Questions

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

Personal Information

Talents:
Voice:Baritone
Instrument:
Years of experience:		Piano, Saxophone, Cello - 8, 2, 1
Other talents:
Years of experience		Drawing - 15
Favorite:
ColorDark forest green
FoodFried rice
MusicPunk rock
AnimalHawk
PetCat
CarAudi e-tron
Movie"The Lord of the Rings"
Song"Instinct" by Strike Anywhere
Play"Hamlet"
Goals:
AcademicMaster's degree in nuclear engineering
Professional Senior Nuclear Engineer
PersonalBe a good person
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish, French
ReadEnglish, French
WriteEnglish, French
Sports:
PlayCycling
WatchNone
Siblings:
# Brothers0
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your familyN/A
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1920 - out of 2400
ACT
on scale of		30 - 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 		3.84.0
College
Question Response on scale of
GPA
on scale of 		2.134.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsElectrical Engineering
Minor subjectsN/A
Degrees
Bachelor'sPursuing BS/Electrical Engineering
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolScholarship award winner, Honor roll, Top 10% of graduating class
CollegeDean's List, Dean's Scholarship
AcademicDean's List, Countless science competition awards
Professional N/A
Political Boy's State (American Legion), Camp Royal (Rotary Club). Both are mock-government programs
Personal N/A
Charitable Bronze Presidential Public Service Award
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)38
Inseam (inches)33
Waist (inches)31
Sleeve (inches)32
Wrist (inches)7
Hat size7.25
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts16
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use15-17
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
OccupationConstruction
Donor's Father Education:
LevelGraduate school
DegreeMaster
SubjectEcology
Donor's Father Religion:
Faith None
Denomination Atheist
Primary ethnic origins:Irish, Scottish, German, Mexican
Donor's Father Languages:
SpeakEnglish, French, Spanish
ReadEnglish, French, Spanish
WriteEnglish, French, Spanish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Piano, Saxophone - 55, 40
Other
yrs experience		None
Donor's Father Physical Information
Body
Age60
Height5'11"
Weight154 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		14
Hair:
Original hair color Auburn
If gray, age turned gray40
TypeCurly
Skin:
Skin ToneMedDk
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Assistant Director
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectHistory
Donor's Mother Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:Irish, Dutch, Scottish, English
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
Age59
Height5'4"
Weight170 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		20
Hair:
Original hair color Blond
If gray, age turned gray54
TypeStraight
Skin:
Skin ToneLight
Skin ConditionOily
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:64, 62
Education levels for each:High School, Graduate school
Occupations for each:Ski Patrol, Psychiatry
Religions for each:Catholic, Catholic
Father's Brothers' Total Children:
# Boys0
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:62, 58
Education levels for each:Master's, High School
Occupations for each:Fish and Game Manager, Guitar Maker
Religions for each:Agnostic, Agnostic
Mother's Brothers' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelGraduate
DegreeMD
SubjectMedicine
Occupation:General Practitioner
Primary ethnic origins:German, Mexican
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish, Spanish
ReligionCatholic
Military
BranchNavy
RankShip Doctor
Service Yrs4
Father's Mother
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:Teacher
Primary ethnic origins:Irish, Scottish
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish, Spanish, French, German, Japanese, Latin
ReligionCatholic
Military
BranchNone
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Security Guard
Primary ethnic origins:Irish, Scottish, English
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:Irish, Dutch
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0