Questions
Personal Information
Talents:
Voice: | Tenor |
Tell us about your interests/talents and how long you have been pursuing. Provide several. | Scultping/varied art mediums - 10 years, Martial Arts - 6 years, Cooking - 8 years, Hiking - 2 years, Biking - 10 years |
Favorite:
Color | Grey |
Food | Rice |
Music | Rock |
Animal | Cat |
Pet | Cat |
Car | Don't have one |
Movie | Monty Python and the Holy Grail |
Song | "Bones in the Ocean" by The Longest Johns |
Goals:
Academic | Bachelor's of Engineering in Biomedical Science, MD |
Professional | Physician |
Personal | Fluency in Japanese, Handstand pushups in my 50s |
Religion:
Faith | Islam |
Denomination | Sunni |
Languages:
Speak | English |
Sports:
Play | None |
Watch | None |
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 | 1480 - 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 | 5.00 | 5.00 |
College
Question | Response | on scale of |
GPA on scale of | 3.86 | 4.00 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A | N/A |
Subjects Studied:
Major subjects | Biomedical Engineering |
Minor subjects | Electrical Engineering and Asian Studies |
Degrees
Bachelor's | Pursuing BS/Biomedical Engineering |
Master's | N/A |
Doctorate | N/A |
Other(s) | High School |
Awards & Activities
High school | National Art Honor Society, Club Med, Taekwondo, National Latin Honor Society |
College | Community Scholars, Emergency Medical Services |
Academic | Dean's List |
Professional | EMT, Summer Research Internship |
Political | N/A |
Personal | Scholastic Art Competition Regional and National Award Winner |
Charitable | Community Scholar, Volunteer EMT, Library Volunteer, Carboncopies Foundation Volunteer |
Others | Hiking, Drawing, Cooking, Martial Arts |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | N/A |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 14 |
Chest (inches) | 37 |
Inseam (inches) | 29 |
Waist (inches) | 33 |
Sleeve (inches) | 30 |
Hat size | 7 |
Shoe size | 7 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single - 20/600 |
Astigmatism | Yes |
Age started wearing glasses/contacts | 13 |
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 |
|
Size |
|
Shape |
|
Color |
|
Shade |
|
Eyebrows:
Arch |
|
Thickness |
|
Set |
|
Nose:
Size |
|
Shape |
|
Width |
|
Length |
|
Bridge |
|
Nostril flare |
|
Cheekbones:
Set |
|
Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
Gap | No |
Condition |
|
Chin:
Shape |
|
Prominence |
|
Cleft |
|
Ears:
Size |
|
Set |
|
Angle |
|
Lobe size |
|
Lobe attachment |
|
Hair:
Color at birth |
|
Natural color in adulthood |
|
Shade |
|
Type |
|
Fullness |
|
Texture |
|
Skin:
Tone More about skin tones |
|
Tan ability |
|
Condition |
|
Hairline:
Forehead |
|
Contour |
|
Other Facial Features:
Moles |
|
Freckles |
|
Dimples |
|
Adam's apple |
|
Facial Hair
Thickness |
|
Color |
|
Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Retired Cook |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Economics |
Donor's Father Religion:
Faith | Islam |
Denomination | Sunni |
Donor's Father Languages:
Speak | Bangla, English |
Donor's Father Talents:
Voice | Tenor |
Instrument | N/A |
Other | N/A |
Donor's Father Physical Information
Body
Age | 64 |
Height | 5'4" |
Weight | 150 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Corrective Lenses | Yes |
Hair:
Original hair color | Black |
Type | Straight |
Skin:
Skin Tone More about skin tones | Honey |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | Slight |
Donor's Mother Personal Information
Occupation | Sales Associate |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Biology |
Donor's Mother Religion:
Faith | Islam |
Denomination | Sunni |
Donor's Mother Languages:
Speak | Bangla, English |
Donor's Mother Talents:
Voice | Alto |
Instrument | Harmonium |
Other | N/A |
Donor's Mother Physical Information
Body
Age | 53 |
Height | 5'2" |
Weight | 150 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Corrective Lenses | No |
Hair:
Original hair color | Black |
Type | Wavy |
Skin:
Skin Tone More about skin tones | Almond |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | Slight |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Age | 26 |
Height | 5'6" |
Weight | 160 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Data Analyst |
Education:
Level | College |
Degree | Bachelor |
Subject | Actuary Science |
Languages:
Speak | English |
Talents:
Voice | Tenor |
Instrument | N/A |
Other | Muay Thai, Leatherworking, Motorcycling |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Corrective Lenses | Yes |
Hair:
Original hair color | Black |
Type | Wavy |
Skin:
Skin tone More about skin tones | Almond |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | None |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Age | 17 |
Height | 5'6" |
Weight | 155 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Student |
Education:
Level | High school diploma |
Degree | Pursuing Diploma |
Subject | General studies |
Languages:
Speak | English |
Talents:
Voice | Tenor |
Instrument | N/A |
Other | Music Mixing |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Corrective Lenses | Yes |
Hair:
Original hair color | Black |
Type | Straight |
Skin:
Skin tone More about skin tones | Almond |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | None |
Donor's Sibling #3
Full/Half sibling | Full |
Sibling #3 Physical Information
Body
Age | 25 |
Height | 5'2" |
Weight | 100 lbs. |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Project Manager |
Education:
Level | College |
Degree | Bachelor |
Subject | Health Information Systems |
Languages:
Speak | English |
Talents:
Voice | Soprano |
Instrument | N/A |
Other | Gardening, Interior Design, Hiking, Yoga |
Sibling #3 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Corrective Lenses | Yes |
Hair:
Original hair color | Black |
Type | Wavy |
Skin:
Skin tone More about skin tones | Almond |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | Slight |
Father's Siblings
Father's Brothers
# of Brothers | 4 |
Ages of Brothers: | 56, 55, 54, 53 |
Education levels for each: | High school, High school, High school, High school |
Occupations for each: | Businessman, Businessman, Businessman, Businessman |
Father's Brothers' Total Children:
# Boys | 5 |
# Girls | 8 |
Father's Sisters
# of Sisters | 3 |
Ages of Sisters: | 65, 52, 50 |
Education levels for each: | Grade school, Grade school, Grade school |
Occupations for each: | Homemaker, Homemaker, Homemaker |
Father's Sisters' Total Children:
# Boys | 8 |
# Girls | 6 |
Mother's Siblings
Mother's Brothers
# Brothers | 5 |
Ages of Brothers: | 75, 70, 69, 65, 60 |
Education levels for each: | College, College, College, College, College |
Occupations for each: | Businessman, Businessman, Businessman, Professor, Businessman |
Mother's Brothers' Total Children:
# Boys | 7 |
# Girls | 11 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 52 |
Education levels for each: | High school |
Occupations for each: | Homemaker |
Mother's Sisters' Total Children:
# Boys | 2 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | Grade school |
Degree | Not Completed |
Occupation: | Farmer |
Siblings:
# Brothers | 1 |
# Sisters | 3 |
Other:
Languages | Bangla, Conversational English |
Religion | Islam |
Father's Mother
Education
Level | Grade school |
Degree | Not Completed |
Occupation: | Homemaker |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | Bangla |
Religion | Islam |
Mother's Parents
Mother's Father
Education
Level | High school diploma |
Degree | Other |
Occupation: | Businessman |
Siblings:
# Brothers | 4 |
# Sisters | 0 |
Other:
Languages | Bangla, Hindi, English, Arabic, Farsi |
Religion | Islam |
Mother's Mother
Education
Level | Grade school |
Degree | Not Completed |
Occupation: | Homemaker |
Siblings:
# Brothers | 6 |
# Sisters | 3 |
Other:
Languages | Bangla, Conversational English |
Religion | Islam |