Donor Application

Welcome to The Sperm Bank of California. We are a non-profit organization that is dedicated to providing ethical family building options to our diverse community. We strive to make the donation of life a positive experience for our donors.

Here are what former donors had to say:
"The facility at TSBC is small, but gives off a personal and homey vibe. The staff there is professional, but sociable and very easy going. They removed any discomfort or anxiety that I originally thought I would encounter during the experience..."

"Becoming a donor was an easy decision for me, because one of my best friends was conceived with the help of a sperm donor. The opportunity to help another couple or woman bring a wanted child into a loving home seemed like an easy choice to make. The staff at TSBC made the whole experience very easy and natural. My questions and concerns were always addressed honestly and clearly..."

You must live within a reasonable distance to our Berkeley office.
All applicants must reside in Northern California.
United States
Use this format: 555-510-1212
Please enter your weight, in pounds.
Please be specific: which website or person or organization referred you?
 
If yes, please indicate the name and location of the sperm bank
 
If yes, please indicate where the tattoo or piercing was performed (Ex.: At home? By a friend? A professional shop?)
 
If yes, when did you finish taking the prescription?
 
If yes, where did you live and over what dates?
 
If yes, please give approximate date(s) of diagnosis
 
If yes, please give approximate date(s) of diagnosis
 
If yes, please give approximate date(s) of diagnosis
 
If yes, please give approximate date(s) of diagnosis
 
If yes, please give approximate date(s) of diagnosis
 
 
You must visit during lab hours, Monday through Thursday, 8:00am to 3:00pm and Friday, 8:00am to 2:00pm.
  
  
  (clear)
Please clarify here when and how your parent/s died?
  (clear)
Have you, or has anyone in your biological family, including your siblings, parents, grandparents, aunts, uncles, and first cousins, ever had any of the following?:
(Type 1 or type 2 diabetes)
If “Yes”, please describe condition and family member who is affected
(Heart attack, high blood pressure, high cholesterol, valve problems, pacemaker, arrhythmias, by-pass surgery, etc.)
If “Yes”, please describe condition and family member who is affected
(Brain hemorrhage, blood clot to the brain)
If “Yes”, please describe condition and family member who is affected
(Breast cancer, ovarian cancer, colon cancer, prostate cancer, skin cancer, lung cancer, etc.)
If “Yes”, please describe condition and family member who is affected
(Schizophrenia, bipolar disorder, depression, etc.)
If “Yes”, please describe condition and family member who is affected
(Autism, Asperger syndrome, speech delay, dyslexia, attention deficit disorder (ADD), or attention deficit hyperactivity disorder (ADHD), etc.)
If “Yes”, please describe condition and family member who is affected
(Seizure disorder)
If “Yes”, please describe condition and family member who is affected
(Cystic fibrosis, sickle cell anemia, hemophilia, etc.)
If “Yes”, please describe condition and family member who is affected
(Cleft lip/palate, heart defect, clubfoot, etc.)
If “Yes”, please describe condition and family member who is affected
If “Yes”, please describe condition and family member who is affected
If “Yes”, please describe condition and family member who is affected
(List any health problems, such as, asthma, allergies, skin problems, hearing loss, childhood surgeries, etc.)