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Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | None |
Other talents: Years of experience | None |
Favorite:
Color | Baby blue |
Food | Mexican |
Music | Indie |
Animal | Dog |
Pet | Dog |
Car | Dislike cars |
Movie | Out Cold |
Song | Don't have a favorite |
Play | Don't have a favorite |
Goals:
Academic | Obtain an MD |
Professional | Reach the rank of Captain as a physician in the US Navy |
Personal | Run a marathon in all 50 states |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Running, Soccer, Softball |
Watch | Football, Basketball, Baseball, Soccer, Hockey |
Siblings:
# Brothers | 2 |
# Sisters | 1 |
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 | N/A |
ACT on scale of | 26 - out of 36 |
GRE on scale of | N/A |
MCAT on scale of | N/A |
LSAT on scale of | 153 - out of 170 |
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 | 3.0 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.40 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Political Science |
Minor subjects | History, Economics |
Degrees
Bachelor's | BA/Political Science |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Football, Wrestling, Track |
College | Dean's List, Honor Society |
Academic | N/A |
Professional | Special award (US Navy); Military Officers Association of America |
Political | N/A |
Personal | Avid runner |
Charitable | N/A |
Others | N/A |
Military
Served in military | Yes |
Branch | US Navy |
Rank | Lieutenant |
Years of service | 8 |
Physical Features
Hands | Right-Handed |
Fingers | Long |
Sizes & Measurements
Neck (inches) | 14.75 |
Chest (inches) | 38.25 |
Inseam (inches) | 34 |
Waist (inches) | 32 |
Sleeve (inches) | 33 |
Wrist (inches) | 7.5 |
Hat size | 7.25 |
Shoe size | 12 |
Physical Aids
Eyes:
Vision | Normal - (Near-sighted before Lasik) |
Glasses | None - ("Single" glasses before Lasik) |
Astigmatism | Yes |
Age started wearing glasses/contacts | 11 |
Laser surgery? | Yes |
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 | Construction Foreman |
Donor's Father Education:
Level | Grade school |
Degree | Not Completed |
Subject | General Studies |
Donor's Father Religion:
Faith | Other |
Denomination | Agnostic |
Primary ethnic origins: | German, Scottish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 55 |
Height | 5'9" |
Weight | 190 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 0 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | MedL |
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 | Nurse Practitioner |
Donor's Mother Education:
Level | Graduate school |
Degree | Master |
Subject | Family Nurse Practitioner |
Donor's Mother Religion:
Faith | Christian |
Denomination | Non-denominational |
Primary ethnic origins: | Swedish, English |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 52 |
Height | 5'9" |
Weight | 135 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Green |
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 | N/A |
Type | Straight |
Skin:
Skin Tone | Light |
Skin Condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
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 | 30 |
Height | 5'9" |
Weight | 185 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Government Official |
Education:
Level | College |
Degree | Bachelor |
Subject | Business Administration |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
Instrument Years of experience | Drums - 16 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 1 - 1 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
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 | Wavy |
Skin:
Skin tone | MedDk |
Skin condition | Oily |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | Medium |
Military
Served in military | Yes |
Branch | Army |
Rank | Technical Sergeant |
Years of service | 3 |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 28 |
Height | 5'6" |
Weight | 160 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Nurse |
Education:
Level | College |
Degree | Associate |
Subject | Nursing |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
Instrument Years of experience | None |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 1 - 10 |
Sibling #2 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | Yes |
Age started wearing glasses/contacts | 9 |
Hair:
Original hair color | Blond |
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 | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #3
Full/Half sibling | Half |
Sibling #3 Physical Information
Body
Sex | Male |
Age | 18 |
Height | 6'2" |
Weight | 155 lbs. |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Student |
Education:
Level | Some college |
Degree | Pursuing |
Subject | History |
Religion:
Faith | Christian |
Denomination | Non-denominational |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Tenor |
Instrument Years of experience | Saxophone - 6 |
Other Years of experience | None |
Sibling #3 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #3 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Medium |
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 | MedL |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Detached |
Facial dimples | Medium |
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: | 64, 56, 50, 48 |
Education levels for each: | All have high school |
Occupations for each: | All are railroad laborers |
Religions for each: | All are agnostic |
Father's Brothers' Total Children:
# Boys | 2 |
# Girls | 4 |
Father's Sisters
# of Sisters | 2 |
Ages of Sisters: | 63, 58 |
Education levels for each: | High school, High school |
Occupations for each: | Ranch owner, Railroad Engineer |
Religions for each: | Christian, Agnostic |
Father's Sisters' Total Children:
# Boys | 3 |
# Girls | 2 |
Mother's Siblings
Mother's Brothers
# Brothers | 2 |
Ages of Brothers: | 68, 60 |
Education levels for each: | High school, High school |
Occupations for each: | Postmaster, Diesel Mechanic |
Religions for each: | Christian, Agnostic |
Mother's Brothers' Total Children:
# Boys | 1 |
# Girls | 3 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 65 |
Education levels for each: | High school |
Occupations for each: | Postal Worker |
Religions for each: | Agnostic |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Salesman |
Primary ethnic origins: | Scottish |
Siblings:
# Brothers | 3 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | Navy |
Rank | Petty Officer 3rd Class |
Service Yrs | 3 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | German |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Diesel Mechanic |
Primary ethnic origins: | English |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Agnostic |
Military
Branch | Navy |
Rank | Petty Officer 3rd Class |
Service Yrs | 3 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Swedish |
Siblings:
# Brothers | 7 |
# Sisters | 6 |
Other:
Languages | English |
Religion | Agnostic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |