Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | NA |
| Other talents: Years of experience | Athletic, played hockey, football, baseball and lacrosse into my senior year of high school, still play intramurals. - 18 |
Favorite:
| Color | Red |
| Food | Watermelon |
| Music | Hip-Hop/Rap |
| Animal | Bonobos |
| Pet | Border Collie dog |
| Car | Tesla X |
| Movie | The Lighthouse (Robert Pattinson) |
| Song | Ali Bomaye (The Game) |
| Play | Les Miserables |
Goals:
| Academic | Master's degree in I/O Psychology |
| Professional | Practicing I/O Psychologist |
| Personal | See my great grandchildren |
Religion:
| Faith | None |
| Denomination | NA |
Languages:
| Speak | English, French |
| Read | English, French |
| Write | English, French |
Sports:
| Play | Hockey, baseball, lacrosse |
| Watch | Football, basketball, hockey, baseball |
Siblings:
| # Brothers | 3 |
| # 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 | N/A |
| ACT on scale of | 30 - 36 |
| GRE on scale of | 158 Verbal, 157 Quant, 4.5 Analytical Writing - 170 |
| 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 | 4.12 (weighted), 3.8 (unweighted) | 4 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.77 | 4 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | 4 |
Subjects Studied:
| Major subjects | Psychology |
| Minor subjects | Biology, Chemistry |
Degrees
| Bachelor's | N/A |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | National Honor Society, Top 5% academically, played baseball, lacrosse |
| College | Dean's list multiple times, Active Minds Treasurer focusing on awareness of mental health, intramural sports |
| Academic | Dean's List |
| Professional | N/A |
| Political | N/A |
| Personal | Weightlifting regularly |
| Charitable | Two Volunteer service trips, and living in Rome for a year in the near future at a monastery doing volunteer work |
| 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 | Medium |
Sizes & Measurements
| Neck (inches) | 15 |
| Chest (inches) | 44 |
| Inseam (inches) | 32 |
| Waist (inches) | 32 |
| Sleeve (inches) | 35 |
| Wrist (inches) | 6.5 |
| Hat size | 7.25 |
| Shoe size | 11.5 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 12 |
| Laser surgery? | No |
Dental:
| Device | None |
| Reason | N/A |
| Age range during use | N/A |
Other Physical Aids:
| List | N/A |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
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| Size |
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| Shape |
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| Color |
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| Shade |
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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 |
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| Shape |
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| 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 |
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| Prominence |
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Mouth:
| Size |
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| Lips |
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| Turn |
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Small
Average
Large
Thin
Average
FullTeeth:
| Size |
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| Set |
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| Condition |
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Average
Large
SmallChin:
| Shape |
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| Prominence |
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| Cleft |
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Round
Oval
Square
None
Slight
StrongEars:
| Size |
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| Set |
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| Angle |
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| Lobe size |
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| Lobe attachment |
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Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
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| Natural color in adulthood |
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| Shade |
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| Type |
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| Fullness |
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| Texture |
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Skin:
| Tone |
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| Tan ability |
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| Condition |
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Hairline:
| Forehead |
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| Contour |
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Other Facial Features:
| Moles |
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| Freckles |
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| Dimples |
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| Adam's apple |
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Facial Hair
| Thickness |
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| Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Business Broker |
Donor's Father Education:
| Level | College |
| Degree | Bachelor |
| Subject | Business |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Roman Catholic |
| Primary ethnic origins: | French Canadian, Irish |
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 - N/A |
Donor's Father Physical Information
Body
| Age | 67 |
| Height | 5'8" |
| Weight | 200 |
| Hands | Left-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 20 - 20 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 55 |
| Type | Straight |
Skin:
| Skin Tone | Med |
| Skin Condition | Combination |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial Dimples | Medium |
Military
| Served in Military | Yes |
| Branch | Marines |
| Rank | Captain |
| Years of service | 6 |
Donor's Mother Personal Information
| Occupation | Grocery Clerk |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | Computer Science |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Roman Catholic |
| Primary ethnic origins: | German |
Donor's Mother Languages:
| Speak | English, German |
| Read | English, some German |
| Write | English, some German |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 59 |
| Height | 4'11" |
| Weight | 115 |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Bifocal |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 25 - 25 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 53 |
| Type | Wavy |
Skin:
| Skin Tone | Light |
| Skin Condition | Combination |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| 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 | Male |
| Age | 20 |
| Height | 5'8" |
| Weight | 135 |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Student |
Education:
| Level | High school |
| Degree | Pursuing |
| Subject | Business |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English |
| Read | Engligh |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 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 | Red |
| If gray, age turned gray | N/A |
| Type | Curly |
Skin:
| Skin tone | Light |
| Skin condition | Combination |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | Medium |
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 | 19 |
| Height | 5'9" |
| Weight | 145 |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Student |
Education:
| Level | High school |
| Degree | Pursuing |
| Subject | Business |
Religion:
| Faith | Christian |
| Denomination | Roman Catholic |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Green |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 14 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | MedL |
| Skin condition | Oily |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| 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 | 16 |
| Height | 5'7" |
| Weight | 140 |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Student |
Education:
| Level | High school |
| Degree | Pursuing |
| Subject | Business |
Religion:
| Faith | Christian |
| Denomination | Roman Catholic |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | Saxophone - 4 |
| Other Years of experience | N/A |
Sibling #3 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 12 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Med |
| Skin condition | Combination |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | Slight |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Sibling #4
| Full/Half sibling | Full |
Sibling #4 Physical Information
Body
| Sex | Female |
| Age | 23 |
| Height | 5'3" |
| Weight | 120 |
| Hands | Right-Handed |
Sibling #4 Personal Information
| Occupation | Elementary Education |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Elementary Education |
Religion:
| Faith | Christian |
| Denomination | Roman Catholic |
Languages:
| Speak | English, French |
| Read | English, French |
| Write | English, French |
Talents:
| Voice | Soprano |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #4 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #4 Facial Features
Eyes:
| Eye color | Hazel |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 10 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | MedDk |
| Skin condition | Combination |
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 #5
| Full/Half sibling | Full |
Sibling #5 Physical Information
Body
| Sex | Female |
| Age | 18 |
| Height | 5'4" |
| Weight | 120 |
| Hands | Right-Handed |
Sibling #5 Personal Information
| Occupation | Student |
Education:
| Level | High school |
| Degree | Pursuing |
| Subject | Biology |
Religion:
| Faith | Christian |
| Denomination | Roman Catholic |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | Clarinet - 6 |
| Other Years of experience | N/A |
Sibling #5 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #5 Facial Features
Eyes:
| Eye color | Hazel |
| Eye shade | Light |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 12 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | MedL |
| Skin condition | Combination |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | Slight |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 4 |
| Ages of Brothers: | 77, 76, 73, 64 |
| Education levels for each: | College, College, High School, HIgh School |
| Occupations for each: | Insurance Salesman, Unknown, Firefighter. Car mechanic |
| Religions for each: | Roman Catholic (all) |
Father's Brothers' Total Children:
| # Boys | 4 |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 74, 72 |
| Education levels for each: | High School, College |
| Occupations for each: | Unknown, Bail Bond |
| Religions for each: | Roman Catholic, Roman Catholic |
Father's Sisters' Total Children:
| # Boys | 2 |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 4 |
| Ages of Brothers: | 74, 71, 69, 67 |
| Education levels for each: | College (all) |
| Occupations for each: | Radio, Unknown, Unknown, Unknown |
| Religions for each: | Roman Catholic (all) |
Mother's Brothers' Total Children:
| # Boys | 5 |
| # Girls | 3 |
Mother's Sisters
| # Sisters | 3 |
| Ages of Sisters: | 76, 70, 68 |
| Education levels for each: | HIgh School, High School, College |
| Occupations for each: | Pull tabs salesman, Unknown, Unknown |
| Religions for each: | Roman Catholic (all) |
Mother's Sisters' Total Children:
| # Boys | 4 |
| # Girls | 5 |
Father's Parents
Father's Father
Education
| Level | High School |
| Degree | High School |
| Subject | None |
| Occupation: | Brewery Worker |
| Primary ethnic origins: | French Canadian, Irish |
Siblings:
| # Brothers | 4 |
| # Sisters | 3 |
Other:
| Languages | French (some), English |
| Religion | Roman Catholic |
Military
| Branch | Navy |
| Rank | Private |
| Service Yrs | 4 |
Father's Mother
Education
| Level | College |
| Degree | Bachelor |
| Subject | English |
| Occupation: | Homemaker |
| Primary ethnic origins: | French Canadian, Irish |
Siblings:
| # Brothers | 3 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Roman Catholic |
Military
| Branch | None |
| Rank | None |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | High School |
| Degree | High School |
| Subject | None |
| Occupation: | Brewery Worker |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 3 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Roman Catholic |
Military
| Branch | None |
| Rank | None |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | High School |
| Degree | None |
| Subject | None |
| Occupation: | Homemaker |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 3 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Roman Catholic |
Military
| Branch | None |
| Rank | None |
| Service Yrs | N/A |