Questions
Personal Information
Talents:
| Voice: | Baritone |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | Most interests are active outdoor activities. I have played ice hockey and have been skiing for over 30 years. I also enjoy snowmobiling, camping, hiking and fly fishing. I enjoy being active and stay moving by regular exercise throughout my work week. I also enjoy traveling the world and trying new food! |
Favorite:
| Color | Blue |
| Food | Mexican |
| Music | Country |
| Animal | Dog |
| Pet | Dog |
| Car | Toyota |
| Movie | Shawshank Redemption |
| Song | Good Die Young - Koe Wetzel |
Goals:
| Academic | Master's Degree |
| Professional | Currently in year two of a three year probation at my current job. Goal would be to successfully complete the training and probation period. |
| Personal | Get married and move back west |
Religion:
| Faith | Christian |
| Denomination | Protestant |
Languages:
| Speak | English |
Sports:
| Play | Hockey, Softball, Golf, Skiing, Snowmobiling |
| Watch | Football, Hockey, Golf |
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 | 21 - 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 | 2.1 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.6 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | Criminal Justice |
| Minor subjects | N/A |
Degrees
| Bachelor's | Criminal Justice |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Varsity Hockey |
| College | Honor Society |
| Academic | N/A |
| Professional | Life Saving Award, MADD DUI Award |
| Political | N/A |
| Personal | Ice Hockey, Skiing |
| Charitable | N/A |
| Others | Camping, Hiking, Fishing |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 42 |
| Inseam (inches) | 33 |
| Waist (inches) | 36 |
| Sleeve (inches) | 35 |
| 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 | 16-18 |
Other Physical Aids:
| List | N/A |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
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| Size |
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| Shape |
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| Color |
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| Shade |
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Eyebrows:
| Arch |
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| Thickness |
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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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| Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Arborist |
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 | 72 |
| Height | 5' 11" |
| Weight | 165 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Brown |
| Type | Wavy |
Skin:
| Skin Tone More about skin tones | Bronze |
Other:
| Chin cleft | Strong |
| Ear lobe | Attached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Energy Company Employee |
Donor's Mother Education:
| Level | High school diploma |
| Degree | Other |
| Subject | General Studies |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Protestant |
Donor's Mother Languages:
| Speak | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | Trumpet |
| Other | Singer |
Donor's Mother Physical Information
Body
| Age | 69 |
| Height | 5' 4" |
| Weight | 140 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Wavy |
Skin:
| Skin Tone More about skin tones | Ivory |
Other:
| Chin cleft | Medium |
| Ear lobe | Attached |
| 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 | 42 |
| Height | 5' 11" |
| Weight | 145 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Media Relations |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Journalism and Political Science |
Languages:
| Speak | English / Spanish |
Talents:
| Voice | Soprano |
| 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 | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Ivory |
Other:
| Chin cleft | Medium |
| Ear lobe | Attached |
| Facial dimples | None |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 69 |
| Education levels for each: | High School |
| Occupations for each: | Arborist |
Father's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 3 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 74 |
| Education levels for each: | High School |
| Occupations for each: | Homemaker |
Father's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 71, 66 |
| Education levels for each: | High School, Some High School |
| Occupations for each: | Driver, Mechanic |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 0 |
Father's Parents
Father's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Chef |
Siblings:
| # Brothers | 3 |
| # Sisters | 2 |
Other:
| Languages | English, German |
| Religion | Christian |
Father's Mother
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Homemaker |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | English, German |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Railroad Employee |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | None |
Mother's Mother
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Homemaker |
Siblings:
| # Brothers | 1 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Christian |

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