Donor Number: 241026
Age: 18
Location: Keller, TX
Ethnicity: White
Compensation: $8,000.00
Available: Yes
Previous: No
Proven: No
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Age (at time of application): 18
Ethnicity: White
Mother's Ethnicity: White
Father's Ethnicity: White
Do you speak any language(s) other than English? No
If yes, what language(s)? N/A
Religion: Christian
Are you practicing? Yes
Height: 5’2”
Weight: 130
Eye Color: Hazel
Hair Color: Brown
Skin tone: White
Blood type if known: A +
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): None
Number of Siblings: 3
Sisters: 1
Brothers: 2
Are you adopted? No
Family Member | Age | Height | Weight | Hair Color | Eye Color |
---|---|---|---|---|---|
Biological Mother | 48 | 4'11" | 170 | Brown | Hazel |
Biological Father | 49 | 6'3" | 220 | Grey | Blue |
Sibling/Male | 18 | 6'2" | 210 | Brown | Blue |
Sibling/Male | 21 | 6'0" | 175 | Blonde | Blue |
Sibling/Female | 26 | 5'6" | 150 | Brown | Brown |
Sibling | |||||
Grandmother (mother's side) | 63 | 5'5" | 160 | Grey | Brown |
Grandfather (mother's side) | 75 | 5'11" | 200 | Grey | Brown |
Grandmother (father's side) | 70 | 5'1" | 175 | White | Blue |
Grandfather (father's side) | 71 | 6'2" | 160 | Grey | Blue |
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College/University/Vocational School:Healing Heads Massage Institute
Major: N/A
GPA: 3.6
Did you take the SAT or ACT? No
If yes, score-
SAT: N/A
ACT: N/A
Favorite subjects in school: Math and English
Current Occupation & summary of job duties: CNA - I take care of the Elderly
Any exposure to chemicals? No
If yes, what chemicals: N/A
What are your future career plans & goals? Massage Therapy
What are your educational goals? I graduated high school early so I would like to finish the school I’m currently in and then carry on into my business degree.
Level of Education | Name of School | Date Completed (MM/YYYY) |
---|---|---|
GED | ||
High School | Timber Creek High School | May 29, 2023 |
College/University | Healing Heads Massage Institute | Nov 19, 2024 |
Bachelor's Degree | ||
Associate Degree | ||
Master's Degree | ||
Other: |
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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: 08/13/2024
Were the results normal? Normal
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 just had my Tonsils removed
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? No
Recreational or prescription drug abuse? No
Been treated by a psychiatrist? No
Depression? No
Schizophrenia? No
Suicide attempt? No
Other mental illnesses? No
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Please describe your personality and character: I’m very outgoing and caring. I have a huge heart as well.
What are your hobbies, interests and talents? I love sports and outdoors and painting.
Do you play a musical instrument? No If yes, what? N/A
Do you have any particular athletic abilities? Yes
Please explain: Softball
Do you have any artistic talents? No Please explain: N/A
What do you like to do in your spare time? I like to watch the sunset and read books.
Why do you want to be an Egg Donor? To be able to help someone start a family.
What are your favorite books? Murder Mystery
What are your academic strengths? English and Writing
What accomplishments are you particularly proud of? I have a poem published and I graduated high school at the age of 16.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I hope this donation brings you happiness and joy.
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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 - Anonymous (Intended Parents do not meet you or have your contact information. This is the most common form of egg donation).