Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Guitar, Bass, Drums - 15, 15, 10 |
Other talents: Years of experience | Golf - Since childhood |
Favorite:
Color | Red |
Food | Bacon cheeseburger |
Music | Classical |
Animal | Gorilla |
Pet | Dog |
Car | 1967 Pontiac GTO |
Movie | The Godfather |
Song | Russian Easter Overture |
Play | 12 Angry Men |
Goals:
Academic | PhD |
Professional | United States Senate |
Personal | Travel |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Golf |
Watch | Football, Basketball |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
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 | 27 - 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 | 3.5 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 2.94 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Social Science |
Minor subjects | N/A |
Degrees
Bachelor's | BS/Social Sciences |
Master's | N/A |
Doctorate | NA |
Other(s) | NA |
Awards & Activities
High school | Sports |
College | Student government |
Academic | Academic Letter |
Professional | Rookie Teacher of the Year |
Political | Political party volunteer |
Personal | Environmental campaigns volunteer |
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 | Long |
Sizes & Measurements
Neck (inches) | 16 |
Chest (inches) | 40 |
Inseam (inches) | 32 |
Waist (inches) | 30 |
Sleeve (inches) | 29 |
Wrist (inches) | 6.5 |
Hat size | 7 |
Shoe size | 10.5 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | N/A |
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 |
|
Eyebrows:
Arch |
|
Thickness |
|
Set |
|
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 | Teacher/Coach |
Donor's Father Education:
Level | Graduate school |
Degree | Master |
Subject | Education Administration |
Donor's Father Religion:
Faith | Other |
Denomination | Agnostic |
Primary ethnic origins: | Irish, Scottish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Bass |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 57 |
Height | 5'10" |
Weight | 225 lbs. |
Hands | Right-Handed |
Donor's Father 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 | Straight |
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 | N/A |
Donor's Mother Personal Information
Occupation | Teacher |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Education |
Donor's Mother Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Italian, 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 | 58 |
Height | 5'4" |
Weight | 120 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Green |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | N/A |
Hair:
Original hair color | Brown |
If gray, age turned gray | 40 |
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 | 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 | Female |
Age | 31 |
Height | 5'4" |
Weight | 115 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Teacher |
Education:
Level | Graduate school |
Degree | Master |
Subject | Education |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
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 | Green |
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 | Oily |
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: | 53 |
Education levels for each: | College |
Occupations for each: | Coach |
Religions for each: | Christian |
Father's Brothers' Total Children:
# Boys | 1 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 52 |
Education levels for each: | MD |
Occupations for each: | Doctor |
Religions for each: | Agnostic |
Mother's Brothers' Total Children:
# Boys | 1 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | Graduate school |
Degree | Master's |
Subject | Education |
Occupation: | Football Coach/Athletic Director |
Primary ethnic origins: | Scottish |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | English |
Religion | None |
Military
Branch | Air Force |
Rank | Sergeant |
Service Yrs | 5 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Teacher |
Primary ethnic origins: | Irish |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Episcopalian |
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: | Medical Administrator |
Primary ethnic origins: | English |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English, Spanish |
Religion | Catholic |
Military
Branch | Navy |
Rank | First Petty Officer |
Service Yrs | 4 |
Mother's Mother
Education
Level | College |
Degree | Bachelor's |
Subject | Elementary Education |
Occupation: | Teacher |
Primary ethnic origins: | Italian |
Siblings:
# Brothers | 0 |
# Sisters | 6 |
Other:
Languages | English, Spanish, Italian |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |