Questions
Personal Information
Talents:
| Voice: | Baritone |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | I learned how to play chess at a very young age and I was always in youth tournaments until my last years of high school. I have played football as a center-back since a very young age and I won some tournaments in my childhood. I played as defender on micro football in high school and early years of college. I've always liked drawing and now it is a great help in my engineering career. I am an avid reader, I used to read a lot of chess and fantasy books when I was young, but now I like the classics, philosophy, fiction, and science fiction. |
Favorite:
| Color | Red |
| Food | Pasta |
| Music | Alt Rock |
| Animal | Monkey |
| Pet | Cat |
| Car | Subaru WRX |
| Movie | The Lord of the Rings trilogy |
| Song | The dark of the matinee, Franz Ferdinand |
Goals:
| Academic | I want to finish my engineering major and get a specialization in mechatronics. |
| Professional | I want to be in the innovation field of technology development. |
| Personal | I am waiting for my permanent US residency and I would like to travel to a leading location in the technology development area in Asia or Europe. |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Languages:
| Speak | English, Spanish |
Sports:
| Play | Football and Chess |
| Watch | Football and Chess |
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 | 27 - 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 | 3.4 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.75 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | Engineering |
| Minor subjects | N/A |
Degrees
| Bachelor's | N/A |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | Pursuing AA/Engineering |
Awards & Activities
| High school | Micro football local under-16 championship second place, math Olympiad representative of the school, chess local under-10 championship winner |
| College | First engineering project second place, college microfootball championship third place |
| Academic | Best national test results in my school at graduation |
| Professional | N/A |
| Political | N/A |
| Personal | N/A |
| Charitable | Volunteered for one year in an elderly residence |
| 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) | 14 |
| Chest (inches) | 35 |
| Inseam (inches) | 30 |
| Waist (inches) | 32 |
| Sleeve (inches) | 30 |
| Hat size | 7 ½ |
| Shoe size | 9 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 15-16 |
Other Physical Aids:
| List | N/A |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
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| Size |
|
| Shape |
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| Color |
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| Shade |
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Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
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| Thickness |
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| Set |
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Thin
Average
ThickNose:
| 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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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 |
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Round
Oval
Square
None
Slight
StrongEars:
| Size |
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| Set |
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| Angle |
|
| Lobe size |
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| Lobe attachment |
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Small
Average
Large
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
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| 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 |
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Military |
Donor's Father Education:
| Level | Some college |
| Degree | Associate |
| Subject | Systems |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Donor's Father Languages:
| Speak | Spanish |
Donor's Father Talents:
| Voice | Baritone |
| Instrument | N/A |
| Other | N/A |
Donor's Father Physical Information
Body
| Age | 47 |
| Height | 5’ 7” |
| Weight | 180 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Black |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Band |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Business Owner |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | Business |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Donor's Mother Languages:
| Speak | Spanish, English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Donor's Mother Physical Information
Body
| Age | 41 |
| Height | 5’ 3” |
| Weight | 105 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Curly |
Skin:
| Skin Tone More about skin tones | Sienna |
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 | 19 |
| Height | 5’ 3” |
| Weight | 110 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Student and Server |
Education:
| Level | Some college |
| Degree | Pursuing Diploma |
| Subject | Architecture |
Languages:
| Speak | Spanish, English |
Talents:
| Voice | Soprano |
| Instrument | N/A |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Curly |
Skin:
| Skin tone More about skin tones | Sienna |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | Slight |
Donor's Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Age | 14 |
| Height | 5’ 4” |
| Weight | 95 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Student |
Education:
| Level | Grade school |
| Degree | Pursuing Diploma |
| Subject | General Studies |
Languages:
| Speak | Spanish, English |
Talents:
| Voice | Alto |
| Instrument | Violin, Guitar |
| Other | N/A |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Curly |
Skin:
| Skin tone More about skin tones | Beige |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | Slight |
Father's Siblings
Father's Brothers
| # of Brothers | 2 |
| Ages of Brothers: | 38, 37 |
| Education levels for each: | High School, College |
| Occupations for each: | Security Guard, Accountant |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 4 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 52 |
| Education levels for each: | Some College |
| Occupations for each: | Politician |
Father's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 3 |
| Ages of Brothers: | 46, 43, 36 |
| Education levels for each: | High School, College, High School |
| Occupations for each: | Police Officer, Military, Construction |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 4 |
Father's Parents
Father's Father
Education
| Level | Grade school |
| Degree | Not Completed |
| Occupation: | Security Guard |
Siblings:
| # Brothers | 4 |
| # Sisters | 5 |
Other:
| Languages | Spanish |
| Religion | Christian |
Father's Mother
Education
| Level | Grade school |
| Degree | Not Completed |
| Occupation: | Business Owner |
Siblings:
| # Brothers | 2 |
| # Sisters | 3 |
Other:
| Languages | Spanish |
| Religion | Christian |
Mother's Parents
Mother's Father
Education
| Level | Some High school |
| Degree | Not Completed |
| Occupation: | Business Owner |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | Spanish |
| Religion | Christian |
Mother's Mother
Education
| Level | Grade school |
| Degree | Not Completed |
| Occupation: | Store Clerk and Landlord |
Siblings:
| # Brothers | 2 |
| # Sisters | 3 |
Other:
| Languages | Spanish |
| Religion | Christian |