Become a Surrogate at Private Label Surrogacy

Become a Surrogate
with Private Label Surrogacy

Estimated completion time:
3-5 minutes

Thank you for your interest in becoming a gestational carrier with Private Label Surrogacy!

Highly competitive compensation packages

Surrogate Requirements:

Mentally & physically healthy
Not enrolled in government assistance
BMI under 32
Age 21-44
History of healthy pregnancy
Completed your family
No nicotine or drug use

Please note: Private Label Surrogacy must decline any surrogate who is receiving government assistance of any kind. Unfortunately, we must also decline a potential applicant if she has a spouse/partner or child she is living with receiving government assistance such as food stamps, WIC, government housing or any government insurance even if the state of residence requires this. Any compensation received for the surrogacy might eliminate her from receiving benefits. The government will not pay for the prenatal visits or delivery charges for a surrogate pregnancy. These are guidelines that have been set by governing boards for assisted reproductive technology and we must adhere to these per recommendation.

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1) First Name *

2) Last Name *

3) What is your date of birth? *

4) What is your height? *

5) What is your weight? *

6) What is your primary phone number for phone calls, messages and text notifications? *

7) Can we text you using your primary phone? *

8) What state do you live in? *

9) Zip Code *

10) Do you speak and write in English fluently? *

10a) In addition to English, do you speak any other language(s) and what is your level of fluency?
*

11) Are you a US Citizen and eligible to work? *

12) How many healthy, live babies have you given birth to? *

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Questionnaire

Become a Surrogate with Private Label Surrogacy

Become a Surrogate with Private Label Surrogacy

Thank you for your interest in becoming a gestational carrier with Private Label Surrogacy!

Highly competitive compensation packages

Become a Surrogate with Private Label Surrogacy

Thank you for your interest in becoming a gestational carrier with Private Label Surrogacy!

Highly competitive compensation packages

Create your account

Become a Surrogate
with Private Label Surrogacy

Become a Surrogate
with Private Label Surrogacy