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Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Tenor
Instrument:
Years of experience:		Guitar - 5
Other talents:
Years of experience		Singing - 5
Favorite:
ColorBlue
FoodBaked Ziti
MusicR&B, Hip-Hop
AnimalLeopard
PetSiberian Husky
CarSaleen S7
Movie"Fight Club"
Song"What I Got" by Sublime
Play"Death of a Salesman"
Goals:
AcademicTo earn a Master's Degree in Exercise Physiology
Professional To retire from the military as a Captain or higher
PersonalTo get married and start a family
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, some Spanish
ReadEnglish, some Spanish
WriteEnglish, some Spanish
Sports:
PlayTrack, Cross Country, Wrestling
WatchFootball, UFC
Siblings:
# Brothers1
# Sisters2
Are you a twin?
Identical or fraternal?		No
# of twins in your family1 set
# Identical sets0
# Fraternal sets1

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1010 (out of 1600)
ACT
on scale of		N/A
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 		3.04.0
College
Question Response on scale of
GPA
on scale of 		2.464.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsExercise Science
Minor subjectsMilitary Science
Degrees
Bachelor'sBS/Health Science
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolTrack and Field, Cross Country Team Captain Award
CollegeArmy ROTC 4-Year Scholarship Recipient
AcademicN/A
Professional N/A
Political N/A
Personal Army National Guard
Charitable N/A
OthersN/A

Military

Served in militaryYes
BranchArmy National Guard
RankFirst Lieutenant
Years of service2

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)44
Inseam (inches)32
Waist (inches)32
Sleeve (inches)32
Wrist (inches)6
Hat size7.5
Shoe size12

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListNone
Reason/causeN/A

Facial Features

Eyes:
Set
  • NarrowNarrow
  • AverageAverage
  • WideWide
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Shape
  • AlmondAlmond
  • OvalOval
  • RoundRound
Color
  • Black
  • Blue
  • Green
  • Hazel
  • Brown
Shade
  • Light
  • Medium
  • Dark
Eyebrows:
Arch
  • Flat
  • Medium
  • High
Thickness
  • ThinThin
  • AverageAverage
  • ThickThick
Set
  • Narrow
  • Average
  • Wide
Nose:
Size
  • Small
  • Medium
  • Large
Shape
  • RoundRound
  • StraightStraight
  • WideWide
Width
  • Narrow
  • Average
  • Wide
Length
  • Short
  • Average
  • Long
Bridge
  • ConvexConvex
  • StraightStraight
  • ConcaveConcave
Nostril flare
  • Small
  • Average
  • Wide
Septum
  • Thin
  • Average
  • Thick
Cheekbones:
Set
  • Low
  • Average
  • High
Prominence
  • Slight
  • Medium
  • Strong
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
Condition
  • Poor
  • Fair
  • Good
Chin:
Shape
  • RoundRound
  • OvalOval
  • SquareSquare
Prominence
  • Slight
  • Average
  • Strong
Cleft
  • NoneNone
  • SlightSlight
  • StrongStrong
Ears:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Set
  • Low
  • Average
  • High
Angle
  • FlatFlat
  • AverageAverage
  • AcuteAcute
Lobe size
  • Small
  • Medium
  • Large
Lobe attachment
  • DetachedDetached
  • AttachedAttached
Hair:
Color at birth
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Natural color in adulthood
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Shade
  • Light
  • Medium
  • Dark
Type
  • Straight
  • Wavy
  • Curly
Fullness
  • Thin
  • Medium
  • Thick
Texture
  • Fine
  • Coarse
  • Medium
Skin:
Tone
  • Light
  • MedL
  • Med
  • MedDk
  • Dark
Tan ability
  • None
  • Slight
  • Medium
  • Easy
Condition
  • Oily
  • Medium
  • Combination
  • Dry
Hairline:
Forehead
  • Low
  • Average
  • High
Contour
  • Straight
  • Slight Curve
  • Widow Peak
Other Facial Features:
Moles
  • None
  • One
  • Several
Freckles
  • None
  • Several
  • Moderate
  • Numerous
Dimples
  • None
  • Slight
  • Medium
  • Deep
Adam's apple
  • Slight
  • Medium
  • Strong
Facial Hair
Thickness
  • Thin
  • Medium
  • Dense
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationRecreational Officer
Donor's Father Education:
LevelCollege
DegreeAssociate
SubjectHealth & Physical Education
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Syrian, Sicilian
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age44
Height5'10"
Weight215 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryYes
BranchU.S. Air Force
RankE-5
Years of service10
Donor's Mother Personal Information
Occupation Student Teacher
Donor's Mother Education:
LevelCollege
DegreePursuing
SubjectBiology
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:German, Irish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age44
Height5'9"
Weight135 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age20
Height6'2"
Weight195 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectMechanical Engineering
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet - 6
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age13
Height5'5"
Weight100 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Clarinet - 2
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexFemale
Age9
Height5'0"
Weight80 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
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 colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:48, 41
Education levels for each:Trade School, High School (some Trade School)
Occupations for each:Contractor, Recreational Officer
Religions for each:Catholic, Catholic
Father's Brothers' Total Children:
# Boys2
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:51, 49, 43
Education levels for each:High School, High School, High School
Occupations for each:Restaurant Co-Owners, Actor
Religions for each:Catholic, Catholic, Catholic
Mother's Brothers' Total Children:
# Boys3
# Girls0
Mother's Sisters
# Sisters4
Ages of Sisters:52, 50, 50, 46
Education levels for each:High School, Associate's, Associate's, High School
Occupations for each:Homemaker, Nurse, Dental Assistant, Homemaker
Religions for each:Catholic, Catholic, Catholic, Catholic
Mother's Sisters' Total Children:
# Boys5
# Girls3
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Steel Worker
Primary ethnic origins:Sicilian
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Syrian
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Military
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchU.S. Marine Corps
RankE-5
Service Yrs10
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0