Questions
Personal Information
Talents:
Voice: | Bass |
Instrument: Years of experience: | None |
Other talents: Years of experience | Joke telling - 15 |
Favorite:
Color | Green |
Food | BBQ |
Music | Folk, Alternative, Hip hop |
Animal | Dogs |
Pet | Dogs |
Car | Something efficient |
Movie | Tombstone, or anything with zombies |
Song | "One Love" |
Play | Newsies |
Goals:
Academic | Never get to the point that I refuse to learn new things |
Professional | Contribute the best way possible to a company |
Personal | Be a source of love and encouragement for everyone |
Religion:
Faith | Christian |
Denomination | Church of Christ |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Softball, Football |
Watch | Basketball, Football |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
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 | 1360 - out of 1600 |
ACT on scale of | N/A |
GRE on scale of | 1180 |
MCAT on scale of | 27 |
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 | 3.75 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.56 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Biology |
Minor subjects | N/A |
Degrees
Bachelor's | BS/Biology |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Varsity Baseball, Football, Wrestling; Band; National Honor Society |
College | Dean's List; National Society of Collegiate Scholars |
Academic | High School math tutoring |
Professional | American Society of Clinical Pathology |
Political | NA |
Personal | NA |
Charitable | NA |
Others | NA |
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) | 17 |
Chest (inches) | 44 |
Inseam (inches) | 31 |
Waist (inches) | 35 |
Sleeve (inches) | 36 |
Wrist (inches) | 8 |
Hat size | 7.5 |
Shoe size | 11 |
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 |
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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 |
|
Shade |
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Type |
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Fullness |
|
Texture |
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Skin:
Tone |
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Tan ability |
|
Condition |
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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 | Government contractor |
Donor's Father Education:
Level | Graduate school |
Degree | Master |
Subject | Government |
Donor's Father Religion:
Faith | Christian |
Denomination | Church of Christ |
Primary ethnic origins: | Scottish, Irish |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Bass |
Instrument yrs experience | Piano - 60 |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 62 |
Height | 5'11" |
Weight | 210 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 20 |
Hair:
Original hair color | Red |
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 Mother Personal Information
Occupation | Secretary |
Donor's Mother Education:
Level | Graduate school |
Degree | Master |
Subject | Behavioral Science |
Donor's Mother Religion:
Faith | Christian |
Denomination | Church of Christ |
Primary ethnic origins: | Scottish, Irish |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | Sewing - 50 |
Donor's Mother Physical Information
Body
Age | 65 |
Height | 5'6" |
Weight | 200 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 10 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 60 |
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 |
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 | 6'0" |
Weight | 210 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | Graduate school |
Degree | Master |
Subject | Education |
Religion:
Faith | Christian |
Denomination | Episcopalian |
Languages:
Speak | English |
Read | English |
Write | 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 | 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 | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 3 |
Ages of Brothers: | 68, 64, 58 |
Education levels for each: | Master's, Some college, JD |
Occupations for each: | Government contractor, Contractor, Law/business |
Religions for each: | Christian, Christian, Christian |
Father's Brothers' Total Children:
# Boys | 4 |
# Girls | 3 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 55 |
Education levels for each: | Bachelor's |
Occupations for each: | Teacher |
Religions for each: | Christian |
Father's Sisters' Total Children:
# Boys | 0 |
# Girls | 2 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 70 |
Education levels for each: | High School |
Occupations for each: | Air Force (Retired) |
Religions for each: | Agnostic |
Mother's Brothers' Total Children:
# Boys | 0 |
# Girls | 0 |
Father's Parents
Father's Father
Education
Level | Graduate |
Degree | Master's |
Subject | Education |
Occupation: | Principal |
Primary ethnic origins: | Scottish, Irish |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | Navy |
Rank | Seaman |
Service Yrs | 5 |
Father's Mother
Education
Level | College |
Degree | Bachelor's |
Subject | Education |
Occupation: | Teacher |
Primary ethnic origins: | Scottish, Irish |
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: | Miner |
Primary ethnic origins: | Scottish, Irish |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Agnostic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Retail |
Primary ethnic origins: | Scottish, Irish |
Siblings:
# Brothers | 1 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |