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Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Violin - 8 |
Other talents: Years of experience | Poetry - 10 |
Favorite:
Color | Blue |
Food | Noodles |
Music | R & B |
Animal | Rhinoceros |
Pet | Dog |
Car | Convertible |
Movie | Anchorman |
Song | "Can We Talk" by Tevin Campbell |
Play | The Crucible |
Goals:
Academic | To continue learning |
Professional | Top radio personality in U.S. |
Personal | Be happy and comfortable |
Religion:
Faith | Christian |
Denomination | Baptist |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Football |
Watch | Football, Basketball, Baseball, Hockey |
Siblings:
# Brothers | 1 |
# 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 | 1190 |
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 | 3.3 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 2.67 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Communications |
Minor subjects | Political Science |
Degrees
Bachelor's | BA/Communications |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Football, Drama, Summer orientation leader |
College | Student government |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | N/A |
Charitable | N/A |
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) | 42 |
Inseam (inches) | 33 |
Waist (inches) | 34 |
Sleeve (inches) | 33 |
Wrist (inches) | 7 |
Hat size | 7.25 |
Shoe size | 13 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
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 |
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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 |
|
Set |
|
Condition |
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Chin:
Shape |
|
Prominence |
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Cleft |
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Ears:
Size |
|
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 |
|
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 |
|
Contour |
|
Other Facial Features:
Moles |
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Freckles |
|
Dimples |
|
Adam's apple |
|
Facial Hair
Thickness |
|
Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Cook |
Donor's Father Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Father Religion:
Faith | Islam |
Denomination | N/A |
Primary ethnic origins: | Bengali |
Donor's Father Languages:
Speak | English, Bangla, Spanish, Greek, Italian |
Read | English, Bangla, Spanish |
Write | English, Bangla, Spanish |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | None |
Other yrs experience | Soccer player - during childhood |
Donor's Father Physical Information
Body
Age | 46 |
Height | 5'10" |
Weight | 155 lbs. |
Hands | Right-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 | 41 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | MedDk |
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 Mother Personal Information
Occupation | Cashier |
Donor's Mother Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Donor's Mother Religion:
Faith | Other |
Denomination | Agnostic |
Primary ethnic origins: | German, Italian, Irish |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | Picture art - 8 |
Donor's Mother Physical Information
Body
Age | 47 |
Height | 5'8" |
Weight | 178 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Light |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 38 |
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 | Attached |
Facial Dimples | Slight |
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 | Half |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 27 |
Height | 5'10" |
Weight | 198 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Sales Manager |
Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Baptist |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Baritone |
Instrument Years of experience | None |
Other Years of experience | Sketch artist - 2 |
Sibling #1 Children:
# Boys Ages: | 2 - 3, 1 |
# Girls Ages: | 1 - 6 |
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 | Black |
If gray, age turned gray | N/A |
Type | Curly |
Skin:
Skin tone | Med |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 15 |
Height | 5'9" |
Weight | 145 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Student |
Education:
Level | High school |
Degree | Pursuing |
Subject | General Studies |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
Instrument Years of experience | None |
Other Years of experience | Choir - 2 |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 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 | Black |
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 | Medium |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 2 |
Ages of Brothers: | 35, 29 |
Education levels for each: | High school, some high school |
Occupations for each: | Dishwasher, Business Owner |
Religions for each: | Islam, Islam |
Father's Brothers' Total Children:
# Boys | 0 |
# Girls | 0 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 28 |
Education levels for each: | Some high school |
Occupations for each: | Homemaker |
Religions for each: | Islam |
Father's Sisters' Total Children:
# Boys | 0 |
# Girls | 0 |
Mother's Siblings
Mother's Brothers
# Brothers | 2 |
Ages of Brothers: | 52, 51 |
Education levels for each: | High school, High school |
Occupations for each: | Repairman, Security Guard |
Religions for each: | Christian, Christian |
Mother's Brothers' Total Children:
# Boys | 2 |
# Girls | 1 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 55 |
Education levels for each: | Some high school |
Occupations for each: | Receptionist |
Religions for each: | Atheist |
Mother's Sisters' Total Children:
# Boys | 0 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | Some high school |
Degree | Not completed |
Subject | General Studies |
Occupation: | Restaurant Owner |
Primary ethnic origins: | Bengali |
Siblings:
# Brothers | 3 |
# Sisters | 1 |
Other:
Languages | Bangla, English |
Religion | Islam |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | Some grade school |
Degree | Not completed |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Bengali |
Siblings:
# Brothers | 3 |
# Sisters | 0 |
Other:
Languages | Bangla |
Religion | Islam |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | Some high school |
Degree | Not completed |
Subject | General Studies |
Occupation: | Ranch Hand |
Primary ethnic origins: | German, Irish |
Siblings:
# Brothers | 2 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | Some high school |
Degree | None |
Subject | General Studies |
Occupation: | Daycare Worker |
Primary ethnic origins: | German, Italian |
Siblings:
# Brothers | 3 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Jehovah's Witness |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |