QUESTIONS. Academics. Military. Physical Features. Physical Aids. Facial Features. Family Information. Donor's Parents.

Transcription

1 Donor 4576 Personal Profile 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: Instrument: Years of experience: Other talents: Years of experience Tenor Voice 15 Music Theatre 12 FAVORITE: Color Food Music Animal Pet Blue Steak Classical, Pop/Rock Dolphin Pomeranian

2 Car 1969 Shelby GT 500 Movie Song Play "Rock of Ages" "Unchained Melody" "The Phantom of the Opera" GOALS: Academic Professional Personal Bachelor's Degree The sky is the limit Be proud of what I have achieved in this life, when I die RELIGION: Faith Denomination Christian The Church of Jesus Christ of Latter day Saints LANGUAGES: Speak Read Write SPORTS: Play Watch Golf, Football, Basketball, Tennis, Track, Baseball, Swimming Golf, Football, Baseball SIBLINGS: # Brothers 1 # Sisters 1 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 IF NOT TAKEN SAT

3 ACT GRE MCAT LSAT GMAT TOEFL Other 25 HIGH SCHOOL QUESTION RESPONSE ON SCALE OF GPA COLLEGE QUESTION RESPONSE ON SCALE OF GPA GRADUATE SCHOOL QUESTION RESPONSE ON SCALE OF GPA SUBJECTS STUDIED: Major subjects Minor subjects Music, Business, Architecture, Art Music Theatre DEGREES: Bachelor's Master's Doctorate Other(s) BS/Music, minor in Musical Theatre AWARDS & ACTIVITIES High school Best Male Vocalist in a city wide competition

4 College Academic Professional Political Personal Charitable Others Dean's List Honor Roll, Academic Achievement in Sports Top sales in multiple jobs, Management experience Musical Performance, Golf I have sung in benefit concerts for the Relay for Life, I have done volunteer work at local homeless shelters, I help the elderly with household chores I have served a mission for the Church of LDS MILITARY Served in military No Branch Rank Years of service 0 PHYSICAL FEATURES Hands Fingers Right Handed SIZES & MEASUREMENTS Neck (inches) 16.5 Chest (inches) 44 Inseam (inches) 34 Waist (inches) 33 Sleeve (inches) 34 Wrist (inches) 8 Hat size 7.5 Shoe size 12 PHYSICAL AIDS EYES: Vision Glasses Astigmatism Normal No

5 Age started wearing glasses/contacts 0 Laser surgery? No DENTAL: Device Reason Braces and Retainer Cosmetic Age range during use OTHER PHYSICAL AIDS: List Reason/cause FACIAL FEATURES EYES: Set Narrow Average Wide Size Small Average Large Shape Almond Oval Round Color Blue Green Hazel Brown Light

6 Shade Dark EYEBROWS: Arc Flat High Thickness Thin Average Thick Set Narrow Average Wide NOSE: Size Small Large Shape Round Straight Wide Width Length Narrow Average Wide Short Average Long Bridge Small Convex Straight Concave

7 Nostril flare Septum Average Wide Thin Average Thick CHEEKBONES: Set Prominence Low Average High Slight Strong MOUTH: Size Small Average Large Lips Thin Average Full Turn Downward Straight Upward TEETH: Size Average Large Small Set Underbite Even

8 Overbite Condition Poor Fair Good CHIN: Shape Round Oval Square Prominence Slight Average Strong Cleft Slight Strong EARS: Size Small Average Large Set Low Average High Angle Flat Average Acute Lobe size Small

9 Large Lobe attachment Detached Attached HAIR: Color at birth Natural color in adulthood Shade Type Fullness Texture Blond Brown Auburn Red Black Blond Brown Auburn Red Black Light Dark Straight Wavy Curly Thin Thick Fine Coarse SKIN: Tone Light MedL Med MedDk Dark Slight

10 Tan ability Easy Condition Oily Combination Dry HAIRLINE: Forehead Contour Low Average High Straight Slight Curve Widow Peak OTHER FACIAL FEATURES: Moles Freckles Dimples Adam's apple One Several Several Moderate Numerous Slight Deep Slight Strong FACIAL HAIR Thickness Shade Thin Dense Light Dark

11 FAMILY INFORMATION DONOR'S PARENTS Donor's Father Personal Information Occupation Director of Aviation/Pilot Donor's Father Education: Level Degree Subject Some college Associate Aviation Donor's Father Religion: Faith Denomination Primary ethnic origins: Christian Latter day Saints German, Irish, Scottish Donor's Father Languages: Speak Read Write Donor's Father Talents: Voice Instrument yrs experience Other yrs experience Baritone Drums 14 Vocal 50 Donor's Father Physical Information Age 57 Body Height Weight Hands 6'0" 250 lbs. Ambidextrous Donor's Father Facial Features Eyes: Eye Color Eye shade Green

12 Vision Glasses Astigmatism Age started wearing glasses/contacts yrs Normal No 0 Hair: Original hair color If gray, age turned gray yrs Type Brown (Some gray) 50 Straight Skin: Skin Tone Skin Condition Med Other: Chin cleft Ear lobe Facial Dimples Attached Slight Military Served in Military No Branch Rank Years of service 0 Donor's Mother Personal Information Occupation Nurse Donor's Mother Education: Level Degree Subject College Associate Nursing Donor's Mother Religion: Faith Denomination Primary ethnic origins: Christian Latter day Saints German, Irish Donor's Mother Languages:

13 Speak Read Write Donor's Mother Talents: Voice Instrument yrs experience Other yrs experience Alto Voice 45 Donor's Mother Physical Information Age 55 Body Height Weight Hands 5'9" 150 lbs. Right Handed Facial Features Eyes: Eye Color Eye shade Vision Glasses Astigmatism Age started wearing glasses/contacts yrs Green Light Normal No 0 Hair: Original hair color If gray, age turned gray yrs Type Auburn (Some gray) 50 Wavy Skin: Skin Tone Skin Condition Med Other: Chin cleft

14 Ear lobe Facial Dimples Detached Slight Military Served in Military No Branch Rank Years of service 0 DONOR'S SIBLINGS Donor's Sibling(s) (1 4) Donor's Sibling #1 Full/Half sibling Full Body Sex Female Age 31 Height 5'5" Weight 120 lbs. Hands Right Handed Sibling #1 Personal Information Occupation Teacher Education: Level Degree Subject College Bachelor Art Education Religion: Faith Denomination Christian Catholic Languages: Speak Read Write, Spanish Talents:

15 Voice Instrument Years of experience Other Years of experience Alto Violin 5 Sibling #1 Children: # Boys Ages: # Girls Ages: Eyes: Eye color Blue Eye shade Vision Normal Glasses Astigmatism No Age started wearing glasses/contacts 0 Hair: Original hair color If gray, age turned gray Type Blond Straight Skin: Skin tone Skin condition MedL Other: Chin cleft Ear lobe Facial dimples Attached Military Served in military No Branch Rank Years of service 0 Donor's Sibling #2

16 Full/Half sibling Full Body Sibling #2 Personal Information Education: Religion: Languages: Talents: Sibling #2 Children: Sibling #2 Facial Features Eyes: Hair: Sibling #2 Physical Information Sex Male Age 24 Height Weight Hands Occupation Level Degree Subject Faith Denomination Speak Read Write Voice Instrument Years of experience Other Years of experience # Boys Ages: # Girls Ages: Eye color Eye shade Vision Glasses Astigmatism Age started wearing glasses/contacts 0 Original hair color 6'0" 145 lbs. Right Handed Line Technician Some college Pursuing Music Recording Christian Non denominational Baritone Drums months Hazel Normal No Blond

17 Skin: Other: Military If gray, age turned gray Type Straight Skin tone MedL Skin condition Chin cleft Ear lobe Attached Facial dimples Served in military No Branch Rank Years of service 0 FATHER'S SIBLINGS Father's Brothers # of Brothers 1 Ages of Brothers: 48 Education levels for each: Occupations for each: Religions for each: Bachelor's Massage Therapist Atheist Father's Brothers' Total Children: # Boys 0 # Girls 0 Father's Sisters # of Sisters 2 Ages of Sisters: 59, 55 Education levels for each: Occupations for each: Religions for each: Bachelor's, Associate's Homemaker, Sales Latter day Saints, Latter day Saints Father's Sisters' Total Children: # Boys 4 # Girls 4 MOTHER'S SIBLINGS

18 Mother's Brothers # Brothers 1 Ages of Brothers: 53 Education levels for each: Occupations for each: Religions for each: Associate's Warehouse Manager Christian Mother's Brothers' Total Children: # Boys 2 # Girls 0 Mother's Sisters # Sisters 2 Ages of Sisters: 51, 49 Education levels for each: Occupations for each: Religions for each: Associate's, Bachelor's Farmer, Nurse Christian, Christian Mother's Sisters' Total Children: # Boys 5 # Girls 2 FATHER'S PARENTS Father's Father Education Level Degree Subject Occupation: Primary ethnic origins: College Associate's Electrical Engineering Engineer German, Irish Siblings: # Brothers 2 # Sisters 1 Other: Languages Religion Latter day Saints

19 Military Branch Air Force Rank Sergeant Service Yrs 4 Father's Mother Education Level Degree Subject Occupation: Primary ethnic origins: Religion High School Diploma General Studies Homemaker German, Irish, Scottish Latter day Saints Siblings: # Brothers 2 # Sisters 0 Other: Languages Religion Latter day Saints Military Branch Rank Service Yrs 0 MOTHER'S PARENTS Mother's Father Education Level Degree Subject Occupation: Primary ethnic origins: College Bachelor's Engineering Engineer German, Irish Siblings:

20 # Brothers 1 # Sisters 2 Other: Languages Religion Christian Military Branch Navy Rank Seaman First Class Service Yrs 4 Mother's Mother Education QUESTION RESPONSE Level Degree Subject Occupation: Primary ethnic origins: High School Diploma General Studies Homemaker German, Irish Siblings: QUESTION RESPONSE # Brothers 2 # Sisters 0 Other: QUESTION RESPONSE Languages Religion Christian Military QUESTION RESPONSE Branch Rank Service Yrs 0