Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | N/A - N/A |
| Other talents: Years of experience | Athletics- Football, Basketball, Baseball, Tennis, Running, Crossfit - 2-20 |
Favorite:
| Color | Blue |
| Food | Healthy |
| Music | Lyrical |
| Animal | Tiger |
| Pet | Dog |
| Car | Chevrolet |
| Movie | Remember The Titans |
| Song | I- Kendrick Lamar |
| Play | The Nutcracker |
Goals:
| Academic | PHD |
| Professional | Athletic Director/ Own a Business |
| Personal | Impact as many lives as possible |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | Football, Baseball, Basketball, Tennis, Esports |
| Watch | Football, Baseball, Basketball, Tennis, Esports, Soccer |
Siblings:
| # Brothers | 2 |
| # Sisters | 1 |
| 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 | 1200 - 1600 |
| ACT on scale of | 22 - 36 |
| GRE on scale of | 160 - 170 |
| 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 | 3.3 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.35 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.25 | 4.0 |
Subjects Studied:
| Major subjects | Kinesiology (BS), Sport Management (MS) |
| Minor subjects | General Business |
Degrees
| Bachelor's | BS/Kinesiology |
| Master's | MS/Sports Management |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Spanish Club president 3 years, Chess Club champion |
| College | 4 year Division 1 Football student assistant, Deans List 2014, Kinesiology Association Vice President |
| Academic | Deans List 2014 |
| Professional | Alumni Club Chapter President |
| Political | N/A |
| Personal | N/A |
| 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 | Medium |
Sizes & Measurements
| Neck (inches) | 15.5 |
| Chest (inches) | 43 |
| Inseam (inches) | 31 |
| Waist (inches) | 40 |
| Sleeve (inches) | 31 |
| Wrist (inches) | 7.5 |
| Hat size | 7.25 |
| Shoe size | 12 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 20 |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 13-15 |
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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| 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 | Pipe Fitter |
Donor's Father Education:
| Level | Trade school |
| Degree | Other |
| Subject | Pipe Fitting |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Non-denominational |
| Primary ethnic origins: | Mexican-Scottish |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Tenor |
| Instrument yrs experience | N/A |
| Other yrs experience | N/A |
Donor's Father Physical Information
Body
| Age | 50 |
| Height | 5'8" |
| Weight | 200 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Dental Assistant |
Donor's Mother Education:
| Level | Trade school |
| Degree | Other |
| Subject | Dental Assisting |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Non-denominational |
| Primary ethnic origins: | Native American-Mexican |
Donor's Mother Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument yrs experience | N/A |
| Other yrs experience | N/A |
Donor's Mother Physical Information
Body
| Age | 56 |
| Height | 5' 1" |
| Weight | 150 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Oily |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Half |
Sibling #1 Physical Information
Body
| Sex | Female |
| Age | 35 |
| Height | 5' 0" |
| Weight | 140 lbs |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Marketing Manager |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Marketing |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #1 Children:
| # Boys Ages: | 1 - 1 |
| # Girls Ages: | 1 - 4 |
Sibling #1 Facial Features
Eyes:
| Eye color | Hazel |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | MedL |
| Skin condition | Oily |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Sibling #2
| Full/Half sibling | Half |
Sibling #2 Physical Information
Body
| Sex | Male |
| Age | 33 |
| Height | 6' 0" |
| Weight | 200 lbs |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Stock Broker |
Education:
| Level | College |
| Degree | Associate |
| Subject | Finance |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English and Spanish |
| Read | English and Spanish |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #2 Children:
| # Boys Ages: | 2 - 4, 1 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | MedL |
| Skin condition | Oily |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Sibling #3
| Full/Half sibling | Full |
Sibling #3 Physical Information
Body
| Sex | Male |
| Age | 27 |
| Height | 5' 8" |
| Weight | 170 lbs. |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Parks and Recreation |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Theater |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | Drums - 8 |
| Other Years of experience | N/A |
Sibling #3 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | MedL |
| Skin condition | Oily |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 3 |
| Ages of Brothers: | 40, 40, 38 |
| Education levels for each: | High School, High School, High School |
| Occupations for each: | State Employee, Pipe Fitter, Self-employed |
| Religions for each: | Catholic, Catholic, Catholic |
Father's Brothers' Total Children:
| # Boys | 3 |
| # Girls | 5 |
Father's Sisters
| # of Sisters | 3 |
| Ages of Sisters: | 58, 53, 52 |
| Education levels for each: | High School, High School, High School |
| Occupations for each: | Self-employed, Self-employed, Self-employed |
| Religions for each: | Catholic, Catholic, Catholic |
Father's Sisters' Total Children:
| # Boys | 5 |
| # Girls | 3 |
Mother's Siblings
Mother's Brothers
| # Brothers | 3 |
| Ages of Brothers: | 63, 60, 47 |
| Education levels for each: | High School, High School, High School |
| Occupations for each: | State Employee, Self-employed, Self-employed |
| Religions for each: | Catholic, Catholic, Catholic |
Mother's Brothers' Total Children:
| # Boys | N/A |
| # Girls | 1 |
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 44 |
| Education levels for each: | High School |
| Occupations for each: | Self-employed |
| Religions for each: | Catholic |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | Junior High |
| Degree | None |
| Subject | General Studies |
| Occupation: | Laborer |
| Primary ethnic origins: | Mexican |
Siblings:
| # Brothers | 1 |
| # Sisters | N/A |
Other:
| Languages | Spanish |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Father's Mother
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Laborer |
| Primary ethnic origins: | Scottish |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | Spanish, English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | Junior High |
| Degree | None |
| Subject | General Studies |
| Occupation: | Farmer |
| Primary ethnic origins: | Native American |
Siblings:
| # Brothers | 1 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Mother
Education
| Level | Junior High |
| Degree | None |
| Subject | General Studies |
| Occupation: | Farmer |
| Primary ethnic origins: | Mexican |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Spanish |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |

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