Questions
Personal Information
Talents:
| Voice: | Tenor |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | I've been a part of Boy Scouts of America for most of my life. I started as a cub scout in elementary school, obtained my Eagle Scout award in high school, and went on to serve as an adult to help other boys experience the program that made such a difference in my life. Because of my time in scouting I developed a great love for the outdoors and have spent much of my free time camping, hiking, and canoeing around the US. I've been to the boundary waters many times, hiked across parts of the Continental Divide trail and the Appalachian trail, and taken trips to over a dozen national parks. |
Favorite:
| Color | Blue |
| Food | Almost any type of seafood. |
| Music | I really can't pick a favorite type, depending on my mood I will prefer almost any genre at different points. |
| Animal | Dogs |
| Pet | Dog |
| Car | My 15 year old Toyota Rav4 that still somehow gets me everywhere I want to go without ever breaking down. I've driven it from coast to coast and deep into the wilderness of the United States. |
| Movie | Ender's Game |
| Song | Don't Stop Me Now |
Goals:
| Academic | I plan on finishing my Bachelor's of Science in Nursing. |
| Professional | I plan on gaining enough experience on all the floors of my hospital to become a SWAT nurse. |
| Personal | My biggest life goal is to start my own family. |
Religion:
| Faith | Christian |
| Denomination | Disciple of Christ |
Languages:
| Speak | English |
Sports:
| Play | Played baseball in little league |
| Watch | None |
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 | 27 - 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 | 2.8 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.8 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Nursing |
| Minor subjects | Animal Science, Microbiology |
Degrees
| Bachelor's | N/A |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | Associate's Degree in Nursing |
Awards & Activities
| High school | Orchestra, Boy Scouts, Rotary Club |
| College | Boy Scouts, President's honor role |
| Academic | N/A |
| Professional | Unit Council |
| Political | N/A |
| Personal | Eagle Scout Award |
| Charitable | Cooked and served meals with United Methodist Church |
| Others | N/A |
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) | 41 |
| Inseam (inches) | 31 |
| Waist (inches) | 33 |
| Sleeve (inches) | 33 |
| Hat size | 7 ¾ |
| Shoe size | 11 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 14-16 |
Other Physical Aids:
| List | N/A |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
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| Size |
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| Color |
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Eyebrows:
| Arch |
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| Set |
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Nose:
| 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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Cheekbones:
| Set |
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Mouth:
| Size |
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| Lips |
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| Turn |
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Teeth:
| Size |
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| Set |
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| Gap | No |
| Condition |
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Chin:
| Shape |
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| Prominence |
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| Cleft |
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Ears:
| 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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Hair:
| 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 More about skin tones |
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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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| Color |
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Real Estate Appraiser |
Donor's Father Education:
| Level | College |
| Degree | Bachelor |
| Subject | Business |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Disciple of Christ |
Donor's Father Languages:
| Speak | English |
Donor's Father Talents:
| Voice | Tenor |
| Instrument | N/A |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 67 |
| Height | 5' 11" |
| Weight | 155 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 | None |
| Ear lobe | Attached |
| Facial Dimples | Slight |
Donor's Mother Personal Information
| Occupation | Primary School Teacher |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | Theater |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Disciple of Christ |
Donor's Mother Languages:
| Speak | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 62 |
| Height | 5' 5" |
| Weight | 135 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Auburn |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Rose beige |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | Slight |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Age | 33 |
| Height | 5' 7" |
| Weight | 115 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | School Teacher |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | French |
Languages:
| Speak | English, French |
Talents:
| Voice | Soprano |
| Instrument | Piano |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 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 | None |
| Ear lobe | Attached |
| Facial dimples | Slight |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 60 |
| Education levels for each: | College |
| Occupations for each: | Real Estate Appraiser |
Father's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 1 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 65 |
| Education levels for each: | College |
| Occupations for each: | School Teacher |
Father's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Mother's Siblings
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 60, 47 |
| Education levels for each: | College, College |
| Occupations for each: | Registered Nurse, Registered Dietician |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Real Estate Appraiser |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Christian |
Father's Mother
Education
| Level | Some High school |
| Degree | Not Completed |
| Occupation: | School Secretary |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Construction and Landscaping Contractor |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Mother
Education
| Level | Graduate school |
| Degree | Master |
| Occupation: | Social Worker |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |

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