Questions
Personal Information
Talents:
| Voice: | Baritone |
| Instrument: Years of experience: | Guitar, Drums, Trombone - 13, 12, 10 |
| Other talents: Years of experience | Juggling - 15 |
Favorite:
| Color | Green |
| Food | Pulled pork |
| Music | Musical theatre |
| Animal | Bison |
| Pet | Pit bull |
| Car | Chevy Camaro 1976 |
| Movie | The Fate of the Furious |
| Song | Santa Fe |
| Play | Newsies |
Goals:
| Academic | Bachelor's in Theatre Performance |
| Professional | Own and run my own theatre company |
| Personal | Have family home that is welcome to all |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | Football, Swimming, Weightlifting |
| Watch | Football, Soccer |
Siblings:
| # Brothers | 3 |
| # 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 | 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 | 2.80 | 4.00 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.61 | 4.00 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Theatre Performance |
| Minor subjects | Theatre Production and Design |
Degrees
| Bachelor's | Will be pursuing a BFA in Theatre Performance soon |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | AFA/Theatre Performance |
Awards & Activities
| High school | Student body representative, Theatre (most valuable actor), Football (two times letter), Band (trombone), Choir, Swimming (one time letter) |
| College | Theatre |
| Academic | N/A |
| Professional | Employee of the Month |
| Political | N/A |
| Personal | N/A |
| Charitable | N/A |
| 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 | Medium |
Sizes & Measurements
| Neck (inches) | 16.5 |
| Chest (inches) | 42 |
| Inseam (inches) | 30 |
| Waist (inches) | 32 |
| Sleeve (inches) | 32 |
| Wrist (inches) | 7 |
| Hat size | 7.38 |
| Shoe size | 11.5 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 11-14 |
Other Physical Aids:
| List | None |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
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| Color |
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| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
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| Thickness |
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| Set |
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Thin
Average
ThickNose:
| 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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Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
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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 |
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| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
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| Type |
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| Fullness |
|
| Texture |
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Skin:
| Tone |
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| Tan ability |
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| Condition |
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Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| 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 | Finance Manager/Salesman |
Donor's Father Education:
| Level | College |
| Degree | Bachelor |
| Subject | Psychology |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Non-denominational |
| Primary ethnic origins: | German |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | Sousaphone - 8 |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 46 |
| Height | 5'10” |
| Weight | 220 lbs. |
| Hands | Left-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Light |
| Vision | Near-Sighted |
| Glasses | Bifocal |
| Astigmatism | Yes |
| Age started wearing glasses/contacts yrs | 5 |
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 | Attached |
| 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 | Homemaker/Student |
Donor's Mother Education:
| Level | College |
| Degree | Pursuing |
| Subject | English |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Non-denominational |
| Primary ethnic origins: | Hungarian |
Donor's Mother Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | Piano - 5 |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 50 |
| Height | 5'10” |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Light |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin Tone | MedL |
| Skin Condition | Oily |
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Sex | Male |
| Age | 23 |
| Height | 6'3" |
| Weight | 185 lbs. |
| Hands | Left-Handed |
Sibling #1 Personal Information
| Occupation | Swim Instructor |
Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Baritone |
| Instrument Years of experience | Trumpet - 15 |
| 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 | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 8 |
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 | Attached |
| Facial dimples | None |
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 | 20 |
| Height | 5'10" |
| Weight | 175 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Swim Instructor |
Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | None-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | Saxophone - 4 |
| 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 | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Blond |
| 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 | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Sibling #3
| Full/Half sibling | Full |
Sibling #3 Physical Information
Body
| Sex | Female |
| Age | 19 |
| Height | 5'3" |
| Weight | 120 lbs. |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Student |
Education:
| Level | College |
| Degree | Pursuing |
| Subject | Nursing |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | Flute - 7 |
| Other Years of experience | None |
Sibling #3 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
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 | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Sibling #4
| Full/Half sibling | Full |
Sibling #4 Physical Information
Body
| Sex | Female |
| Age | 17 |
| Height | 5'5" |
| Weight | 135 lbs. |
| Hands | Right-Handed |
Sibling #4 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 | Tuba - 6 |
| Other Years of experience | None |
Sibling #4 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #4 Facial Features
Eyes:
| Eye color | Hazel |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 6 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | MedL |
| Skin condition | Oily |
Other:
| Chin cleft | Slight |
| 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 #5
| Full/Half sibling | Full |
Sibling #5 Physical Information
Body
| Sex | Female |
| Age | 15 |
| Height | 5'7" |
| Weight | 120 lbs. |
| Hands | Ambidextrous |
Sibling #5 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 | Trombone - 4 |
| Other Years of experience | N/A |
Sibling #5 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #5 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| 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 | 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 Sibling #6
| Full/Half sibling | Full |
Sibling #6 Physical Information
Body
| Sex | Male |
| Age | 14 |
| Height | 6'2" |
| Weight | 175 lbs. |
| Hands | Right-Handed |
Sibling #6 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 | Baritone |
| Instrument Years of experience | Drums - 4 |
| Other Years of experience | None |
Sibling #6 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #6 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 | Blond |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | MedL |
| Skin condition | Oily |
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 Sibling #7
| Full/Half sibling | Full |
Sibling #7 Physical Information
Body
| Sex | Female |
| Age | 12 |
| Height | 5'6" |
| Weight | 115 lbs. |
| Hands | Right-Handed |
Sibling #7 Personal Information
| Occupation | Student |
Education:
| Level | Grade 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 #7 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #7 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| 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 | 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 |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 34 |
| Education levels for each: | College |
| Occupations for each: | Military |
| Religions for each: | Christian |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 42 |
| Education levels for each: | College |
| Occupations for each: | Inventory Manager |
| Religions for each: | Christian |
Father's Sisters' Total Children:
| # Boys | N/A |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 40 |
| Education levels for each: | College |
| Occupations for each: | Truck Driver |
| Religions for each: | Christian |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 48, 44 |
| Education levels for each: | High school, High school |
| Occupations for each: | Factory Worker, Receiving Manager |
| Religions for each: | Christian, Christian |
Mother's Sisters' Total Children:
| # Boys | N/A |
| # Girls | 2 |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Bachelor's |
| Subject | English |
| Occupation: | Factory Worker |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Lutheran |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Father's Mother
Education
| Level | College |
| Degree | Bachelor's |
| Subject | English Education |
| Occupation: | Teacher |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Factory Worker |
| Primary ethnic origins: | Hungarian |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Hungarian |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |