Questions
Personal Information
Talents:
| Voice: | Baritone |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | Hiking, sports, fishing, and cycling for most of my life. Sports coach (5 years) |
Favorite:
| Color | Orange |
| Food | Pizza, Pasta |
| Music | Pop, Rock and Roll, Blues |
| Animal | Dogs |
| Pet | Dog |
| Car | VW Golf |
| Movie | The Guardian |
| Song | The Climb |
Goals:
| Academic | Masters Degree |
| Professional | Winemaker |
| Personal | Winemaker |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | Afrikaans, English |
Sports:
| Play | Rugby, Tennis, Swimming |
| Watch | Rugby, Cricket, NFL, Soccer |
Siblings:
| Are you or any of your siblings twins? Please specify who and if they are fraternal or identical | No |
Academics
Standard Test Score: provide score or denote N/A if not taken
| SAT on scale of | N/A - N/A |
| ACT on scale of | N/A - N/A |
| GRE on scale of | N/A - N/A |
| MCAT on scale of | N/A - N/A |
| LSAT on scale of | N/A - N/A |
| GMAT on scale of | N/A - N/A |
| TOEFL on scale of | N/A - N/A |
| Other on scale of | N/A - 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 | 3.3 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | Horticulture |
| Minor subjects | N/A |
Degrees
| Bachelor's | Viticulture and Horticulture |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Rugby |
| College | N/A |
| Academic | Oenology and Viticulturist |
| Professional | Winemaker |
| Political | N/A |
| Personal | Professional rugby player, Furthering knowledge in grape growing and wine making, Boating |
| 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 | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 43 |
| Inseam (inches) | 35 |
| Waist (inches) | 40 |
| Sleeve (inches) | 35 |
| Hat size | 7 ¾ |
| Shoe size | 10 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 15-16 |
Other Physical Aids:
| List | 0 |
| Reason/cause | 0 |
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 |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Gap | No |
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone More about skin tones |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Color |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Laywer |
Donor's Father Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | LLB |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Donor's Father Languages:
| Speak | Afrikaans, English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument | Piano |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 58 |
| Height | 6' 0" |
| Weight | 225 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | Slight |
Donor's Mother Personal Information
| Occupation | Banker |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | Banking |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Donor's Mother Languages:
| Speak | Afrikaans, French, English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 57 |
| Height | 5' 4" |
| Weight | 150 lbs. |
| Hands | Left-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Red |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | Slight |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Half |
Sibling #1 Physical Information
Body
| Age | 25 |
| Height | 5' 8" |
| Weight | 155 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Accountant |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | BCOM |
Languages:
| Speak | English, Afrikaans |
Talents:
| Voice | Soprano |
| Instrument | Flute |
| Other | Guitar |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Blond |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Donor's Sibling #2
| Full/Half sibling | Half |
Sibling #2 Physical Information
Body
| Age | 22 |
| Height | 6' 2" |
| Weight | 180 lbs. |
| Hands | Left-Handed |
Sibling #2 Personal Information
| Occupation | PA |
Education:
| Level | Some college |
| Degree | Pursuing Diploma |
| Subject | BCOM |
Languages:
| Speak | English, Afrikaans |
Talents:
| Voice | Soprano |
| Instrument | Singer |
| Other | 0 |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Green |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | Slight |
Father's Siblings
Father's Brothers
| # of Brothers | 4 |
| Ages of Brothers: | 56, 52, 49, 47 |
| Education levels for each: | College, College, High School, High School |
| Occupations for each: | Mine Engineer, Police Officer, Marketing, Electrician |
Father's Brothers' Total Children:
| # Boys | 5 |
| # Girls | 8 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 55 |
| Education levels for each: | College |
| Occupations for each: | Manager |
Father's Sisters' Total Children:
| # Boys | 0 |
| # Girls | 3 |
Mother's Siblings
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 57 |
| Education levels for each: | College |
| Occupations for each: | Engineer |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 0 |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Engineer |
Siblings:
| # Brothers | 6 |
| # Sisters | 1 |
Other:
| Languages | Afrikaans, German |
| Religion | Christian |
Father's Mother
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Banker |
Siblings:
| # Brothers | 3 |
| # Sisters | 2 |
Other:
| Languages | Afrikaans, French |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Civil Engineer |
Siblings:
| # Brothers | 3 |
| # Sisters | 2 |
Other:
| Languages | Afrikaans, German |
| Religion | Christian |
Mother's Mother
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Teacher |
Siblings:
| # Brothers | 2 |
| # Sisters | 1 |
Other:
| Languages | Arikaans |
| Religion | Christian |