Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Tenor
Instrument:
Years of experience:		Clarinet (Band) - 1
Other talents:
Years of experience		Tennis - 2
Favorite:
ColorGray
FoodItalian
MusicClassic rock, Pop
AnimalPenguin
PetCat
CarSports cars
MovieSuperhero movies
Song"Don't Stop Believing "
PlayThe Nutcracker
Goals:
AcademicGraduate with honors/4.0 GPA
Professional Find cures for diseases
PersonalTravel the world
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Sports:
PlayTennis
WatchFootball
Siblings:
# Brothers1
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1400 - out of 1600
ACT
on scale of		24 - 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 		3.44.0
College
Question Response on scale of
GPA
on scale of 		3.404.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsBiology
Minor subjectsN/A
Degrees
Bachelor'sN/A
Master'sN/A
DoctorateN/A
Other(s)Pursuing AA/Biology (planning to transfer to a BA program next semester)
Awards & Activities
High schoolScholar program, A/B Honor Roll, Perfect attendance
CollegeHonors Program
AcademicHonors club, Drafting club leadership
Professional Paraprofessional of the Year
Political N/A
Personal N/A
Charitable Volunteer at a food bank
OthersN/A

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)38
Inseam (inches)32
Waist (inches)30
Sleeve (inches)30
Wrist (inches)6.5
Hat size7
Shoe size8.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts14
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use20 to present
Other Physical Aids:
ListNone
Reason/causeN/A

Facial Features

Eyes:
Set
  • NarrowNarrow
  • AverageAverage
  • WideWide
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Shape
  • AlmondAlmond
  • OvalOval
  • RoundRound
Color
  • Black
  • Blue
  • Green
  • Hazel
  • Brown
Shade
  • Light
  • Medium
  • Dark
Eyebrows:
Arch
  • Flat
  • Medium
  • High
Thickness
  • ThinThin
  • AverageAverage
  • ThickThick
Set
  • Narrow
  • Average
  • Wide
Nose:
Size
  • Small
  • Medium
  • Large
Shape
  • RoundRound
  • StraightStraight
  • WideWide
Width
  • Narrow
  • Average
  • Wide
Length
  • Short
  • Average
  • Long
Bridge
  • ConvexConvex
  • StraightStraight
  • ConcaveConcave
Nostril flare
  • Small
  • Average
  • Wide
Septum
  • Thin
  • Average
  • Thick
Cheekbones:
Set
  • Low
  • Average
  • High
Prominence
  • Slight
  • Medium
  • Strong
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
Condition
  • Poor
  • Fair
  • Good
Chin:
Shape
  • RoundRound
  • OvalOval
  • SquareSquare
Prominence
  • Slight
  • Average
  • Strong
Cleft
  • NoneNone
  • SlightSlight
  • StrongStrong
Ears:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Set
  • Low
  • Average
  • High
Angle
  • FlatFlat
  • AverageAverage
  • AcuteAcute
Lobe size
  • Small
  • Medium
  • Large
Lobe attachment
  • DetachedDetached
  • AttachedAttached
Hair:
Color at birth
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Natural color in adulthood
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Shade
  • Light
  • Medium
  • Dark
Type
  • Straight
  • Wavy
  • Curly
Fullness
  • Thin
  • Medium
  • Thick
Texture
  • Fine
  • Coarse
  • Medium
Skin:
Tone
  • Light
  • MedL
  • Med
  • MedDk
  • Dark
Tan ability
  • None
  • Slight
  • Medium
  • Easy
Condition
  • Oily
  • Medium
  • Combination
  • Dry
Hairline:
Forehead
  • Low
  • Average
  • High
Contour
  • Straight
  • Slight Curve
  • Widow Peak
Other Facial Features:
Moles
  • None
  • One
  • Several
Freckles
  • None
  • Several
  • Moderate
  • Numerous
Dimples
  • None
  • Slight
  • Medium
  • Deep
Adam's apple
  • Slight
  • Medium
  • Strong
Facial Hair
Thickness
  • Thin
  • Medium
  • Dense
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationConstruction Worker
Donor's Father Education:
LevelSome college
DegreeNot Completed
SubjectBusiness Administration
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Mexican
Donor's Father Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age46
Height5'7"
Weight130 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesMedium
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectBusiness
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Mexican
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age41
Height5'5"
Weight160 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age22
Height5'5"
Weight150 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Teaching Assistant
Education:
LevelSome college
DegreePursuing
SubjectTeaching
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceSoprano
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age20
Height5'7"
Weight150 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Dental Assistant
Education:
LevelCollege
DegreeAssociate
SubjectDentistry
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceBaritone
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts13
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:51, 50, 45
Education levels for each:Bachelor's, PhD, Bachelor's
Occupations for each:Graphic Design, Engineer, Architect
Religions for each:All are Catholic
Father's Brothers' Total Children:
# Boys2
# Girls4
Mother's Siblings
Mother's Brothers
# Brothers4
Ages of Brothers:44, 42, 33, 18
Education levels for each:Bachelor's, Master's, Bachelor's, Some college
Occupations for each:Accountant, Teacher, Graphic Design, Student
Religions for each:All are Catholic
Mother's Brothers' Total Children:
# Boys2
# Girls6
Mother's Sisters
# Sisters1
Ages of Sisters:42
Education levels for each:Master's
Occupations for each:Teacher
Religions for each:Catholic
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelTechnical school
DegreeDiploma
SubjectBusiness Management
Occupation:Accountant (retired)
Primary ethnic origins:Mexican
Siblings:
# Brothers4
# Sisters1
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelTechnical school
DegreeDiploma
SubjectCosmetology
Occupation:Secretary (retired)
Primary ethnic origins:Mexican
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeBachelor's
SubjectAccounting
Occupation:Business Manager (retired)
Primary ethnic origins:Mexican
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesEnglish, Spanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelTechnical school
DegreeDiploma
SubjectGeneral Studies
Occupation:Secretary
Primary ethnic origins:Mexican
Siblings:
# Brothers1
# Sisters3
Other:
LanguagesEnglish, Spanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0