Questions
Personal Information
Talents:
| Voice: | Baritone |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | My main two passions in life are skateboarding and music. Both have provided me with a level of fulfilment that few other things have. While I do have a passion for horticulture I feel more strongly about skateboarding and music. |
Favorite:
| Color | Lavender |
| Food | Veggie Pizza |
| Music | 90's rap |
| Animal | Penguin |
| Pet | My cat Jiji |
| Car | 1998 Toyota Corolla |
| Movie | Mulholland Drive |
| Song | Let's Groove - Earth Wind and Fire |
Goals:
| Academic | Bachelors degree (maybe masters) |
| Professional | Work in a horticultural nursery or botanical garden |
| Personal | Make a worthy contribution to the local skateboarding community |
Religion:
| Faith | Jewish |
| Denomination | Ashkenazi |
Languages:
| Speak | English, Dutch |
Sports:
| Play | Skateboarding |
| Watch | Skateboarding, Basketball, E-Sports |
Siblings:
| Are you or any of your siblings twins? Please specify who and if they are fraternal or identical | No |
Academics
Standard Test Score: provide score or denote N/A if not taken
| SAT on scale of | 1260 - 1600 |
| ACT on scale of | N/A - N/A |
| GRE on scale of | N/A - N/A |
| MCAT on scale of | N/A - N/A |
| LSAT on scale of | N/A - N/A |
| GMAT on scale of | N/A - N/A |
| TOEFL on scale of | N/A - N/A |
| Other on scale of | N/A - N/A |
High School
| Question | Response | on scale of |
| GPA on scale of | 3.3 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.2 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Theatre Technology and Design |
| Minor subjects | Horticulture |
Degrees
| Bachelor's | Theatre Arts |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Honor Society |
| College | Vice President of School Club |
| Academic | 3.5 GPA |
| Professional | Work in flower lab |
| Political | N/A |
| Personal | Good at Skateboarding |
| Charitable | N/A |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Short |
Sizes & Measurements
| Neck (inches) | 15 |
| Chest (inches) | 37 |
| Inseam (inches) | 31 |
| Waist (inches) | 30 |
| Sleeve (inches) | 31 |
| Hat size | 7 ½ |
| Shoe size | 9 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | None |
| Reason | N/A |
| Age range during use | N/A |
Other Physical Aids:
| List | N/A |
| 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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Cheekbones:
| Set |
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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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| Gap | Yes |
| 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 More about skin tones |
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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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| Color |
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| Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Professor |
Donor's Father Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Physics |
Donor's Father Religion:
| Faith | Jewish |
| Denomination | Ashkenazi |
Donor's Father Languages:
| Speak | English, Dutch, German |
Donor's Father Talents:
| Voice | Bass |
| Instrument | N/A |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 74 |
| Height | 6'1" |
| Weight | 200 lbs |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Wavy |
Skin:
| Skin Tone More about skin tones | Sand |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Homemaker |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Linguistics |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Catholic |
Donor's Mother Languages:
| Speak | Dutch, English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 54 |
| Height | 5'3" |
| Weight | 100 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Pale ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Age | 16 |
| Height | 6'0" |
| Weight | 150 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Student |
Education:
| Level | Some High school |
| Degree | Pursuing Diploma |
| Subject | General Studies |
Languages:
| Speak | English, Dutch |
Talents:
| Voice | Baritone |
| Instrument | N/A |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Wavy |
Skin:
| Skin tone More about skin tones | Warm ivory |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | None |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 67 |
| Education levels for each: | College |
| Occupations for each: | Professor |
Father's Brothers' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 56, 52 |
| Education levels for each: | College, College |
| Occupations for each: | Professor, High School Teacher |
Mother's Brothers' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Father's Parents
Father's Father
Education
| Level | High school diploma |
| Degree | Not Completed |
| Occupation: | Grocery Store Owner |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Polish |
| Religion | Jewish |
Father's Mother
Education
| Level | Some High school |
| Degree | Not Completed |
| Occupation: | Secretary |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Polish |
| Religion | Jewish |
Mother's Parents
Mother's Father
Education
| Level | High school diploma |
| Degree | Not Completed |
| Occupation: | Retired, Columnist |
Siblings:
| # Brothers | 2 |
| # Sisters | 0 |
Other:
| Languages | Dutch |
| Religion | Christian |
Mother's Mother
Education
| Level | High school diploma |
| Degree | Not Completed |
| Occupation: | Retired Columnist |
Siblings:
| # Brothers | 3 |
| # Sisters | 0 |
Other:
| Languages | Dutch |
| Religion | Christian |

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