Age: 18

Location: Marrero, LA

Ethnicity: Black/African American

Compensation: $8,000.00

Available: Now

Previous: No

Proven: No

Age (at time of application): 18
Ethnicity: Black/African American
Mother's Ethnicity: Black/African American
Father's Ethnicity: Black/African American
Do you speak any language(s) other than English? Yes
If yes, what language(s)? French and Creole
Religion: Christian
Are you practicing? Yes
Height: 5’2”
Weight: 150
Eye Color: Brown
Hair Color: Black
Skin tone: Black
Blood type if known: Unknown
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): None
Number of Siblings: 0
Sisters: 0
Brothers: 0
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	38	5'4"	165	Black	Brown
Biological Father	45	5'8"	145	Black	Brown
Sibling
Sibling
Sibling
Sibling
Grandmother (mother's side)
Grandfather (mother's side)
Grandmother (father's side)
Grandfather (father's side)

College/University/Vocational School: LSU
Major: Poli Sci & Pre Law
GPA: 3.5
Did you take the SAT or ACT? Yes
If yes, score-
SAT: N/A
ACT: 20
Favorite subjects in school: English
Current Occupation & summary of job duties: I am a student
Any exposure to chemicals? No
If yes, what chemicals: N/A
What are your future career plans & goals? To be an attorney
What are your educational goals? To go to law school

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	John Ehret High School	2023
College/University	LSU	2026
Bachelor's Degree
Associate Degree
Master's Degree
Other:

Health History:
Have you ever been pregnant? No
If yes, when? N/A
Do you have any children? No
If yes, how many? N/A
Have you ever placed a child up for adoption? No
If yes, when? N/A
Any history of infertility in your family? No
If yes, what? N/A
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: 10/05/2023 Were the results normal? Yes
Are you currently using birth control? No
If yes, which type & for how long? N/A
Do you have a regular monthly menstrual cycle (every 21-35 days)? Yes
Do you smoke? No
Do you drink alcoholic beverages? No If yes, how often? N/A
Do you use recreational drugs? No
If yes, explain: N/A
Are you currently taking any medications? No
If yes, what medication? N/A
Please describe any medical problems you have had: I’m Healthy
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? Yes - Grandma on Dad’s side of the family
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? No
Recreational or prescription drug abuse? No
Been treated by a psychiatrist? No
Depression? No
Schizophrenia? No
Suicide attempt? No
Other mental illnesses? No
Please describe your personality and character: Goofy, outgoing, determined and intelligent
What are your hobbies, interests and talents? I like to work out, interest is in politics & law.
Do you play a musical instrument? No If yes, what? N/A
Do you have any particular athletic abilities? No
Please explain: N/A
Do you have any artistic talents? No Please explain: N/A
What do you like to do in your spare time? I like to work out
Why do you want to be an Egg Donor? I want to be an egg donor to help a family have children
What are your favorite books? Just and unjust wars, Russian Politics
What are your academic strengths? Smart since I was a little kid
What accomplishments are you particularly proud of? Graduating high school early and graduating college at 19
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I would say I hope you have the family you’ve dreamed of!!
Have you ever been an egg donor? No
If yes, when and with what clinic/doctor: N/A
If yes, number of times you’ve donated: N/A
Have you ever been pregnant? N/A
How many children do you have? N/A
Any history of infertility in your family? If so what? No
What type of egg donation arrangement do you wish to have with the Intended Parents?
Yes - Open (Intended Parents meet you and know you. Exchange email address and/or phone number).