Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | Tuba - 20 |
| Other talents: Years of experience | None |
Favorite:
| Color | Purple |
| Food | Mexican |
| Music | Country |
| Animal | Tiger |
| Pet | Dog |
| Car | Chevelle |
| Movie | The Jerk |
| Song | "Fancy" by Reba McEntire |
| Play | The Phantom of the Opera |
Goals:
| Academic | Law degree |
| Professional | Professor |
| Personal | Happy |
Religion:
| Faith | Christian |
| Denomination | Baptist |
Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English, Spanish |
Sports:
| Play | Kickball |
| Watch | Football |
Siblings:
| # Brothers | 1 |
| # 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 | 1250 - 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 | 650 - out of 800 |
| TOEFL on scale of | N/A |
| Other on scale of | N/A |
High School
| Question | Response | on scale of |
| GPA on scale of | 3.8 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.31 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.64 | 4.0 |
Subjects Studied:
| Major subjects | Business |
| Minor subjects | N/A |
Degrees
| Bachelor's | Bachelor of Business Administration |
| Master's | Master of Business Administration |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | National Honor Society |
| College | President's club, Rugby |
| Academic | Dean's List, Cum laude graduate, First place graduate capstone |
| Professional | N/A |
| Political | N/A |
| Personal | Kickball team |
| Charitable | N/A |
| Others | Outstanding Communicator Award |
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) | 17 |
| Chest (inches) | 42 |
| Inseam (inches) | 32 |
| Waist (inches) | 36 |
| Sleeve (inches) | 32 |
| Wrist (inches) | 6.5 |
| Hat size | 8 |
| Shoe size | 13 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 22 |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 10-12 |
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 | Real Estate Broker |
Donor's Father Education:
| Level | High school |
| Degree | Not Completed |
| Subject | General Studies |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Baptist |
| Primary ethnic origins: | Mexican, German |
Donor's Father Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English, Spanish |
Donor's Father Talents:
| Voice | Tenor |
| Instrument yrs experience | Drums - 40 |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 59 |
| Height | 5'9" |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 50 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | 50 |
| Type | Straight |
Skin:
| Skin Tone | Light |
| 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 Mother Personal Information
| Occupation | Business Owner |
Donor's Mother Education:
| Level | High school |
| Degree | Not Completed |
| Subject | General Studies |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | Native American, Scottish, French |
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 | 57 |
| Height | 5'1" |
| Weight | 140 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Green |
| Eye shade | Light |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts yrs | 12 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | 55 |
| Type | Wavy |
Skin:
| Skin Tone | Light |
| 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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Half |
Sibling #1 Physical Information
Body
| Sex | Male |
| Age | 27 |
| Height | 5'9" |
| Weight | 400 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Caretaker |
Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | Baptist |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| 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 | 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 | Straight |
Skin:
| Skin tone | MedL |
| 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 Sibling #2
| Full/Half sibling | Half |
Sibling #2 Physical Information
Body
| Sex | Female |
| Age | 27 |
| Height | 5'3" |
| Weight | 160 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Hair Stylist |
Education:
| Level | High school |
| Degree | Not Completed |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | Baptist |
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: | 1 - 10 |
| # Girls Ages: | 1 - 7 |
Sibling #2 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 | Auburn |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | Light |
| 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 #3
| Full/Half sibling | Half |
Sibling #3 Physical Information
Body
| Sex | Female |
| Age | 22 |
| Height | 5'9" |
| Weight | 135 lbs. |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Homemaker |
Education:
| Level | High school |
| Degree | Diploma - (General Educational Development Certificate) |
| Subject | General Studies |
Religion:
| Faith | Christian |
| Denomination | Baptist |
Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English, Spanish |
Talents:
| Voice | Alto |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #3 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 1 - 2 |
Sibling #3 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 | Black |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Med |
| 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 |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 28 (deceased) |
| Education levels for each: | Some high school |
| Occupations for each: | Military |
| Religions for each: | Christian |
Father's Brothers' Total Children:
| # Boys | N/A |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 48 |
| Education levels for each: | Bachelor's |
| Occupations for each: | Business Owner |
| Religions for each: | Christian |
Mother's Brothers' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 63 |
| Education levels for each: | Some college |
| Occupations for each: | Administrator |
| Religions for each: | Catholic |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | Some high school |
| Degree | None |
| Subject | General Studies |
| Occupation: | Real Estate Broker |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | Air Force |
| Rank | Airman, First Class |
| Service Yrs | 4 |
Father's Mother
Education
| Level | Some college |
| Degree | None |
| Subject | Undeclared |
| Occupation: | Homemaker |
| Primary ethnic origins: | Mexican |
Siblings:
| # Brothers | 0 |
| # Sisters | 2 |
Other:
| Languages | Spanish, English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | Some college |
| Degree | None |
| Subject | Undeclared |
| Occupation: | Welder |
| Primary ethnic origins: | French |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English, French |
| Religion | English, French |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | College |
| Degree | Certification |
| Subject | Respiratory Therapy |
| Occupation: | Respiratory Therapist |
| Primary ethnic origins: | Native American, Scottish |
Siblings:
| # Brothers | 4 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |