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Questions
Personal Information
Talents:
Voice: | Bass |
Instrument: Years of experience: | Guitar - 1 |
Other talents: Years of experience | Creative writing - 9 |
Favorite:
Color | Fire engine red |
Food | Enchiladas |
Music | 80's Classic rock |
Animal | Cat |
Pet | Cat |
Car | Dodge Challenger |
Movie | The Shawshank Redemption |
Song | "Fly by Night" by Rush |
Play | "Shop Girl" |
Goals:
Academic | Paramedic or Fire Technology degree |
Professional | Fire officer |
Personal | Happiness |
Religion:
Faith | Christian |
Denomination | Catholic |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Sports:
Play | Running, Football, Wrestling,Track |
Watch | College football |
Siblings:
# Brothers | 2 |
# Sisters | 3 |
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 | 3.56 | 4.00 |
College
Question | Response | on scale of |
GPA on scale of | 3.74 | 4.00 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | EMT/Firefighter |
Minor subjects | Life Span Development |
Degrees
Bachelor's | N/A |
Master's | N/A |
Doctorate | N/A |
Other(s) | EMT and Firefighter Certification |
Awards & Activities
High school | Football, Wrestling, Track |
College | Salutatorian |
Academic | Salutatorian |
Professional | Firefighter, Driver/Operator, EMT Certified |
Political | None |
Personal | None |
Charitable | Donate to MDA (Muscular Dystrophy Association) yearly |
Others | Army awards, medal, leadership achievements |
Military
Served in military | Yes |
Branch | Army |
Rank | Corporal |
Years of service | 4 |
Physical Features
Hands | Right-Handed |
Fingers | Long |
Sizes & Measurements
Neck (inches) | 16.5 |
Chest (inches) | 42 |
Inseam (inches) | 34 |
Waist (inches) | 38 |
Sleeve (inches) | 32 |
Wrist (inches) | 7.5 |
Hat size | 7.5 |
Shoe size | 13 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | Yes |
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 |
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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 |
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Set |
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Condition |
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Chin:
Shape |
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Prominence |
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Cleft |
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Ears:
Size |
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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 |
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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 |
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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
Thickness |
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Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Maintenance |
Donor's Father Education:
Level | High school |
Degree | Diploma |
Subject | General studies |
Donor's Father Religion:
Faith | None |
Denomination | N/A |
Primary ethnic origins: | English |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Bass |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 78 |
Height | 5'10" |
Weight | 170 lbs |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Light |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 50 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 55 |
Type | Straight |
Skin:
Skin Tone | Med |
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 | Childcare |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Child Development |
Donor's Mother Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | Italian-German-Scandinavian |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 51 |
Height | 5'6" |
Weight | 200 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 18 |
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 | 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 | Male |
Age | 30 |
Height | 6'0" |
Weight | 290 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student, Coach |
Education:
Level | Some college |
Degree | Diploma |
Subject | Education |
Religion:
Faith | Christian |
Denomination | Catholic |
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 | Blue |
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 | Med |
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 Sibling #2
Full/Half sibling | Half |
Sibling #2 Physical Information
Body
Sex | Male |
Age | 58 |
Height | 5'0" |
Weight | 240 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Realtor |
Education:
Level | Some college |
Degree | Other |
Subject | Unknown |
Religion:
Faith | None |
Denomination | N/A |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Bass |
Instrument Years of experience | None |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 1 - 30 |
# Girls Ages: | 1 - 28 |
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 | Med |
Skin condition | Medium |
Other:
Chin cleft | None |
Ear lobe | Attached |
Facial dimples | None |
Military
Served in military | Yes |
Branch | Marine Corp |
Rank | Lance Corporal |
Years of service | 6 |
Donor's Sibling #3
Full/Half sibling | Half |
Sibling #3 Physical Information
Body
Sex | Female |
Age | 32 |
Height | 5'5" |
Weight | 170 lbs. |
Hands | Right-Handed |
Sibling #3 Personal Information
Occupation | Waitress |
Education:
Level | High school |
Degree | Diploma |
Subject | General studies |
Religion:
Faith | Christian |
Denomination | Unknown |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | None |
Other Years of experience | None |
Sibling #3 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #3 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 | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Med |
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 Sibling #4
Full/Half sibling | Half |
Sibling #4 Physical Information
Body
Sex | Female |
Age | 35 |
Height | 5'1" |
Weight | 165 lbs. |
Hands | Right-Handed |
Sibling #4 Personal Information
Occupation | Waitress |
Education:
Level | High school |
Degree | Diploma |
Subject | General studies |
Religion:
Faith | Christian |
Denomination | Unknown |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | None |
Other Years of experience | None |
Sibling #4 Children:
# Boys Ages: | 1 - 16 |
# Girls Ages: | 2 - 13, 17 |
Sibling #4 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 | Attached |
Facial dimples | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #5
Full/Half sibling | Half |
Sibling #5 Physical Information
Body
Sex | Female |
Age | 39 |
Height | 5'9" |
Weight | 200 lbs. |
Hands | Right-Handed |
Sibling #5 Personal Information
Occupation | Telemarketing |
Education:
Level | High school |
Degree | Diploma |
Subject | General Studies |
Religion:
Faith | Christian |
Denomination | Unknown |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Soprano |
Instrument Years of experience | None |
Other Years of experience | None |
Sibling #5 Children:
# Boys Ages: | 3 - 10, 12, 17 |
# Girls Ages: | 0 |
Sibling #5 Facial Features
Eyes:
Eye color | Hazel |
Eye shade | Light |
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 | Curly |
Skin:
Skin tone | Light |
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 |
Father's Siblings
Father's Brothers
# of Brothers | 4 |
Ages of Brothers: | 75, 84, 90, 91 |
Education levels for each: | College, High school, High school, High school |
Occupations for each: | Geologist, Factory worker, Miner, Truck driver |
Religions for each: | Christian (all) |
Father's Brothers' Total Children:
# Boys | 4 |
# Girls | 2 |
Father's Sisters
# of Sisters | 5 |
Ages of Sisters: | 75, 80, 85, 90, 92 |
Education levels for each: | High school (all) |
Occupations for each: | Homemaker (all) |
Religions for each: | Christian (all) |
Father's Sisters' Total Children:
# Boys | 6 |
# Girls | 7 |
Father's Parents
Father's Father
Education
Level | High School |
Degree | Diploma |
Subject | General studies |
Occupation: | Miner |
Primary ethnic origins: | English |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | No |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General studies |
Occupation: | Homemaker |
Primary ethnic origins: | English |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Unknown |
Military
Branch | No |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | Some College |
Degree | Diploma |
Subject | General studies |
Occupation: | Business owner |
Primary ethnic origins: | German |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Protestant |
Military
Branch | Army |
Rank | Sergeant |
Service Yrs | 6 |
Mother's Mother
Education
Level | High School |
Degree | Diploma |
Subject | General studies |
Occupation: | Administration, retired |
Primary ethnic origins: | Italian-Scandinavian |
Siblings:
# Brothers | 0 |
# Sisters | 3 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | No |
Rank | N/A |
Service Yrs | 0 |