Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Some guitar - 1 |
Other talents: Years of experience | Pool/billiards - 15 |
Favorite:
Color | Blue |
Food | Chicken |
Music | Classic rock |
Animal | Cat |
Pet | Cat |
Car | Honda |
Movie | Thor: Ragnarok |
Song | "Baba O'Riley" |
Play | A Midsummer Night's Dream |
Goals:
Academic | Possibly get Master's/PhD |
Professional | Make a living and enjoy a retirement |
Personal | Travel more |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English, Japanese |
Write | English, Japanese |
Sports:
Play | Bowling |
Watch | Baseball, Hockey |
Siblings:
# Brothers | 0 |
# 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 | Taken, score not remembered |
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 | 3.75 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 2.91 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Computer Science |
Minor subjects | N/A |
Degrees
Bachelor's | BS/Computer & Information Sciences |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | N/A |
College | N/A |
Academic | N/A |
Professional | Army achievement medal, Performance award |
Political | N/A |
Personal | N/A |
Charitable | N/A |
Others | N/A |
Military
Served in military | Yes |
Branch | Army |
Rank | E4 |
Years of service | 4 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 15 |
Chest (inches) | 40 |
Inseam (inches) | 30 |
Waist (inches) | 40 |
Sleeve (inches) | 30 |
Wrist (inches) | 7 |
Hat size | 7.5 |
Shoe size | 8.5 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | N/A |
Laser surgery? | No |
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 |
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Color |
|
Shade |
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Eyebrows:
Arch |
|
Thickness |
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Set |
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Nose:
Size |
|
Shape |
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Width |
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Length |
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Bridge |
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Nostril flare |
|
Septum |
|
Cheekbones:
Set |
|
Prominence |
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Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
Condition |
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Chin:
Shape |
|
Prominence |
|
Cleft |
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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 |
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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 | Network Administrator (retired) |
Donor's Father Education:
Level | Graduate school |
Degree | Master |
Subject | Business Management |
Donor's Father Religion:
Faith | Christian |
Denomination | Baptist |
Primary ethnic origins: | Welsh |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 63 |
Height | 5'9" |
Weight | 200 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 50 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 45 |
Type | Wavy |
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 | E-6 |
Years of service | 19 |
Donor's Mother Personal Information
Occupation | Research Analyst (retired) |
Donor's Mother Education:
Level | College |
Degree | Associate |
Subject | Liberal Arts |
Donor's Mother Religion:
Faith | Christian |
Denomination | Lutheran |
Primary ethnic origins: | Dutch, German |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 64 |
Height | 5'1" |
Weight | 215 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 50 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 30 |
Type | Straight |
Skin:
Skin Tone | Light |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
Facial Dimples | Medium |
Military
Served in Military | Yes |
Branch | Navy |
Rank | E-5 |
Years of service | 16 |
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 | 36 |
Height | 5'1" |
Weight | 175 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Social Worker |
Education:
Level | Graduate school |
Degree | Master |
Subject | Nursing, Social Services |
Religion:
Faith | Christian |
Denomination | Baptist |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Soprano |
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 | Green |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | N/A |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
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 | N/A |
Father's Siblings
Father's Brothers
# of Brothers | 2 |
Ages of Brothers: | 58, 52 |
Education levels for each: | Some college, Some college |
Occupations for each: | Landscape Design/Management, Farm Management |
Religions for each: | None, None |
Father's Brothers' Total Children:
# Boys | 3 |
# Girls | 2 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 60 |
Education levels for each: | Some college |
Occupations for each: | Farm Management |
Religions for each: | None |
Father's Sisters' Total Children:
# Boys | 1 |
# Girls | 2 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 50 (deceased) |
Education levels for each: | Some college |
Occupations for each: | Military (retired)/Electrician |
Religions for each: | None |
Mother's Brothers' Total Children:
# Boys | 2 |
# Girls | 1 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 59 |
Education levels for each: | Some college |
Occupations for each: | Sales (retired) |
Religions for each: | None |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Telephone Technician |
Primary ethnic origins: | Welsh |
Siblings:
# Brothers | 3 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Baptist |
Military
Branch | Army |
Rank | E-3 |
Service Yrs | 3 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Cafeteria Worker |
Primary ethnic origins: | Welsh |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Baptist |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
Level | Some high school |
Degree | None |
Subject | General Studies |
Occupation: | Military (retired) |
Primary ethnic origins: | German |
Siblings:
# Brothers | 3 |
# Sisters | 3 |
Other:
Languages | English, German |
Religion | Lutheran |
Military
Branch | Navy |
Rank | E-8 |
Service Yrs | 25 |
Mother's Mother
Education
Level | High school |
Degree | None |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Dutch |
Siblings:
# Brothers | 3 |
# Sisters | 2 |
Other:
Languages | English |
Religion | None |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | N/A |