Let's get started! You're doing great! Almost there! You're just three steps away from completing your Sperm Donor application

Personal & Background
Information

Education &
Citizenship

Program
Information

Step 1 Personal & Background Information

Thank you for starting the sperm donor application process for Northwest Cryobank!

Please keep in mind that there's no obligation and it's completely confidential. After you submit your application, it will be evaluated and you will receive a response from us, usually within two days. This response will indicate if you qualify to make your first appointment. To begin, we need some personal information so we know who you are and how to contact you. The information you provide is strictly confidential—you can read more in our privacy policy.

To which location do you wish to apply?

Spokane Missoula Pullman

Personal Information

Legal First Name

Legal Last Name

Birth Date

Zip Code

Phone

Height

Weight

Ethnic Origin (Mother)

Ethnic Origin (Father)

Have your sexual partners in the last 5 years been

Male Female Both

Have you been diagnosed with, or do you currently have, any serious medical problems (include hospitalizations, surgeries, or institutionalizations)

Yes No

What was your diagnosis?

At what age were you diagnosed?

Describe any treatment you received

Remove this medical problem
Add another medical problem

Education & Citizenship

Are you currently attending a college or university?

Yes No

What is your current level of education?

Please select the State in which your College/University is/was located

Occupation

Are you authorized to work in the US?

Yes No

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Program Information

Do you reside close enough to our facility to visit 1-3 times per week?

Yes No

Are you able to donate during regular office hours?

Yes No

Where did you hear about our program?

Please select the Craigslist city

Please indicate which search engine you used

Please indicate where you saw the advertisement

Please list the current donor or friend who referred you to Northwest Cryobank

Please indicate the specific source where you read or heard about Northwest Cryobank

Please indicate which campus you saw a flyer or met a recruiter at

Please list the referral source where you heard about Northwest Cryobank

Comments (Optional)

We plan on using email, text and other communication to reach back out to you. By submitting your application, you’re acknowledging and opting in for this. Please keep in mind that standard data fees and text messaging rates may apply based on your plan with your mobile phone carrier.

Back

Thank you for applying to become a Sperm Donor

Thank you for applying to become a sperm donor. We will be contacting you shortly. Make sure you add Northwest Cryobank (info@nwcryobank.com) to your list of contacts; otherwise, our response may go directly to your junkmail folder or be deleted immediately.

So What Happens Next?

You will receive a notice once your application has been processed. If your application is accepted, you will be notified to schedule an appointment to complete the application paperwork and leave a semen sample for analysis.

We will analyze this sample in order to determine sperm count, motility, progression, and freezing traits to ensure that it meets our standards. You will be notified of the results of this appointment within one week. If your specimen passes the semen analysis, you will be asked to return to the lab to continue the qualification process.