Questions
Personal Information
Talents:
| Voice: | Baritone |
| Instrument: Years of experience: | None |
| Other talents: Years of experience | None |
Favorite:
| Color | Red |
| Food | Steak |
| Music | Rock |
| Animal | Dog |
| Pet | Dog |
| Car | Porsche |
| Movie | The Godfather |
| Song | Big Empty |
| Play | A Streetcar Named Desire |
Goals:
| Academic | None currently |
| Professional | To have a steady career in entertainment |
| Personal | Raise a family |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | None |
| Watch | None |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
| Are you a twin? Identical or fraternal? | No |
| # of twins in your family | N/A |
| # 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 | 28 - out of 36 |
| GRE on scale of | N/A |
| 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 | 2.8 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.66 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Film |
| Minor subjects | Business |
Degrees
| Bachelor's | BS/Film and Media Studies |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Cross Country, Track, Theatre |
| College | Film Club, College Republicans, Theatre |
| Academic | N/A |
| Professional | N/A |
| Political | N/A |
| Personal | Community theatre, Volunteer with a film nonprofit |
| 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 | Medium |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 36 |
| Inseam (inches) | 32 |
| Waist (inches) | 32 |
| Sleeve (inches) | 30 |
| Wrist (inches) | 7 |
| Hat size | 7 |
| 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 | 13-15 |
Other Physical Aids:
| List | None |
| 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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Eyebrows:
| Arch |
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| Thickness |
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| Set |
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Nose:
| 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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Cheekbones:
| 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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Teeth:
| Size |
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| Set |
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| Condition |
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Chin:
| Shape |
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| Prominence |
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| Cleft |
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Ears:
| 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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Hair:
| 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 | Financial Advisor |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Business |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | Italian, German |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 65 |
| Height | 6'0" |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Green |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 55 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 60 |
| Type | Wavy |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | Medium |
| Ear lobe | Attached |
| Facial Dimples | Medium |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Cashier |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | English |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Catholic |
| Primary ethnic origins: | Italian, German |
Donor's Mother Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 65 |
| Height | 5'4" |
| Weight | 150 lbs. |
| Hands | Left-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Light |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 57 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Curly |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| 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 | Female |
| Age | 24 |
| Height | 5'9" |
| Weight | 155 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Teacher |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Education |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Dark |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 17 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | MedL |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| 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 | 1 |
| Ages of Brothers: | 54 |
| Education levels for each: | Bachelor's |
| Occupations for each: | Computer Science |
| Religions for each: | Catholic |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 66, 60 |
| Education levels for each: | High school, Bachelor's |
| Occupations for each: | Homemaker, Interior Designer |
| Religions for each: | Catholic, Catholic |
Father's Sisters' Total Children:
| # Boys | 3 |
| # Girls | N/A |
Mother's Siblings
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 62, 60 |
| Education levels for each: | Bachelor's, Master's |
| Occupations for each: | Event Planner, State Government |
| Religions for each: | Catholic, Catholic |
Mother's Sisters' Total Children:
| # Boys | 4 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Associate's |
| Subject | Business |
| Occupation: | Contractor |
| Primary ethnic origins: | Italian, German |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | Army |
| Rank | Private |
| Service Yrs | 4 |
Father's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Italian |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | Some college |
| Degree | None |
| Subject | Undeclared |
| Occupation: | Insurance Sales |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | Army |
| Rank | Private First Class |
| Service Yrs | 5 |
Mother's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Cook |
| Primary ethnic origins: | Italian |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |

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