Questions

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

Personal Information

Talents:
Voice:Baritone
Instrument:
Years of experience:		Trumpet - 5
Other talents:
Years of experience		None
Favorite:
ColorBlue
FoodBreakfast foods - all of them
MusicRock (oldies and today)
AnimalWolf
PetHusky
Car1969 Chevelle
MovieThe Dark Knight Rises
Song"Play Crack The Sky" by Brand New
PlayOf Mice and Men
Goals:
AcademicI am currently reaching my academic goal of getting my master's in Occupational Therapy
Professional My goal is to become an occupational therapist for the military
PersonalMy personal goal is to open up a CrossFit gym when I retire from being an occupational therapist
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayFootball, Basketball, Baseball, Slow pitch softball, CrossFit, Snowboarding
WatchFootball, Basketball, Baseball, CrossFit
Siblings:
# Brothers3
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A
ACT
on scale of		21 - 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 		3.74.0
College
Question Response on scale of
GPA
on scale of 		3.534.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.824.0
Subjects Studied:
Major subjectsAnatomy, Kinesiology, Exercise Testing
Minor subjectsSports Medicine, Coaching Strategies
Degrees
Bachelor'sBS/Exercise Science, minors in Sports Medicine, Athletic Coaching
Master'sPursuing Master's of Occupational Therapy
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolTechnology achievement award, twice
CollegeN/A
AcademicDean's List, Magna cum laude graduate (undergrad)
Professional N/A
Political Military awards
Personal N/A
Charitable N/A
OthersN/A

Military

Served in militaryYes
BranchArmy National Guard
RankSergeant
Years of service11

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)38
Inseam (inches)30
Waist (inches)30
Sleeve (inches)36
Wrist (inches)7
Hat size22
Shoe size11

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListNone
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
Septum
  • Thin
  • Average
  • Thick
Cheekbones:
Set
  • Low
  • Average
  • High
Prominence
  • Slight
  • Medium
  • Strong
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
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
  • FlatFlat
  • AverageAverage
  • AcuteAcute
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
  • Light
  • MedL
  • Med
  • MedDk
  • Dark
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
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationSalesman
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age52
Height5'4"
Weight160 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Black
If gray, age turned gray50
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Custodian
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age47
Height5'4"
Weight155 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		42
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesMedium
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age30
Height5'9"
Weight210 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectEngineering
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Drums - 5
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		1 - 9
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age27
Height5'7"
Weight185 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectInformation Technology
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		1 - 5
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryYes
BranchArmy
RankPrivate First Class
Years of service3
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexMale
Age24
Height5'9"
Weight230 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Dock Worker
Education:
LevelSome college
DegreeNot Completed
SubjectExercise Science
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Trumpet - 5
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryYes
BranchArmy
RankPrivate First Class
Years of service4
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:61, 59, 56
Education levels for each:High school, Bachelor's, High school
Occupations for each:Construction Worker, Mortician, Electrician
Religions for each:Christian (all)
Mother's Brothers' Total Children:
# Boys0
# Girls6
Mother's Sisters
# Sisters2
Ages of Sisters:53, 17 (deceased )
Education levels for each:High school, High school
Occupations for each:Retailer, Student
Religions for each:Christian, Christian
Mother's Sisters' Total Children:
# Boys2
# Girls2
Father's Parents
Father's Father
Education
LevelSome high school
DegreeNone
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelSome high school
DegreeNone
SubjectGeneral Studies
Occupation:Waitress
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGrade school
DegreeNone
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankCorporal
Service Yrs2
Mother's Mother
Education
LevelGrade school
DegreeNone
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0