Questions

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

Personal Information

Talents:
Voice:Bass
Tell us about your interests/talents and how long you have been pursuing. Provide several.Physical fitness training, Motivating others, Home designing
Favorite:
ColorBlue
FoodPork BBQ
MusicLarge variety: Contemporary, Hip Hop, Country, Pop
AnimalTiger
PetDog
CarFord Expedition Max
MovieSaving Private Ryan
SongKip Moore- Wild World
Goals:
AcademicBecome a specialist in Orthopedics (OCS)
Professional Become a Clinical Director
PersonalBuild a lakehouse, sit back and watch the kids have a good time
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
Sports:
PlayBasketball
WatchBasketball, Football, Softball, CrossFit
Siblings:
Are you or any of your siblings twins?
Please specify who and if they are fraternal or identical		No

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A - N/A
ACT
on scale of		N/A - N/A
GRE
on scale of		N/A - N/A
MCAT
on scale of		N/A - N/A
LSAT
on scale of		N/A - N/A
GMAT
on scale of		N/A - N/A
TOEFL
on scale of		N/A - N/A
Other
on scale of		N/A - N/A
High School
Question Response on scale of
GPA
on scale of 		3.64.0
College
Question Response on scale of
GPA
on scale of 		3.324.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.254.0
Subjects Studied:
Major subjectsBiology (BS), Physical Therapy (DPT)
Minor subjectsN/A
Degrees
Bachelor'sBS Biology
Master'sN/A
DoctorateDPT (Doctor of Physical Therapy)
Other(s)N/A
Awards & Activities
High schoolMVP award (Senior); Most Improved Player (Junior); Set school record for single-game rebounds; All-Tournament Team; Five-Star Camp all-star, Class of 1978 Award.
CollegeAll Academic Team, Honor Roll Student, At large member of the Student Athlete Advisor Committee, Biology and Histology Tutor
AcademicProfessional Writing Award
Professional N/A
Political N/A
Personal N/A
Charitable Walk for Parkinson’s, Wellness Expo, Medical Team at 4K, Event staff “Night to Shine by the Tim Tebow Foundation”
OthersN/A

Military

Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)18
Chest (inches)49
Inseam (inches)36
Waist (inches)39
Sleeve (inches)37
Hat size7 ½
Shoe size14

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListN/A
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
Cheekbones:
Set
  • Low
  • Average
  • High
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
GapYes
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
  • Close
  • Average
  • Far
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
More about skin tones
  • Ivory
  • Porcelain
  • Pale ivory
  • Warm ivory
  • Sand
  • Rose beige
  • Limestone
  • Beige
  • Sienna
  • Honey
  • Band
  • Almond
  • Chestnut
  • Bronze
  • Umber
  • Golden
  • Espresso
  • Chocolate
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
Color
  • Auburn
  • Black
  • Blond
  • Brown
  • Grey
  • Red
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationEducational Center Supervisor
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectComputer Science
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Donor's Father Languages:
SpeakEnglish
Donor's Father Talents:
VoiceBaritone
InstrumentN/A
OtherN/A
Donor's Father Physical Information
Body
Age62
Height5’6"
Weight165 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Corrective LensesNo
Hair:
Original hair color Black
TypeStraight
Skin:
Skin Tone
More about skin tones		Espresso
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Donor's Mother Personal Information
Occupation Retired Medical Coder
Donor's Mother Education:
LevelCollege
DegreeAssociate
SubjectHealth Sciences
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Donor's Mother Languages:
SpeakEnglish
Donor's Mother Talents:
VoiceAlto
InstrumentN/A
OtherN/A
Donor's Mother Physical Information
Body
Age57
Height5’6"
Weight220 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Corrective LensesNo
Hair:
Original hair color Black
TypeCurly
Skin:
Skin Tone
More about skin tones		Almond
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
Age31
Height5’ 9"
Weight195
HandsRight-Handed
Sibling #1 Personal Information
Occupation Special Education Para Professional
Education:
LevelCollege
DegreeBachelor
SubjectPsychology
Languages:
SpeakEnglish
Talents:
VoiceSoprano
InstrumentN/A
OtherN/A
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Corrective LensesYes
Hair:
Original hair color Black
TypeStraight
Skin:
Skin tone
More about skin tones		Beige
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
Age24
Height5’8"
Weight150
HandsRight-Handed
Sibling #2 Personal Information
Occupation Middle School Teacher
Education:
LevelCollege
DegreeBachelor
SubjectBiology
Languages:
SpeakEnglish
Talents:
VoiceSoprano
InstrumentN/A
OtherN/A
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Corrective LensesNo
Hair:
Original hair color Black
TypeCurly
Skin:
Skin tone
More about skin tones		Almond
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:65, 55, 50
Education levels for each:College, High School, College
Occupations for each:Teacher, Land Surveyor, Postal Supervisor
Father's Brothers' Total Children:
# Boys3
# Girls3
Father's Sisters
# of Sisters2
Ages of Sisters:57, 55
Education levels for each:College, College
Occupations for each:Teacher, Teacher
Father's Sisters' Total Children:
# Boys2
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:75, 62
Education levels for each:College, College
Occupations for each:Radiologist, Respiratory Therapist
Mother's Brothers' Total Children:
# Boys2
# Girls2
Mother's Sisters
# Sisters3
Ages of Sisters:72, 70, 67
Education levels for each:Trade School, High School, College
Occupations for each:Nurse, Legal Administrator, Medical Biller
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school diploma
DegreeOther
Occupation:Overseas government employee
Siblings:
# Brothers4
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Father's Mother
Education
LevelHigh school diploma
DegreeOther
Occupation:Deaconess, Notary
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Mother's Parents
Mother's Father
Education
LevelHigh school diploma
DegreeOther
Occupation:Hospital Security Guard, Police officer
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Mother's Mother
Education
LevelHigh school diploma
DegreeOther
Occupation:Deaconess
Siblings:
# Brothers3
# Sisters2
Other:
LanguagesEnglish
ReligionChristian