Personal Profile - Fairfax Cryobank - Find a Sperm Donor · · 2015-10-02Personal Profile...
Transcript of Personal Profile - Fairfax Cryobank - Find a Sperm Donor · · 2015-10-02Personal Profile...
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: Tenor
Instrument:Years of experience: Voice ‐ 15
Other talents:Years of experience Music Theatre ‐ 12
FAVORITE:
Color Blue
Food Steak
Music Classical, Pop/Rock
Animal Dolphin
Pet Pomeranian
Car 1969 Shelby GT 500
Movie "Rock of Ages"
Song "Unchained Melody"
Play "The Phantom of the Opera"
GOALS:
Academic Bachelor's Degree
Professional The sky is the limit
Personal Be proud of what I have achieved in this life, when Idie
RELIGION:
Faith Christian
Denomination The Church of Jesus Christ of Latter‐day Saints
LANGUAGES:
Speak English
Read English
Write English
SPORTS:
Play Golf, Football, Basketball, Tennis, Track, Baseball,Swimming
Watch 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 N/A IF NOT TAKEN
SATon scale of N/A
ACTon scale of
25
GREon scale of N/A
MCATon scale of N/A
LSATon scale of N/A
GMATon scale of N/A
TOEFLon scale of N/A
Otheron scale of N/A
HIGH SCHOOL
QUESTION RESPONSE ON SCALE OF
GPAon scale of
3.5 4.0
COLLEGE
QUESTION RESPONSE ON SCALE OF
GPAon scale of
2.85 4.0
GRADUATE SCHOOL
QUESTION RESPONSE ON SCALE OF
GPAon scale of
N/A N/A
SUBJECTS STUDIED:
Major subjects Music, Business, Architecture, Art
Minor subjects Music Theatre
DEGREES:
Bachelor's BS/Music, minor in Musical Theatre
Master's N/A
Doctorate N/A
Other(s) N/A
AWARDS & ACTIVITIES
High school Best Male Vocalist in a city‐wide competition
College Dean's List
Academic Honor Roll, Academic Achievement in Sports
Professional Top sales in multiple jobs, Management experience
Political N/A
Personal Musical Performance, Golf
CharitableI have sung in benefit concerts for the Relay forLife, I have done volunteer work at local homelessshelters, I help the elderly with household chores
Others I have served a mission for the Church of LDS
MILITARYServed in military No
Branch N/A
Rank N/A
Years of service 0
PHYSICAL FEATURESHands Right‐Handed
Fingers Medium
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 Normal
Glasses None
Astigmatism No
Age started wearing glasses/contacts 0
Laser surgery? No
DENTAL:
Device Braces and Retainer
Reason Cosmetic
Age range during use 13‐15
OTHER PHYSICAL AIDS:
List None
Reason/cause N/A
Blue
Green
Hazel
Brown
Light
FACIAL FEATURES
EYES:
Set
Narrow Average Wide
Size
Small Average Large
Shape
Almond Oval Round
Color
Medium
Dark
Flat
Medium
High
Narrow
Average
Wide
Small
Medium
Large
Narrow
Average
Wide
Short
Average
Long
Small
Shade
EYEBROWS:
Arc
Thickness
Thin Average Thick
Set
NOSE:
Size
Shape
Round Straight Wide
Width
Length
Bridge
Convex Straight Concave
Average
Wide
Thin
Average
Thick
Low
Average
High
Slight
Medium
Strong
Downward
Straight
Upward
Underbite
Even
Nostril flare
Septum
CHEEKBONES:
Set
Prominence
MOUTH:
Size
Small Average Large
Lips
Thin Average Full
Turn
TEETH:
Size
Average Large Small
Set
Overbite
Poor
Fair
Good
Slight
Average
Strong
Low
Average
High
Small
Medium
Condition
CHIN:
Shape
Round Oval Square
Prominence
Cleft
None Slight Strong
EARS:
Size
Small Average Large
Set
Angle
Flat Average Acute
Lobe size
Large
Blond
Brown
Auburn
Red
Black
Blond
Brown
Auburn
Red
Black
Light
Medium
Dark
Straight
Wavy
Curly
Thin
Medium
Thick
Fine
Coarse
Medium
Light
MedL
Med
MedDk
Dark
None
Slight
Lobe attachment
Detached Attached
HAIR:
Color at birth
Natural color in adulthood
Shade
Type
Fullness
Texture
SKIN:
Tone
Medium
Easy
Oily
Medium
Combination
Dry
Low
Average
High
Straight
Slight Curve
Widow Peak
None
One
Several
None
Several
Moderate
Numerous
None
Slight
Medium
Deep
Slight
Medium
Strong
Thin
Medium
Dense
Light
Medium
Dark
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 Director of Aviation/Pilot
Donor's Father Education:
Level Some college
Degree Associate
Subject Aviation
Donor's Father Religion:
Faith Christian
Denomination Latter‐day Saints
Primary ethnic origins: German, Irish, Scottish
Donor's Father Languages:
Speak English
Read English
Write English
Donor's Father Talents:
Voice Baritone
Instrumentyrs experience Drums ‐ 14
Otheryrs experience Vocal ‐ 50
Donor's Father Physical Information
Body
Age 57
Height 6'0"
Weight 250 lbs.
Hands Ambidextrous
Donor's Father Facial Features
Eyes:
Eye Color Green
Eye shade Medium
Vision Normal
Glasses None
Astigmatism No
Age started wearing glasses/contactsyrs 0
Hair:
Original hair color Brown
If gray, age turned grayyrs (Some gray) ‐ 50
Type Straight
Skin:
Skin Tone Med
Skin Condition Medium
Other:
Chin cleft None
Ear lobe Attached
Facial Dimples Slight
Military
Served in Military No
Branch N/A
Rank N/A
Years of service 0
Donor's Mother Personal Information
Occupation Nurse
Donor's Mother Education:
Level College
Degree Associate
Subject Nursing
Donor's Mother Religion:
Faith Christian
Denomination Latter‐day Saints
Primary ethnic origins: German, Irish
Donor's Mother Languages:
Speak English
Read English
Write English
Donor's Mother Talents:
Voice Alto
Instrumentyrs experience Voice ‐ 45
Otheryrs experience None
Donor's Mother Physical Information
Body
Age 55
Height 5'9"
Weight 150 lbs.
Hands Right‐Handed
Facial Features
Eyes:
Eye Color Green
Eye shade Light
Vision Normal
Glasses None
Astigmatism No
Age started wearing glasses/contactsyrs 0
Hair:
Original hair color Auburn
If gray, age turned grayyrs (Some gray) ‐ 50
Type Wavy
Skin:
Skin Tone Med
Skin Condition Medium
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
Body
Sex Female
Age 31
Height 5'5"
Weight 120 lbs.
Hands Right‐Handed
Sibling #1 Personal Information
Occupation Teacher
Education:
Level College
Degree Bachelor
Subject Art Education
Religion:
Faith Christian
Denomination Catholic
Languages:
Speak English, Spanish
Read English
Write English
Talents:
Voice Alto
InstrumentYears of experience Violin ‐ 5
OtherYears of experience None
Sibling #1 Children:
# BoysAges: 1 ‐ 1
# GirlsAges: 0
Eyes:
Eye color Blue
Eye shade Medium
Vision Normal
Glasses None
Astigmatism No
Age started wearing glasses/contacts 0
Hair:
Original hair color Blond
If gray, age turned gray N/A
Type Straight
Skin:
Skin tone MedL
Skin condition Medium
Other:
Chin cleft None
Ear lobe Attached
Facial dimples None
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 Male
Age 24
Height 6'0"
Weight 145 lbs.
Hands Right‐Handed
Sibling #2 Personal Information
Occupation Line Technician
Education:
Level Some college
Degree Pursuing
Subject Music Recording
Religion:
Faith Christian
Denomination Non‐denominational
Languages:
Speak English
Read English
Write English
Talents:
Voice Baritone
InstrumentYears of experience Drums ‐ 10
OtherYears of experience None
Sibling #2 Children:
# BoysAges: 0
# GirlsAges: 1 ‐ 2 months
Sibling #2 Facial FeaturesEyes:
Eye color Hazel
Eye shade Medium
Vision Normal
Glasses None
Astigmatism No
Age started wearing glasses/contacts 0
Hair:
Original hair color Blond
If gray, age turned gray N/A
Type Straight
Skin:
Skin tone MedL
Skin condition Medium
Other:
Chin cleft None
Ear lobe Attached
Facial dimples None
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: 48
Education levels for each: Bachelor's
Occupations for each: Massage Therapist
Religions for each: 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: Bachelor's, Associate's
Occupations for each: Homemaker, Sales
Religions for each: Latter‐day Saints, Latter‐day Saints
Father's Sisters' Total Children:
# Boys 4
# Girls 4
MOTHER'S SIBLINGS
Mother's Brothers
# Brothers 1
Ages of Brothers: 53
Education levels for each: Associate's
Occupations for each: Warehouse Manager
Religions for each: Christian
Mother's Brothers' Total Children:
# Boys 2
# Girls 0
Mother's Sisters
# Sisters 2
Ages of Sisters: 51, 49
Education levels for each: Associate's, Bachelor's
Occupations for each: Farmer, Nurse
Religions for each: Christian, Christian
Mother's Sisters' Total Children:
# Boys 5
# Girls 2
FATHER'S PARENTS
Father's Father
Education
Level College
Degree Associate's
Subject Electrical Engineering
Occupation: Engineer
Primary ethnic origins: German, Irish
Siblings:
# Brothers 2
# Sisters 1
Other:
Languages English
Religion Latter‐day Saints
Military
Branch Air Force
Rank Sergeant
Service Yrs 4
Father's Mother
Education
Level High School
Degree Diploma
Subject General Studies
Occupation: Homemaker
Primary ethnic origins: German, Irish, Scottish
Religion Latter‐day Saints
Siblings:
# Brothers 2
# Sisters 0
Other:
Languages English
Religion Latter‐day Saints
Military
Branch N/A
Rank N/A
Service Yrs 0
MOTHER'S PARENTS
Mother's Father
Education
Level College
Degree Bachelor's
Subject Engineering
Occupation: Engineer
Primary ethnic origins: German, Irish
Siblings:
# Brothers 1
# Sisters 2
Other:
Languages English
Religion Christian
Military
Branch Navy
Rank Seaman First Class
Service Yrs 4
Mother's Mother
Education
QUESTION RESPONSE
Level High School
Degree Diploma
Subject General Studies
Occupation: Homemaker
Primary ethnic origins: German, Irish
Siblings:
QUESTION RESPONSE
# Brothers 2
# Sisters 0
Other:
QUESTION RESPONSE
Languages English
Religion Christian
Military
QUESTION RESPONSE
Branch N/A
Rank N/A
Service Yrs 0