Questions
Personal Information
Talents:
| Voice: | Baritone |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | I like to play guitar and have been playing for 20 years. I love to snowboard and have been riding for 14 years. I love to mountain bike and have been riding for 20 years. I love sports such as baseball and football and played sports all my life. I like to hike, camp, fish and be outdoors. |
Favorite:
| Color | Green |
| Food | Sushi |
| Music | Classic Rock |
| Animal | Tiger |
| Pet | Dog |
| Car | Tesla |
| Movie | Top Gun |
| Song | Led Zeppelin - Black Dog |
Goals:
| Academic | Master's Degree |
| Professional | Parole Agent |
| Personal | Travel to more than 30 countries |
Religion:
| Faith | Other |
| Denomination | N/A |
Languages:
| Speak | English |
Sports:
| Play | Football and Baseball |
| Watch | Football, Baseball, and Hockey |
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 | 1250 - 1600 |
| ACT on scale of | 29 - 36 |
| 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 | 3.8 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.3 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | Graphic design |
| Minor subjects | N/A |
Degrees
| Bachelor's | BFA/Graphic Design |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Varsity Basketball |
| College | N/A |
| Academic | Graduated with honors |
| Professional | N/A |
| Political | N/A |
| Personal | Guitar, Cooking |
| Charitable | N/A |
| Others | Snowboarding, Riding |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 44 |
| Inseam (inches) | 32 |
| Waist (inches) | 40 |
| Sleeve (inches) | 31 |
| Hat size | 7 ½ |
| Shoe size | 11 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 12-13 |
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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Cheekbones:
| Set |
|
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 | No |
| 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 |
|
| Tan ability |
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| Condition |
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Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| 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 | Medical Sales |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Science |
Donor's Father Religion:
| Faith | Other |
| Denomination | N/A |
Donor's Father Languages:
| Speak | English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument | N/A |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 62 |
| Height | 6’ 0” |
| Weight | 275 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Sand |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Nurse |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Nursing |
Donor's Mother Religion:
| Faith | Other |
| Denomination | N/A |
Donor's Mother Languages:
| Speak | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 62 |
| Height | 5’ 6” |
| Weight | 165 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Wavy |
Skin:
| Skin Tone More about skin tones | Sand |
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 | 33 |
| Height | 6’ 0” |
| Weight | 225 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Respiratory Therapist |
Education:
| Level | College |
| Degree | Associate |
| Subject | Respiratory Therapy |
Languages:
| Speak | English |
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 | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Sand |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Donor's Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Age | 36 |
| Height | 5’ 8” |
| Weight | 190 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Pharmacist |
Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Pharmacy |
Languages:
| Speak | English |
Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Sibling #2 Children:
| # Boys Ages: | 1 - 2 |
| # Girls Ages: | 1 - 4 |
Sibling #2 Facial Features
Eyes:
| Eye color | Hazel |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Sand |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | None |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 59 |
| Education levels for each: | College |
| Occupations for each: | Teacher |
Father's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 1 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 57 |
| Education levels for each: | Some College |
| Occupations for each: | Office Worker |
Father's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 4 |
| Ages of Brothers: | 75, 74, 67, 59 |
| Education levels for each: | Unknown, Unknown, Unknown, Unknown |
| Occupations for each: | Unknown, Unknown, Unknown, Unknown |
Mother's Brothers' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Mother's Sisters
| # Sisters | 3 |
| Ages of Sisters: | 72, 64, 56 |
| Education levels for each: | Unknown, Unknown, Unknown |
| Occupations for each: | Unknown, Unknown, Unknown |
Mother's Sisters' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Teacher |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | None |
Father's Mother
Education
| Level | Some college |
| Degree | Not Completed |
| Occupation: | Medical Assistant |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | None |
Mother's Parents
Mother's Father
Education
| Level | Some college |
| Degree | Not Completed |
| Occupation: | Military |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | None |
Mother's Mother
Education
| Level | Some college |
| Degree | Not Completed |
| Occupation: | Medical Assistant |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Other |

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