Questions
Personal Information
Talents:
Voice: | Bass |
Instrument: Years of experience: | Guitar, bass and drums - 5 |
Other talents: Years of experience | Athletic - 10 |
Favorite:
Color | Seafoam Green |
Food | Lasagna |
Music | Alternative/Punk |
Animal | Dog |
Pet | Dog |
Car | Subaru |
Movie | Anything by Wes Anderson or Quentin Tarantino |
Song | The Beatles - I Am the Walrus |
Play | Not a fan of plays |
Goals:
Academic | Graduate with a Masters |
Professional | Start my own company |
Personal | Run a marathon every year and start a family |
Religion:
Faith | None |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English/Spanish |
Write | English |
Sports:
Play | Baseball, basketball, and cross country |
Watch | Basketball |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
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 | NA |
ACT on scale of | 23 - 30 |
GRE on scale of | 153 - 170 |
MCAT on scale of | NA |
LSAT on scale of | NA |
GMAT on scale of | NA |
TOEFL on scale of | NA |
Other on scale of | NA |
High School
Question | Response | on scale of |
GPA on scale of | 3.94 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.11 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.74 | 4.0 |
Subjects Studied:
Major subjects | Environmental Science and Urban Planning |
Minor subjects | Urban Planning |
Degrees
Bachelor's | Natural Resources and Environmental Science |
Master's | Urban Planning |
Doctorate | NA |
Other(s) | Associate's in Science, General |
Awards & Activities
High school | National Honor's Society |
College | Several scholarships |
Academic | NA |
Professional | NA |
Political | NA |
Personal | Race trophies/medals |
Charitable | Volunteering at foodbanks |
Others | NA |
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) | 14 |
Chest (inches) | 38 |
Inseam (inches) | 32 |
Waist (inches) | 31 |
Sleeve (inches) | 34 |
Wrist (inches) | 7 |
Hat size | 23 |
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 | 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 |
|
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 | Federal Government |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Criminal Justice |
Donor's Father Religion:
Faith | None |
Denomination | Agnostic |
Primary ethnic origins: | English, Swedish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Bass |
Instrument yrs experience | N/A |
Other yrs experience | N/A |
Donor's Father Physical Information
Body
Age | 51 |
Height | 5'10" |
Weight | 210 |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Dark |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 45 - 6 |
Hair:
Original hair color | Black |
If gray, age turned gray | NA |
Type | Wavy |
Skin:
Skin Tone | Med |
Skin Condition | Combination |
Other:
Chin cleft | Medium |
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 | Physical Therapist's Assistant |
Donor's Mother Education:
Level | College |
Degree | Associate |
Subject | Physical Therapy |
Donor's Mother Religion:
Faith | Christian |
Denomination | Protestant |
Primary ethnic origins: | Irish, Scottish |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Tenor |
Instrument yrs experience | N/A |
Other yrs experience | N/A |
Donor's Mother Physical Information
Body
Age | 52 |
Height | 5'2" |
Weight | 145 |
Hands | Left-Handed |
Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Dark |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 48 - 4 |
Hair:
Original hair color | Brown |
If gray, age turned gray | NA |
Type | Straight |
Skin:
Skin Tone | Med |
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 | Half - Maternal |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 27 |
Height | 5'9" |
Weight | 150 |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Car Collision Repair |
Education:
Level | Trade school |
Degree | Associate |
Subject | Collision Repair |
Religion:
Faith | Christian |
Denomination | Protestant |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
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 | Hazel |
Eye shade | Dark |
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 | Med |
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 |
Father's Siblings
Father's Brothers
# of Brothers | 1 |
Ages of Brothers: | 49 |
Education levels for each: | High School |
Occupations for each: | Hotel Clerk |
Religions for each: | Catholic |
Father's Brothers' Total Children:
# Boys | N/A |
# Girls | N/A |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 36 |
Education levels for each: | High School |
Occupations for each: | Custodian |
Religions for each: | Chistian |
Mother's Brothers' Total Children:
# Boys | N/A |
# Girls | N/A |
Father's Parents
Father's Father
Education
Level | High School |
Degree | NA |
Subject | NA |
Occupation: | Construction |
Primary ethnic origins: | English |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | NA |
Rank | NA |
Service Yrs | 0 |
Father's Mother
Education
Level | College |
Degree | Bachelors |
Subject | Accounting |
Occupation: | Administration Assistant |
Primary ethnic origins: | English, Swedish |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | English |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
Level | High school |
Degree | NA |
Subject | NA |
Occupation: | Farmer |
Primary ethnic origins: | Irish |
Siblings:
# Brothers | 1 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | Navy |
Rank | Not sure |
Service Yrs | 5 |
Mother's Mother
Education
Level | High School |
Degree | NA |
Subject | NA |
Occupation: | Cook |
Primary ethnic origins: | Scottish |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | NA |
Rank | NA |
Service Yrs | 0 |