking & directions

01273 620165

donor@sussexspermbank.com

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Hours

We may have special hours for holidays, so please call the office to verify before you come in.

Mon-Fri:8:30am - 5:30pm
Saturday:By Appointment
Sunday:By Appointment

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