Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Baritone
Instrument:
Years of experience:		Guitar - 1
Other talents:
Years of experience		Automotive repair - 12
Favorite:
ColorBlue
FoodSeafood
MusicHip/Hop
AnimalElephant
PetDog
CarBentley
Movie"The Lion King"
Song"Diamonds From Sierra Leon"
Play"Les Miserables"
Goals:
AcademicTo earn a graduate degree
Professional To become a top chemist of a top research company
PersonalTo get married and have a healthy, happy family
Religion:
Faith Christian
Denomination Baptist
Languages:
SpeakEnglish, Spanish, French
ReadEnglish, Spanish, French
WriteEnglish, Spanish, French
Sports:
PlayFootball, Basketball, Softball, Soccer
WatchNFL, NBA, MLB, MLS
Siblings:
# Brothers1
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1210 (out of 1600)
ACT
on scale of		N/A
GRE
on scale of		760 Math, 600 English
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 		3.94.0
College
Question Response on scale of
GPA
on scale of 		3.024.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.084.0
Subjects Studied:
Major subjectsChemistry
Minor subjectsMath
Degrees
Bachelor'sBS/Chemistry
Master'sMS/Organic Chemistry
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolScholar athlete, Honor roll, Football, Track and Field
CollegeDean's list, Intramural sports, NOBCChE member
AcademicTutor, Lecturer
Professional Work for a top chemical company in the U.S.
Political N/A
Personal Work out, Fix cars, Watch sports, Play guitar
Charitable Big Brothers Big Sisters
OthersN/A

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)16.5
Chest (inches)36
Inseam (inches)32
Waist (inches)36
Sleeve (inches)35
Wrist (inches)7.5
Hat size7.75
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle - (Glasses used only if reading for extended period of time)
AstigmatismNo
Age started wearing glasses/contacts20
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListNone
Reason/causeN/A

Facial Features

Eyes:
Set
  • NarrowNarrow
  • AverageAverage
  • WideWide
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Shape
  • AlmondAlmond
  • OvalOval
  • RoundRound
Color
  • Black
  • Blue
  • Green
  • Hazel
  • Brown
Shade
  • Light
  • Medium
  • Dark
Eyebrows:
Arch
  • Flat
  • Medium
  • High
Thickness
  • ThinThin
  • AverageAverage
  • ThickThick
Set
  • Narrow
  • Average
  • Wide
Nose:
Size
  • Small
  • Medium
  • Large
Shape
  • RoundRound
  • StraightStraight
  • WideWide
Width
  • Narrow
  • Average
  • Wide
Length
  • Short
  • Average
  • Long
Bridge
  • ConvexConvex
  • StraightStraight
  • ConcaveConcave
Nostril flare
  • Small
  • Average
  • Wide
Septum
  • Thin
  • Average
  • Thick
Cheekbones:
Set
  • Low
  • Average
  • High
Prominence
  • Slight
  • Medium
  • Strong
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
Condition
  • Poor
  • Fair
  • Good
Chin:
Shape
  • RoundRound
  • OvalOval
  • SquareSquare
Prominence
  • Slight
  • Average
  • Strong
Cleft
  • NoneNone
  • SlightSlight
  • StrongStrong
Ears:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Set
  • Low
  • Average
  • High
Angle
  • FlatFlat
  • AverageAverage
  • AcuteAcute
Lobe size
  • Small
  • Medium
  • Large
Lobe attachment
  • DetachedDetached
  • AttachedAttached
Hair:
Color at birth
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Natural color in adulthood
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Shade
  • Light
  • Medium
  • Dark
Type
  • Straight
  • Wavy
  • Curly
Fullness
  • Thin
  • Medium
  • Thick
Texture
  • Fine
  • Coarse
  • Medium
Skin:
Tone
  • Light
  • MedL
  • Med
  • MedDk
  • Dark
Tan ability
  • None
  • Slight
  • Medium
  • Easy
Condition
  • Oily
  • Medium
  • Combination
  • Dry
Hairline:
Forehead
  • Low
  • Average
  • High
Contour
  • Straight
  • Slight Curve
  • Widow Peak
Other Facial Features:
Moles
  • None
  • One
  • Several
Freckles
  • None
  • Several
  • Moderate
  • Numerous
Dimples
  • None
  • Slight
  • Medium
  • Deep
Adam's apple
  • Slight
  • Medium
  • Strong
Facial Hair
Thickness
  • Thin
  • Medium
  • Dense
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationMechanic
Donor's Father Education:
LevelHigh school
DegreeNot Completed
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Guatemalan
Donor's Father Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age49
Height5'6"
Weight175 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeLight
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		48
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Receptionist
Donor's Mother Education:
LevelHigh school
DegreeNot Completed
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Guatemalan
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age45
Height5'5"
Weight125 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		30
Hair:
Original hair color Brown
If gray, age turned gray40
TypeCurly
Skin:
Skin ToneMedL
Skin ConditionDry
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age18
Height5'11"
Weight180 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectBusiness, Nursing
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceTenor
Instrument
Years of experience		Flute - 3
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts17
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMed
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers4
Ages of Brothers:66, 56, 52, 50
Education levels for each:All have some college, none have graduated
Occupations for each:Auto mechanic (Retired), Pastor, Plumber, Construction Worker
Religions for each:Catholic, Pentecostal, Catholic, Catholic
Father's Brothers' Total Children:
# Boys5
# Girls4
Father's Sisters
# of Sisters5
Ages of Sisters:68, 64, 62, 60, 54
Education levels for each:High School, High School, Vocational School, High School, Vocational School
Occupations for each:Homemaker, Homemaker, Medical Assistant, Homemaker, Medical Assistant
Religions for each:All are Catholic
Father's Sisters' Total Children:
# Boys4
# Girls7
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:56, 46
Education levels for each:JD; BSN/Master's
Occupations for each:Lawyer, Nurse
Religions for each:Catholic, Catholic
Mother's Brothers' Total Children:
# Boys0
# Girls5
Mother's Sisters
# Sisters4
Ages of Sisters:54, 51, 50, 48
Education levels for each:MD, High School, Pharm.D., BS
Occupations for each:Doctor, Homemaker, Pharmacist, Teacher
Religions for each:All are Catholic
Mother's Sisters' Total Children:
# Boys3
# Girls5
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Construction
Primary ethnic origins:Guatemalan
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelSome High School
DegreeNot Completed
SubjectGeneral Studies
Occupation:Housekeeper
Primary ethnic origins:Guatemalan
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelSome College
DegreeNot Completed
SubjectHealth Care
Occupation:Business owner
Primary ethnic origins:Guatemalan
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelSome College
DegreeNot Completed
SubjectHealth Care
Occupation:Business owner
Primary ethnic origins:Guatemalan
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0