Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Trumpet, French Horn, Baritone, Piano - Total: 11 |
Other talents: Years of experience | Soccer, Rugby, Volleyball, Sprinting - 15 |
Favorite:
Color | Blue |
Food | Pizza |
Music | Pop/Electronic |
Animal | Koala |
Pet | Cat |
Car | Mustang |
Movie | Count of Monte Cristo |
Song | Man in the Mirror |
Play | N/A |
Goals:
Academic | PhD |
Professional | Chemist |
Personal | N/A |
Religion:
Faith | None |
Denomination | N/A |
Languages:
Speak | English, Spanish, Thai |
Read | English, Spanish |
Write | English, Spanish |
Sports:
Play | Soccer, Volleyball, Rugby |
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 | 1750 - 2400 |
ACT on scale of | N/A |
GRE on scale of | 157/162/4.5 - 170/170/6 |
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 | 3.3 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.05 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.33 | 4.0 |
Subjects Studied:
Major subjects | Chemistry, Biology |
Minor subjects | Spanish, Computer Science |
Degrees
Bachelor's | BS/Chemistry |
Master's | MS/Chemistry |
Doctorate | Pursuing PhD Chemistry |
Other(s) | N/A |
Awards & Activities
High school | IB Diploma |
College | Dean's List 2 semesters |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | Cooking, Soccer, Cross stitching |
Charitable | N/A |
Others | French Horn, Trumpet, Piano, Singing |
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) | 16 |
Chest (inches) | 38 |
Inseam (inches) | 31 |
Waist (inches) | 35 |
Sleeve (inches) | 29 |
Wrist (inches) | 7 |
Hat size | 7 |
Shoe size | 9.5 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | N/A |
Laser surgery? | No |
Dental:
Device | Braces and Retainer |
Reason | Cosmetic |
Age range during use | 10-14 |
Other Physical Aids:
List | N/A |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
Size |
|
Shape |
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Color |
|
Shade |
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Eyebrows:
Arch |
|
Thickness |
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Set |
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Nose:
Size |
|
Shape |
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Width |
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Length |
|
Bridge |
|
Nostril flare |
|
Septum |
|
Cheekbones:
Set |
|
Prominence |
|
Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
Condition |
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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 |
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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 | Biologist |
Donor's Father Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Microbiology |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Belgian, Polish, German |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | N/A |
Other yrs experience | N/A |
Donor's Father Physical Information
Body
Age | 60 |
Height | 6'3 |
Weight | 175 |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Blue |
Eye shade | Medium |
Vision | Normal |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 15 - 15 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | MedL |
Skin Condition | Combination |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | None |
Military
Served in Military | Yes |
Branch | Navy |
Rank | Lieutenant |
Years of service | 13 |
Donor's Mother Personal Information
Occupation | Biologist |
Donor's Mother Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Biochemistry |
Donor's Mother Religion:
Faith | Christian |
Denomination | Episcopalian |
Primary ethnic origins: | English |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | N/A |
Other yrs experience | N/A |
Donor's Mother Physical Information
Body
Age | 57 |
Height | 5'3 |
Weight | 135 |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 15 - 15 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | MedL |
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 30 |
Height | 5'10 |
Weight | 175 |
Hands | Ambidextrous |
Sibling #1 Personal Information
Occupation | Software Engineer |
Education:
Level | College |
Degree | Bachelor |
Subject | Entrepreneurship |
Religion:
Faith | Christian |
Denomination | Episcopalian |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
Instrument Years of experience | Cello - 7 |
Other Years of experience | N/A |
Sibling #1 Children:
# Boys Ages: | 1 - 2 |
# Girls Ages: | 1 - 6 mos |
Sibling #1 Facial Features
Eyes:
Eye color | Hazel |
Eye shade | Medium |
Vision | Normal |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 15 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
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 Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 32 |
Height | 5'8 |
Weight | 140 |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Biomedical Engineer |
Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Biomedical Engineering |
Religion:
Faith | None |
Denomination | N/A |
Languages:
Speak | English, French |
Read | English, French |
Write | English, French |
Talents:
Voice | Alto |
Instrument Years of experience | Clarinet - 8 |
Other Years of experience | N/A |
Sibling #2 Children:
# Boys Ages: | 2 - 5, 2 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Green |
Eye shade | Medium |
Vision | Normal |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 14 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | Light |
Skin condition | Medium |
Other:
Chin cleft | Slight |
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 #3
Full/Half sibling | Full |
Sibling #3 Physical Information
Body
Sex | Female |
Age | 29 |
Height | 5'3 |
Weight | 115 |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Art Historian |
Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Art History |
Religion:
Faith | None |
Denomination | N/A |
Languages:
Speak | English |
Read | English, Swahili, Arabic |
Write | English, Swahili, Arabic |
Talents:
Voice | Soprano |
Instrument Years of experience | Violin - 7 |
Other Years of experience | N/A |
Sibling #3 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
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 | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | MedL |
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 |
Father's Siblings
Father's Brothers
# of Brothers | 1 |
Ages of Brothers: | 55, 53, 50 |
Education levels for each: | Bachelors (all) |
Occupations for each: | Financial Analyst, Management, Real Estate |
Religions for each: | Catholic (all) |
Father's Brothers' Total Children:
# Boys | 3 |
# Girls | 2 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 51 |
Education levels for each: | Bachelors |
Occupations for each: | Teacher |
Religions for each: | Catholic |
Father's Sisters' Total Children:
# Boys | 1 |
# Girls | N/A |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 54, 11 (deceased in accident) |
Education levels for each: | Bachelors |
Occupations for each: | Management |
Religions for each: | Christian |
Mother's Brothers' Total Children:
# Boys | 2 |
# Girls | N/A |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 53 |
Education levels for each: | Associates |
Occupations for each: | Social Work |
Religions for each: | Christian |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | Graduate School |
Degree | Masters |
Subject | Teaching |
Occupation: | Principal |
Primary ethnic origins: | Belgian, German |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | National Guard |
Rank | N/A |
Service Yrs | N/A |
Father's Mother
Education
Level | Bachelor's |
Degree | Bachelor's |
Subject | Teaching |
Occupation: | Teacher |
Primary ethnic origins: | Polish |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
Level | Medical School |
Degree | Medical Doctor |
Subject | Medicine |
Occupation: | Doctor |
Primary ethnic origins: | English |
Siblings:
# Brothers | 1 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | N/A |
Mother's Mother
Education
Level | Bachelor's |
Degree | Bachelor's |
Subject | Teaching |
Occupation: | Teacher |
Primary ethnic origins: | English |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | N/A |