Questions

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

Personal Information

Talents:
Voice:Tenor
Instrument:
Years of experience:		Trumpet - 10+
Other talents:
Years of experience		Working with hands, Marching Band - Since childhood, 5
Favorite:
ColorRoyal Blue
FoodLasagna
MusicJazz, Classical, R&B
AnimalLove dogs and cats!
PetDog - Pug
CarMercedes
Movie"Malcolm X"
Song"A Change is Gonna Come"
PlayNone
Goals:
AcademicTo earn a doctorate
Professional To be a financial director or CEO
PersonalTo live a carefree life!
Religion:
Faith Other
Denomination Spiritual rather than religion-based faith
Languages:
SpeakSpanish, Arabic, English
ReadSpanish, Arabic, English
WriteSpanish, Arabic, English
Sports:
PlayBasketball, Baseball, Track & Field (distance runner)
WatchFootball, Basketball, Track & Field
Siblings:
# Brothers3
# 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		1100 (out of 1600)
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 		3.754.00
College
Question Response on scale of
GPA
on scale of 		3.0154.00
Graduate School
Question Response on scale of
GPA
on scale of 		3.083 (MS); 3.167 (MBA)4.00
Subjects Studied:
Major subjectsScience (Biology & Clinical Laboratory Science)
Minor subjectsN/A
Degrees
Bachelor'sBS/Medical Technology
Master'sMS/Health Care Administration; MBA
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolWho's Who Among High School Students, Honor Roll (every quarter)
CollegeDean's List (multiple years/semesters); Fraternity "Brother of the Month"
AcademicN/A
Professional Administrator's Citation awards (work related)
Political N/A
Personal N/A
Charitable N/A
OthersMilitary awards

Military

Served in militaryYes
BranchU.S. Air Force Reserve
RankCaptain
Years of service11

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16.5
Chest (inches)46
Inseam (inches)32
Waist (inches)36
Sleeve (inches)34
Wrist (inches)6.5
Hat size7.1
Shoe size11

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
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
OccupationPostal Worker
Donor's Father Education:
LevelSome college
DegreeNot Completed
SubjectBusiness Administration
Donor's Father Religion:
Faith Islam
Denomination N/A
Primary ethnic origins:African American
Donor's Father Languages:
SpeakEnglish, Arabic
ReadEnglish, Arabic
WriteEnglish, Arabic
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Trumpet - 15+
Other
yrs experience		None
Donor's Father Physical Information
Body
Age51
Height6'6"
Weight260 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned graylate 30's
TypeCurly
Skin:
Skin ToneMedDk
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryYes
BranchUS Air Force
RankStaff Sergeant
Years of service8
Donor's Mother Personal Information
Occupation Supervisory Consumer Safety Officer
Donor's Mother Education:
LevelSome college
DegreePursuing
SubjectBusiness
Donor's Mother Religion:
Faith Islam
Denomination N/A
Primary ethnic origins:African American, Native American
Donor's Mother Languages:
SpeakEnglish, Arabic, French
ReadEnglish, Arabic, French
WriteEnglish, French
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age49
Height5'2"
Weight165 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned gray40
TypeWavy
Skin:
Skin ToneMed
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesMedium
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
Age32
Height5'10"
Weight225 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Warehouse Worker
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Baptist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet - 15
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 10
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneMedDk
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age14
Height6'0"
Weight190 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Islam
Denomination N/A
Languages:
SpeakEnglish, Arabic
ReadEnglish, Arabic
WriteEnglish, Arabic
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet - 4
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Red
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneMedDk
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexMale
Age12
Height5'0"
Weight90 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Islam
Denomination N/A
Languages:
SpeakEnglish, Arabic
ReadEnglish, Arabic
WriteEnglish, Arabic
Talents:
VoiceAlto
Instrument
Years of experience		Trumpet - 3
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:58, 48
Education levels for each:JD, High School
Occupations for each:Lawyer, Retail Clerk
Religions for each:Christian, Christian
Mother's Brothers' Total Children:
# Boys2
# Girls1
Mother's Sisters
# Sisters3
Ages of Sisters:57, 54, 46
Education levels for each:Master's, Master's, JD
Occupations for each:Program Analyst, Engineer, Lawyer
Religions for each:All are Christian
Mother's Sisters' Total Children:
# Boys4
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Construction, Retail
Primary ethnic origins:African American
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Secretary
Primary ethnic origins:African American
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeBachelor's
SubjectElectrical Engineering
Occupation:Electrician
Primary ethnic origins:Native American, African American
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Administrative Assistant
Primary ethnic origins:African American
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0