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Questions
Personal Information
Talents:
Voice: | Bass |
Instrument: Years of experience: | Piano - 2 |
Other talents: Years of experience | Painting - 7+ |
Favorite:
Color | Blue |
Food | Italian pasta |
Music | Classic rock, Blues, Classical |
Animal | Tiger |
Pet | Dog |
Car | Lincoln Town Car |
Movie | 7 Years in Tibet |
Song | Little Ivey by Jimmy Hendrix |
Play | Phantom of the Opera |
Goals:
Academic | To finish my Bachelors degree in Environmental Biology and then continue on and obtain a Masters. |
Professional | To work in enviromentally related research, pursuing new methods of improving our relationship to our environment. |
Personal | Most important to me is making a positive impact on the world around me. I'd like to do this through improving the environment, as well as through my relationships with my family and friends. |
Religion:
Faith | Other |
Denomination | Buddhist |
Languages:
Speak | English, some Spanish |
Read | English, some Spanish |
Write | English, some Spanish |
Sports:
Play | Wrestling, Football, Golf |
Watch | Football, Golf |
Siblings:
# Brothers | 0 |
# 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 | 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 | 3.6 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.4 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Environmental Biology |
Minor subjects | Philosophy, Ethics |
Degrees
Bachelor's | Pursuing BA/Environmental Biology |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Lettered in wrestling and weightlifting, Math competition, Won art competition |
College | Philosophy club |
Academic | N/A |
Professional | Special recognition for job related achievments |
Political | N/A |
Personal | Art competitions |
Charitable | Health related charity |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 16 |
Chest (inches) | 37 |
Inseam (inches) | 32 |
Waist (inches) | 33 |
Sleeve (inches) | 34 |
Wrist (inches) | 7 |
Hat size | 7 |
Shoe size | 10 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Laser surgery? | N/A |
Dental:
Device | None |
Reason | N/A |
Age range during use | N/A |
Other Physical Aids:
List | None |
Reason/cause | None |
Facial Features
Eyes:
Set |
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Eyebrows:
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Nose:
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Septum |
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Cheekbones:
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Mouth:
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Teeth:
Size |
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Chin:
Shape |
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Ears:
Size |
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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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Skin:
Tone |
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Tan ability |
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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
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Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Respiratory therapist |
Donor's Father Education:
Level | College |
Degree | Associate |
Subject | Respiratory Therapy |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Czech, English |
Donor's Father Languages:
Speak | English, some German |
Read | English, some German |
Write | English, some German |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | Flute - 4 years |
Other yrs experience | N/A |
Donor's Father Physical Information
Body
Age | 58 |
Height | 6' 3" |
Weight | 210 |
Hands | Ambidextrous |
Donor's Father Facial Features
Eyes:
Eye Color | Blue |
Eye shade | Medium |
Vision | Normal |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 45 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | Med |
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 Mother Personal Information
Occupation | Health unit coordinator |
Donor's Mother Education:
Level | Some college |
Degree | Not Completed |
Subject | General studies |
Donor's Mother Religion:
Faith | Christian |
Denomination | Non-denominational |
Primary ethnic origins: | Irish, English |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | Piano - 25 years |
Other yrs experience | N/A |
Donor's Mother Physical Information
Body
Age | 57 |
Height | 5'2" |
Weight | 135 |
Hands | Ambidextrous |
Facial Features
Eyes:
Eye Color | Blue |
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 | MedL |
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 | Female |
Age | 24 |
Height | 5'4" |
Weight | Unknown |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Customer service |
Education:
Level | College |
Degree | Other |
Subject | Esthetician |
Religion:
Faith | Christian |
Denomination | Undecided |
Languages:
Speak | English, German |
Read | English, German |
Write | English, German |
Talents:
Voice | Alto |
Instrument Years of experience | Piano - 4 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 1 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Blond |
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 | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 1 |
Ages of Brothers: | 56 |
Education levels for each: | Some college |
Occupations for each: | Mechanic |
Religions for each: | Christian |
Father's Brothers' Total Children:
# Boys | 0 |
# Girls | 2 |
Mother's Siblings
Mother's Brothers
# Brothers | 3 |
Ages of Brothers: | 41, 58, 59 |
Education levels for each: | Some college, Bachelors degree, Bachelors degree |
Occupations for each: | Sales associate, Computer technology, Computer technology |
Religions for each: | All Christian |
Mother's Brothers' Total Children:
# Boys | 3 |
# Girls | 6 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 45 |
Education levels for each: | Some college |
Occupations for each: | Customer service |
Religions for each: | Christian |
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: | Farmer |
Primary ethnic origins: | Czech |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General studies |
Occupation: | Teachers assistant |
Primary ethnic origins: | English |
Siblings:
# Brothers | 4 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | College |
Degree | Bachelors |
Subject | Education |
Occupation: | Teacher |
Primary ethnic origins: | English, Irish |
Siblings:
# Brothers | 2 |
# Sisters | 5 |
Other:
Languages | English, French |
Religion | Christian |
Military
Branch | Army |
Rank | Tech 5 |
Service Yrs | 4 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General studies |
Occupation: | Nursing assistant |
Primary ethnic origins: | English, Irish |
Siblings:
# Brothers | 2 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |