Surrogate Application

We are very excited you have decided to take a closer look into becoming a Gestational Surrogate. Before filling out the application, please read the pre-qualifications below. If you do not meet these requirements, but still have questions about the process or Vermont Surrogacy Network, please email us at

Initial qualification requirements:

  • Have at least one child you have given birth to at/near full-term
  • Must have had healthy pregnancies
  • Live in a healthy stable and supportive environment
  • Be between the ages of 23-42
  • BMI under 35
  • If you have a spouse or partner, they must support your decision to be a surrogate
  • Have a reliable mode of transportation for appointments
  • Must NOT have had more than 2 c-sections, or complicated c-sections,
  • Have a minimum of a high school education or GED
  • Must NOT smoke or use illegal drugs
  • Must be willing to tailor caffeine consumption during the pregnancy
  • Must be willing to NOT consume alcohol or marijuana during the IVF cycle and pregnancy
  • Must be willing to undergo a psychological evaluation, a full-physical and be tested for STDs and drug use
  • Must NOT have been convicted of a major crime or felony
  • Must be a citizen or legal resident of the United States 
  • NO history of Type 1 or Type 2 diabetes, epilepsy, pre-eclampsia, chronic hypertension, severe depression, or endometrial ablation
  • Must be willing to disclose mental health history and medical history

***Once you have completed the form, please keep an eye on your emails, as this is how we will be connecting with you in the near future.***