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Questions
Personal Information
Talents:
Voice: | Baritone |
Instrument: Years of experience: | None |
Other talents: Years of experience | None |
Favorite:
Color | Blue |
Food | Thai, Vietnamese |
Music | None |
Animal | None |
Pet | Cat |
Car | None |
Movie | Science Fiction |
Song | None |
Play | None |
Goals:
Academic | PhD in Astrophysics |
Professional | College professor |
Personal | Lifelong learner and traveler |
Religion:
Faith | None |
Denomination | Atheist |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Soccer, Basketball, Football |
Watch | All sports |
Siblings:
# Brothers | 1 |
# Sisters | 0 |
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 | 34 - out of 36 |
GRE on scale of | 1300 - out of 1600 |
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 | 4.0 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.4 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | Master's: 3.52; PhD: 3.22 | 4.0 |
Subjects Studied:
Major subjects | Physics, Astronomy |
Minor subjects | N/A |
Degrees
Bachelor's | BS/Physics |
Master's | MS/Applied Physics |
Doctorate | Pursuing PhD/Astrophysics |
Other(s) | N/A |
Awards & Activities
High school | Graduated in the top 3% of my class; Letter in football and soccer 3 years each; Academic letter all 4 years |
College | Played college football |
Academic | Graduated in the top 20% of my class |
Professional | N/A |
Political | N/A |
Personal | Soccer |
Charitable | Public Science Outreach |
Others | N/A |
Military
Served in military | Yes |
Branch | Air Force |
Rank | Captain |
Years of service | 9.5 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 16.5 |
Chest (inches) | 40 |
Inseam (inches) | 32 |
Waist (inches) | 32 |
Sleeve (inches) | 35 |
Wrist (inches) | 7 |
Hat size | 7.375 |
Shoe size | 11 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 25 |
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 | Agronomist |
Donor's Father Education:
Level | College |
Degree | Bachelor |
Subject | Agronomy |
Donor's Father Religion:
Faith | Christian |
Denomination | Methodist |
Primary ethnic origins: | Polish, English, Canadian |
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 | 56 |
Height | 5'10" |
Weight | 200 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 52 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | MedL |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
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 | Special Education |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | Special Education |
Donor's Mother Religion:
Faith | Christian |
Denomination | Methodist |
Primary ethnic origins: | French, Irish, German |
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 | 56 |
Height | 5'8" |
Weight | 155 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Blue |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 35 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
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 |
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 | 27 |
Height | 6'0" |
Weight | 165 lbs. |
Hands | Left-Handed |
Sibling #1 Personal Information
Occupation | Chef |
Education:
Level | College |
Degree | Associate |
Subject | Laboratory Science |
Religion:
Faith | Other |
Denomination | Agnostic |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Baritone |
Instrument Years of experience | Guitar - 7 |
Other Years of experience | None |
Sibling #1 Children:
# Boys Ages: | 0 |
# Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 21 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | MedL |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Attached |
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: | 67, 64 |
Education levels for each: | Bachelor's, JD |
Occupations for each: | Government employee, Lawyer |
Religions for each: | Agnostic, Christian |
Father's Brothers' Total Children:
# Boys | 4 |
# Girls | 0 |
Father's Sisters
# of Sisters | 1 |
Ages of Sisters: | 61 |
Education levels for each: | Graduate |
Occupations for each: | Veterinarian |
Religions for each: | Unknown |
Father's Sisters' Total Children:
# Boys | 2 |
# Girls | 0 |
Mother's Siblings
Mother's Sisters
# Sisters | 2 |
Ages of Sisters: | 64, 62 |
Education levels for each: | High School, Bachelor's |
Occupations for each: | Homemaker, Nurse |
Religions for each: | Agnostic, Christian |
Mother's Sisters' Total Children:
# Boys | 2 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Farmer |
Primary ethnic origins: | English, Canadian |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Farmer |
Primary ethnic origins: | Polish |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Other:
Languages | English |
Religion | Catholic |
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: | Mechanic |
Primary ethnic origins: | Irish, German |
Siblings:
# Brothers | 2 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | Army |
Rank | Enlisted WWII Drill Sergeant |
Service Yrs | 4 |
Mother's Mother
Education
Level | High school |
Degree | Diploma |
Subject | General Studies |
Occupation: | Special Education |
Primary ethnic origins: | French |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Christian |
Military
Branch | N/A |
Rank | N/A |
Service Yrs | 0 |