Questions
Personal Information
Talents:
| Voice: | Baritone |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | I am very into movies and TV shows. I act and I like to write in my free time. |
Favorite:
| Color | Red |
| Food | Italian |
| Music | Indie Rock |
| Animal | Dog |
| Pet | Dog |
| Car | Tesla |
| Movie | Good Will Hunting |
| Song | Mr. Brightside |
Goals:
| Academic | Already obtained it by getting my BA |
| Professional | Being a store leader |
| Personal | Being as kind as I can to others |
Religion:
| Faith | Other |
| Denomination | Spiritual |
Languages:
| Speak | English |
Sports:
| Play | None |
| 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 | 1500 - 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 | 4.0 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.3 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | English |
| Minor subjects | N/A |
Degrees
| Bachelor's | English |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Honor roll |
| College | N/A |
| Academic | N/A |
| Professional | Employee of the month |
| Political | N/A |
| Personal | I’m a good person to others |
| Charitable | I put others needs before my own |
| 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) | 16 |
| Chest (inches) | 36 |
| Inseam (inches) | 32 |
| Waist (inches) | 30 |
| Sleeve (inches) | 30 |
| 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 | 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 |
|
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 | Fast Food Franchise Owner |
Donor's Father Education:
| Level | High school diploma |
| Degree | Other |
| Subject | General Studies |
Donor's Father Religion:
| Faith | None |
| Denomination | N/A |
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 | 60 |
| Height | 5’ 10” |
| Weight | 206 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Black |
| Type | Curly |
Skin:
| Skin Tone More about skin tones | Sand |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Homemaker |
Donor's Mother Education:
| Level | High school diploma |
| Degree | Other |
| Subject | General Studies |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Non-denominational |
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 | 57 |
| Height | 5’ 8” |
| Weight | 135 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Pale ivory |
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 | Full |
Sibling #1 Physical Information
Body
| Age | 40 |
| Height | 6’ 0" |
| Weight | 185 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Tech Sales |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Theater Arts |
Languages:
| Speak | English |
Talents:
| Voice | Baritone |
| Instrument | N/A |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Green |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Pale ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Donor's Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Age | 38 |
| Height | 6’ 0" |
| Weight | 185 lbs. |
| Hands | Left-Handed |
Sibling #2 Personal Information
| Occupation | German Language Teacher |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | German |
Languages:
| Speak | English |
Talents:
| Voice | Baritone |
| Instrument | N/A |
| Other | N/A |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Pale ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Donor's Sibling #3
| Full/Half sibling | Half |
Sibling #3 Physical Information
Body
| Age | 30 |
| Height | 6’ 0" |
| Weight | 165 lbs. |
| Hands | Left-Handed |
Sibling #3 Personal Information
| Occupation | German Teacher |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | German |
Languages:
| Speak | English |
Talents:
| Voice | Baritone |
| Instrument | N/A |
| Other | N/A |
Sibling #3 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Pale ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Donor's Sibling #4
| Full/Half sibling | Full |
Sibling #4 Physical Information
Body
| Age | 35 |
| Height | 5’ 4” |
| Weight | 196 lbs. |
| Hands | Right-Handed |
Sibling #4 Personal Information
| Occupation | Homemaker |
Education:
| Level | High school diploma |
| Degree | Other |
| Subject | General Studies |
Languages:
| Speak | English |
Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Sibling #4 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #4 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 | Warm ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Father's Siblings
Father's Brothers
| # of Brothers | 2 |
| Ages of Brothers: | 66, 64 |
| Education levels for each: | High School, High School |
| Occupations for each: | Jeweler, Jeweler |
Father's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 62, 47 |
| Education levels for each: | High School, College |
| Occupations for each: | Jeweler, Teacher |
Father's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 48 |
| Education levels for each: | High School |
| Occupations for each: | Bar Tender |
Mother's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 55, 52 |
| Education levels for each: | High School, College |
| Occupations for each: | Ranch Owner, Teacher |
Mother's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Father's Parents
Father's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Air Force |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | None |
Father's Mother
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Homemaker |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | None |
Mother's Parents
Mother's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Air Force |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | None |
Mother's Mother
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Homemaker |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | None |