Questions
Personal Information
Talents:
| Voice: | Baritone |
| Instrument: Years of experience: | Drums - 1 |
| Other talents: Years of experience | Football Quarterback - 2 |
Favorite:
| Color | Green |
| Food | Italian |
| Music | Rock/Country |
| Animal | Snow Leopard |
| Pet | Dog |
| Car | 1956 Corvette |
| Movie | Cool Hand Luke |
| Song | "No Other Way" by Jack Johnson |
| Play | The Tragedy of Hamlet, Prince of Denmark |
Goals:
| Academic | Graduate school |
| Professional | Film agent or Manager |
| Personal | To live life free and hopefully carefree |
Religion:
| Faith | Christian |
| Denomination | Baptist (not baptized) |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | Football, Baseball, Tennis, Soccer, Ultimate Frisbee, Disc Golf |
| Watch | Football, Tennis, Soccer, Baseball (World Series) |
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 | 1760 - out of 2400 |
| 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 | 3.0 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.8 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Business |
| Minor subjects | Marketing/Film |
Degrees
| Bachelor's | Pursuing BA/Business |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Football, Soccer |
| College | Fraternity member |
| Academic | N/A |
| Professional | N/A |
| Political | N/A |
| Personal | N/A |
| Charitable | N/A |
| Others | Award-winning camp counselor |
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) | 14 |
| Chest (inches) | 38 |
| Inseam (inches) | 32 |
| Waist (inches) | 31 |
| Sleeve (inches) | 35 |
| Wrist (inches) | 6 |
| Hat size | 7 |
| Shoe size | 11 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | 0 |
| Laser surgery? | No |
Dental:
| Device | Braces and Retainer |
| Reason | Cosmetic |
| Age range during use | 15-16 |
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 |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| 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 | Licensed Maintenance Supervisor |
Donor's Father Education:
| Level | College |
| Degree | Associate |
| Subject | Mechanical Engineering |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Methodist |
| Primary ethnic origins: | Spanish |
Donor's Father Languages:
| Speak | English |
| Read | English, Spanish |
| Write | English, Spanish |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 48 |
| Height | 5'10" |
| Weight | 210 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| 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 | Med |
| Skin Condition | Combination |
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 | Leasing Agent |
Donor's Mother Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Baptist |
| Primary ethnic origins: | Dutch |
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 | 51 |
| Height | 5'4" |
| Weight | 135 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 | 16 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin Tone | Light |
| Skin Condition | Combination |
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 |
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 | 24 |
| Height | 5'10" |
| Weight | 170 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Personal Banker |
Education:
| Level | Some college |
| Degree | Pursuing |
| Subject | Accounting |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English |
Talents:
| Voice | Baritone |
| 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 | 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 | Combination |
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 Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Sex | Female |
| Age | 23 |
| Height | 5'2" |
| Weight | 150 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Preschool Teacher |
Education:
| Level | Some college |
| Degree | Pursuing |
| Subject | Education |
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: | 1 - 4 |
| # 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 | Brown |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Light |
| Skin condition | Combination |
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: | 60, 57, 51, 45 |
| Education levels for each: | High school, High school, High school, Associate's |
| Occupations for each: | Mechanic, Small Business Owner, Environmental Specialist, HVAC Technician |
| Religions for each: | Agnostic, Catholic, Agnostic, Catholic |
Father's Brothers' Total Children:
| # Boys | 3 |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 3 |
| Ages of Sisters: | 55, 53, 47 |
| Education levels for each: | High school, Associate's, Bachelor's |
| Occupations for each: | Housemaid, Receptionist, Teacher |
| Religions for each: | All are Catholic |
Father's Sisters' Total Children:
| # Boys | 2 |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 5 |
| Ages of Brothers: | 65, 63, 55, 50, 44 |
| Education levels for each: | High school, High school, Associate's, High school, High school |
| Occupations for each: | Welder, Welder, Retirement Home Manager, Small Business Owner, Welder |
| Religions for each: | All are Baptist |
Mother's Brothers' Total Children:
| # Boys | 5 |
| # Girls | 2 |
Mother's Sisters
| # Sisters | 3 |
| Ages of Sisters: | 60, 57, 48 |
| Education levels for each: | High school, Associate's, High school |
| Occupations for each: | Receptionist, Sales Representative, Homemaker |
| Religions for each: | All are Baptist |
Mother's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 2 |
Father's Parents
Father's Father
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Business Manager |
| Primary ethnic origins: | Spanish |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English, Spanish |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Father's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Flight Attendant |
| Primary ethnic origins: | Spanish |
Siblings:
| # Brothers | 0 |
| # Sisters | 2 |
Other:
| Languages | English, Spanish |
| 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: | Dutch |
Siblings:
| # Brothers | 2 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | Army |
| Rank | Private First Class |
| Service Yrs | 4 |
Mother's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Farmer |
| Primary ethnic origins: | Dutch |
Siblings:
| # Brothers | 2 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |