Surrogate Application

5 minutes · Free · No commitment. We'll share it with our agency partners and reach out if there's a good fit.

Free to apply

Licensed agencies only

Private & confidential

No fees ever

Step 1 of 5

Let's start with your contact info

This is how agencies will reach out to you.

First Name *

Last Name *

Email Address *

Phone Number *

Agencies typically do an initial phone screening within 1 week.

Where are you located?

Agencies are state-specific — your location determines which ones can work with you.

Your Zip Code *

Your Age *

Most agencies accept surrogates aged 21–40.

A few physical details

Used to calculate BMI — agencies have health requirements to protect surrogates.

Height *

Weight (lbs) *

How many times have you given birth? *

Agencies require at least one prior birth. You must currently be parenting that child.

A couple of lifestyle questions

These help us match you with the right agencies.

Have you been a surrogate before? *

No — this would be my first time Yes — once Yes — multiple times

Experienced surrogates often qualify for higher compensation.

Do you currently use tobacco or nicotine products? *

No — I don't use tobacco or nicotine Yes — I currently use tobacco or nicotine

All agencies require surrogates to be non-smokers/non-nicotine users.

How soon would you be available to start, if matched? (optional)

Almost done!

Tell us a little about yourself — this helps agencies understand your motivation.

Why do you want to become a surrogate? *

0/500

How did you hear about us? *

Before you submit:

We share applications with our network of licensed Partner Agencies, and they compensate us for these referrals. See our Privacy Policy for details and your right to opt out.

I confirm the information I've provided is accurate to the best of my knowledge. I agree to be contacted by EggSurrogatePay.com and its partner agencies by phone, text message (including autodialed or automated messages), and email regarding my application. Msg & data rates may apply.

By submitting you agree to our Privacy Policy and Terms of Service.

We're building our agency network now. We'll reach out as opportunities become available in your area.