Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | Bass Clarinet, Piano, Organ - 10, 6, 5 |
| Other talents: Years of experience | None |
Favorite:
| Color | Navy blue |
| Food | Italian (Chicken Parmesan, in particular) and sushi |
| Music | Classical, particularly organ music |
| Animal | Dogs |
| Pet | Miniature Schnauzer |
| Car | Lamborghini Gallardo |
| Movie | Tropic Thunder |
| Song | Organ Symphony No. 1, Op. 14: VI. Finale by Louis Vierne |
| Play | Macbeth |
Goals:
| Academic | Graduating from college (accomplished) |
| Professional | A six-figure income |
| Personal | Owning a home and an acre of land in a rural area |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Languages:
| Speak | English, some Spanish |
| Read | English |
| Write | English, with very good cursive |
Sports:
| Play | Football, Basketball |
| Watch | Football, Basketball, Baseball, Hockey |
Siblings:
| # Brothers | 0 |
| # Sisters | 2 |
| 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 | 1600 - out of 2400 |
| 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 | 3.9 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.61 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Biology, Virology |
| Minor subjects | None |
Degrees
| Bachelor's | BS/Biology, Pathogenesis and Immunity focus |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | High school |
Awards & Activities
| High school | Multiple All-state and solo bass clarinet awards, Marching band |
| College | Bass clarinetist for university wind symphony all four years |
| Academic | Graduate with Higher Honors (top 2%) |
| Professional | N/A |
| Political | N/A |
| Personal | Writing and composing clarinet quartets |
| Charitable | N/A |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Physical Features
| Hands | Right-Handed |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 15.5 |
| Chest (inches) | 42 |
| Inseam (inches) | 32 |
| Waist (inches) | 31 |
| Sleeve (inches) | 35 |
| Wrist (inches) | 6 |
| Hat size | 7 |
| Shoe size | 10 |
Physical Aids
Eyes:
| Vision | Normal - (Near-sighted before laser surgery) |
| Glasses | None - (Single glasses before laser surgery) |
| Astigmatism | No |
| Age started wearing glasses/contacts | 14 |
| Laser surgery? | Yes |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 12-14 |
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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Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
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| Thickness |
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| Set |
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Thin
Average
ThickNose:
| 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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Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| 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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Small
Average
Large
Thin
Average
FullTeeth:
| Size |
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| Set |
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| Condition |
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Average
Large
SmallChin:
| Shape |
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| Prominence |
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| Cleft |
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Round
Oval
Square
None
Slight
StrongEars:
| 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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Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| 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 | Semiconductor Technician |
Donor's Father Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Donor's Father Religion:
| Faith | Other |
| Denomination | Agnostic |
| Primary ethnic origins: | German-Native American-Scottish |
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 | 45 |
| Height | 5'8" |
| Weight | 190 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 43 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | 40 |
| Type | Straight |
Skin:
| Skin Tone | Light |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | Slight |
Military
| Served in Military | Yes |
| Branch | Navy |
| Rank | Seaman |
| Years of service | 4 |
Donor's Mother Personal Information
| Occupation | Nurse |
Donor's Mother Education:
| Level | College |
| Degree | Associate |
| Subject | Nursing |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | Mexican, Spanish |
Donor's Mother Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 45 |
| Height | 5'4" |
| Weight | 150 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 16 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Curly |
Skin:
| Skin Tone | Light |
| 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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Sex | Female |
| Age | 23 |
| Height | 5'4" |
| Weight | 100 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Bartender |
Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| 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 color | Brown |
| Eye shade | Dark |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 15 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Light |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | Medium |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Donor's Sibling #2
| Full/Half sibling | Half |
Sibling #2 Physical Information
Body
| Sex | Female |
| Age | 9 |
| Height | 4'0" |
| Weight | 75 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Student |
Education:
| Level | Grade school |
| Degree | Pursuing |
| Subject | General Studies |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Soprano |
| 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 color | Brown |
| Eye shade | Light |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 7 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Light |
| 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 |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 51 |
| Education levels for each: | High school |
| Occupations for each: | Business Owner |
| Religions for each: | Agnostic |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Father's Sisters
| # of Sisters | 3 |
| Ages of Sisters: | 62, 58, 50 |
| Education levels for each: | High school (for all) |
| Occupations for each: | Homemaker (all) |
| Religions for each: | Catholic (all) |
Father's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 3 |
| Ages of Brothers: | 47, 38, 36 |
| Education levels for each: | Some high school (for all) |
| Occupations for each: | Mechanic, Carpenter, Carpenter |
| Religions for each: | Catholic (all) |
Mother's Brothers' Total Children:
| # Boys | 2 |
| # Girls | 1 |
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 37, 31 |
| Education levels for each: | Some high school, Some high school |
| Occupations for each: | Waitress, Tattoo Artist |
| Religions for each: | Catholic, Catholic |
Mother's Sisters' Total Children:
| # Boys | 2 |
| # Girls | 2 |
Father's Parents
Father's Father
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Semiconductor Engineer (retired) |
| Primary ethnic origins: | Scottish |
Siblings:
| # Brothers | 1 |
| # Sisters | 4 |
Other:
| Languages | English |
| Religion | Agnostic |
Military
| Branch | Coast Guard |
| Rank | Unknown |
| Service Yrs | 6 |
Father's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | German, Native American (Cherokee) |
Siblings:
| # Brothers | N/A |
| # Sisters | N/A |
Other:
| Languages | English |
| Religion | Agnostic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | Some high school |
| Degree | Not completed |
| Subject | General Studies |
| Occupation: | Business Owner (retired) |
| Primary ethnic origins: | Spanish |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English, Spanish |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Mother
Education
| Level | Some high school |
| Degree | Not completed |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Mexican, Spanish |
Siblings:
| # Brothers | 0 |
| # Sisters | 3 |
Other:
| Languages | English, Spanish |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |