Questions
Personal Information
Talents:
| Voice: | Tenor |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | Cooking (especially baking and BBQ) - 15 years, Painting and drawing - lifelong, Gardening 30 years |
Favorite:
| Color | N/A |
| Food | Cheesecake |
| Music | Electronic |
| Animal | Ducks |
| Pet | Dogs |
| Car | N/A |
| Movie | Young Frankenstein |
| Song | King of the Road - Dean Martin |
Goals:
| Academic | Continue education in Nonprofits, Social Services and Project Management |
| Professional | Maintain development as a leader and take on roles with more challenges and responsibility |
| Personal | Publish Novel |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English |
Sports:
| Play | Hockey, Frisbee, Tennis |
| Watch | Baseball, Hockey, Football |
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 | N/A - N/A |
| ACT on scale of | 23 - 36 |
| 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 | 3.0 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.89 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Painting and Drawing |
| Minor subjects | Literature |
Degrees
| Bachelor's | Fine Arts |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Hockey, Tennis, Band, Art, B honor roll |
| College | Painting, Photography, Screenprinting |
| Academic | Reading, Art Museums, Cultural Events |
| Professional | Problem solving, Construction, Building Systems |
| Political | Support workers, minority, and women's rights. |
| Personal | Screenprinting, Cooking, Home Improvement, Gardening |
| Charitable | Volunteer Homeless Youth |
| Others | Watching movies, Bicycling, Concerts, Fine Dining |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 15 |
| Chest (inches) | 42 |
| Inseam (inches) | 29 |
| Waist (inches) | 39 |
| Sleeve (inches) | 31 |
| Hat size | 7 |
| Shoe size | 10 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single - 20/100 |
| Astigmatism | No |
| Age started wearing glasses/contacts | 8 |
| Laser surgery? | No |
Dental:
| Device | Braces and Retainer |
| Reason | Cosmetic |
| Age range during use | 12-14 |
Other Physical Aids:
| List | None |
| Reason/cause | None |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| Nostril flare |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Gap | No |
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone More about skin tones |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Color |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Photographer |
Donor's Father Education:
| Level | College |
| Degree | Associate |
| Subject | Photography |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Lutheran |
Donor's Father Languages:
| Speak | English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument | N/A |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 67 |
| Height | 5' 7" |
| Weight | 250 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Beige |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Social Worker |
Donor's Mother Education:
| Level | College |
| Degree | Associate |
| Subject | Psychology |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Lutheran |
Donor's Mother Languages:
| Speak | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | Trumpet |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 68 |
| Height | 5' 4" |
| Weight | 160 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Curly |
Skin:
| Skin Tone More about skin tones | Rose beige |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Age | 41 |
| Height | 5' 9" |
| Weight | 215 lbs |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Agricultural Inspector |
Education:
| Level | Some college |
| Degree | Associate |
| Subject | Law Enforcement |
Languages:
| Speak | English |
Talents:
| Voice | Tenor |
| Instrument | N/A |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 1 - 10 |
| # Girls Ages: | 1 - 7 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Light |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Beige |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | None |
Father's Siblings
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 69 |
| Education levels for each: | Some College |
| Occupations for each: | Teaching Assistant |
Father's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 66, 63 |
| Education levels for each: | High School Diploma, High School Diploma |
| Occupations for each: | Plumber, Cleaner |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 2 |
Mother's Sisters
| # Sisters | 3 |
| Ages of Sisters: | 71 (identical twin), 71 (identical twin), 67 |
| Education levels for each: | Some College, College, College |
| Occupations for each: | Dietician, Nurse, Medical technician |
Mother's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 3 |
Father's Parents
Father's Father
Education
| Level | High school diploma |
| Degree | N/A |
| Occupation: | Postmaster |
Siblings:
| # Brothers | 0 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Christian |
Father's Mother
Education
| Level | High school diploma |
| Degree | N/A |
| Occupation: | Personal Care Attendant |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | Grade school |
| Degree | N/A |
| Occupation: | Farmer |
Siblings:
| # Brothers | 0 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Mother
Education
| Level | Some High school |
| Degree | N/A |
| Occupation: | Farmer |
Siblings:
| # Brothers | 0 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Christian |