Questions
Personal Information
Talents:
| Voice: | Baritone |
| Instrument: Years of experience: | None |
| Other talents: Years of experience | Shooting, Hunting, Strategy games - 18+, 18+, 18+ |
Favorite:
| Color | Dark green |
| Food | Steak |
| Music | Various |
| Animal | Wolverine |
| Pet | Piranha |
| Car | Aston Martin DBS |
| Movie | Return of the Jedi |
| Song | "Sympathy for the Devil" |
| Play | The Tell-Tale Heart |
Goals:
| Academic | Further my studies in National Defense |
| Professional | A lifelong career in national defense |
| Personal | Be a good father and husband, See a voluntarist ideal in my lifetime |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Languages:
| Speak | English, Some: Korean, French, Italian, Russian, Arabic, German |
| Read | English |
| Write | English |
Sports:
| Play | Football, Baseball, Soccer, Basketball |
| Watch | None |
Siblings:
| # Brothers | 1 |
| # Sisters | 2 |
| 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 | ASVAB GT 139 |
High School
| Question | Response | on scale of |
| GPA on scale of | 2.5 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.87 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Physical Sciences, Math |
| Minor subjects | N/A |
Degrees
| Bachelor's | N/A |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | AAS/Intelligence Operations |
Awards & Activities
| High school | N/A |
| College | High Honors standing |
| Academic | Military Strategy |
| Professional | Several military decorations |
| Political | N/A |
| Personal | Parenting |
| Charitable | N/A |
| Others | Trained EMT |
Military
| Served in military | Yes |
| Branch | Army, Navy |
| Rank | SSG |
| Years of service | 19 |
Physical Features
| Hands | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 17.5 |
| Chest (inches) | 50 |
| Inseam (inches) | 32 |
| Waist (inches) | 36 |
| Sleeve (inches) | 35 |
| Wrist (inches) | 7 |
| Hat size | 7.25 |
| Shoe size | 10.5 |
Physical Aids
Eyes:
| Vision | Normal - (Far-sighted before laser surgery) |
| Glasses | None - (Single glasses worn before laser surgery) |
| Astigmatism | No |
| Age started wearing glasses/contacts | 0 - (2 years ago) |
| Laser surgery? | Yes |
Dental:
| Device | Braces and Retainer |
| Reason | Cosmetic |
| Age range during use | 11-13 |
Other Physical Aids:
| List | None |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
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| Nostril flare |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Truck Driver |
Donor's Father Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Baptist |
| Primary ethnic origins: | German, Irish |
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 | 5'10" |
| Weight | 230 lbs. |
| Hands | Ambidextrous |
Donor's Father Facial Features
Eyes:
| Eye Color | Green |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 50 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 35 |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Donor's Mother Personal Information
| Occupation | Homemaker |
Donor's Mother Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Baptist |
| Primary ethnic origins: | Italian, Irish |
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 | 53 |
| Height | 5'8" |
| Weight | 130 lbs. |
| Hands | Left-Handed |
Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 32 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 45 |
| Type | Wavy |
Skin:
| Skin Tone | MedL |
| Skin Condition | Oily |
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 | Full |
Sibling #1 Physical Information
Body
| Sex | Female |
| Age | 36 |
| Height | 5'7" |
| Weight | 165 lbs. |
| Hands | Left-Handed |
Sibling #1 Personal Information
| Occupation | Nurse |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Nursing |
Religion:
| Faith | Christian |
| Denomination | Non-practicing, non-denominational |
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: | 1 - 8 |
| # Girls Ages: | 1 - 6 |
Sibling #1 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 | Straight |
Skin:
| Skin tone | MedL |
| Skin condition | Medium |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | Medium |
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 | 29 |
| Height | 5'9" |
| Weight | 175 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Student |
Education:
| Level | Graduate school |
| Degree | Pursuing |
| Subject | English, Intelligence |
Religion:
| Faith | Christian |
| Denomination | Baptist |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Soprano |
| Instrument Years of experience | None |
| Other Years of experience | None |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Medium |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 8 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Light |
| Skin condition | Oily |
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 Sibling #3
| Full/Half sibling | Full |
Sibling #3 Physical Information
Body
| Sex | Male |
| Age | 21 |
| Height | 5'11" |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Sibling #3 Personal Information
| Occupation | Student |
Education:
| Level | Some college |
| Degree | Pursuing |
| Subject | Game Design |
Religion:
| Faith | Christian |
| Denomination | Non-practicing, non-denominational |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Baritone |
| 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 | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 8 |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | MedL |
| Skin condition | Combination |
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 | 1 |
| Ages of Brothers: | 51 |
| Education levels for each: | High school |
| Occupations for each: | Butcher |
| Religions for each: | Catholic |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 0 |
Father's Sisters
| # of Sisters | 3 |
| Ages of Sisters: | 57 (deceased), 59, 56 |
| Education levels for each: | High school, Bachelor's, Bachelor's |
| Occupations for each: | Homemaker, Nurse, Nurse |
| Religions for each: | All are Catholic |
Father's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 52 |
| Education levels for each: | Some college/Trade school |
| Occupations for each: | Machinist |
| Religions for each: | Baptist |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 2 |
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 49, 47 |
| Education levels for each: | Bachelor's, Bachelor's |
| Occupations for each: | Administration, Administration |
| Religions for each: | Catholic, Catholic |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Manager |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | Army |
| Rank | Corporal |
| Service Yrs | 4 |
Father's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | German, Irish |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | Trade school |
| Degree | Certificate |
| Subject | Television Repair |
| Occupation: | TV Repairman |
| Primary ethnic origins: | Irish |
Siblings:
| # Brothers | 1 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Italian |
Siblings:
| # Brothers | 3 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Baptist |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |