Age: 19

Location: East Windsor, NJ

Ethnicity: White

Compensation: $8000.00

Available: Yes

Previous: No

Proven: No

Age (at time of application): 19
Ethnicity: White
Mother's Ethnicity: White
Father's Ethnicity: White
Do you speak any language(s) other than English? No
Religion: Not Practicing
Height: 5’7
Weight: 154lbs
Eye Color: Green
Hair Color: Blonde
Skin tone: White
Blood type if known: Unknown
Left or Right handed: Right handed
Distinguishing features (Dimples, Cleft chin etc...): None
Number of Siblings: 2
Sisters: 1
Brothers: 1
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	53	5'7	183lbs	Brown	Brown
Biological Father	42	5'8	268lbs	Blonde/Bald	Green
Sibling	10	5'3	112lbs	Blonde	Green
Sibling	26	5'8	190lbs	Brown	Hazel
Sibling
Sibling
Grandmother (mother's side)		5'5	235lbs	Dirty Blonde	Green/Blue
Grandfather (mother's side)		5'9	167lbs	Bald	Green
Grandmother (father's side)	72	5'5	235lbs	Brown	Hazel
Grandfather (father's side)

College/University/Vocational School: N/A
Major: N/A
GPA: N/A
Did you take the SAT or ACT? No
Favorite subjects in school: English and Art
Current Occupation & summary of job duties: I work in child care. I tend to infants through the day.
Any exposure to chemicals? No
What are your future career plans & goals? To join and exceed in the military.
What are your educational goals? To learn as much as possible, and go to college for writing.

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	Hightstown High School	06/2023
College/University
Bachelor's Degree
Associate Degree
Master's Degree
Other:

Health History:
Have you ever been pregnant? No
Do you have any children? No
Have you ever placed a child up for adoption? No
Any history of infertility in your family? No
Deliveries: N/A
#1: Date of delivery: Months trying to conceive:
Birth Weight: At how many weeks/days did you deliver? wks days
#2: Date of delivery: Months trying to conceive:
Birth Weight: At how many weeks/days did you deliver? wks days
#3: Date of delivery: Months trying to conceive:
Birth Weight: At how many weeks/days did you deliver? wks days
Date of last Pap Smear: Were the results normal? Results were normal on 04/01/2024
Are you currently using birth control? No
Do you have a regular monthly menstrual cycle (every 21-35 days)? Yes
Do you smoke? No
Do you drink alcoholic beverages? Yes - Only on social occasions.
Do you use recreational drugs? No
Are you currently taking any medications? No
Please describe any medical problems you have had: None
Have you or any of your biological relatives (including your parents, siblings, aunts, uncle, cousins and children) suffered from: (if yes, explain)
Physical birth defects? No
Down Syndrome? No
Mental Retardation? No
Ovarian Cysts? No
Uterine Fibroids? No
Asthma? No
Heart disease? No
Heart attack? No
Coronary artery disease? No
High blood pressure? No
Arrhythmia? No
High cholesterol? No
Atherosclerosis? No
Diabetes? No
Thyroid problems? No
Blood clotting disorder? No
Anemia? No
Learning disability/ies? No
Blindness? No
Hearing loss? No
Osteoporosis? No
Dwarfism? No
Huntington’s disease? No
Chronic heartburn? No
Alzheimer’s disease? No
Parkinson’s disease? No
Cerebral Palsy? No
Muscular Dystrophy? No
Seizure Disorder/Epilepsy? No
Cystic Fibrosis? No
Kidney disease? No
Any type of cancer? No
Seriously overweight? No
Multiple birthmarks? No
Alcoholism/heavy alcohol use? Yes -Mother
Recreational or prescription drug abuse? Yes - Mother
Been treated by a psychiatrist? No
Depression? Yes - Self - Due to mother leaving as a child. No longer depressed and has a relationship with Mother again.
Schizophrenia? No
Suicide attempt? No
Other mental illnesses? Yes - Mother is Bi-Polar.
Please describe your personality and character: I’m a social butterfly, I love to workout and meet new people.
What are your hobbies, interests and talents? The gym, reading and writing, and traveling.
Do you play a musical instrument? No
Do you have any particular athletic abilities? Yes
Please explain: Weight-lifting
Do you have any artistic talents? Yes
Please explain: Drawing and painting
What do you like to do in your spare time? Workout, read, and spend time with family and friends.
Why do you want to be an Egg Donor? I want to be an egg donor because I have family members who struggled to get pregnant, and it saddens me. If I can help anyone I would love too.
What are your favorite books? Romeo and Juliet, The Notebook, and Don’t Believe Everything you Hear
What are your academic strengths? Reading and understanding.
What accomplishments are you particularly proud of? Losing 100 pounds to join the marine corps.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I hope everything goes well, and pray for health and happiness.
Have you ever been an egg donor? No
Have you ever been pregnant? No
How many children do you have? None
Any history of infertility in your family? No
What type of egg donation arrangement do you wish to have with the Intended Parents?
Anonymous (Intended Parents do not meet you or have your contact information. This is the most common form of egg donation).