Questions
Personal Information
Talents:
| Voice: | Tenor |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | Rock climbing (about 5 years), Mixed Martial Arts (over 15 years) |
Favorite:
| Color | Black, or OD green |
| Food | Ukranian food |
| Music | Rock, Rap |
| Animal | Human beings |
| Pet | I own a dog and a cat. |
| Car | Currently Mercedes GLB 250 (crossover/mini suv) |
| Movie | N/A |
| Song | N/A (too many to name or pick one) |
Goals:
| Academic | I have achieved my goal of attaining a Master's Degree |
| Professional | I have achieved my goal of becoming a Law Enforcement Officer. |
| Personal | To live a long and healthy life. |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | Russian, Ukrainian(some), English |
Sports:
| Play | Mixed Martial Arts |
| Watch | N/A |
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 | 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 | 3.0 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.94 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.97 | 4.0 |
Subjects Studied:
| Major subjects | Psychology |
| Minor subjects | N/A |
Degrees
| Bachelor's | Psychology |
| Master's | Organizational Leadership |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Cross Country 4 years |
| College | N/A |
| Academic | Suma Cum Laude |
| Professional | Multiple achievements to include multiple tactical/specialty team experiences. |
| Political | None. Down the middle. |
| Personal | Mixed Martial Arts |
| Charitable | Volunteered for the Red Cross and for the Police Activities League while in High School |
| Others | N/A |
Military
| Served in military | Yes |
| Branch | US Army |
| Rank | E-4 Specialist |
| Years of service | 6 |
Physical Features
| Hands | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 17 |
| Chest (inches) | 43 |
| Inseam (inches) | 35 |
| Waist (inches) | 39 |
| Sleeve (inches) | 31 |
| Hat size | 7 ΒΌ |
| Shoe size | 10 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single - Left Eye: 20/200 Right Eye: 20/100 |
| Astigmatism | No |
| Age started wearing glasses/contacts | 16 |
| Laser surgery? | No |
Dental:
| Device | None |
| Reason | N/A |
| Age range during use | N/A |
Other Physical Aids:
| List | N/A |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Eyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Nose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| Nostril flare |
|
Cheekbones:
| Set |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Teeth:
| Size |
|
| Set |
|
| Gap | No |
| Condition |
|
Chin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Ears:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Hair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
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| 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 | Metal Plant Inspector, Pharmacy Driver |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Engineering |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Donor's Father Languages:
| Speak | Russian, Ukrainian, English |
Donor's Father Talents:
| Voice | Tenor |
| Instrument | N/A |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 73 |
| Height | 6' 2" |
| Weight | 250 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Blond |
| 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 | Actress, Activity Coordinator at Care Home |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Acting |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Donor's Mother Languages:
| Speak | Russian, Ukrainian, English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument | N/A |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 75 |
| Height | 5' 8" |
| Weight | 180 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Beige |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Half |
Sibling #1 Physical Information
Body
| Age | 50 |
| Height | 5' 8" |
| Weight | 130 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Writer/Personal trainer |
Education:
| Level | College |
| Degree | Other |
| Subject | Psychology |
Languages:
| Speak | Ukrainian/Russian |
Talents:
| Voice | Alto |
| Instrument | N/A |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 1 - 32 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Green |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Beige |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 75 |
| Education levels for each: | Unknown |
| Occupations for each: | Manager |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Mother's Siblings
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 62, 59 |
| Education levels for each: | Unknown, Unknown |
| Occupations for each: | Unknown, Unknown |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 0 |
Father's Parents
Father's Father
Education
| Level | Graduate school |
| Degree | Master |
| Occupation: | Plant Director |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | Russian |
| Religion | Christian |
Father's Mother
Education
| Level | Unknown |
| Degree | N/A |
| Occupation: | Unknown |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Russian |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | Unknown |
| Degree | N/A |
| Occupation: | Unknown |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Russian |
| Religion | Christian |
Mother's Mother
Education
| Level | Unknown |
| Degree | Other |
| Occupation: | Unknown |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Russian/Ukrainian |
| Religion | Christian |

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