Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Guitar - 1 |
Other talents: Years of experience | Automotive repair - 12 |
Favorite:
Color | Blue |
Food | Seafood |
Music | Hip/Hop |
Animal | Elephant |
Pet | Dog |
Car | Bentley |
Movie | "The Lion King" |
Song | "Diamonds From Sierra Leon" |
Play | "Les Miserables" |
Goals:
Academic | To earn a graduate degree |
Professional | To become a top chemist of a top research company |
Personal | To get married and have a healthy, happy family |
Religion:
Faith | Christian |
Denomination | Baptist |
Languages:
Speak | English, Spanish, French |
Read | English, Spanish, French |
Write | English, Spanish, French |
Sports:
Play | Football, Basketball, Softball, Soccer |
Watch | NFL, NBA, MLB, MLS |
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 | 1210 (out of 1600) |
ACT on scale of | N/A |
GRE on scale of | 760 Math, 600 English |
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 | 3.9 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.02 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.08 | 4.0 |
Subjects Studied:
Major subjects | Chemistry |
Minor subjects | Math |
Degrees
Bachelor's | BS/Chemistry |
Master's | MS/Organic Chemistry |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Scholar athlete, Honor roll, Football, Track and Field |
College | Dean's list, Intramural sports, NOBCChE member |
Academic | Tutor, Lecturer |
Professional | Work for a top chemical company in the U.S. |
Political | N/A |
Personal | Work out, Fix cars, Watch sports, Play guitar |
Charitable | Big Brothers Big Sisters |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Long |
Sizes & Measurements
Neck (inches) | 16.5 |
Chest (inches) | 36 |
Inseam (inches) | 32 |
Waist (inches) | 36 |
Sleeve (inches) | 35 |
Wrist (inches) | 7.5 |
Hat size | 7.75 |
Shoe size | 11 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single - (Glasses used only if reading for extended period of time) |
Astigmatism | No |
Age started wearing glasses/contacts | 20 |
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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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 |
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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 | Mechanic |
Donor's Father Education:
Level | High school |
Degree | Not Completed |
Subject | General Studies |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Guatemalan |
Donor's Father Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 49 |
Height | 5'6" |
Weight | 175 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 48 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | Med |
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 |
Donor's Mother Personal Information
Occupation | Receptionist |
Donor's Mother Education:
Level | High school |
Degree | Not Completed |
Subject | General Studies |
Donor's Mother Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Guatemalan |
Donor's Mother Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 45 |
Height | 5'5" |
Weight | 125 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 30 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 40 |
Type | Curly |
Skin:
Skin Tone | MedL |
Skin Condition | Dry |
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 | 18 |
Height | 5'11" |
Weight | 180 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | College |
Degree | Pursuing |
Subject | Business, Nursing |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Tenor |
Instrument Years of experience | Flute - 3 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 17 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Med |
Skin condition | Combination |
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 | 4 |
Ages of Brothers: | 66, 56, 52, 50 |
Education levels for each: | All have some college, none have graduated |
Occupations for each: | Auto mechanic (Retired), Pastor, Plumber, Construction Worker |
Religions for each: | Catholic, Pentecostal, Catholic, Catholic |
Father's Brothers' Total Children:
# Boys | 5 |
# Girls | 4 |
Father's Sisters
# of Sisters | 5 |
Ages of Sisters: | 68, 64, 62, 60, 54 |
Education levels for each: | High School, High School, Vocational School, High School, Vocational School |
Occupations for each: | Homemaker, Homemaker, Medical Assistant, Homemaker, Medical Assistant |
Religions for each: | All are Catholic |
Father's Sisters' Total Children:
# Boys | 4 |
# Girls | 7 |
Mother's Siblings
Mother's Brothers
# Brothers | 2 |
Ages of Brothers: | 56, 46 |
Education levels for each: | JD; BSN/Master's |
Occupations for each: | Lawyer, Nurse |
Religions for each: | Catholic, Catholic |
Mother's Brothers' Total Children:
# Boys | 0 |
# Girls | 5 |
Mother's Sisters
# Sisters | 4 |
Ages of Sisters: | 54, 51, 50, 48 |
Education levels for each: | MD, High School, Pharm.D., BS |
Occupations for each: | Doctor, Homemaker, Pharmacist, Teacher |
Religions for each: | All are Catholic |
Mother's Sisters' Total Children:
# Boys | 3 |
# Girls | 5 |
Father's Parents
Father's Father
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Construction |
Primary ethnic origins: | Guatemalan |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Spanish |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | Some High School |
Degree | Not Completed |
Subject | General Studies |
Occupation: | Housekeeper |
Primary ethnic origins: | Guatemalan |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Spanish |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | Some College |
Degree | Not Completed |
Subject | Health Care |
Occupation: | Business owner |
Primary ethnic origins: | Guatemalan |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | Spanish |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | Some College |
Degree | Not Completed |
Subject | Health Care |
Occupation: | Business owner |
Primary ethnic origins: | Guatemalan |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | Spanish |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |