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Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Drums - 4 |
Other talents: Years of experience | Guitar - 3 |
Favorite:
Color | Red |
Food | Chicken Parmigiana |
Music | Classic rock, Hip hop, mostly all types of music |
Animal | Fish |
Pet | Dogs |
Car | Pontiac |
Movie | "A Beautiful Mind" |
Song | "Born to Run" |
Play | "Phantom of the Opera" |
Goals:
Academic | To earn a 4.0 GPA |
Professional | To have a successful business in physical therapy |
Personal | I want to have a family, kids, and live comfortably knowing that my family will be taken care of |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English, Portuguese |
Read | English, Portuguese |
Write | English, Portuguese |
Sports:
Play | Hockey, Football, Baseball, Soccer, Wrestling, Martial Arts, Basketball |
Watch | Hockey, Football, Baseball, Soccer, Wrestling, Martial Arts, Basketball |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
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 | 1400 (out of 1600) |
ACT on scale of | N/A |
GRE on scale of | 310 |
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 | 3.7 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.92 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.84 | 4.0 |
Subjects Studied:
Major subjects | Physical Therapy |
Minor subjects | N/A |
Degrees
Bachelor's | BS/Biology |
Master's | N/A |
Doctorate | Pursuing DPT/ Physical Therapy |
Other(s) | Certified Personal Trainer |
Awards & Activities
High school | Awards for Track & Field, Wrestling; Basketball, Soccer, Baseball |
College | Dean's List almost every semester |
Academic | Graduated in top 5% of class, National Honor Society |
Professional | N/A |
Political | N/A |
Personal | Sports-related website creator |
Charitable | N/A |
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) | 14 |
Chest (inches) | 42 |
Inseam (inches) | 32 |
Waist (inches) | 32 |
Sleeve (inches) | 32 |
Wrist (inches) | 8 |
Hat size | 7 |
Shoe size | 11 |
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 | None |
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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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 | Field Manager |
Donor's Father Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Italian |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | Drums - 2 |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 59 |
Height | 5'11" |
Weight | 175 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Green |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 50 |
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 | Detached |
Facial Dimples | None |
Military
Served in Military | Yes |
Branch | Army |
Rank | Private First Class |
Years of service | 4 |
Donor's Mother Personal Information
Occupation | Secretary |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Accounting |
Donor's Mother Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Italian |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | Flute - 4 |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 56 |
Height | 5'4" |
Weight | 125 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 | Curly |
Skin:
Skin Tone | Med |
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 25 |
Height | 5'10" |
Weight | 185 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Police Officer |
Education:
Level | College |
Degree | Bachelor |
Subject | Accounting |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Baritone |
Instrument Years of experience | Trumpet - 4 |
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 | 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 | 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 |
Father's Siblings
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 65 |
Education levels for each: | Bachelor's |
Occupations for each: | Teacher |
Religions for each: | Catholic |
Father's Sisters' Total Children:
# Boys | 0 |
# Girls | 1 |
Mother's Siblings
Mother's Sisters
# Sisters | 3 |
Ages of Sisters: | 63, 59, 43 |
Education levels for each: | Bachelor's, Bachelor's, Bachelor's |
Occupations for each: | Secretary, Secretary, Executive Accountant |
Religions for each: | Catholic, Catholic, Catholic |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 9 |
Father's Parents
Father's Father
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Business Owner |
Primary ethnic origins: | Italian |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | Army |
Rank | Corporal |
Service Yrs | 10 |
Father's Mother
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Italian |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Electrician |
Primary ethnic origins: | Italian |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | Italian, English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Italian |
Siblings:
# Brothers | 3 |
# Sisters | 1 |
Other:
Languages | Italian, English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |