For Prospective Parents   About Our Donor Program   Anticipated Costs   Legal Facts   Financial Assistance Program   Exceptional Donor Program   Sample Donor Profile   Parent Application   View Donor Profiles For Prospective Donors Sample Donor Profile   Applicant ID #    000405   Personal Information: Age:   27     State of Birth:   Country of Birth: CA     USA     Partner Information: Marital Status/History: Separated   Employment History: Current Occupation: Full Time Student Years at current employment:         If less than 2 years, provide:     Previous Occupation:   Years at previous employment:         Current hours worked / week:           General Information: Would you require day care/baby sitting to attend any appointments associated with the ovum donation/surrogacy procedure?  No Are you willing to travel to California for medical appointments or procedures? Yes       Do you own a car? Yes If no, do you have alternate reliable transportation?           Personal Profile: Religion: Catholic Practicing?   Yes       Race:   Caucasian Blood type:   AB positive       Height:   5 Ft   5 In Weight:   126 Pounds BMI:   21       Body Type/Build:   Medium       Eye Color:   Blue       Natural Hair Texture:   Straight Natural Hair Color:   Brown       Skin Type:   Combination Skin Complexion:   Medium Tanning Ability:   Tans moderately Freckles:   Few Freckles Location(s):   Body-Arms, Legs, Torso       Birth Mark(s): No (Location/Type) Moles/Warts: Yes One on my neck, and one on my back. (Location/Type)       Cleft Chin: Dominant Hand:   Right Shoe Size:   8       Rate your vision: Good Your normal vision uncorrected is about:   20/ Do you require glasses or contacts?   Yes Do you have: Nearsightedness    Farsightedness    Astigmatism       Rate the condition of your hearing: Excellent       Rate the condition of your teeth: Good Any periodontal or gum disease?   No Have you had any of the following?   Caps    Inlays    Crowns    Onlays     Veneers   Dental Implants   Bridges     Braces    Dentures       Do you have any allergies? Yes If yes, please describe: Amoxicilian, Penicilian, Ethromycin, Gentimycin, Ibuprofen, Sudafed (Food, medicine, pollen)   Any birth defects? No If yes, please describe: (Even if minor or correctable)     Personal Questions: Are you currently a smoker? No If you smoke, how much?   Packs/Day If you have quit, what was the approximate date?   0000       Do you drink alcohol? Yes If yes, how much?   less than 1 drink /Week       Do you or have you used any non-prescription drugs? No If yes, please describe:   Do you or have you used any prescription drugs? No If yes, please describe:   Do you or have you used any illegal drugs? No If yes, please describe:   Have you ever had a drug or alcohol abuse problem? No If yes, please describe:   Are you currently suffering from and/or been     diagnosed or treated for Anorexia/Bulimia? No If yes, please describe:   Have you ever been under the care of a Psychiatrist? No If yes, please describe:   Have you ever been under the care of a Psychologist/Family Therapist? No If yes, please describe:   Have you ever had any psychiatric hospitalizations? No If yes, please describe:   Have you ever been arrested or convicted of a crime? No If yes, please describe:   Have you ever had surgery of any type?     (including cosmetic surgery) Yes If yes, please describe: 2 C-Sections with my children, and a PDA-Paten Ductus Artery Heart Surgery when born. I was born 3 months premature and had to have a PDA performed. Breast Augmentation and Reduction.   Have you ever had a blood transfusion? No If yes, please describe:   Have you ever been diagnosed with an STD? If yes, please describe:   Do you have any tattoos? Yes Approximate date of your last tattoo?   1997     Fertility Profile: Age when you first started your menstrual cycle: 14 Are your cycles regular?   Yes How many days between your monthly cycle?   30 Date of last cycle:   2007 What is the birth control you are currently using?   Abstinence How many children do you have living with you?   2 What are their ages?   8 and 7       How many pregnancies have you had? 2 Have you had any trouble becoming pregnant?     (taking longer than six months) No If yes, please explain:   Have your parents or siblings experienced difficulties     becoming pregnant? (conceiving) No If yes, please explain:   Was your mother administered diethylstilbestrol (DES) or any     other prescription drug while she was pregnant with you? No If yes, please list the known prescriptions and the reason it was prescribed:   Have you ever had any of the following? Endometriosis    Hepatitis    HIV Exposure    Hysterectomy Infected Tubes or Ovaries   Ovarian Cancer  Ovarian Cysts Ovarian or Uterine Tumor    Pelvic Inflammatory Disease Removal of Ovary    Removal of Tubes If yes to any, please explain:     Delivery History:   Delivery Date Birth Weight Length of Labor Single/Multiple Vaginal/C-Section 1 1998 6 lbs 6 hrs Single C-Section 2 1999 6 lbs 4 hrs Single C-Section 3 0000 lbs hrs 4 0000 lbs hrs 5 0000 lbs hrs 6 0000 lbs hrs   Character Profile: How would you describe your personality?   I have always been a very outgoing person. I am not shy at all. I like to make people happy if they are down and I enjoy giving. I have a big heart, I am a very caring person always thinking about others before myself. I am very down to earth and humble. I am very mature for my age and having children has made me more mature. I am very driven, goal oriented, and ambitious. I like to be outdoors and go places and see things that I have never seen before. Sometimes I can get a little temper when all of my buttons have been pushed but it takes alot to get me upset. I am generally a happy person and my mom said that I was a happy baby who did not cry much. I am not a jealous person, I do not find the need to be jealous over someone. I am happy for those who have worked hard for what they have. (Quiet, Energetic, Artistic, Etc.)   Describe you special interests, hobbies, talents: Baking-Especially Desserts, Crafts, Sewing, Crocheting, Dancing, Yoga and Pilates, Shopping, Camping and the outdoors, Amusement Parks-Roller Coasters   Do you have any special goals you are working towards?   Yes, I am currently a full time student looking to graduate in April 2008 with my BS in Accounting. I then wish to Sit for the CPA Exam to be a Certified Public Accountant. Once I pass I will continue my education in pursueing my Master's in Taxation or Audting. My Ultimate goal is to be an Forensic Accountant. (personal or professional)       Do you participate in any sports or recreational activities? Yes If yes, please describe: Softball, Soccer, Walking, Running, Excercising-Yoga and Pilates   How do you view other women who have suffered with infertility?   Its an unfortunate thing to have to go through. I personally have a close friend that has dealt with this issue, and its hard. To be able to have a baby and bring life into this world is a beautiful and joyous experience that all women should be able to get the opportunity to experience.     What does being an Ovum Donor mean to you?: Its very meaningful to me...I am helping out a couple or individual bring new life into this world. I feel that I am able to help someone by donating my eggs so they can too experience the joys of motherhood and know how great it is to bring a child into this world.   How do you think your family and close friends will view your decision to become a Donor?   They are very suportive of me, I have donated before and the experience was AWESOME!       Educational Profile: Are you currently a student? Yes What is your current GPA?   3.2 What is your current Major?   Accounting       Highest level of education completed:   Some College Degree/Diploma/Certification:   AA Degree       High School GPA:   3.0 SAT Score:   ACT Score:   What are/were your best subjects?   Math and History/Culture       Do you or have you ever struggled with any learning disabilities? No If yes, please explain:   What are your ultimate career goals or desires? I plan to graduate in April 2008 with my BS in Accounting, then site for the California CPA Exam so I can be a Certified Public Accountant, then continue my education towards my Master's in eiether Taxation or Auditing..with my career goal of being an Forensic Accountant.   Have you ever taken an I.Q. test? Yes If yes, test results:   Not Sure Date of testing:   2006       Would you be willing to submit to I.Q. testing if requested by     the intended/prospective parents? (at their expense) Yes         Family Education History: MGM: Maternal Grandmother MGF: Maternal Grandfather PGM: Paternal Grandmother PGF: Paternal Grandfather   Attended College Graduated College Special Career Talents/Accomplishments You Yes No Almost finished with my Bachelors in Accounting will graduate in April of 08' Mother Yes No Only some general education college work complted. Regional Manager for a large Electronics Sales Company. Father Yes No Only some general education college work complted. Sr. VP Telemarkerter for large West Coast Insurance Company. Sibling Yes Yes CNA, and is currently attending college for her RN. Sibling Sibling Sibling MGM MGF PGM PGF   Genetic Profile: Were you adopted? No If yes, do you know your birth parents' genetic background?         Maternal Ethnic Ancestry: Irish/American Indian Paternal Ethnic Ancestry:   German (Example: Irish/Italian, please be specific, do not answer the above White/Caucasian, etc.)       Are you of Mediterranean (Greek or Italian) descent? No If yes, have you ever been tested as a carrier of Thalassemia?   If yes, results:         Are you of Jewish descent?   No If yes, have you ever been tested as a carrier of Tay Sachs Disease?   No If yes, results:         Are you of African descent?   No If yes, have you ever been tested as a carrier of Sickle Cell Disease?   No If yes, results:         Please describe any known genetic conditions or birth defects in your family:     Family History:   Mother   Date of Birth: 11/23/1955 Age at death and cause of death (if applicable):   Height: 5 Ft   6 In Weight: 130 Pounds Race: Caucasian Eye Color: Brown Natural Hair Color: Brown Unique skills or abilities:   Father   Date of Birth: 06/10/1952 Age at death and cause of death (if applicable):   Height: 6 Ft   3 In Weight: 170 Pounds Race: Caucasian Eye Color: Blue Natural Hair Color: Brown Unique skills or abilities:   Sibling #1   Sibling Gender: Female Date of Birth: 07/17/1977 Age at death and cause of death (if applicable):   Height: 5 Ft   4 In Weight: 140 Pounds Race: Caucasian Eye Color: Blue Natural Hair Color: Brown Unique skills or abilities:   Sibling #2   Sibling Gender: Date of Birth:   Age at death and cause of death (if applicable):   Height: Ft   In Weight: Pounds Race: Eye Color: Natural Hair Color: Unique skills or abilities:   Sibling #3   Sibling Gender: Date of Birth:   Age at death and cause of death (if applicable):   Height: Ft   In Weight: Pounds Race: Eye Color: Natural Hair Color: Unique skills or abilities: