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Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | Violin - 10 |
Other talents: Years of experience | Endurance sports - 10 |
Favorite:
Color | Green |
Food | Pizza |
Music | Country |
Animal | Dog |
Pet | Golden Retriever |
Car | Toyota Tundra |
Movie | Forrest Gump |
Song | Anything by Springsteen |
Play | None |
Goals:
Academic | I have achieved my goal of obtaining a college degree |
Professional | Fire department |
Personal | Wife and kids |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Cycling, Swimming, Triathlon |
Watch | Football, Cycling |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
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 | 1200 - 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 | 2.8 | 4.2 |
College
Question | Response | on scale of |
GPA on scale of | 2.32 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Nutrition, Health Science |
Minor subjects | Exercise and Sports Science |
Degrees
Bachelor's | BS/Nutrition and Foods |
Master's | N/A |
Doctorate | N/A |
Other(s) | N/A |
Awards & Activities
High school | Swim team captain |
College | Triathlon club captain |
Academic | N/A |
Professional | N/A |
Political | N/A |
Personal | N/A |
Charitable | Various youth development programs, 8 years |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Left-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 14 |
Chest (inches) | 37 |
Inseam (inches) | 30 |
Waist (inches) | 29 |
Sleeve (inches) | 33.5 |
Wrist (inches) | 7.5 |
Hat size | 7.5 |
Shoe size | 10.5 |
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 | 13-14 |
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 | Electrical Engineer |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Engineering |
Donor's Father Religion:
Faith | Christian |
Denomination | Catholic |
Primary ethnic origins: | German |
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 | 55 |
Height | 6'0" |
Weight | 180 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Hazel |
Eye shade | Dark |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 45 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 50 |
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 | None |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | School Counselor |
Donor's Mother Education:
Level | Graduate school |
Degree | Master |
Subject | Music |
Donor's Mother Religion:
Faith | Other |
Denomination | Agnostic |
Primary ethnic origins: | Polish (Jewish) |
Donor's Mother Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English |
Donor's Mother Talents:
Voice | Soprano |
Instrument yrs experience | Guitar, Piano - 20, 20 |
Other yrs experience | Singing - 40 |
Donor's Mother Physical Information
Body
Age | 55 |
Height | 5'4" |
Weight | 140 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Green |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 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 | Slight |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | No |
Branch | None |
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 | 28 |
Height | 6'1" |
Weight | 160 lbs. |
Hands | Left-Handed |
Sibling #1 Personal Information
Occupation | Actuary |
Education:
Level | College |
Degree | Bachelor |
Subject | Math |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Baritone |
Instrument Years of experience | Violin, Guitar - 15, 12 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
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 | Med |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
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 | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 23 |
Height | 5'4" |
Weight | 120 lbs. |
Hands | Right-Handed |
Sibling #2 Personal Information
Occupation | Baker |
Education:
Level | College |
Degree | Bachelor |
Subject | English |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
Instrument Years of experience | Cello - 8 |
Other Years of experience | None |
Sibling #2 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
Eye color | Green |
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 | Slight |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 2 |
Ages of Brothers: | 66, 64 |
Education levels for each: | Bachelor's, Bachelor's |
Occupations for each: | Military, Military |
Religions for each: | Christian, Christian |
Father's Brothers' Total Children:
# Boys | 2 |
# Girls | 1 |
Father's Sisters
# of Sisters | 2 |
Ages of Sisters: | 72, 68 |
Education levels for each: | Bachelor's, Bachelor's |
Occupations for each: | Homemaker, Sales |
Religions for each: | Christian, Christian |
Father's Sisters' Total Children:
# Boys | 0 |
# Girls | 1 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 58 |
Education levels for each: | Bachelor's |
Occupations for each: | Firefighter |
Religions for each: | Jewish |
Mother's Brothers' Total Children:
# Boys | 3 |
# Girls | 1 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 61 |
Education levels for each: | Bachelor's |
Occupations for each: | Teacher |
Religions for each: | Jewish |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 0 |
Father's Parents
Father's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Sales |
Primary ethnic origins: | German |
Siblings:
# Brothers | 2 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | German |
Siblings:
# Brothers | N/A |
# Sisters | N/A |
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: | Military |
Primary ethnic origins: | Polish |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | Navy |
Rank | Lieutenant |
Service Yrs | 20 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Polish (Jewish) |
Siblings:
# Brothers | 1 |
# Sisters | 2 |
Other:
Languages | English |
Religion | Jewish |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |