Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | None |
| Other talents: Years of experience | None |
Favorite:
| Color | Black |
| Food | Burgers |
| Music | Rock |
| Animal | Wolf |
| Pet | Invertebrates |
| Car | Motorcycles |
| Movie | The Road |
| Song | "Right Here" by Staind |
| Play | Fences |
Goals:
| Academic | Business Finance degree, Overall knowledge of many different things usable in life |
| Professional | Being a leader, Being someone who makes a difference |
| Personal | Own a house, Build a family, Pursue happiness and all the pleasures life has to offer |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English, some Spanish |
| Read | English |
| Write | English |
Sports:
| Play | Football, Track, Basketball, Tennis |
| Watch | None |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
| 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 | >1200 - out of 1600 |
| ACT on scale of | N/A |
| 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 | 4.5 | 6.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.89 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Business Finance |
| Minor subjects | Business |
Degrees
| Bachelor's | Pursuing BA/Business Finance |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Sports player |
| College | N/A |
| Academic | National Honor Society |
| Professional | Employee of the Month |
| Political | N/A |
| Personal | Self-achieving to be successful |
| Charitable | N/A |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Physical Features
| Hands | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 17.5 |
| Chest (inches) | 39.5 |
| Inseam (inches) | 31 |
| Waist (inches) | 33 |
| Sleeve (inches) | 29 |
| Wrist (inches) | 7.5 |
| Hat size | 7.5 |
| Shoe size | 11 |
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 | None |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| Nostril flare |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| 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 | Management |
Donor's Father Education:
| Level | College |
| Degree | Bachelor |
| Subject | Business |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | Mexican, Scottish |
Donor's Father Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English, Spanish |
Donor's Father Talents:
| Voice | Tenor |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 48 |
| Height | 5'10" |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 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 | None |
| Ear lobe | Attached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Donor's Mother Personal Information
| Occupation | Supply Manager |
Donor's Mother Education:
| Level | College |
| Degree | Associate |
| Subject | Accounting |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | Jamaican, German |
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 | 47 |
| Height | 5'9" |
| Weight | 150 lbs. |
| Hands | Left-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 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 | None |
| Ear lobe | Attached |
| Facial Dimples | Medium |
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 | Male |
| Age | 25 |
| Height | 5'10" |
| Weight | 180 lbs. |
| Hands | Left-Handed |
Sibling #1 Personal Information
| Occupation | Engineer |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Chemical Engineering |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Baritone |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Dark |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 16 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | Med |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| 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 | 14 |
| Height | 5'6" |
| Weight | 165 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Student |
Education:
| Level | High school |
| Degree | Pursuing |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Dark |
| 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 | MedDk |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | Slight |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Donor's Sibling #3
| Full/Half sibling | Half |
Sibling #3 Physical Information
Body
| Sex | Male |
| Age | 10 |
| Height | 4'11" |
| Weight | 100 lbs. |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Student |
Education:
| Level | Grade school |
| Degree | Pursuing |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | Lutheran |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #3 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
| Eye color | Blue |
| 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 | Straight |
Skin:
| Skin tone | Light |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Sibling #4
| Full/Half sibling | Half |
Sibling #4 Physical Information
Body
| Sex | Female |
| Age | 5 |
| Height | 4'0" |
| Weight | 65 lbs. |
| Hands | Right-Handed |
Sibling #4 Personal Information
| Occupation | Student |
Education:
| Level | Grade school |
| Degree | Pursuing |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | Lutheran |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Soprano |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #4 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #4 Facial Features
Eyes:
| Eye color | Brown |
| 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 | Curly |
Skin:
| Skin tone | Light |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 42 |
| Education levels for each: | Bachelor's |
| Occupations for each: | Teacher and Realtor |
| Religions for each: | Christian |
Father's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 3 |
| Ages of Sisters: | 51, 50, 1 (deceased) |
| Education levels for each: | Bachelor's, Bachelor's, N/A |
| Occupations for each: | Principal, Government Agency, N/A |
| Religions for each: | Christian (all) |
Father's Sisters' Total Children:
| # Boys | 2 |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 43 |
| Education levels for each: | Bachelor's |
| Occupations for each: | Transportation |
| Religions for each: | Christian |
Mother's Brothers' Total Children:
| # Boys | 2 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | Graduate |
| Degree | PhD |
| Subject | Pharmacy |
| Occupation: | Pharmacist |
| Primary ethnic origins: | Scottish |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English, Spanish |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Father's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Barber |
| Primary ethnic origins: | Mexican |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English, Spanish |
| Religion | Christian |
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: | Restaurant Owner |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | German, English |
| Religion | Lutheran |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Mother
Education
| Level | High school |
| Degree | Diploma and Nurse Certification |
| Subject | Medical |
| Occupation: | Registered Nurse |
| Primary ethnic origins: | Jamaican |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English, German |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |