Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Guitar - 10 |
Other talents: Years of experience | Cooking - 5 |
Favorite:
Color | Green |
Food | Pizza |
Music | Rock, Indie |
Animal | Dolphin |
Pet | Dog |
Car | Jeep Wrangler |
Movie | The Shawshank Redemption |
Song | "Fix You" by Coldplay |
Play | Les Miserables |
Goals:
Academic | To obtain PhD in Psychology |
Professional | To obtain private licensure, open a multidisciplinary private practice |
Personal | To have a successful, happy marriage. To be a loving family member. To complete an IronMan triathlon |
Religion:
Faith | Other |
Denomination | Catholic upbringing, currently Agnostic |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Sports:
Play | Triathlon (swim, bike, run), Baseball/softball, Skiing/snowboarding, Golf |
Watch | Baseball, NFL, NCAA basketball, PGA, Tour de France, Olympics |
Siblings:
# Brothers | 1 |
# Sisters | 4 |
Are you a twin? Identical or fraternal? | No |
# of twins in your family | 0 |
# Identical sets | 0 |
# Fraternal sets | 0 |
Academics
Standard Test Score: provide score or denote N/A if not taken
SAT on scale of | 1480 - out of 1600 |
ACT on scale of | N/A |
GRE on scale of | Do not recall, but passed with a strong score |
MCAT on scale of | N/A |
LSAT on scale of | N/A |
GMAT on scale of | N/A |
TOEFL on scale of | N/A |
Other on scale of | Praxis (passed with strong score) |
High School
Question | Response | on scale of |
GPA on scale of | 3.6 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.0 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.9 | 4.0 |
Subjects Studied:
Major subjects | Psychology |
Minor subjects | None |
Degrees
Bachelor's | BA/Psychology |
Master's | MA/Psychology |
Doctorate | N/A |
Other(s) | High School diploma |
Awards & Activities
High school | National Honor Society, Active volunteer |
College | Dean's List; Active volunteer at church and in local community (e.g. Habitat for Humanity) |
Academic | Accepted to top ranking high school and college |
Professional | Co-leading two projects on multicultural issues in school psychology; Tutoring in the evenings |
Political | N/A |
Personal | N/A |
Charitable | Frequent blood donor, Charitable donations, including fundraiser for HIV/AIDS research/awareness |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Left-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 15.5 |
Chest (inches) | 42 |
Inseam (inches) | 32 |
Waist (inches) | 32 |
Sleeve (inches) | 32 |
Wrist (inches) | 7 |
Hat size | 7.13 |
Shoe size | 10 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
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 |
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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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Septum |
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Cheekbones:
Set |
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Prominence |
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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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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 |
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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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Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Federal Employee |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Economics |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Welsh, German |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 72 |
Height | 5'8" |
Weight | 175 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Blue |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 35 |
Hair:
Original hair color | Auburn |
If gray, age turned gray | 40 |
Type | Wavy |
Skin:
Skin Tone | MedL |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | Yes |
Branch | Army |
Rank | Enlisted |
Years of service | 5 |
Donor's Mother Personal Information
Occupation | Secretary |
Donor's Mother Education:
Level | College |
Degree | Associate |
Subject | General Studies |
Donor's Mother Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | English, German |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 66 |
Height | 5'0" |
Weight | 155 lbs |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 40 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 45 |
Type | Straight |
Skin:
Skin Tone | MedL |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | None |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Female |
Age | 40 |
Height | 5'1" |
Weight | 130 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Social Worker |
Education:
Level | College |
Degree | Bachelor |
Subject | Social Work |
Religion:
Faith | Christian |
Denomination | Catholic upbringing |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | Clarinet - 5 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 1 - 6 |
# Girls Ages: | 3 - 2, 11, 15 |
Sibling #1 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | MedL |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 33 |
Height | 5'5" |
Weight | 150 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Statistician |
Education:
Level | Graduate school |
Degree | Master |
Subject | Statistics |
Religion:
Faith | Christian |
Denomination | Catholic upbringing |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Soprano |
Instrument Years of experience | Guitar - 10 |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 2 - 1,3 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | MedL |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #3
Full/Half sibling | Full |
Sibling #3 Physical Information
Body
Sex | Female |
Age | 30 |
Height | 5'5" |
Weight | 150 lbs. |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Land Management |
Education:
Level | College |
Degree | Bachelor |
Subject | Criminal Justice |
Religion:
Faith | Christian |
Denomination | Catholic upbringing |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | Clarinet - 2 |
Other Years of experience | None |
Sibling #3 Children:
# Boys Ages: | 1 - 10 |
# Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Med |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #4
Full/Half sibling | Full |
Sibling #4 Physical Information
Body
Sex | Male |
Age | 29 |
Height | 5'8" |
Weight | 190 lbs. |
Hands | Right-Handed |
Sibling #4 Personal Information
Occupation | Actor |
Education:
Level | College |
Degree | Bachelor |
Subject | Theater |
Religion:
Faith | Christian |
Denomination | Catholic upbringing |
Languages:
Speak | English, German |
Read | English, German |
Write | English, German |
Talents:
Voice | Tenor |
Instrument Years of experience | Trumpet - 2 |
Other Years of experience | Acting, Improv Comedy - 6, 6 |
Sibling #4 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #4 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | MedL |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial dimples | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #5
Full/Half sibling | Full |
Sibling #5 Physical Information
Body
Sex | Female |
Age | 24 |
Height | 5'0" |
Weight | 130 lbs. |
Hands | Right-Handed |
Sibling #5 Personal Information
Occupation | Student |
Education:
Level | Some college |
Degree | Pursuing |
Subject | Undeclared |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | Flute - 6 |
Other Years of experience | None |
Sibling #5 Children:
# Boys Ages: | 1 - 1 |
# Girls Ages: | 0 |
Sibling #5 Facial Features
Eyes:
Eye color | Hazel |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Red |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | Light |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 65 (deceased) |
Education levels for each: | Bachelor's |
Occupations for each: | Unknown |
Religions for each: | Christian |
Father's Sisters' Total Children:
# Boys | 0 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 68 |
Education levels for each: | College |
Occupations for each: | Engineer |
Religions for each: | Christian |
Mother's Brothers' Total Children:
# Boys | 0 |
# Girls | 3 |
Father's Parents
Father's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Fire Chief |
Primary ethnic origins: | German |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Welsh |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Mechanic |
Primary ethnic origins: | German |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | Air National Guard |
Rank | Enlisted |
Service Yrs | 5 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General studies |
Occupation: | Homemaker |
Primary ethnic origins: | English |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |