Questions
Personal Information
Talents:
| Voice: | Baritone |
| Instrument: Years of experience: | Guitar - 7 |
| Other talents: Years of experience | Rock climbing - 2 |
Favorite:
| Color | Blue |
| Food | Guacamole or Pizza |
| Music | Post-rock, Dream Pop, Art Rock |
| Animal | Dog or Bear |
| Pet | Dog |
| Car | Land Rover |
| Movie | Best of Youth (Italy) |
| Song | "Milano" by Sigur Ros |
| Play | The Tempest |
Goals:
| Academic | To earn a PHD |
| Professional | To be a lawyer |
| Personal | Financial freedom, Create a piece of meaningful art, Contribute to the world |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | Basketball, Rock Climbing, Soccer, Frisbee |
| Watch | Soccer |
Siblings:
| # Brothers | 2 |
| # 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 | 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 | 3.4 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.6 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | English |
| Minor subjects | N/A |
Degrees
| Bachelor's | Pursuing BA/English |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Honorable mention All-State in basketball |
| College | Dean's List |
| Academic | Award recipient |
| Professional | N/A |
| 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 | Ambidextrous |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 16.5 |
| Chest (inches) | 44 |
| Inseam (inches) | 31 |
| Waist (inches) | 39.5 |
| Sleeve (inches) | 34 |
| Wrist (inches) | 8.5 |
| Hat size | 7 |
| Shoe size | 11 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 17 |
| 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 |
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| Thickness |
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| Set |
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Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| 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 |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
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| 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 | Dentist |
Donor's Father Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Dentistry |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | English, German |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 39 - (deceased) |
| Height | 5'10" |
| Weight | 165 lbs. |
| Hands | Left-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Blond |
| 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 | N/A |
Donor's Mother Personal Information
| Occupation | Social Worker |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Social Work |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | French, Dutch |
Donor's Mother Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument yrs experience | Piano - 20 |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 72 |
| Height | 5'4" |
| Weight | 135 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | 60 |
| 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 | 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 | 47 |
| Height | 5'6" |
| Weight | 195 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Account Manager |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Social Work |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Soprano |
| 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 | 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 | Curly |
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 | N/A |
Donor's Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Sex | Male |
| Age | 43 |
| Height | 5'10 |
| Weight | 235 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Professor |
Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Theology |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Languages:
| Speak | English, French, German |
| Read | English, French, German, Latin |
| Write | English, French, German, Latin |
Talents:
| Voice | Bass |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #2 Children:
| # Boys Ages: | 1 - 4 |
| # Girls Ages: | 2 - 14, 11 |
Sibling #2 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 | 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 | N/A |
Donor's Sibling #3
| Full/Half sibling | Full |
Sibling #3 Physical Information
Body
| Sex | Male |
| Age | 39 |
| Height | 5'9" |
| Weight | 175 lbs. |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Manager |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Business Administration and Leadership |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #3 Children:
| # Boys Ages: | 1 - 6 |
| # 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 | Blond |
| 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 | Slight |
Military
| Served in military | Yes |
| Branch | Army |
| Rank | 2nd Lieutenant |
| Years of service | 2 |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 50 (deceased) |
| Education levels for each: | Doctorate |
| Occupations for each: | Doctor |
| Religions for each: | Christian |
Father's Brothers' Total Children:
| # Boys | 2 |
| # Girls | N/A |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 65, 61 |
| Education levels for each: | Doctorate, Master's |
| Occupations for each: | Business Owner, Library Scientist |
| Religions for each: | Christian, Christian |
Father's Sisters' Total Children:
| # Boys | 2 |
| # Girls | N/A |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 73, 62 |
| Education levels for each: | Bachelor's, Bachelor's |
| Occupations for each: | Engineer, Engineer |
| Religions for each: | Christian, Christian |
Mother's Brothers' Total Children:
| # Boys | N/A |
| # Girls | 3 |
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 68 |
| Education levels for each: | Master's |
| Occupations for each: | Business Owner |
| Religions for each: | Christian |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | N/A |
Father's Parents
Father's Father
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Funeral Home Director |
| Primary ethnic origins: | German (distant Jewish heritage) |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Father's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | English |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Engineering |
| Occupation: | Engineer |
| Primary ethnic origins: | Dutch |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
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: | French |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |