Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Tenor
Tell us about your interests/talents and how long you have been pursuing. Provide several.Musical: Piano (ages 6-12), Trumpet (ages 12-16)
Favorite:
ColorBlue
FoodBread
MusicPop
AnimalMarmot
PetLabrador
CarVW
MovieTruman Show
SongMy Way
Goals:
AcademicMedical Degree
Professional Psychiatry
PersonalClimbing Half Dome and Matterhorn
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish and German
Sports:
PlaySoccer, Rock Climbing, Running, Biking, Tennis
WatchSoccer
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		1400 - 1600
ACT
on scale of		32 - 36
GRE
on scale of		N/A - N/A
MCAT
on scale of		512 - 528
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 		99.1875100
College
Question Response on scale of
GPA
on scale of 		3.9174.0
Graduate School
Question Response on scale of
GPA
on scale of 		PassPass/Fail
Subjects Studied:
Major subjectsBiomedical Engineering
Minor subjectsN/A
Degrees
Bachelor'sBiomedical Engineering
Master'sN/A
DoctoratePursuing MD
Other(s)N/A
Awards & Activities
High schoolAP scholar with distinction award
CollegeOutstanding Senior Undergraduate Award (biomaterials and tissue engineering track)
AcademicUniversity Dean’s List Designation
Professional Multiple Awards
Political N/A
Personal Regional Area Trumpet 2015
Charitable Undergraduate Exceptional Service Award
OthersN/A

Military

Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)37
Inseam (inches)33
Waist (inches)33
Sleeve (inches)30
Hat size7 ¼
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle - 2.3/2.3
AstigmatismYes
Age started wearing glasses/contacts16
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListN/A
Reason/causeN/A

Facial Features

Eyes:
Set
  • NarrowNarrow
  • AverageAverage
  • WideWide
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Shape
  • AlmondAlmond
  • OvalOval
  • RoundRound
Color
  • Black
  • Blue
  • Green
  • Hazel
  • Brown
Shade
  • Light
  • Medium
  • Dark
Eyebrows:
Arch
  • Flat
  • Medium
  • High
Thickness
  • ThinThin
  • AverageAverage
  • ThickThick
Set
  • Narrow
  • Average
  • Wide
Nose:
Size
  • Small
  • Medium
  • Large
Shape
  • RoundRound
  • StraightStraight
  • WideWide
Width
  • Narrow
  • Average
  • Wide
Length
  • Short
  • Average
  • Long
Bridge
  • ConvexConvex
  • StraightStraight
  • ConcaveConcave
Nostril flare
  • Small
  • Average
  • Wide
Cheekbones:
Set
  • Low
  • Average
  • High
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
GapNo
Condition
  • Poor
  • Fair
  • Good
Chin:
Shape
  • RoundRound
  • OvalOval
  • SquareSquare
Prominence
  • Slight
  • Average
  • Strong
Cleft
  • NoneNone
  • SlightSlight
  • StrongStrong
Ears:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Set
  • Low
  • Average
  • High
Angle
  • Close
  • Average
  • Far
Lobe size
  • Small
  • Medium
  • Large
Lobe attachment
  • DetachedDetached
  • AttachedAttached
Hair:
Color at birth
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Natural color in adulthood
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Shade
  • Light
  • Medium
  • Dark
Type
  • Straight
  • Wavy
  • Curly
Fullness
  • Thin
  • Medium
  • Thick
Texture
  • Fine
  • Coarse
  • Medium
Skin:
Tone
More about skin tones
  • Ivory
  • Porcelain
  • Pale ivory
  • Warm ivory
  • Sand
  • Rose beige
  • Limestone
  • Beige
  • Sienna
  • Honey
  • Band
  • Almond
  • Chestnut
  • Bronze
  • Umber
  • Golden
  • Espresso
  • Chocolate
Tan ability
  • None
  • Slight
  • Medium
  • Easy
Condition
  • Oily
  • Medium
  • Combination
  • Dry
Hairline:
Forehead
  • Low
  • Average
  • High
Contour
  • Straight
  • Slight Curve
  • Widow Peak
Other Facial Features:
Moles
  • None
  • One
  • Several
Freckles
  • None
  • Several
  • Moderate
  • Numerous
Dimples
  • None
  • Slight
  • Medium
  • Deep
Adam's apple
  • Slight
  • Medium
  • Strong
Facial Hair
Thickness
  • Thin
  • Medium
  • Dense
Color
  • Auburn
  • Black
  • Blond
  • Brown
  • Grey
  • Red
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationMechanical Engineer
Donor's Father Education:
LevelGraduate school
DegreeMaster
SubjectMechanical Engineer
Donor's Father Religion:
Faith Christian
Denomination Catholic
Donor's Father Languages:
SpeakEnglish and German
Donor's Father Talents:
VoiceBaritone
InstrumentTrumpet
OtherN/A
Donor's Father Physical Information
Body
Age59
Height6' 2"
Weight200 lbs.
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Corrective LensesYes
Hair:
Original hair color Black
TypeStraight
Skin:
Skin Tone
More about skin tones		Pale ivory
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Donor's Mother Personal Information
Occupation Architect
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectArchitecture
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Donor's Mother Languages:
SpeakEnglish, German
Donor's Mother Talents:
VoiceAlto
InstrumentFlute
OtherN/A
Donor's Mother Physical Information
Body
Age57
Height5' 7"
Weight175 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Corrective LensesNo
Hair:
Original hair color Blond
TypeStraight
Skin:
Skin Tone
More about skin tones		Ivory
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
Age25
Height5' 9"
Weight170 lbs.
HandsAmbidextrous
Sibling #1 Personal Information
Occupation Veterinarian
Education:
LevelGraduate school
DegreeDoctorate
SubjectVeterinary medicine
Languages:
SpeakEnglish and German
Talents:
VoiceSoprano
InstrumentPiano
OtherN/A
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Corrective LensesYes
Hair:
Original hair color Brown
TypeStraight
Skin:
Skin tone
More about skin tones		Warm ivory
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:57
Education levels for each:College
Occupations for each:Engineer
Father's Brothers' Total Children:
# Boys1
# Girls1
Father's Sisters
# of Sisters1
Ages of Sisters:36
Education levels for each:College
Occupations for each:Teacher
Father's Sisters' Total Children:
# Boys1
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:63, 60
Education levels for each:College, College
Occupations for each:Electrical Engineer, Biomedical Engineer
Mother's Brothers' Total Children:
# Boys1
# Girls2
Father's Parents
Father's Father
Education
LevelHigh school diploma
DegreeOther
Occupation:Pilot
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Father's Mother
Education
LevelHigh school diploma
DegreeOther
Occupation:Teacher
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, German
ReligionChristian
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeBachelor
Occupation:Electrical Engineer
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesGerman
ReligionChristian
Mother's Mother
Education
LevelHigh school diploma
DegreeOther
Occupation:Teacher
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesGerman
ReligionChristian