personal profile - fairfax cryobank · reading, guitar, exercising, cooking, video games, traveling...
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Donor 5013
Personal Profile
QUESTIONS
Academics
Military
Physical Features
Physical Aids, if not applicable, please enter N/A.
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: Baritone
Musical/Instrument:Years of experience: Guitar ‐ 2
Other talents:Years of experience None
FAVORITE:
Color Blue
Food Pizza
Music Rock
Animal Dog
Pet Dog
Car Honda Civic
Movie Fury
https://fairfaxcryobank.com/search/
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Song "I Don't Want to Miss a Thing" by Aerosmith
Play The Wizard of Oz
GOALS:
Academic Associate of Applied Science degree in Nursing
Professional To become a nurse
Personal My personal goal is to finish the Nursing program
RELIGION:
Faith Christian
Denomination Catholic
LANGUAGES:
Speak English
Read English
Write English
SPORTS:
Please enter sports that you play and howlong you have played them. Soccer
Please enter sports that you enjoy watching. Soccer
SIBLINGS:
# Brothers 2
# Sisters 1
Are you a twin?Identical or fraternal? No
# of twins in your family N/A
# 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 N/A
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
QUESTION RESPONSE ON SCALE OF
GPAon scale of
3.0 4.0
COLLEGE
QUESTION RESPONSE ON SCALE OF
QUESTION RESPONSE ON SCALE OF
GPAon scale of
2.74 4.0
GRADUATE SCHOOL
QUESTION RESPONSE ON SCALE OF
QUESTION RESPONSE ON SCALE OF
GPAon scale of
NA
SUBJECTS STUDIED:
Major subjects Nursing
Minor subjects N/A
PLEASE ENTER THE DEGREE AND SPECIFIC FIELD OF STUDY, E.G. BA BUSINESS.
Bachelor's N/A
Master's N/A
Doctorate N/A
Other(s) Certified Nursing Assistant, Pursuing AAS/Nursing
AWARDS & ACTIVITIES
High school N/A
College Health Science certificate
Academic CPR and First aid certified, Certified NursingAssistant
Professional Two year job award at a medical center
Political N/A
Personal Reading, Guitar, Exercising, Cooking, Video games,Traveling
Charitable N/A
-
Others N/A
MILITARYServed in military No
Branch N/A
Rank N/A
Years of service 0
PHYSICAL FEATURESHands Ambidextrous
Fingers Long
SIZES & MEASUREMENTS
Neck (inches) 17
Chest (inches) 39
Inseam (inches) 31
Waist (inches) 32
Sleeve (inches) 31
Wrist (inches) 9
Hat size 7
Shoe size 9.5
PHYSICAL AIDS, IF NOT APPLICABLE, PLEASE ENTER N/A.
EYES:
Vision Near‐Sighted
Glasses Single
Astigmatism Yes
Age started wearing glasses/contacts 18
Laser surgery? No
DENTAL:
Device None
Reason
Age range during use N/A
OTHER PHYSICAL AIDS:
List None
-
Reason/cause N/A
Blue
Green
Hazel
Brown
Light
Medium
Dark
Flat
Medium
High
FACIAL FEATURES
EYES:
Set
Narrow Average Wide
Size
Small Average Large
Shape
Almond Oval Round
Color
Shade
EYEBROWS:
Arc
Thickness
Thin Average Thick
-
Narrow
Average
Wide
Small
Medium
Large
Narrow
Average
Wide
Short
Average
Long
Small
Average
Wide
Thin
Average
Thick
Low
Average
High
Slight
Medium
Strong
Set
NOSE:
Size
Shape
Round Straight Wide
Width
Length
Bridge
Convex Straight Concave
Nostril flare
Septum
CHEEKBONES:
Set
Prominence
MOUTH:
-
Downward
Straight
Upward
Underbite
Even
Overbite
Poor
Fair
Good
Slight
Average
Strong
Size
Small Average Large
Lips
Thin Average Full
Turn
TEETH:
Size
Average Large Small
Set
Condition
CHIN:
Shape
Round Oval Square
Prominence
-
Low
Average
High
Small
Medium
Large
Blond
Brown
Auburn
Red
Black
Blond
Brown
Auburn
Red
Cleft
None Slight Strong
EARS:
Size
Small Average Large
Set
Angle
Flat Average Acute
Lobe size
Lobe attachment
Detached Attached
HAIR:
Color at birth
Natural color in adulthood
-
Black
Light
Medium
Dark
Straight
Wavy
Curly
Thin
Medium
Thick
Fine
Coarse
Medium
Light
MedL
Med
MedDk
Dark
None
Slight
Medium
Easy
Oily
Medium
Combination
Dry
Low
Average
High
Straight
Slight Curve
Widow Peak
None
One
Several
None
Shade
Type
Fullness
Texture
SKIN:
Tone
Tan ability
Condition
HAIRLINE:
Forehead
Contour
OTHER FACIAL FEATURES:
Moles
-
Several
Moderate
Numerous
None
Slight
Medium
Deep
Slight
Medium
Strong
Thin
Medium
Dense
Light
Medium
Dark
Freckles
Dimples
Adam's apple
FACIAL HAIR
Thickness
Shade
FAMILY INFORMATION
DONOR'S PARENTS
Donor's Father Personal Information
Occupation Truck Driver
Donor's Father Education:
Level High school
Degree Diploma
Subject General Studies
Donor's Father Religion:
Faith Christian
Denomination Non‐denominational
Primary ethnic origins: German
Donor's Father Languages:
Speak English
Read English
Write English
Donor's Father Talents:
-
Voice Bass
Instrumentyrs experience None
Otheryrs experience None
Donor's Father Physical Information
Body
Age 56
Height 6'0"
Weight 210 lbs.
Hands Right‐Handed
Donor's Father Facial Features
Eyes:
Eye Color Blue
Eye shade Light
Vision Normal
Glasses None
Astigmatism No
Age started wearing glasses/contactsyrs 0
Hair:
Original hair color Brown
If gray, age turned grayyrs N/A
Type Straight
Skin:
Skin Tone MedL
Skin Condition Medium
Other:
Chin cleft Slight
Ear lobe Attached
Facial Dimples None
Military
Served in Military Yes
Branch Army
Rank Sergeant
-
Years of service 13
Donor's Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
Level High school
Degree Diploma
Subject General Studies
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins: Panamanian, Palestinian
Donor's Mother Languages:
Speak English, Spanish, Arabic
Read English, Spanish, Arabic
Write English, Spanish, Arabic
Donor's Mother Talents:
Voice Alto
Instrumentyrs experience None
Otheryrs experience None
Donor's Mother Physical Information
Body
Age 46
Height 5'5"
Weight 130 lbs.
Hands Ambidextrous
Facial Features
Eyes:
Eye Color Brown
Eye shade Dark
Vision Normal
Glasses None
Astigmatism No
-
Age started wearing glasses/contactsyrs
0
Hair:
Original hair color Black
If gray, age turned grayyrs N/A
Type Wavy
Skin:
Skin Tone Med
Skin Condition Oily
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 SIBLINGS
Donor's Sibling(s) (1‐4)
Donor's Sibling #1
Full/Half sibling Full
Body
Sex Male
Age 19
Height 5'9"
Weight 160 lbs.
Hands Left‐Handed
Sibling #1 Personal Information
Occupation Certified Nursing Assistant
Education:
Level Some college
Degree Pursuing
-
Subject Computer Science
Religion:
Faith Christian
Denomination Catholic
Languages:
Speak English
Read English
Write English
Talents:
Voice Bass
InstrumentYears of experience None
OtherYears of experience None
Sibling #1 Children:
# BoysAges: 0
# GirlsAges: 0
Eyes:
Eye color Brown
Eye shade Dark
Vision Near‐Sighted
Glasses Single
Astigmatism Yes
Age started wearing glasses/contacts 16
Hair:
Original hair color Black
If gray, age turned gray N/A
Type Straight
Skin:
Skin tone MedL
Skin condition Oily
Other:
Chin cleft Slight
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 13
Height 5'0"
Weight 130 lbs.
Hands AmbidextrousSibling #2 Personal Information
Occupation StudentEducation:
Level High school
Degree Pursuing
Subject General StudiesReligion:
Faith Christian
Denomination CatholicLanguages:
Speak English
Read English
Write EnglishTalents:
Voice Tenor
InstrumentYears of experience None
OtherYears of experience None
Sibling #2 Children:
# BoysAges: 0
# GirlsAges: 0
Sibling #2 Facial FeaturesEyes:
Eye color Brown
-
Eye shade Medium
Vision Near‐Sighted
Glasses Single
Astigmatism No
Age started wearing glasses/contacts 10Hair:
Original hair color Brown
If gray, age turned gray N/A
Type StraightSkin:
Skin tone MedL
Skin condition DryOther:
Chin cleft None
Ear lobe Attached
Facial dimples NoneMilitary
Served in military No
Branch N/A
Rank N/A
Years of service 0
Donor's Sibling #3
Full/Half sibling Full
Sibling #3 Physical Information
Body
Sex Female
Age 9
Height 4'6"
Weight 95 lbs.
Hands Right‐HandedSibling #3 Personal Information
Occupation StudentEducation:
Level Grade school
Degree Pursuing
Subject General StudiesReligion:
Faith Christian
Denomination CatholicLanguages:
Speak English
Read English
-
Write EnglishTalents:
Voice Soprano
InstrumentYears of experience None
OtherYears of experience None
Sibling #3 Children:
# BoysAges: 0
# GirlsAges: 0
Sibling #3 Facial FeaturesEyes:
Eye color Brown
Eye shade Medium
Vision Normal
Glasses None
Astigmatism No
Age started wearing glasses/contacts 0Hair:
Original hair color Brown
If gray, age turned gray N/A
Type StraightSkin:
Skin tone MedL
Skin condition MediumOther:
Chin cleft None
Ear lobe Attached
Facial dimples NoneMilitary
Served in military No
Branch N/A
Rank N/A
Years of service 0
FATHER'S SIBLINGS
Father's Brothers
# of Brothers 2
Ages of Brothers: 64, 60
Education levels for each: Bachelor's, Master's
Occupations for each: Security Guard, Truck Driver
-
Religions for each: Christian, Christian
Father's Brothers' Total Children:
# Boys 0
# Girls 0
Father's Brother #1
Age: N/A
Education level: N/A
Occupation: N/A
Religion: N/A
Father's Brother #1 Total Children:
# Boys N/A
# Girls N/A
Father's Sisters
# of Sisters 1
Ages of Sisters: 61
Education levels for each: High school
Occupations for each: Office Worker
Religions for each: Christian
Father's Sisters' Total Children:
# Boys 0
# Girls 0
MOTHER'S SIBLINGS
Mother's Brothers
# Brothers 3
Ages of Brothers: 38 (deceased), 55, 44
Education levels for each: All have high school
Occupations for each: Construction, Construction, Salesman
Religions for each: All are Catholic
Mother's Brothers' Total Children:
# Boys 4
# Girls 3
Mother's Brother #1
Age N/A
Education Level N/A
-
Occupation N/A
Religion N/A
Mother's Brother #1 Total Children
#Boys N/A
#Girls N/A
Mother's Brother #2
Age N/A
Education Level N/A
Occupation N/A
Religion N/A
Mother's Brother #2 Total Children
#Boys N/A
#Girls N/A
Mother's Sisters
# Sisters 3
Ages of Sisters: 52, 49, 29 (deceased)
Education levels for each: High school, High school, Some college
Occupations for each: All are Homemakers
Religions for each: All are Catholic
Mother's Sisters' Total Children:
# Boys 2
# Girls 1
Mother's Sister #1
Age N/A
Education Level N/A
Occupation N/A
Religion N/A
Mother's Sister #1 Total Children
#Boys N/A
#Girls N/A
Mother's Sister #2
Age N/A
Education Level N/A
Occupation N/A
Religion N/A
-
Mother's Sister #2 Total Children
#Boys N/A
#Girls N/A
FATHER'S PARENTS
Father's Father
Education
Level High school
Degree Diploma
Subject General Studies
Occupation: Coal Miner
Primary ethnic origins: German
Siblings:
# Brothers 2
# Sisters 1
Other:
Languages English
Religion Christian
Military
Branch N/A
Rank N/A
Service Yrs 0
Father's Mother
Education
Level High school
Degree Diploma
Subject General Studies
Occupation: Factory Worker
Primary ethnic origins: German
Religion Christian
Siblings:
# Brothers 1
# Sisters 1
Other:
-
Languages English
Religion Christian
Military
Branch N/A
Rank N/A
Service Yrs 0
MOTHER'S PARENTS
Mother's Father
Education
Level High school
Degree Diploma
Subject General Studies
Occupation: Restaurateur
Primary ethnic origins: Palestinian
Siblings:
# Brothers 3
# Sisters 1
Other:
Languages Spanish, Arabic
Religion Islam
Military
Branch N/A
Rank N/A
Service Yrs 0
Mother's Mother
Education
QUESTION RESPONSE
QUESTION RESPONSE
Level High school
Degree Diploma
Subject General Studies
Occupation: Homemaker
Primary ethnic origins: Panamanian (Chiriquí)
Siblings:
QUESTION RESPONSE
-
QUESTION RESPONSEQUESTION RESPONSE
# Brothers 2
# Sisters 1
Other:
QUESTION RESPONSE
QUESTION RESPONSE
Languages Spanish
Religion Catholic
Military
QUESTION RESPONSE
QUESTION RESPONSE
Branch N/A
Rank N/A
Service Yrs 0
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