Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Piano, Church hand bells - 2, 2 |
Other talents: Years of experience | None |
Favorite:
Color | Blue |
Food | Pizza |
Music | Country |
Animal | Cheetah |
Pet | Dog |
Car | Jeep |
Movie | Gladiator |
Song | "Man, I Feel Like a Woman" by Shania Twain |
Play | The Lion King |
Goals:
Academic | None |
Professional | To make enough money to support my family while still liking to go to work |
Personal | To have a happy family |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English |
Read | English, some Spanish |
Write | English |
Sports:
Play | Football, Basketball, Softball, Tennis, Volleyball, Bowling |
Watch | Football, Baseball, Basketball |
Siblings:
# Brothers | 2 |
# Sisters | 0 |
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 | N/A |
ACT on scale of | 26 - out of 36 |
GRE on scale of | N/A |
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 | 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 | 2.70 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.70 | 4.0 |
Subjects Studied:
Major subjects | Physiology |
Minor subjects | N/A |
Degrees
Bachelor's | BA/Kinesiology |
Master's | N/A |
Doctorate | N/A |
Other(s) | Physical Education teaching certification (Post-grad) |
Awards & Activities
High school | Football, Basketball |
College | Football |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | N/A |
Charitable | N/A |
Others | Boy Scouts |
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) | 44 |
Inseam (inches) | 32 |
Waist (inches) | 36 |
Sleeve (inches) | 33 |
Wrist (inches) | 7.5 |
Hat size | 7.125 |
Shoe size | 12 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 24 |
Laser surgery? | No |
Dental:
Device | Braces |
Reason | Cosmetic |
Age range during use | 9-11 |
Other Physical Aids:
List | None |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
Size |
|
Shape |
|
Color |
|
Shade |
|
Eyebrows:
Arch |
|
Thickness |
|
Set |
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Nose:
Size |
|
Shape |
|
Width |
|
Length |
|
Bridge |
|
Nostril flare |
|
Septum |
|
Cheekbones:
Set |
|
Prominence |
|
Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
Condition |
|
Chin:
Shape |
|
Prominence |
|
Cleft |
|
Ears:
Size |
|
Set |
|
Angle |
|
Lobe size |
|
Lobe attachment |
|
Hair:
Color at birth |
|
Natural color in adulthood |
|
Shade |
|
Type |
|
Fullness |
|
Texture |
|
Skin:
Tone |
|
Tan ability |
|
Condition |
|
Hairline:
Forehead |
|
Contour |
|
Other Facial Features:
Moles |
|
Freckles |
|
Dimples |
|
Adam's apple |
|
Facial Hair
Thickness |
|
Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Stone Countertop Designer |
Donor's Father Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Father Religion:
Faith | None |
Denomination | N/A |
Primary ethnic origins: | Polish, Portuguese |
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 | 55 |
Height | 5'10" |
Weight | 185 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single - (reading glasses) |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 50 |
Hair:
Original hair color | Blond |
If gray, age turned gray | 50 |
Type | Wavy |
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 | N/A |
Donor's Mother Personal Information
Occupation | Human Resources Manager |
Donor's Mother Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Mother Religion:
Faith | Christian |
Denomination | Non-denominational |
Primary ethnic origins: | German, English |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 56 |
Height | 5'5" |
Weight | 150 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Bifocal |
Astigmatism | Yes |
Age started wearing glasses/contacts yrs | 18 |
Hair:
Original hair color | Black |
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 | N/A |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 28 |
Height | 5'10" |
Weight | 165 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Data Analyst |
Education:
Level | College |
Degree | Bachelor |
Subject | Neurology, Psychology |
Religion:
Faith | None |
Denomination | N/A |
Languages:
Speak | English, Spanish, French |
Read | English |
Write | English |
Talents:
Voice | Baritone |
Instrument Years of experience | Percussion - 8 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Hazel |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | N/A |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
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 | N/A |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Male |
Age | 25 |
Height | 5'9" |
Weight | 135 lbs. |
Hands | Left-Handed |
Sibling #2 Personal Information
Occupation | Retail Manager |
Education:
Level | College |
Degree | Pursuing |
Subject | Business |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
Instrument Years of experience | Saxophone - 8 |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 14 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Light |
Skin condition | Combination |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | N/A |
Father's Siblings
Father's Brothers
# of Brothers | 4 |
Ages of Brothers: | 64, 63, 58, 53 |
Education levels for each: | High school (all) |
Occupations for each: | Dispatcher, Safety Instructor, Warehouse Manager, Logistics Manager |
Religions for each: | Catholic (all) |
Father's Brothers' Total Children:
# Boys | 4 |
# Girls | 1 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 61 |
Education levels for each: | High school |
Occupations for each: | Retail Manager (retired) |
Religions for each: | Unknown |
Father's Sisters' Total Children:
# Boys | 1 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 2 |
Ages of Brothers: | 59, 53 |
Education levels for each: | High school, College |
Occupations for each: | Travel Agent, Architect |
Religions for each: | Methodist, Methodist |
Mother's Brothers' Total Children:
# Boys | 3 |
# Girls | 1 |
Mother's Sisters
# Sisters | 2 |
Ages of Sisters: | 61, 58 |
Education levels for each: | High school, High school |
Occupations for each: | Office Assistant, Office Assistant |
Religions for each: | Methodist, Methodist |
Mother's Sisters' Total Children:
# Boys | 2 |
# Girls | 4 |
Father's Parents
Father's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Salesman (retired) |
Primary ethnic origins: | Portuguese |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
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: | Office Assistant (retired) |
Primary ethnic origins: | Polish |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
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: | Diesel Mechanic |
Primary ethnic origins: | English |
Siblings:
# Brothers | 0 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Methodist |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | German |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English, German |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |