Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | None |
Other talents: Years of experience | Home Improvement - 5 |
Favorite:
Color | Green |
Food | Chicken |
Music | Country |
Animal | Dog |
Pet | Dog |
Car | Ford Mustang |
Movie | Miracle |
Song | "Riser" by Dierks Bentley |
Play | Hamilton |
Goals:
Academic | Obtain Master's in Engineering or Business Administration |
Professional | Obtain professional engineer license |
Personal | Run a marathon |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English |
Read | English, some Spanish |
Write | English |
Sports:
Play | Roller Hockey |
Watch | Hockey, Baseball, Lacrosse, Football |
Siblings:
# Brothers | 3 |
# Sisters | 0 |
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 | 1400 (approx.) - out of 1600 |
ACT on scale of | N/A |
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 | 3.7 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 2.60 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Civil Engineering |
Minor subjects | N/A |
Degrees
Bachelor's | BCE/Civil Engineering |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Marine Corps Physical Fitness Team |
College | Army ROTC |
Academic | N/A |
Professional | Engineering societies member |
Political | N/A |
Personal | N/A |
Charitable | 5k runs for wounded veterans |
Others | Mentor for Future City Competition |
Military
Served in military | Yes |
Branch | U.S. Army Reserves |
Rank | 1LT (P) |
Years of service | 5 |
Physical Features
Hands | Left-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 16 |
Chest (inches) | 39 |
Inseam (inches) | 33 |
Waist (inches) | 34 |
Sleeve (inches) | 31 |
Wrist (inches) | 7 |
Hat size | 7 |
Shoe size | 13 |
Physical Aids
Eyes:
Vision | Normal - (Near-sighted before laser surgery) |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 15 |
Laser surgery? | Yes |
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 |
|
Septum |
|
Cheekbones:
Set |
|
Prominence |
|
Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
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 |
|
Tan ability |
|
Condition |
|
Hairline:
Forehead |
|
Contour |
|
Other Facial Features:
Moles |
|
Freckles |
|
Dimples |
|
Adam's apple |
|
Facial Hair
Thickness |
|
Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Engineer |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Electrical Engineering |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | English, Irish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 58 |
Height | 5'10" |
Weight | 225 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 20 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Curly |
Skin:
Skin Tone | Med |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | None |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | Contract Manager |
Donor's Mother Education:
Level | College |
Degree | Associate |
Subject | Physician's Assistant |
Donor's Mother Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | German |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 56 |
Height | 5'8" |
Weight | 150 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 20 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | Med |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | None |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 34 |
Height | 6'1" |
Weight | 225 lbs. |
Hands | Left-Handed |
Sibling #1 Personal Information
Occupation | Software Engineer |
Education:
Level | College |
Degree | Bachelor |
Subject | Computer Science |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
Instrument Years of experience | Drums - 5 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 1 - 4 |
# Girls Ages: | 1 - 2 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Med |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Male |
Age | 30 |
Height | 5'10" |
Weight | 270 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Software Engineer (on the job training) |
Education:
Level | College |
Degree | Bachelor |
Subject | Kinesiology |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
Instrument Years of experience | Drums - 5 |
Other Years of experience | Art - 15 |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 7 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Curly |
Skin:
Skin tone | MedL |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #3
Full/Half sibling | Full |
Sibling #3 Physical Information
Body
Sex | Male |
Age | 29 |
Height | 5'8" |
Weight | 165 lbs. |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Engineer |
Education:
Level | College |
Degree | Bachelor |
Subject | Mechanical Engineer |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
Instrument Years of experience | None |
Other Years of experience | None |
Sibling #3 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 15 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Curly |
Skin:
Skin tone | Med |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 2 |
Ages of Brothers: | 64, 55 |
Education levels for each: | College, College |
Occupations for each: | Laborer (retired), Supervisor |
Religions for each: | Catholic, Catholic |
Father's Brothers' Total Children:
# Boys | 4 |
# Girls | 2 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 66 |
Education levels for each: | College |
Occupations for each: | Retail Sales (retired) |
Religions for each: | Catholic |
Father's Sisters' Total Children:
# Boys | 3 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 2 |
Ages of Brothers: | 57, 45 |
Education levels for each: | College, College |
Occupations for each: | Business Executive, Disabled |
Religions for each: | Catholic, Catholic |
Mother's Brothers' Total Children:
# Boys | 3 |
# Girls | 1 |
Mother's Sisters
# Sisters | 3 |
Ages of Sisters: | 60, 53, 43 |
Education levels for each: | College (all) |
Occupations for each: | Physician's Assistant, Contract Manager, Property Manager |
Religions for each: | Catholic (all) |
Mother's Sisters' Total Children:
# Boys | 5 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | Some high school |
Degree | None |
Subject | General Studies |
Occupation: | Quality Control Inspector (retired) |
Primary ethnic origins: | English, Irish |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | Navy |
Rank | E5 |
Service Yrs | 4 |
Father's Mother
Education
Level | Some high school |
Degree | None |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | English, Irish |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High school |
Degree | General Educational Development (GED) |
Subject | General Studies |
Occupation: | Carpenter |
Primary ethnic origins: | German (PA Dutch) |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | Army National Guard |
Rank | E5 |
Service Yrs | 4 |
Mother's Mother
Education
Level | High school |
Degree | General Educational Development (GED) |
Subject | General Studies |
Occupation: | Homemaker, Thrift Shop Volunteer |
Primary ethnic origins: | German (PA Dutch) |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |