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Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Bass
Instrument:
Years of experience:		Trombone, Tenor Drums, Guitar - 8, 4, 1
Other talents:
Years of experience		Singing - 1
Favorite:
ColorOrange
FoodSloppy Joes
MusicRock
AnimalAlpaca
PetDog
CarMustang
Movie"Forrest Gump"
Song"Gravity" by Sara Bareilles
Play"Red"
Goals:
AcademicGood grades
Professional Lead by example
PersonalMake people smile
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish, Spanish
WriteEnglish
Sports:
PlayMarching Band, Drum Corps
WatchBasketball, Football
Siblings:
# Brothers1
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A
ACT
on scale of		28 - 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 		3.54.0
College
Question Response on scale of
GPA
on scale of 		3.254.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsMusic
Minor subjectsPsychology
Degrees
Bachelor'sPursuing B.Mus./Music Therapy
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolMarching Band, Percussion ensemble, Member of an a cappella group, Letter in Band
CollegeSymphony Band
AcademicN/A
Professional Drumline Teacher
Political N/A
Personal Winter drumline
Charitable N/A
OthersKarate black belt

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)42
Inseam (inches)34
Waist (inches)36
Sleeve (inches)32
Wrist (inches)8
Hat size7.75
Shoe size11

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListNone
Reason/causeN/A

Facial Features

Eyes:
Set
  • NarrowNarrow
  • AverageAverage
  • WideWide
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Shape
  • AlmondAlmond
  • OvalOval
  • RoundRound
Color
  • Black
  • Blue
  • Green
  • Hazel
  • Brown
Shade
  • Light
  • Medium
  • Dark
Eyebrows:
Arch
  • Flat
  • Medium
  • High
Thickness
  • ThinThin
  • AverageAverage
  • ThickThick
Set
  • Narrow
  • Average
  • Wide
Nose:
Size
  • Small
  • Medium
  • Large
Shape
  • RoundRound
  • StraightStraight
  • WideWide
Width
  • Narrow
  • Average
  • Wide
Length
  • Short
  • Average
  • Long
Bridge
  • ConvexConvex
  • StraightStraight
  • ConcaveConcave
Nostril flare
  • Small
  • Average
  • Wide
Septum
  • Thin
  • Average
  • Thick
Cheekbones:
Set
  • Low
  • Average
  • High
Prominence
  • Slight
  • Medium
  • Strong
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
Condition
  • Poor
  • Fair
  • Good
Chin:
Shape
  • RoundRound
  • OvalOval
  • SquareSquare
Prominence
  • Slight
  • Average
  • Strong
Cleft
  • NoneNone
  • SlightSlight
  • StrongStrong
Ears:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Set
  • Low
  • Average
  • High
Angle
  • FlatFlat
  • AverageAverage
  • AcuteAcute
Lobe size
  • Small
  • Medium
  • Large
Lobe attachment
  • DetachedDetached
  • AttachedAttached
Hair:
Color at birth
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Natural color in adulthood
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Shade
  • Light
  • Medium
  • Dark
Type
  • Straight
  • Wavy
  • Curly
Fullness
  • Thin
  • Medium
  • Thick
Texture
  • Fine
  • Coarse
  • Medium
Skin:
Tone
  • Light
  • MedL
  • Med
  • MedDk
  • Dark
Tan ability
  • None
  • Slight
  • Medium
  • Easy
Condition
  • Oily
  • Medium
  • Combination
  • Dry
Hairline:
Forehead
  • Low
  • Average
  • High
Contour
  • Straight
  • Slight Curve
  • Widow Peak
Other Facial Features:
Moles
  • None
  • One
  • Several
Freckles
  • None
  • Several
  • Moderate
  • Numerous
Dimples
  • None
  • Slight
  • Medium
  • Deep
Adam's apple
  • Slight
  • Medium
  • Strong
Facial Hair
Thickness
  • Thin
  • Medium
  • Dense
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationFirefighter
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:Norwegian, Swedish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age45
Height6'0"
Weight250 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorGreen
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned gray40
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Medical Assistant
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectMedical Assistant
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:English, Irish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age55
Height5'5''
Weight250 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age26
Height6'0"
Weight180 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Security
Education:
LevelSome college
DegreeNot Completed
SubjectCriminal Justice
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Trombone, Guitar - 7, 3
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
Hair:
Original hair color Auburn
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryYes
BranchArmy
RankSpecialist
Years of service4
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:46
Education levels for each:High school
Occupations for each:Medical Assistant
Religions for each:Christian
Father's Sisters' Total Children:
# Boys2
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:58, 57, 53
Education levels for each:All have High school
Occupations for each:Truck Driver, Unemployed, Unemployed
Religions for each:All are Agnostic
Mother's Brothers' Total Children:
# Boys4
# Girls2
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Wheelchair Transportation
Primary ethnic origins:Swedish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Music Director
Primary ethnic origins:Norwegian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Mechanic
Primary ethnic origins:Irish
Siblings:
# Brothers4
# Sisters0
Other:
LanguagesEnglish
ReligionAgnostic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Engineer
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters3
Other:
LanguagesEnglish
ReligionAgnostic
Military
BranchN/A
RankN/A
Service Yrs0