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Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | None |
Other talents: Years of experience | None |
Favorite:
Color | Lagoon Blue |
Food | Sunflower Seed Butter and Pepper Jelly |
Music | Folk Tunes |
Animal | Opossum |
Pet | Rabbits, Dogs |
Car | Toyota Truck |
Movie | "Un Prophète" by Jacques Audiard |
Song | "8-5 5-10" by Woods |
Play | Whatever is playing in a small local theater |
Goals:
Academic | None |
Professional | Put together a book |
Personal | Start a farm community, Pay off my loans before the month ends |
Religion:
Faith | None |
Denomination | Atheist |
Languages:
Speak | English, some Spanish |
Read | English |
Write | English |
Sports:
Play | Biking, Climbing |
Watch | Baseball |
Siblings:
# Brothers | 1 |
# Sisters | N/A |
Are you a twin? Identical or fraternal? | No |
# of twins in your family | 0 |
# Identical sets | N/A |
# Fraternal sets | N/A |
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 | 3.2 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.37 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Photography |
Minor subjects | Fine Art |
Degrees
Bachelor's | BS/Photography |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | N/A |
College | Awarded two scholarships which paid for my university attendance |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | N/A |
Charitable | Volunteer at a neighborhood service organization benefiting underserved urban youth |
Others | Wildlife sanctuary volunteer |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Ambidextrous |
Fingers | Long |
Sizes & Measurements
Neck (inches) | 14 |
Chest (inches) | 37 |
Inseam (inches) | 30 |
Waist (inches) | 31 |
Sleeve (inches) | 29 |
Wrist (inches) | 6.5 |
Hat size | 7.12 |
Shoe size | 10 |
Physical Aids
Eyes:
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts | 0 |
Laser surgery? | No |
Dental:
Device | Braces |
Reason | Cosmetic |
Age range during use | 10-15 |
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 | Construction Superintendent |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Construction Management |
Donor's Father Religion:
Faith | Other |
Denomination | Agnostic |
Primary ethnic origins: | French, English, Dutch |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Baritone |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 54 |
Height | 5'11" |
Weight | 165 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 30 |
Hair:
Original hair color | Auburn |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | Light |
Skin Condition | Medium |
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 | Medical Researcher |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Nursing |
Donor's Mother Religion:
Faith | Other |
Denomination | Agnostic |
Primary ethnic origins: | Swedish |
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 | 49 |
Height | 5'7" |
Weight | 150 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Blue |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 45 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Curly |
Skin:
Skin Tone | MedDk |
Skin Condition | Dry |
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Half |
Sibling #1 Physical Information
Body
Sex | Male |
Age | 11 |
Height | 5'2" |
Weight | 90 lbs. |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | Grade school |
Degree | Not Completed |
Subject | General Studies |
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 #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Blue |
Eye shade | Light |
Vision | Normal |
Glasses | None |
Astigmatism | N/A |
Age started wearing glasses/contacts | 0 |
Hair:
Original hair color | Blond |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | MedDk |
Skin condition | Medium |
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 | 1 |
Ages of Brothers: | 68 |
Education levels for each: | Bachelor's |
Occupations for each: | Social Services (retired) |
Religions for each: | Agnostic |
Father's Brothers' Total Children:
# Boys | N/A |
# Girls | N/A |
Father's Sisters
# of Sisters | 2 |
Ages of Sisters: | 65 (deceased), 65 |
Education levels for each: | High school, High school |
Occupations for each: | Truck driver, Tailor |
Religions for each: | Agnostic, Agnostic |
Father's Sisters' Total Children:
# Boys | 3 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 3 |
Ages of Brothers: | 62, 61, 60 |
Education levels for each: | High school, Bachelor's, Bachelor's |
Occupations for each: | Wildlife Management, Policeman, Minister |
Religions for each: | All are Protestant |
Mother's Brothers' Total Children:
# Boys | 3 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | College |
Degree | Bachelor's |
Subject | Business |
Occupation: | Sales, Marketing |
Primary ethnic origins: | English |
Siblings:
# Brothers | 2 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | Navy |
Rank | Unknown |
Service Yrs | 4 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Secretary |
Primary ethnic origins: | French, English, Dutch |
Siblings:
# Brothers | 0 |
# 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: | Wildlife Management |
Primary ethnic origins: | Swedish |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Protestant |
Military
Branch | Army |
Rank | Captain |
Service Yrs | 5 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Special Needs Educator |
Primary ethnic origins: | Swedish |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Protestant |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |