Age: 19

Location: Roanoke, IN

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: None
Are you practicing? No
Height: 5’6
Weight: 132lbs
Eye Color: Blue
Hair Color: Blonde
Skin tone: White
Blood type if known: O-
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): Dimples
Number of Siblings: 1
Sisters: 0
Brothers: 1
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	52	5'4	175lbs	Brown	Brown
Biological Father	44	5'10	150lbs	Blonde	Green
Sibling	16	5'8	165lbs	Blonde	Green
Sibling
Sibling
Sibling
Grandmother (mother's side)	83	6'1	160lbs	White	Green
Grandfather (mother's side)	79	5'5	170lbs	White	Brown
Grandmother (father's side)	84	5'6	150lbs	White	Green
Grandfather (father's side)	67	5'10	175lbs	White	Blue

College/University/Vocational School: Southern New Hampshire University
Major: Criminal Justice
GPA: 4.0
Did you take the SAT or ACT? Yes
If yes, score-
SAT: 1010
ACT: N/A
Favorite subjects in school: Gym
Current Occupation & summary of job duties: Amazon Associate. I drive a fork lift at work putting the boxes and pallets into the truck.
Any exposure to chemicals? No
What are your future career plans & goals? Going to police academy in 2025 to be a police officer for my city.
What are your educational goals? Finishing my associates degree and potentially getting a bachelor’s.

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	Homestead High School	2023
College/University	Southern New Hampshire University	2025
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? The results were normal on 02/14/2024.
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? No
Do you use recreational drugs? No
Are you currently taking any medications? Yes - Pristiq
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? Yes - My grandfather on my maternal side had Type 2 diabetes from not taking care of his eating habits.
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? Yes - My mother has a history of seizures due to hitting her head back in the 90’s.
Cystic Fibrosis? No
Kidney disease? No
Any type of cancer? Yes - My grandmother had breast cancer (was treated and the only one in our history with it)
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 am a kind-hearted, empathetic woman and always strive to treat others with respect and understanding. I have a huge passion for learning, my sense of humor, and determination to overcome challenges. I am very positive with my life and always strive to reach my goals no matter what it takes.
What are your hobbies, interests and talents? Hobbies would be running, painting, and volunteering. Interests are bunnies, animals, learning a new language. Talents would be gymnastics, and fast speed from sports.
Do you play a musical instrument? No
Do you have any particular athletic abilities? Yes - speed, endurance, flexibility
Do you have any artistic talents? No
What do you like to do in your spare time? I spend time volunteering at the animal shelter as well as assistant living.
Why do you want to be an Egg Donor? I would like to help a family in need as I love helping others.
What are your favorite books? Death and Life, and Keepers of the Garden by Dolores Cannon
What are your academic strengths? Strong reading and writing skills, good problem solving, effective communication and time management.
What accomplishments are you particularly proud of? Accomplishments I am proud of would be making a difference in animals and individuals lives by volunteering, getting records in high school for track, and finishing high school with more credits than needed.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I have a genuine desire to make a positive impact on someone's life. I have deep compassion, empathy, and commitment to helping others.I am dedicated to providing the best possible outcome and I am excited to embark on this incredible journey helping someone in need.
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?
Open (Intended Parents meet you and know you. Exchange email address and/or phone number).