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Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Guitar, Piano - 8, 8 |
Other talents: Years of experience | Karate - 12 |
Favorite:
Color | Red |
Food | Thai curry |
Music | Classic Rock |
Animal | Snake |
Pet | Dog |
Car | Crown Victoria |
Movie | Requiem for a Dream |
Song | "In the Aeroplane Over the Sea" by Neutral Milk Hotel |
Play | A Midsummer Night's Dream by William Shakespeare |
Goals:
Academic | To earn a Master's degree in Biomedical Engineering |
Professional | To work in the medical device design field |
Personal | To travel around the world, to find a rewarding career, to get married, to have children |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English, Spanish, Chinese (some), Hebrew (some) |
Read | English, Spanish, Hebrew (some) |
Write | English, Spanish |
Sports:
Play | Karate, Soccer, Tennis |
Watch | Football |
Siblings:
# Brothers | 0 |
# Sisters | 3 |
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 |
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 | 3.8 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.0 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A | N/A |
Subjects Studied:
Major subjects | Mechanical Engineering |
Minor subjects | Geography |
Degrees
Bachelor's | BME/Mechanical Engineering |
Master's | N/A |
Doctorate | N/A |
Other(s) | Certified Nursing Assistant |
Awards & Activities
High school | National Honor Society, Cross Country team, Worship band |
College | President of Christians on Campus, Men's chorus, Gospel choir |
Academic | Undergraduate research in metro transportation routing |
Professional | Outstanding volunteer award for a local non-profit |
Political | None |
Personal | Reading, Rock climbing |
Charitable | Second Harvest Heartland, Loaves and Fishes, Tutoring |
Others | Tinkering with/repairing electronics |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Short |
Sizes & Measurements
Neck (inches) | 14.5 |
Chest (inches) | 36 |
Inseam (inches) | 30 |
Waist (inches) | 32 |
Sleeve (inches) | 31.5 |
Wrist (inches) | 6.5 |
Hat size | 7.5 |
Shoe size | 10 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
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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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 | Student, Medical Coder |
Donor's Father Education:
Level | Some college |
Degree | Pursuing |
Subject | Accounting/Medical Office Management |
Donor's Father Religion:
Faith | Christian |
Denomination | Lutheran |
Primary ethnic origins: | German, Irish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | None |
Other yrs experience | Choir - 2 |
Donor's Father Physical Information
Body
Age | 48 |
Height | 5'4'' |
Weight | 240 lbs |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Light |
Vision | Normal |
Glasses | Single |
Astigmatism | Yes |
Age started wearing glasses/contacts yrs | 14 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 48 |
Type | Straight |
Skin:
Skin Tone | Med |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial Dimples | None |
Military
Served in Military | Yes |
Branch | Marine Corps |
Rank | Corporal |
Years of service | 4 |
Donor's Mother Personal Information
Occupation | Marriage and family therapist |
Donor's Mother Education:
Level | Graduate school |
Degree | Master |
Subject | Psychology |
Donor's Mother Religion:
Faith | Christian |
Denomination | Non-denominational |
Primary ethnic origins: | German |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | Clarinet - 4 |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 48 |
Height | 5'2'' |
Weight | 100 lbs |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Blue |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 0 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | Light |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
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 | 20 |
Height | 5'4'' |
Weight | 120 lbs |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | Some college |
Degree | Pursuing |
Subject | Communications |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
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 | Blue |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Brown |
If gray, age turned gray | None |
Type | Straight |
Skin:
Skin tone | Light |
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 | 0 |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 17 |
Height | 5'7'' |
Weight | 180 lbs |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Pursuing |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Soprano |
Instrument Years of experience | Violin - 4 |
Other Years of experience | Choir - 3 |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Green |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Brown |
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 | 0 |
Donor's Sibling #3
Full/Half sibling | Full |
Sibling #3 Physical Information
Body
Sex | Female |
Age | 7 |
Height | 3'5" |
Weight | 50 lbs |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Student |
Education:
Level | Grade school |
Degree | Not Completed |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | N/A |
Instrument Years of experience | None |
Other Years of experience | None |
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 | Curly |
Skin:
Skin tone | MedL |
Skin condition | Medium |
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 | 1 |
Ages of Brothers: | 37 |
Education levels for each: | High School |
Occupations for each: | Carpenter |
Religions for each: | Christian |
Father's Brothers' Total Children:
# Boys | 1 |
# Girls | 0 |
Father's Sisters
# of Sisters | 2 |
Ages of Sisters: | 49, 45 |
Education levels for each: | High School, High School |
Occupations for each: | Waitress, Day Care provider |
Religions for each: | Christian, Christian |
Father's Sisters' Total Children:
# Boys | 3 |
# Girls | 2 |
Mother's Siblings
Mother's Brothers
# Brothers | 2 |
Ages of Brothers: | 51, 47 |
Education levels for each: | Bachelor's, Trade School |
Occupations for each: | Teacher, Sheet metal fabricator |
Religions for each: | Christian, Christian |
Mother's Brothers' Total Children:
# Boys | 3 |
# Girls | 1 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 45 |
Education levels for each: | Bachelor's |
Occupations for each: | Teacher |
Religions for each: | Christian |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Photolithographer |
Primary ethnic origins: | German, Irish |
Siblings:
# Brothers | 3 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | Marines |
Rank | Private |
Service Yrs | 3 |
Father's Mother
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Department store clerk |
Primary ethnic origins: | German, Irish |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Sheet metal fabricator |
Primary ethnic origins: | German |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Lutheran |
Military
Branch | Army |
Rank | Private First Class |
Service Yrs | 3 |
Mother's Mother
Education
Level | Some High School |
Degree | Not Completed |
Subject | General Studies |
Occupation: | Homemaker, Day Care provider |
Primary ethnic origins: | German |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Lutheran |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |