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Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Guitar - 4 |
Other talents: Years of experience | Singing, Long distance running - 20, 20 |
Favorite:
Color | Blue and red |
Food | Mexican |
Music | Pop |
Animal | Shark and snake |
Pet | Dogs and cats |
Car | Lamborghini |
Movie | The Avengers |
Song | "We Didn't Start the Fire" |
Play | Hamlet |
Goals:
Academic | Obtain a PhD in Physics |
Professional | Become a professor and work on research in my field |
Personal | Get married and start a family |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English, Spanish |
Read | English, Spanish, Italian |
Write | English, Spanish |
Sports:
Play | Track and Field, Cross Country, Soccer, Racquetball, Baseball |
Watch | Tennis, Soccer, Baseball, Basketball, Football |
Siblings:
# Brothers | 2 |
# Sisters | 1 |
Are you a twin? Identical or fraternal? | No |
# of twins in your family | N/A |
# Identical sets | 0 |
# Fraternal sets | N/A |
Academics
Standard Test Score: provide score or denote N/A if not taken
SAT on scale of | 1600 - out of 2400 |
ACT on scale of | 32 - out of 36 |
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 | 3.8 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 1.64 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Physics |
Minor subjects | Mathematics |
Degrees
Bachelor's | Pursuing BS/Physics |
Master's | N/A |
Doctorate | N/A |
Other(s) | High school |
Awards & Activities
High school | Perfect attendance, Honor Roll |
College | Member of the Society of Physics Students |
Academic | Currently looking for research positions |
Professional | N/A |
Political | N/A |
Personal | Marathon running |
Charitable | N/A |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Ambidextrous |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 14 |
Chest (inches) | 36 |
Inseam (inches) | 30 |
Waist (inches) | 30 |
Sleeve (inches) | 32 |
Wrist (inches) | 6 |
Hat size | 7 |
Shoe size | 9.5 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | Yes |
Age started wearing glasses/contacts | 13 |
Laser surgery? | No |
Dental:
Device | Braces and Retainer |
Reason | Cosmetic |
Age range during use | 14-16 |
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 | Construction |
Donor's Father Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Mexican, Italian |
Donor's Father Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Donor's Father Talents:
Voice | Bass |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 50 |
Height | 5'5'' |
Weight | 190 lbs. |
Hands | Ambidextrous |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 0 |
Hair:
Original hair color | Black |
If gray, age turned gray | 40 |
Type | Straight |
Skin:
Skin Tone | Dark |
Skin Condition | Medium |
Other:
Chin cleft | Medium |
Ear lobe | Attached |
Facial Dimples | None |
Military
Served in Military | No |
Branch | None |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | Public school employee |
Donor's Mother Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Mother Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Mexican, Irish |
Donor's Mother Languages:
Speak | Spanish, English |
Read | Spanish, English |
Write | Spanish, English |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | Flute - 2 |
Other yrs experience | Singing - 4 |
Donor's Mother Physical Information
Body
Age | 42 |
Height | 4'11'' |
Weight | 110 lbs. |
Hands | Right-Handed |
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 | Brown |
If gray, age turned gray | 40 |
Type | Wavy |
Skin:
Skin Tone | Light |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | No |
Branch | None |
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 | 17 |
Height | 5'5'' |
Weight | 120 lbs. |
Hands | Left-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Pursuing |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English, Spanish, German, Italian |
Read | English, Spanish, German, Italian, Japanese |
Write | English, Spanish |
Talents:
Voice | Soprano |
Instrument Years of experience | None |
Other Years of experience | Soccer, Volleyball - 4, 4 |
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 | 13 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | Light |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | None |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Male |
Age | 15 |
Height | 5'6'' |
Weight | 155 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Pursuing |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Bass |
Instrument Years of experience | Drums - 3 |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 10 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin tone | MedDk |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Attached |
Facial dimples | Medium |
Military
Served in military | No |
Branch | None |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #3
Full/Half sibling | Full |
Sibling #3 Physical Information
Body
Sex | Male |
Age | 12 |
Height | 5'0'' |
Weight | 100 lbs |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Student |
Education:
Level | Grade school |
Degree | Pursuing |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Tenor |
Instrument Years of experience | None |
Other Years of experience | Soccer - 2 |
Sibling #3 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Light |
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 | Light |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Attached |
Facial dimples | Medium |
Military
Served in military | No |
Branch | None |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 6 |
Ages of Brothers: | 75 (deceased), 66 (deceased), 70 (deceased), 64 (deceased), 67, 60 |
Education levels for each: | High school (for all) |
Occupations for each: | Entrepreneur, Construction Manager, Truck Driver, Construction Worker, Entrepreneur, Rancher |
Religions for each: | Catholic (all) |
Father's Brothers' Total Children:
# Boys | 10 |
# Girls | 3 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 70 (deceased) |
Education levels for each: | High school |
Occupations for each: | Homemaker |
Religions for each: | Catholic |
Father's Sisters' Total Children:
# Boys | 3 |
# Girls | 0 |
Mother's Siblings
Mother's Brothers
# Brothers | 7 |
Ages of Brothers: | 65, 63, 59, 57, 54, 42, 39 |
Education levels for each: | High school (for all) |
Occupations for each: | Welder, Welder, Entrepreneur, Welder, Engineer, Construction Worker, Construction Worker |
Religions for each: | Catholic (all) |
Mother's Brothers' Total Children:
# Boys | 12 |
# Girls | 4 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 50 |
Education levels for each: | Associate's |
Occupations for each: | Chef |
Religions for each: | Catholic |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | Grade School |
Degree | None |
Subject | General Studies |
Occupation: | Farmer |
Primary ethnic origins: | Mexican |
Siblings:
# Brothers | 4 |
# Sisters | 2 |
Other:
Languages | English, Spanish |
Religion | Catholic |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | Grade School |
Degree | None |
Subject | General Studies |
Occupation: | Farmer |
Primary ethnic origins: | Mexican, Italian |
Siblings:
# Brothers | 3 |
# Sisters | 1 |
Other:
Languages | English, Spanish |
Religion | Catholic |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | Rancher |
Primary ethnic origins: | Mexican |
Siblings:
# Brothers | 3 |
# Sisters | 2 |
Other:
Languages | Spanish |
Religion | Catholic |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | Grade school |
Degree | None |
Subject | General Studies |
Occupation: | Business owner |
Primary ethnic origins: | Mexican, Irish |
Siblings:
# Brothers | 3 |
# Sisters | 1 |
Other:
Languages | Spanish |
Religion | Catholic |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |