Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | NA |
| Other talents: Years of experience | NA |
Favorite:
| Color | Don't prefer any one color |
| Food | Peaches |
| Music | Traditional |
| Animal | Bobcat |
| Pet | Cat |
| Car | BMW |
| Movie | No Country for Old Men |
| Song | The Girl Who Stole My Tomagochi |
| Play | Salome |
Goals:
| Academic | PhD |
| Professional | Improve my professional status and income |
| Personal | Balanced, content, and powerful |
Religion:
| Faith | Other - Agnostic |
| Denomination | NA |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | Baseball, Soccer, Lacrosse, Swimming, Cycling, Water polo |
| Watch | Lacrosse, Hockey, Basketball, Volleyball, Football |
Siblings:
| # Brothers | 0 |
| # 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 | 2250 - 2400 |
| ACT on scale of | NA |
| GRE on scale of | 156 - 160 |
| MCAT on scale of | NA |
| LSAT on scale of | NA |
| GMAT on scale of | NA |
| TOEFL on scale of | NA |
| Other on scale of | SAT II Math 800 - 800 |
High School
| Question | Response | on scale of |
| GPA on scale of | 4.0 | 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 | 3.3 | 4.0 |
Subjects Studied:
| Major subjects | Engineering Mechanics |
| Minor subjects | Mathematics |
Degrees
| Bachelor's | BS/Engineering Mechanics |
| Master's | NA |
| Doctorate | PhD/Electrical Engineering |
| Other(s) | NA |
Awards & Activities
| High school | MVP JV soccer, Research awards, Humanitites award |
| College | Departmental recognition awards (3), Scholarships, Grants |
| Academic | Dean's List |
| Professional | NA |
| Political | NA |
| Personal | Collect books, Writing for student paper |
| Charitable | NA |
| Others | Camping with friends, Cooking, Swimming |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Ambidextrous |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 17 |
| Chest (inches) | 41 |
| Inseam (inches) | 30 |
| Waist (inches) | 29 |
| Sleeve (inches) | 35 |
| Wrist (inches) | 6 |
| Hat size | 7 |
| Shoe size | 9 |
Physical Aids
Eyes:
| Vision | Far-Sighted |
| Glasses | None - Only wore glasses in college and no longer needs them |
| 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 | NA |
| Reason/cause | NA |
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 | Fundraiser |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | History |
Donor's Father Religion:
| Faith | Jewish |
| Denomination | Askenazi |
| Primary ethnic origins: | Lithuanian, Ukrainian |
Donor's Father Languages:
| Speak | English, French, Spanish |
| Read | English, French, Spanish |
| Write | English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | Clarinet - 4 |
| Other yrs experience | Sailing - 15 |
Donor's Father Physical Information
Body
| Age | 60 |
| Height | 6'5" |
| Weight | 180 |
| Hands | Left-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Bifocal |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 14 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 55 |
| Type | Curly |
Skin:
| Skin Tone | MedDk |
| Skin Condition | Combination |
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 Mother Personal Information
| Occupation | Teacher |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Education |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Methodist |
| Primary ethnic origins: | English, German |
Donor's Mother Languages:
| Speak | English, Spanish, French |
| Read | English, Spanish French |
| Write | English, Spanish |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | NA |
| Other yrs experience | Kayaking - 30 |
Donor's Mother Physical Information
Body
| Age | 55 |
| Height | 5'7" |
| Weight | 130 |
| Hands | Left-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 25 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | NA |
| Type | Straight |
Skin:
| Skin Tone | Light |
| Skin Condition | Combination |
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 | Female |
| Age | 27 |
| Height | 5'7" |
| Weight | 122 |
| Hands | Left-Handed |
Sibling #1 Personal Information
| Occupation | Teacher |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Psychology, Literature |
Religion:
| Faith | None |
| Denomination | NA |
Languages:
| Speak | English, Spanish, Other |
| Read | English, Spanish, Other |
| Write | English, Spanish, Other |
Talents:
| Voice | Alto |
| Instrument Years of experience | NA |
| Other Years of experience | NA |
Sibling #1 Children:
| # Boys Ages: | N/A |
| # Girls Ages: | N/A |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 9 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | NA |
| Type | Straight |
Skin:
| Skin tone | Med |
| 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 #2
| Full/Half sibling | Half - (Paternal) |
Sibling #2 Physical Information
Body
| Sex | Female |
| Age | 20 |
| Height | 5'9" |
| Weight | 180 |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Student |
Education:
| Level | Some college |
| Degree | Pursuing |
| Subject | Economics |
Religion:
| Faith | Christian |
| Denomination | Baptist |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Soprano |
| Instrument Years of experience | Piano - 10 |
| Other Years of experience | Basketball - 5 |
Sibling #2 Children:
| # Boys Ages: | N/A |
| # Girls Ages: | N/A |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Light |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 11 |
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 | Detached |
| Facial dimples | None |
Military
| Served in military | N/A |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 63 |
| Education levels for each: | Bachelors and Law degree |
| Occupations for each: | Lawyer |
| Religions for each: | Jewish |
Father's Brothers' Total Children:
| # Boys | 2 |
| # Girls | N/A |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 61 |
| Education levels for each: | Bachelors |
| Occupations for each: | Therapist |
| Religions for each: | Jewish |
Father's Sisters' Total Children:
| # Boys | 2 |
| # Girls | N/A |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 52, 35 (deceased) |
| Education levels for each: | High school, High school |
| Occupations for each: | Salesman, Computer sales |
| Religions for each: | Methodist, Methodist |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 3 |
Father's Parents
Father's Father
Education
| Level | Bachelors |
| Degree | Bachelors |
| Subject | Civil Engineering |
| Occupation: | Civil Engineer |
| Primary ethnic origins: | Lithuanian |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Jewish |
Military
| Branch | Corps of Engineers |
| Rank | Officer |
| Service Yrs | 2 |
Father's Mother
Education
| Level | High School |
| Degree | NA |
| Subject | NA |
| Occupation: | School for the Blind |
| Primary ethnic origins: | Ukrainian |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Jewish |
Military
| Branch | NA |
| Rank | NA |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | High School |
| Degree | NA |
| Subject | NA |
| Occupation: | Business |
| Primary ethnic origins: | English |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | NA |
| Rank | NA |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | Bachelors |
| Degree | Bachelors |
| Subject | Accounting |
| Occupation: | Business, CPA, CFO |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | English, German |
| Religion | Christian |
Military
| Branch | NA |
| Rank | NA |
| Service Yrs | N/A |