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:Baritone
Instrument:
Years of experience:		None
Other talents:
Years of experience		None
Favorite:
ColorGreen
FoodHot dogs, Hamburgers, Sushi, Wings, Steak
MusicCountry, Rock, some Dance
AnimalWolf
PetDogs!
CarJeep Wrangler
MovieRocky, Godfather I, Good Will Hunting
SongMost any song by Willie Nelson
PlayChicago (musical) - Although I can't say I have seen a lot of plays
Goals:
AcademicNever stop learning
Professional Executive management in a technology field
PersonalBe a great father, husband, and provider
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish, some Spanish
WriteEnglish, some Spanish
Sports:
PlayFootball, Basketball, Backpacking, Running, Obstacle courses, other recreational sports
WatchFootball, Basketball, Mixed Martial Arts
Siblings:
# Brothers0
# Sisters2
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		1300 - out of 1600
ACT
on scale of		N/A
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 		3.94.0
College
Question Response on scale of
GPA
on scale of 		2.154.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsMicrobiology
Minor subjectsN/A
Degrees
Bachelor'sBS/Microbiology
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Honor Society, Varsity letter (football), State academic merit award
CollegeN/A
AcademicN/A
Professional US Patent, Multiple employee executive leadership awards, Six sigma certified, Project Management Professional (PMP) certified
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)43
Inseam (inches)32
Waist (inches)32
Sleeve (inches)33.5
Wrist (inches)6.75
Hat size7.5
Shoe size10.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use11-12, 18-20
Other Physical Aids:
ListN/A
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
OccupationFood Preparation and Serving
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German, Dutch
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age64
Height5'8"
Weight160 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryYes
BranchArmy
RankPrivate
Years of service3
Donor's Mother Personal Information
Occupation Real Estate
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectUndeclared
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German
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
Age63
Height5'4"
Weight110 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		55
Hair:
Original hair color Brown
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
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
SexFemale
Age43
Height5'4"
Weight120 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Homemaker
Education:
LevelCollege
DegreeBachelor
SubjectCommunications
Religion:
Faith Christian
Denomination Greek Orthodox
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 13
# Girls
Ages:		1 - 11
Sibling #1 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingHalf
Sibling #2 Physical Information
Body
SexFemale
Age33
Height5'10"
Weight130 lbs.
HandsLeft-Handed
Sibling #2 Personal Information
Occupation Car Dealer
Education:
LevelCollege
DegreeBachelor
SubjectBusiness
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		1 - 2
# Girls
Ages:		1 - 2 months
Sibling #2 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:66, 60
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Real Estate, Engineer
Religions for each:Christian, Christian
Father's Brothers' Total Children:
# Boys0
# Girls0
Father's Sisters
# of Sisters1
Ages of Sisters:67
Education levels for each:Bachelor's
Occupations for each:Engineer
Religions for each:Christian
Father's Sisters' Total Children:
# Boys0
# Girls0
Mother's Siblings
Mother's Sisters
# Sisters3
Ages of Sisters:11 (deceased), 51 (deceased), 46
Education levels for each:Elementary school, Bachelor's, Bachelor's
Occupations for each:Student, Service Industry, Engineer
Religions for each:Lutheran, Lutheran, Christian
Mother's Sisters' Total Children:
# Boys4
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer (retired)
Primary ethnic origins:Dutch
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankPrivate First Class
Service Yrs5
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:School Teacher
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeBachelor's
SubjectUnknown
Occupation:Salesman
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
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:German
Siblings:
# Brothers3
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0