Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Piano - 4 |
Other talents: Years of experience | Physics - 8 |
Favorite:
Color | White |
Food | Roasted meat |
Music | Rock, Metal, Classical |
Animal | Cat |
Pet | Cat |
Car | Mercedes |
Movie | "One Flew Over The Cuckoo's Nest" |
Song | "Lost Boys Calling" by Roger Waters |
Play | None. I dislike theatre |
Goals:
Academic | To obtain a PhD in Physics |
Professional | To work as a physicist |
Personal | To make music |
Religion:
Faith | None |
Denomination | Atheist |
Languages:
Speak | English, Russian, Georgian |
Read | English, Russian, Georgian |
Write | English, Russian, Georgian |
Sports:
Play | Soccer, Table tennis, Swimming, Skiing |
Watch | Soccer, Rugby, Basketball |
Siblings:
# Brothers | 0 |
# 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 | Q=800, V=340, Physics=860 |
MCAT on scale of | N/A |
LSAT on scale of | N/A |
GMAT on scale of | N/A |
TOEFL on scale of | 95 |
Other on scale of | N/A |
High School
Question | Response | on scale of |
GPA on scale of | N/A | N/A |
College
Question | Response | on scale of |
GPA on scale of | 3.4 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.67 | 4.0 |
Subjects Studied:
Major subjects | Physics |
Minor subjects | Mathematics, Programming |
Degrees
Bachelor's | BS/Physics |
Master's | N/A |
Doctorate | Pursuing PhD/Physics |
Other(s) | High school |
Awards & Activities
High school | Track |
College | Teaching Assistant |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | Lead singer in a band |
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) | 38 |
Inseam (inches) | 29 |
Waist (inches) | 28 |
Sleeve (inches) | 32 |
Wrist (inches) | 6 |
Hat size | 7 |
Shoe size | 10 |
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 |
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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 |
|
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 | Engineer |
Donor's Father Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Engineering |
Donor's Father Religion:
Faith | Christian |
Denomination | Non-denominational |
Primary ethnic origins: | Georgian |
Donor's Father Languages:
Speak | English, Russian, Georgian |
Read | English, Russian, Georgian |
Write | English, Russian, Georgian |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 56 |
Height | 5'11" |
Weight | 190 lbs. |
Hands | Right-Handed |
Donor's Father 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 | Blond |
If gray, age turned gray | 50 |
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 Mother Personal Information
Occupation | Doctor |
Donor's Mother Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Medicine |
Donor's Mother Religion:
Faith | Christian |
Denomination | Non-denominational |
Primary ethnic origins: | Georgian |
Donor's Mother Languages:
Speak | English, Russian, Georgian |
Read | English, Russian, Georgian |
Write | English, Russian, Georgian |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | Piano - 40 |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 50 |
Height | 5'6" |
Weight | 160 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Blue |
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 | 25 |
Height | 5'6" |
Weight | 130 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | PhD student |
Education:
Level | Graduate school |
Degree | Master |
Subject | Linguistics |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English, Russian, Georgian |
Read | English, Russian, Georgian |
Write | English, Russian, Georgian |
Talents:
Voice | Soprano |
Instrument Years of experience | Piano - 15 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Green |
Eye shade | Medium |
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 Sisters
# of Sisters | 1 |
Ages of Sisters: | 58 |
Education levels for each: | Doctorate |
Occupations for each: | Economics |
Religions for each: | Christian |
Father's Sisters' Total Children:
# Boys | 2 |
# Girls | 0 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 60 |
Education levels for each: | Doctorate |
Occupations for each: | Physicist/Academician |
Religions for each: | Atheist |
Mother's Brothers' Total Children:
# Boys | 0 |
# Girls | 2 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 62 |
Education levels for each: | Doctorate |
Occupations for each: | Physicist |
Religions for each: | Atheist |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | College |
Degree | Bachelor's |
Subject | Engineering |
Occupation: | Engineer |
Primary ethnic origins: | Georgian |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | Russian, Georgian |
Religion | Atheist |
Military
Branch | 0 |
Rank | 0 |
Service Yrs | 0 |
Father's Mother
Education
Level | Graduate |
Degree | Doctorate |
Subject | Science |
Occupation: | Homemaker |
Primary ethnic origins: | Georgian |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Russian, Georgian |
Religion | Atheist |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | Graduate |
Degree | Doctorate |
Subject | Geology |
Occupation: | Geologist |
Primary ethnic origins: | Georgian |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Russian, Georgian |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | Graduate |
Degree | Doctorate |
Subject | Geology |
Occupation: | Scientist |
Primary ethnic origins: | Georgian |
Siblings:
# Brothers | 3 |
# Sisters | 2 |
Other:
Languages | Russian, Georgian |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |