Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | Guitar - 3 |
| Other talents: Years of experience | Martial arts/Karate - 10 |
Favorite:
| Color | Blue |
| Food | Double layer dark chocolate cake with coconut cream in between and topped with dark chocolate fondue |
| Music | Eclectic |
| Animal | Eagle |
| Pet | Dog |
| Car | Evoque |
| Movie | The Green Mile |
| Song | "Sem Ar" by D'Black |
| Play | The Phantom of the Opera |
Goals:
| Academic | To be a professor |
| Professional | To become a world-renowned scientist |
| Personal | To find/contribute to find an HIV-1 cure |
Religion:
| Faith | Christian |
| Denomination | Presbyterian |
Languages:
| Speak | Portuguese, English |
| Read | Portuguese, English |
| Write | Portuguese, English |
Sports:
| Play | Rugby, Underwater hockey |
| Watch | Soccer |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 - (adopted) |
| 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 | 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 | N/A |
College
| Question | Response | on scale of |
| GPA on scale of | N/A |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Natural Science |
| Minor subjects | N/A |
Degrees
| Bachelor's | BS/Biology |
| Master's | MS/Health Science |
| Doctorate | PhD/Molecular Pathology |
| Other(s) | N/A |
Awards & Activities
| High school | N/A |
| College | Grant Fellowship (Germany) |
| Academic | Award for best PhD thesis |
| Professional | Research award recipient |
| Political | N/A |
| Personal | Black Belt Shotokan Karate |
| Charitable | NA |
| Others | Second place in a university bodybuilding contest |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 38 |
| Inseam (inches) | 32 |
| Waist (inches) | 33.5 |
| Sleeve (inches) | 32 |
| Wrist (inches) | 7 |
| Hat size | 7 |
| Shoe size | 9.5 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 16 |
| Laser surgery? | No |
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 |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
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| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
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| Nostril flare |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Postdoctoral Researcher |
Donor's Father Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Pedagogy |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Presbyterian |
| Primary ethnic origins: | Brazilian |
Donor's Father Languages:
| Speak | Portuguese |
| Read | Portuguese |
| Write | Portuguese |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | Guitar - 30 |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 54 |
| Height | 5'9" |
| Weight | 187 lbs. |
| Hands | Left-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 18 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin Tone | MedDk |
| Skin Condition | Combination |
Other:
| Chin cleft | Medium |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Businesswoman |
Donor's Mother Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Presbyterian |
| Primary ethnic origins: | Brazilian |
Donor's Mother Languages:
| Speak | Portuguese |
| Read | Portuguese |
| Write | Portuguese |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 58 |
| Height | 5'2" |
| Weight | 143 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Near-Sighted |
| Glasses | Bifocal |
| Astigmatism | Yes |
| Age started wearing glasses/contacts yrs | 25 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Oily |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial Dimples | Slight |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
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 | 25 |
| Height | 6'0" |
| Weight | 243 lbs. |
| Hands | Ambidextrous |
Sibling #1 Personal Information
| Occupation | Teacher |
Education:
| Level | College |
| Degree | Diploma |
| Subject | English |
Religion:
| Faith | Christian |
| Denomination | Presbyterian |
Languages:
| Speak | Portuguese, English |
| Read | Portuguese, English |
| Write | Portuguese, English |
Talents:
| Voice | Bass |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Bifocal |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 8 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Curly |
Skin:
| Skin tone | MedL |
| Skin condition | Medium |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | Slight |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 56 |
| Education levels for each: | High school |
| Occupations for each: | Fiscal Agent |
| Religions for each: | Agnostic |
Father's Brothers' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 47, 45 |
| Education levels for each: | College, College |
| Occupations for each: | Teacher, Teacher |
| Religions for each: | Presbyterian, Presbyterian |
Father's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 70 (deceased), 41 |
| Education levels for each: | College, College |
| Occupations for each: | Teacher, Teacher |
| Religions for each: | Agnostic, Catholic |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 5 |
Mother's Sisters
| # Sisters | 3 |
| Ages of Sisters: | 64, 62, 50 |
| Education levels for each: | Some high school, High school, Some high school |
| Occupations for each: | Farmer (retired), Sales (retired), Homemaker |
| Religions for each: | Catholic, Protestant, Catholic |
Mother's Sisters' Total Children:
| # Boys | 4 |
| # Girls | 5 |
Father's Parents
Father's Father
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Politician |
| Primary ethnic origins: | Brazilian |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Portuguese |
| Religion | Agnostic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Father's Mother
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Literature |
| Occupation: | Teacher (retired) |
| Primary ethnic origins: | Brazilian |
Siblings:
| # Brothers | 3 |
| # Sisters | 2 |
Other:
| Languages | Portuguese |
| 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: | Farmer |
| Primary ethnic origins: | Brazilian |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Portuguese |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Mother
Education
| Level | Grade school |
| Degree | None |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Brazilian |
Siblings:
| # Brothers | 1 |
| # Sisters | 3 |
Other:
| Languages | Portuguese |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |