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Questions
Personal Information
Talents:
Voice: | Bass |
Instrument: Years of experience: | Trombone, Tenor Drums, Guitar - 8, 4, 1 |
Other talents: Years of experience | Singing - 1 |
Favorite:
Color | Orange |
Food | Sloppy Joes |
Music | Rock |
Animal | Alpaca |
Pet | Dog |
Car | Mustang |
Movie | "Forrest Gump" |
Song | "Gravity" by Sara Bareilles |
Play | "Red" |
Goals:
Academic | Good grades |
Professional | Lead by example |
Personal | Make people smile |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English, Spanish |
Write | English |
Sports:
Play | Marching Band, Drum Corps |
Watch | Basketball, Football |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Are you a twin? Identical or fraternal? | No |
# of twins in your family | 0 |
# Identical sets | 0 |
# Fraternal sets | 0 |
Academics
Standard Test Score: provide score or denote N/A if not taken
SAT on scale of | N/A |
ACT on scale of | 28 - out of 36 |
GRE on scale of | N/A |
MCAT on scale of | N/A |
LSAT on scale of | N/A |
GMAT on scale of | N/A |
TOEFL on scale of | N/A |
Other on scale of | N/A |
High School
Question | Response | on scale of |
GPA on scale of | 3.5 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.25 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Music |
Minor subjects | Psychology |
Degrees
Bachelor's | Pursuing B.Mus./Music Therapy |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Marching Band, Percussion ensemble, Member of an a cappella group, Letter in Band |
College | Symphony Band |
Academic | N/A |
Professional | Drumline Teacher |
Political | N/A |
Personal | Winter drumline |
Charitable | N/A |
Others | Karate black belt |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 15 |
Chest (inches) | 42 |
Inseam (inches) | 34 |
Waist (inches) | 36 |
Sleeve (inches) | 32 |
Wrist (inches) | 8 |
Hat size | 7.75 |
Shoe size | 11 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Laser surgery? | No |
Dental:
Device | None |
Reason | N/A |
Age range during use | N/A |
Other Physical Aids:
List | None |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
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Size |
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Shape |
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Color |
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Shade |
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Eyebrows:
Arch |
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Thickness |
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Set |
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Nose:
Size |
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Shape |
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Width |
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Length |
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Bridge |
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Nostril flare |
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Septum |
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Cheekbones:
Set |
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Prominence |
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Mouth:
Size |
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Lips |
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Turn |
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Teeth:
Size |
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Set |
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Condition |
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Chin:
Shape |
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Prominence |
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Cleft |
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Ears:
Size |
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Set |
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Angle |
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Lobe size |
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Lobe attachment |
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Hair:
Color at birth |
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Natural color in adulthood |
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Shade |
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Type |
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Fullness |
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Texture |
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Skin:
Tone |
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Tan ability |
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Condition |
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Hairline:
Forehead |
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Contour |
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Other Facial Features:
Moles |
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Freckles |
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Dimples |
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Adam's apple |
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Facial Hair
Thickness |
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Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Firefighter |
Donor's Father Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Father Religion:
Faith | Other |
Denomination | Agnostic |
Primary ethnic origins: | Norwegian, Swedish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Bass |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 45 |
Height | 6'0" |
Weight | 250 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Green |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 10 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 40 |
Type | Wavy |
Skin:
Skin Tone | Med |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | Medical Assistant |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Medical Assistant |
Donor's Mother Religion:
Faith | Christian |
Denomination | Non-denominational |
Primary ethnic origins: | English, Irish |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 55 |
Height | 5'5'' |
Weight | 250 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 10 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 50 |
Type | Straight |
Skin:
Skin Tone | Med |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 26 |
Height | 6'0" |
Weight | 180 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Security |
Education:
Level | Some college |
Degree | Not Completed |
Subject | Criminal Justice |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Baritone |
Instrument Years of experience | Trombone, Guitar - 7, 3 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Hazel |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 8 |
Hair:
Original hair color | Auburn |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | MedL |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Attached |
Facial dimples | Slight |
Military
Served in military | Yes |
Branch | Army |
Rank | Specialist |
Years of service | 4 |
Father's Siblings
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 46 |
Education levels for each: | High school |
Occupations for each: | Medical Assistant |
Religions for each: | Christian |
Father's Sisters' Total Children:
# Boys | 2 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 3 |
Ages of Brothers: | 58, 57, 53 |
Education levels for each: | All have High school |
Occupations for each: | Truck Driver, Unemployed, Unemployed |
Religions for each: | All are Agnostic |
Mother's Brothers' Total Children:
# Boys | 4 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Wheelchair Transportation |
Primary ethnic origins: | Swedish |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Music Director |
Primary ethnic origins: | Norwegian |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Mechanic |
Primary ethnic origins: | Irish |
Siblings:
# Brothers | 4 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Agnostic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Engineer |
Primary ethnic origins: | English |
Siblings:
# Brothers | 1 |
# Sisters | 3 |
Other:
Languages | English |
Religion | Agnostic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |