Questions
Personal Information
Talents:
| Voice: | Baritone |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | I’ve been cooking for about 10 years. I like being the family chef. My little sister will send me cooking videos and I replicate them for the family. I really enjoy video games. I’ve been playing since I was 4 years old. I was on a sponsored esport team when I was 15 years old. |
Favorite:
| Color | Purple |
| Food | Steak |
| Music | Hip hop |
| Animal | Gibbon monkey |
| Pet | Reptiles |
| Car | 1998 cadillac deville |
| Movie | Pulp Fiction |
| Song | Deceptacon - Le Tigre |
Goals:
| Academic | I plan to go back to school after my loans are paid off. I would like a degree doing something in science. |
| Professional | I will keep moving up at my company until I’m in upper management and then use that experience to go to wherever suits me best. |
| Personal | My main goal right now is to buy a big house so all of my family can live together. |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English |
Sports:
| Play | Football, Basketball, Table tennis |
| Watch | Football, Soccer, UFC |
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 | 25 - 40 |
| 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 | N/A | N/A |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | General Studies |
| Minor subjects | N/A |
Degrees
| Bachelor's | N/A |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | High School Diploma |
Awards & Activities
| High school | Football, AVID program, chosen by teachers to represent class |
| College | N/A |
| Academic | 102% grade in algebra |
| Professional | Pizza store manager by 19. Currently part of frontline involvement team at an airline |
| Political | N/A |
| Personal | Love to hike, cook for the family, and growing plants |
| Charitable | Donate time to food shelves |
| 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 | Long |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 40 |
| Inseam (inches) | 34 |
| Waist (inches) | 38 |
| Sleeve (inches) | 32 |
| Hat size | 7 ¼ |
| Shoe size | 12 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single - OD (right): -1.25 sphere OS (left):-1.25 -0.25x010 |
| Astigmatism | No |
| Age started wearing glasses/contacts | 12 |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 12-15 |
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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| 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 attachment |
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Hair:
| Color at birth |
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| Natural color in adulthood |
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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 | Pastor |
Donor's Father Education:
| Level | High school diploma |
| Degree | Other |
| Subject | General Studies |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Non-denominational |
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 | 47 |
| Height | 5’ 11” |
| Weight | 180 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 | Curly |
Skin:
| Skin Tone More about skin tones | Beige |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Assisted Living Aide |
Donor's Mother Education:
| Level | College |
| Degree | Associate |
| Subject | Housing Management |
Donor's Mother Religion:
| Faith | Other |
| Denomination | Spiritual |
Donor's Mother Languages:
| Speak | English, Spanish, Indonesian |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | Cello, Clarinet, Piano |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 45 |
| Height | 5’ 5” |
| Weight | 150 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Black |
| Type | Wavy |
Skin:
| Skin Tone More about skin tones | Sand |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| 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 | 22 |
| Height | 6’ 0” |
| Weight | 185 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Maintenance Director |
Education:
| Level | Some college |
| Degree | Pursuing Diploma |
| Subject | Boilers |
Languages:
| Speak | English, Spanish |
Talents:
| Voice | Baritone |
| Instrument | Trumpet, 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 | 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 | Medium |
Donor's Sibling #2
| Full/Half sibling | Half |
Sibling #2 Physical Information
Body
| Age | 20 |
| Height | 5’ 6” |
| Weight | 160 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Waitress |
Education:
| Level | High school diploma |
| Degree | Other |
| Subject | General Studies |
Languages:
| Speak | English |
Talents:
| Voice | Alto |
| Instrument | Drums, Violin, Flute |
| Other | N/A |
Sibling #2 Children:
| # Boys Ages: | 1 - 1 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Curly |
Skin:
| Skin tone More about skin tones | Beige |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | Deep |
Father's Siblings
Father's Brothers
| # of Brothers | 2 |
| Ages of Brothers: | 52, 50 |
| Education levels for each: | High School, High School |
| Occupations for each: | Laborer, Laborer |
Father's Brothers' Total Children:
| # Boys | 3 |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 44 |
| Education levels for each: | High School |
| Occupations for each: | Laborer |
Father's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 41 |
| Education levels for each: | College |
| Occupations for each: | Cyber Security |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 43 |
| Education levels for each: | College |
| Occupations for each: | Homemaker |
Mother's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 2 |
Father's Parents
Father's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Farmer |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Father's Mother
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Homemaker |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | VP of Medical Supply Company |
Siblings:
| # Brothers | 6 |
| # Sisters | 6 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Mother
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Teacher |
Siblings:
| # Brothers | 1 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Christian |

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