Age: 19

Location: Silverdale, WA

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: 5’5
Weight: 165lbs
Eye Color: Blue
Hair Color: Brown
Skin tone: Light tan
Blood type if known: B-
Left or Right handed: Right handed
Distinguishing features (Dimples, Cleft chin etc...): None
Number of Siblings: 1
Sisters: 0
Brothers: 1
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	48	5'3	120lbs	Brown	Blue
Biological Father	50	6'2	210lbs	Brown	Brown
Sibling	16	5'10	130lbs	Brown	Blue
Sibling
Sibling
Sibling
Grandmother (mother's side)	71	5'4	140lbs	Brown	Brown
Grandfather (mother's side)	72	5'6	150lbs	Brown	Brown
Grandmother (father's side)	73	5'8	145lbs	Brown	Brown
Grandfather (father's side)	75	5'9	230lbs	Brown	Brown

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
Current Occupation & summary of job duties: US Navy. I’m a master at arms. I’m a guard force personal.
Any exposure to chemicals? No
What are your future career plans & goals? I want to become a firefighter.
What are your educational goals? I'm planning to get my degree in fire and science and planning to start it this year.

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	Valley Vista High School	2022
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? I’ve never had one.
Are you currently using birth control? Yes
If yes, which type & for how long? Depo - been on that 9 months also been on the pill since I was 15.
Do you have a regular monthly menstrual cycle (every 21-35 days)? No
Do you smoke? No
Do you drink alcoholic beverages? No
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? Yes - Mother, diagnosed 5 years ago
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? Yes - Paternal grandmother had breast cancer 10 years ago.
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: I'm a very outgoing person and a person who's open minded about things/situation. I think that as long as you see the good in a situation you can get through anything.
What are your hobbies, interests and talents? I like to hike, read, paint and play sports.
Do you play a musical instrument? Yes - Base drum
Do you have any particular athletic abilities? Yes - I've played soccer, football, and track in high school.
Do you have any artistic talents? Yes - I can paint.
What do you like to do in your spare time? I love to read books, cook and bake.
Why do you want to be an Egg Donor? I want to give the families who can't a chance to have kids.
What are your favorite books? I like fantasy and physiologist.
What are your academic strengths? I can read and write well, I'm also good at math.
What accomplishments are you particularly proud of? I'm in the military, I also can say that I've never say no to trying new things.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I hope that my donation helps you get the family you want and to treat you future child well, to love and support them.
Have you ever been an egg donor? No
Have you ever been pregnant? No
How many children do you have? No
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).