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
Tell us about your interests/talents and how long you have been pursuing. Provide several.Scultping/varied art mediums - 10 years, Martial Arts - 6 years, Cooking - 8 years, Hiking - 2 years, Biking - 10 years
Favorite:
ColorGrey
FoodRice
MusicRock
AnimalCat
PetCat
CarDon't have one
MovieMonty Python and the Holy Grail
Song"Bones in the Ocean" by The Longest Johns
Goals:
AcademicBachelor's of Engineering in Biomedical Science, MD
Professional Physician
PersonalFluency in Japanese, Handstand pushups in my 50s
Religion:
Faith Islam
Denomination Sunni
Languages:
SpeakEnglish
Sports:
PlayNone
WatchNone
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		1480 - 1600
ACT
on scale of		N/A - N/A
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 		5.005.00
College
Question Response on scale of
GPA
on scale of 		3.864.00
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsBiomedical Engineering
Minor subjectsElectrical Engineering and Asian Studies
Degrees
Bachelor'sPursuing BS/Biomedical Engineering
Master'sN/A
DoctorateN/A
Other(s)High School
Awards & Activities
High schoolNational Art Honor Society, Club Med, Taekwondo, National Latin Honor Society
CollegeCommunity Scholars, Emergency Medical Services
AcademicDean's List
Professional EMT, Summer Research Internship
Political N/A
Personal Scholastic Art Competition Regional and National Award Winner
Charitable Community Scholar, Volunteer EMT, Library Volunteer, Carboncopies Foundation Volunteer
OthersHiking, Drawing, Cooking, Martial Arts

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)37
Inseam (inches)29
Waist (inches)33
Sleeve (inches)30
Hat size7
Shoe size7

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle - 20/600
AstigmatismYes
Age started wearing glasses/contacts13
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
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
Cheekbones:
Set
  • Low
  • Average
  • High
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
GapNo
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
  • Close
  • Average
  • Far
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
More about skin tones
  • Ivory
  • Porcelain
  • Pale ivory
  • Warm ivory
  • Sand
  • Rose beige
  • Limestone
  • Beige
  • Sienna
  • Honey
  • Band
  • Almond
  • Chestnut
  • Bronze
  • Umber
  • Golden
  • Espresso
  • Chocolate
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
Color
  • Auburn
  • Black
  • Blond
  • Brown
  • Grey
  • Red
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationRetired Cook
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectEconomics
Donor's Father Religion:
Faith Islam
Denomination Sunni
Donor's Father Languages:
SpeakBangla, English
Donor's Father Talents:
VoiceTenor
InstrumentN/A
OtherN/A
Donor's Father Physical Information
Body
Age64
Height5'4"
Weight150 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Corrective LensesYes
Hair:
Original hair color Black
TypeStraight
Skin:
Skin Tone
More about skin tones		Honey
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Donor's Mother Personal Information
Occupation Sales Associate
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectBiology
Donor's Mother Religion:
Faith Islam
Denomination Sunni
Donor's Mother Languages:
SpeakBangla, English
Donor's Mother Talents:
VoiceAlto
InstrumentHarmonium
OtherN/A
Donor's Mother Physical Information
Body
Age53
Height5'2"
Weight150 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Corrective LensesNo
Hair:
Original hair color Black
TypeWavy
Skin:
Skin Tone
More about skin tones		Almond
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
Age26
Height5'6"
Weight160 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Data Analyst
Education:
LevelCollege
DegreeBachelor
SubjectActuary Science
Languages:
SpeakEnglish
Talents:
VoiceTenor
InstrumentN/A
OtherMuay Thai, Leatherworking, Motorcycling
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Corrective LensesYes
Hair:
Original hair color Black
TypeWavy
Skin:
Skin tone
More about skin tones		Almond
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
Age17
Height5'6"
Weight155 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelHigh school diploma
DegreePursuing Diploma
SubjectGeneral studies
Languages:
SpeakEnglish
Talents:
VoiceTenor
InstrumentN/A
OtherMusic Mixing
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Corrective LensesYes
Hair:
Original hair color Black
TypeStraight
Skin:
Skin tone
More about skin tones		Almond
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
Age25
Height5'2"
Weight100 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Project Manager
Education:
LevelCollege
DegreeBachelor
SubjectHealth Information Systems
Languages:
SpeakEnglish
Talents:
VoiceSoprano
InstrumentN/A
OtherGardening, Interior Design, Hiking, Yoga
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Corrective LensesYes
Hair:
Original hair color Black
TypeWavy
Skin:
Skin tone
More about skin tones		Almond
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Father's Siblings
Father's Brothers
# of Brothers4
Ages of Brothers:56, 55, 54, 53
Education levels for each:High school, High school, High school, High school
Occupations for each:Businessman, Businessman, Businessman, Businessman
Father's Brothers' Total Children:
# Boys5
# Girls8
Father's Sisters
# of Sisters3
Ages of Sisters:65, 52, 50
Education levels for each:Grade school, Grade school, Grade school
Occupations for each:Homemaker, Homemaker, Homemaker
Father's Sisters' Total Children:
# Boys8
# Girls6
Mother's Siblings
Mother's Brothers
# Brothers5
Ages of Brothers:75, 70, 69, 65, 60
Education levels for each:College, College, College, College, College
Occupations for each:Businessman, Businessman, Businessman, Professor, Businessman
Mother's Brothers' Total Children:
# Boys7
# Girls11
Mother's Sisters
# Sisters1
Ages of Sisters:52
Education levels for each:High school
Occupations for each:Homemaker
Mother's Sisters' Total Children:
# Boys2
# Girls2
Father's Parents
Father's Father
Education
LevelGrade school
DegreeNot Completed
Occupation:Farmer
Siblings:
# Brothers1
# Sisters3
Other:
LanguagesBangla, Conversational English
ReligionIslam
Father's Mother
Education
LevelGrade school
DegreeNot Completed
Occupation:Homemaker
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesBangla
ReligionIslam
Mother's Parents
Mother's Father
Education
LevelHigh school diploma
DegreeOther
Occupation:Businessman
Siblings:
# Brothers4
# Sisters0
Other:
LanguagesBangla, Hindi, English, Arabic, Farsi
ReligionIslam
Mother's Mother
Education
LevelGrade school
DegreeNot Completed
Occupation:Homemaker
Siblings:
# Brothers6
# Sisters3
Other:
LanguagesBangla, Conversational English
ReligionIslam