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Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Drums - 13 |
Other talents: Years of experience | None |
Favorite:
Color | Red |
Food | Soul food |
Music | Gospel |
Animal | Lion |
Pet | Dog |
Car | Mercedes |
Movie | Color Purple |
Song | "Amazing Grace" |
Play | Madea's Family Reunion |
Goals:
Academic | To receive a PhD in Engineering |
Professional | To become CEO of high tech company |
Personal | To be a loving, caring husband and father |
Religion:
Faith | Christian |
Denomination | Methodist |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Football, Basketball, Track |
Watch | Football, Basketball, Track, Golf |
Siblings:
# Brothers | 0 |
# 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 | 18 - 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 | 3.6 | 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 | 2.9 | 4.0 |
Subjects Studied:
Major subjects | Information Systems, Engineering |
Minor subjects | N/A |
Degrees
Bachelor's | BS/Electrical Engineering |
Master's | MS/ Management of Information Systems |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | N/A |
College | N/A |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | N/A |
Charitable | N/A |
Others | N/A |
Military
Served in military | Yes |
Branch | Army National Guard |
Rank | E-4 |
Years of service | 7 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 15 |
Chest (inches) | 33 |
Inseam (inches) | 31 |
Waist (inches) | 32 |
Sleeve (inches) | 31 |
Wrist (inches) | 6 |
Hat size | 7 |
Shoe size | 9 |
Physical Aids
Eyes:
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 8 |
Laser surgery? | No |
Dental:
Device | None |
Reason | N/A |
Age range during use | N/A |
Other Physical Aids:
List | None |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
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 |
|
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 |
|
Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Security |
Donor's Father Education:
Level | High school |
Degree | Not Completed |
Subject | General Studies |
Donor's Father Religion:
Faith | Christian |
Denomination | Methodist |
Primary ethnic origins: | African American |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 59 |
Height | 5'9" |
Weight | 170 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 | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | MedDk |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
Facial Dimples | None |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | Union Representative |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Education |
Donor's Mother Religion:
Faith | Christian |
Denomination | Methodist |
Primary ethnic origins: | African American |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 54 |
Height | 5'7" |
Weight | 165 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | Light |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
Facial Dimples | None |
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 | 37 |
Height | 5'5" |
Weight | 150 lbs. |
Hands | Left-Handed |
Sibling #1 Personal Information
Occupation | Manager |
Education:
Level | Graduate school |
Degree | Master |
Subject | Business Management |
Religion:
Faith | Christian |
Denomination | Methodist |
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 | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | MedL |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
Facial dimples | None |
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 | 35 |
Height | 5'6" |
Weight | 130 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Insurance |
Education:
Level | College |
Degree | Bachelor |
Subject | Toxicology |
Religion:
Faith | Christian |
Denomination | Methodist |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | None |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 2 - 7, 4 |
Sibling #2 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | Light |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
Facial dimples | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 1 |
Ages of Brothers: | 62 |
Education levels for each: | High school |
Occupations for each: | Factory Worker (retired) |
Religions for each: | Methodist |
Father's Brothers' Total Children:
# Boys | 2 |
# Girls | 1 |
Father's Sisters
# of Sisters | 3 |
Ages of Sisters: | 55, 42, 40 |
Education levels for each: | High school |
Occupations for each: | Homemaker, Nurse, Security |
Religions for each: | Methodist |
Father's Sisters' Total Children:
# Boys | 7 |
# Girls | 3 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 51 |
Education levels for each: | College |
Occupations for each: | Technician |
Religions for each: | Methodist |
Mother's Brothers' Total Children:
# Boys | 0 |
# Girls | 0 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 52 |
Education levels for each: | College |
Occupations for each: | Homemaker |
Religions for each: | Methodist |
Mother's Sisters' Total Children:
# Boys | 0 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | None |
Primary ethnic origins: | African American |
Siblings:
# Brothers | 2 |
# Sisters | 8 |
Other:
Languages | English |
Religion | Methodist |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High school |
Degree | Not completed |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | African American |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Methodist |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | None |
Primary ethnic origins: | African American |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Methodist |
Military
Branch | Army |
Rank | E-6 |
Service Yrs | 10 |
Mother's Mother
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | African American |
Siblings:
# Brothers | 2 |
# Sisters | 8 |
Other:
Languages | English |
Religion | Methodist |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |