Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | None |
Other talents: Years of experience | Division 1 collegiate athlete - 2 |
Favorite:
Color | Blue |
Food | Prime rib |
Music | Rock, indie rock |
Animal | Dogs |
Pet | Dogs |
Car | Audi R8 |
Movie | "Warrior" |
Song | "Otherside" by Red Hot Chili Peppers |
Play | "Wicked" |
Goals:
Academic | To earn a Master's degree |
Professional | To have a well paying job |
Personal | To be happy! |
Religion:
Faith | Christian |
Denomination | Lutheran |
Languages:
Speak | English |
Read | English, Spanish |
Write | English, Spanish |
Sports:
Play | Swimming |
Watch | Baseball, Football |
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 | 2000 (out of 2400) |
ACT on scale of | 33 |
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 | 4.0 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 2.61 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A | N/A |
Subjects Studied:
Major subjects | Chemistry |
Minor subjects | N/A |
Degrees
Bachelor's | Pursuing BS/Chemistry |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Academic All-American |
College | Athletic and academic scholarships |
Academic | High ACT score |
Professional | N/A |
Political | N/A |
Personal | Swimming and other sport accomplishments |
Charitable | Volunteering at Race for the Cure events |
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) | 36 |
Inseam (inches) | 34 |
Waist (inches) | 30 |
Sleeve (inches) | 32 |
Wrist (inches) | 7 |
Hat size | 7 |
Shoe size | 12 |
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 |
|
Size |
|
Shape |
|
Color |
|
Shade |
|
Eyebrows:
Arch |
|
Thickness |
|
Set |
|
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 |
|
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 | Banker |
Donor's Father Education:
Level | Graduate school |
Degree | Master |
Subject | Business |
Donor's Father Religion:
Faith | Christian |
Denomination | Lutheran |
Primary ethnic origins: | Russian, Danish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | French Horn - 8 |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 55 |
Height | 6'2" |
Weight | 200 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 28 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 45 |
Type | Straight |
Skin:
Skin Tone | Med |
Skin Condition | Medium |
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 Mother Personal Information
Occupation | Dietitian |
Donor's Mother Education:
Level | Graduate school |
Degree | Master |
Subject | Nutrition |
Donor's Mother Religion:
Faith | Christian |
Denomination | Lutheran |
Primary ethnic origins: | German, Hungarian |
Donor's Mother Languages:
Speak | English, German |
Read | English, German |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 50 |
Height | 5'11" |
Weight | 185 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 40 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | MedL |
Skin Condition | Medium |
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Female |
Age | 21 |
Height | 6'0" |
Weight | 165 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | College |
Degree | Bachelor |
Subject | Biochemistry |
Religion:
Faith | Christian |
Denomination | Lutheran |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
Instrument Years of experience | None |
Other Years of experience | Division 1 athlete - 4 |
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 | Blond |
If gray, age turned gray | N/A |
Type | Straight |
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 Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 14 |
Height | 5'7" |
Weight | 125 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Pursuing |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Lutheran |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
Instrument Years of experience | Piano, Guitar - 3, 1 |
Other Years of experience | Voice lessons - 3 |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 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 | Blond |
If gray, age turned gray | N/A |
Type | Wavy |
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 | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 1 |
Ages of Brothers: | 59 |
Education levels for each: | Bachelor's |
Occupations for each: | Carpenter |
Religions for each: | Christian |
Father's Brothers' Total Children:
# Boys | 1 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 3 |
Ages of Brothers: | 56, 47, 42 |
Education levels for each: | Bachelor's, Bachelor's, Bachelor's |
Occupations for each: | Engineer, Engineer, Engineer |
Religions for each: | Catholic, Catholic, Catholic |
Mother's Brothers' Total Children:
# Boys | 5 |
# Girls | 3 |
Father's Parents
Father's Father
Education
Level | Graduate |
Degree | DDS |
Subject | Dentistry |
Occupation: | Dentist (Retired) |
Primary ethnic origins: | Danish |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | Army |
Rank | Unknown |
Service Yrs | 5 |
Father's Mother
Education
Level | Graduate |
Degree | Master's |
Subject | Psychology |
Occupation: | Psychologist |
Primary ethnic origins: | Russian |
Siblings:
# Brothers | 0 |
# Sisters | 2 |
Other:
Languages | Russian, English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | College |
Degree | Bachelor's |
Subject | Unknown |
Occupation: | Railroad Foreman (Retired) |
Primary ethnic origins: | Hungarian |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | College |
Degree | Bachelor's |
Subject | Unknown |
Occupation: | Store Manager (Retired) |
Primary ethnic origins: | German |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English, German |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |