Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | Guitar - 10 |
| Other talents: Years of experience | Video games - 23 |
Favorite:
| Color | Black |
| Food | Rare steak |
| Music | Depends on mood |
| Animal | Dog |
| Pet | Mini Aussie |
| Car | Lifted Ram |
| Movie | Hot Rod |
| Song | Depends on mood |
| Play | Sports |
Goals:
| Academic | Already completed college degree |
| Professional | Own my own business |
| Personal | Hit a 1400 pound total for powerlifting |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | Football, powerlifting, basketball |
| Watch | Everything except soccer or baseball |
Siblings:
| # Brothers | 2 |
| # Sisters | 1 |
| 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 | 29 - 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 | 3.4 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.47 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Finance |
| Minor subjects | N/A |
Degrees
| Bachelor's | BBA/Finance |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Band, Basketball, Football, One Act Play in Theatre |
| College | N/A |
| Academic | Honor Roll in high school |
| Professional | N/A |
| Political | N/A |
| Personal | Video gaming, Guitar |
| Charitable | N/A |
| Others | Fitness, Powerlifting |
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) | 34 |
| Waist (inches) | 32 |
| Sleeve (inches) | 34 |
| Wrist (inches) | 6.5 |
| Hat size | 7.25 |
| Shoe size | 10 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 14 |
| Laser surgery? | No |
Dental:
| Device | Braces and Retainer |
| Reason | Cosmetic |
| Age range during use | 11-13 |
Other Physical Aids:
| List | N/A |
| Reason/cause | N/A |
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 |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| 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 | Farmer |
Donor's Father Education:
| Level | Some college |
| Degree | Not Completed |
| Subject | Core classes only |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Baptist |
| Primary ethnic origins: | Irish-Cherokee-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 | 70 |
| Height | 5'8” |
| Weight | 200 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin Tone | Med |
| Skin Condition | Combination |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Realtor |
Donor's Mother Education:
| Level | Trade school |
| Degree | Other |
| Subject | Real Estate |
Donor's Mother Religion:
| Faith | Jewish |
| Denomination | Orthodox |
| Primary ethnic origins: | Scottish-Ukrainian (Jewish) |
Donor's Mother Languages:
| Speak | English, Dutch, French, Flemish |
| Read | English, Dutch, French, Flemish |
| Write | English, Dutch, French, Flemish |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | N/A |
| Other yrs experience | N/A |
Donor's Mother Physical Information
Body
| Age | 56 |
| Height | 5' 9” |
| Weight | 160 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Light |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts yrs | 10 - 45 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | NA |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Combination |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | Medium |
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 |
Sibling #1 Physical Information
Body
| Sex | Male |
| Age | 40 |
| Height | 5' 8” |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Coach |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Kinesiology |
Religion:
| Faith | Christian |
| Denomination | Baptist |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #1 Children:
| # Boys Ages: | 3 - 22, 14, 8 |
| # Girls Ages: | 1 - 11 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Med |
| Skin condition | Combination |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| 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 | Half |
Sibling #2 Physical Information
Body
| Sex | Male |
| Age | 38 |
| Height | 5' 10” |
| Weight | 200 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Horse trainer |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Civic engineering |
Religion:
| Faith | Christian |
| Denomination | Baptist |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #2 Children:
| # Boys Ages: | 2 - 12, 14 |
| # Girls Ages: | 1 - 8 |
Sibling #2 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Med |
| Skin condition | Combination |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| 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 | Half |
Sibling #3 Physical Information
Body
| Sex | Female |
| Age | 37 |
| Height | 5' 4” |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Nurse |
Education:
| Level | College |
| Degree | Pursuing |
| Subject | Social Work |
Religion:
| Faith | None |
| Denomination | None |
Languages:
| Speak | Emglish |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | N/A |
| Other Years of experience | N/A |
Sibling #3 Children:
| # Boys Ages: | 1 - 8 |
| # Girls Ages: | 2 - 16, 10 |
Sibling #3 Facial Features
Eyes:
| Eye color | Green |
| 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 | Oily |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | Medium |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 73, 63 |
| Education levels for each: | Bachelors, Bachelors |
| Occupations for each: | Executive Assistant, Teacher |
| Religions for each: | Christian, Christian |
Father's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 58 |
| Education levels for each: | Bachelors |
| Occupations for each: | Computer Coder |
| Religions for each: | Other |
Mother's Brothers' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Father's Parents
Father's Father
Education
| Level | Trade School |
| Degree | License |
| Subject | Real Estate |
| Occupation: | Realtor |
| Primary ethnic origins: | Irish-Cherokee |
Siblings:
| # Brothers | 2 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Baptist |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Father's Mother
Education
| Level | High school |
| Degree | Not Completed |
| Subject | General studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 5 |
| # Sisters | 5 |
Other:
| Languages | English |
| Religion | Baptist |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | Graduate School |
| Degree | Masters |
| Subject | Geology |
| Occupation: | Geologist |
| Primary ethnic origins: | Ukrainian (Jewish) |
Siblings:
| # Brothers | 1 |
| # Sisters | 2 |
Other:
| Languages | English, Hebrew |
| Religion | Jewish |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | College |
| Degree | Bachelors |
| Subject | Nursing |
| Occupation: | Nurse |
| Primary ethnic origins: | Scottish |
Siblings:
| # Brothers | 2 |
| # Sisters | 0 |
Other:
| Languages | English, Hebrew |
| Religion | Jewish |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |