Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Violin, Guitar, Cello - 5, 3, 1 |
Other talents: Years of experience | None |
Favorite:
Color | Orange |
Food | Pho |
Music | Everything from Classical to Metal |
Animal | Turtle |
Pet | Dog or Cat |
Car | Saab or Volvo |
Movie | American Beauty |
Song | "Darkness Gives Way" |
Play | The Tragedy of Hamlet, Prince of Denmark |
Goals:
Academic | To earn a Master's degree |
Professional | To have financial security |
Personal | To excel at playing the violin, and in school |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Basketball |
Watch | Soccer |
Siblings:
# Brothers | 1 |
# 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 | 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 | College placement test, score unknown |
High School
Question | Response | on scale of |
GPA on scale of | 3.5 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.29 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A | N/A |
Subjects Studied:
Major subjects | Mathematics |
Minor subjects | Sociology, Psychology, Philosophy |
Degrees
Bachelor's | Pursuing BA/Mathematics |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | N/A |
College | N/A |
Academic | Tutoring Math |
Professional | N/A |
Political | N/A |
Personal | Music |
Charitable | Volunteer work with a wheelchair basketball organization |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 15 |
Chest (inches) | 35 |
Inseam (inches) | 30 |
Waist (inches) | 30 |
Sleeve (inches) | 30 |
Wrist (inches) | 7 |
Hat size | 7 |
Shoe size | 10 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | Yes |
Age started wearing glasses/contacts | 12 |
Laser surgery? | No |
Dental:
Device | Retainer |
Reason | Cosmetic |
Age range during use | 11-12 |
Other Physical Aids:
List | None |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
Size |
|
Shape |
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Color |
|
Shade |
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Eyebrows:
Arch |
|
Thickness |
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Set |
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Nose:
Size |
|
Shape |
|
Width |
|
Length |
|
Bridge |
|
Nostril flare |
|
Septum |
|
Cheekbones:
Set |
|
Prominence |
|
Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
Condition |
|
Chin:
Shape |
|
Prominence |
|
Cleft |
|
Ears:
Size |
|
Set |
|
Angle |
|
Lobe size |
|
Lobe attachment |
|
Hair:
Color at birth |
|
Natural color in adulthood |
|
Shade |
|
Type |
|
Fullness |
|
Texture |
|
Skin:
Tone |
|
Tan ability |
|
Condition |
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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 | Business Manager |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Business |
Donor's Father Religion:
Faith | Other |
Denomination | Baha'i |
Primary ethnic origins: | Persian, English |
Donor's Father Languages:
Speak | English, Farsi, Spanish, some German, some French, some Mandarin |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | Trumpet - 6 |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 50 |
Height | 6'0" |
Weight | 220 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 15 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | MedDk |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial Dimples | None |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | Nurse |
Donor's Mother Education:
Level | College |
Degree | Master |
Subject | Nursing |
Donor's Mother Religion:
Faith | None |
Denomination | Atheist |
Primary ethnic origins: | Belgian |
Donor's Mother Languages:
Speak | Dutch, English, German, French, American Sign Language |
Read | Dutch, English, German, French |
Write | Dutch, English, German, French |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 47 |
Height | 5'5" |
Weight | 142 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 0 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | Light |
Skin Condition | Medium |
Other:
Chin cleft | Medium |
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 | Male |
Age | 20 |
Height | 6'0" |
Weight | 170 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Religion:
Faith | None |
Denomination | Atheist |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
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 | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 18 |
Hair:
Original hair color | Red |
If gray, age turned gray | N/A |
Type | Curly |
Skin:
Skin tone | Light |
Skin condition | Medium |
Other:
Chin cleft | Medium |
Ear lobe | Detached |
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 | 18 |
Height | 5'3" |
Weight | 109 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | Piano - 3 |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Green |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 12 |
Hair:
Original hair color | Red |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Light |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
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 | 2 |
Ages of Brothers: | 48, 42 |
Education levels for each: | Bachelor's, High School |
Occupations for each: | Entrepreneur, Artist |
Religions for each: | Baha'i, Baha'i |
Father's Brothers' Total Children:
# Boys | 0 |
# Girls | 3 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 45 |
Education levels for each: | Bachelor's |
Occupations for each: | Engineer |
Religions for each: | Christian |
Mother's Brothers' Total Children:
# Boys | 1 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | Graduate |
Degree | Master's |
Subject | Engineering, Architecture |
Occupation: | Architect |
Primary ethnic origins: | English |
Siblings:
# Brothers | 3 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Baha'i |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | Graduate |
Degree | Master's |
Subject | Nurse/Midwife |
Occupation: | Nurse/Midwife |
Primary ethnic origins: | Persian |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English, Farsi, Arabic |
Religion | Baha'i |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | Graduate |
Degree | Master's |
Subject | Business Administration |
Occupation: | Professor |
Primary ethnic origins: | Belgian |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Dutch, French, German, English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | College |
Degree | Bachelor's |
Subject | Business |
Occupation: | Human Resources |
Primary ethnic origins: | Belgian |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | Dutch, French, German, English |
Religion | Atheist |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |