Questions
Personal Information
Talents:
| Voice: | Bass |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | History (12 years), Building computers (1 year), Writing (8 years), Axe throwing (3 years) |
Favorite:
| Color | Blue |
| Food | Fried rice |
| Music | Folk |
| Animal | Frog |
| Pet | Dog |
| Car | Honda |
| Movie | Logan |
| Song | All Quiet Along the Potomac Tonight |
Goals:
| Academic | Computer Science degree |
| Professional | Software development |
| Personal | Marriage |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English |
Sports:
| Play | None |
| Watch | None |
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 | 950 - 1600 |
| ACT on scale of | 19.4 - 36 |
| 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 | 3.0 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.0 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | History |
| Minor subjects | N/A |
Degrees
| Bachelor's | BA/History |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Honor Roll |
| College | Volunteered at Habitat for Humanity |
| Academic | Honor Roll |
| Professional | Employee of the Year Award |
| Political | N/A |
| Personal | PC building |
| Charitable | Animal rescue |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 15 |
| Chest (inches) | 40 |
| Inseam (inches) | 32 |
| Waist (inches) | 38 |
| Sleeve (inches) | 33 |
| Hat size | 7 ½ |
| Shoe size | 13 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces and Retainer |
| Reason | Cosmetic |
| Age range during use | 18-20 |
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 |
|
| Nostril flare |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Gap | No |
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone More about skin tones |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Color |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Software Engineer |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Computer Science |
Donor's Father Religion:
| Faith | None |
| Denomination | N/A |
Donor's Father Languages:
| Speak | English |
Donor's Father Talents:
| Voice | Bass |
| Instrument | N/A |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 62 |
| Height | 5'10" |
| Weight | 190 lbs. |
| Hands | Ambidextrous |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Light |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Pale ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | None |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | English |
Donor's Mother Religion:
| Faith | None |
| Denomination | N/A |
Donor's Mother Languages:
| Speak | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 62 |
| Height | 5'11" |
| Weight | 200 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Black |
| Type | Wavy |
Skin:
| Skin Tone More about skin tones | Pale ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Age | 32 |
| Height | 5'10" |
| Weight | 180 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Political Consultant |
Education:
| Level | Graduate school |
| Degree | Pursuing Diploma |
| Subject | Machine Learning |
Languages:
| Speak | English |
Talents:
| Voice | Bass |
| Instrument | N/A |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Black |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Porcelain |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | Slight |
Donor's Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Age | 29 |
| Height | 5'8" |
| Weight | 160 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Graphic Design |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Art and mathematics |
Languages:
| Speak | English |
Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Hazel |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Wavy |
Skin:
| Skin tone More about skin tones | Ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Father's Siblings
Father's Brothers
| # of Brothers | 3 |
| Ages of Brothers: | 75, 72, 64 |
| Education levels for each: | Trade School, College, Some College |
| Occupations for each: | Woodworking, Businessman, Telecommunications |
Father's Brothers' Total Children:
| # Boys | N/A |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 65 |
| Education levels for each: | College |
| Occupations for each: | College Admissions |
Father's Sisters' Total Children:
| # Boys | 3 |
| # Girls | N/A |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 73 |
| Education levels for each: | College |
| Occupations for each: | Soldier |
Mother's Brothers' Total Children:
| # Boys | 2 |
| # Girls | 1 |
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 70 |
| Education levels for each: | College |
| Occupations for each: | Accountant |
Mother's Sisters' Total Children:
| # Boys | 2 |
| # Girls | N/A |
Father's Parents
Father's Father
Education
| Level | Graduate school |
| Degree | Doctorate |
| Occupation: | Economist |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Father's Mother
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Chemist |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Postman |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Christian |
Mother's Mother
Education
| Level | Some High school |
| Degree | Other |
| Occupation: | Homemaker |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Christian |