Age: 21

Location: Ravenna, MI

Ethnicity: Caucasian

Compensation: $9,000.00

Available: Now

Previous: Yes

Proven: Yes

Age (at time of application): 21
Ethnicity: Caucasian
Mother's Ethnicity: Caucasian
Father's Ethnicity: Caucasian
Do you speak any language(s) other than English? English
If yes, what language(s)? N/A
Religion: N/A
Are you practicing? N/A
Height: 5'4"
Weight: 155
Eye Color: Brown
Hair Color: Brown
Skin tone: Moderate
Blood type if known: Unknown
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): Dimples and Curly Hair
Number of Siblings: 2
Sisters: 2
Brothers:
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	45	5'4"	150	Blonde	Hazel
Biological Father	46	5'8"	170	Brown	Brown
Sibling/Female	18	5'5"	160	Brown	Brown
Sibling/Female	11	4'11"	100	Blonde	Hazel
Sibling
Sibling
Grandmother (mother's side)	67	4'11"	125	Blonde	Hazel
Grandfather (mother's side)	68	5'5"	140	Brown	Brown
Grandmother (father's side)	64	5'6"	130	Brown	Brown
Grandfather (father's side)	64	5'9"	170	Brown	Brown

College/University/Vocational School: N/A
Major:
GPA:
Did you take the SAT or ACT? Yes
If yes, score-
SAT: 1070
ACT: N/A
Favorite subjects in school: English
Current Occupation & summary of job duties: Petco - Cashier. I work the register to complete customer transactions, put product away and help with animal care when needed.
Any exposure to chemicals? No
If yes, what chemicals: N/A
What are your future career plans & goals? I hope to work in the Vet Tech field one day.
What are your educational goals? I hope to go back to school to be a vet Tech.

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	Grant High School	4 Years
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?
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? Yes
If yes, how often? Wine on Special Occassions
Do you use recreational drugs? No
Are you currently taking any medications? No
Please describe any medical problems you have had: N/A
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
Please describe your personality and character: I am friendly, kind, outgoing, bubbly and caring.
What are your hobbies, interests and talents? I enjoy reading, music, caring for animals and singing.
Do you play a musical instrument? No
Do you have any particular athletic abilities? No
Do you have any artistic talents? No
What do you like to do in your spare time? I like to spend time with family, go for walks, cuddle with my animals and read.
Why do you want to be an Egg Donor? I would like to help couples start a family and it inspires me because one day i will need the same help as my husband is infertile.
What are your favorite books? My favorite book is the Mortal Instruments Series.
What are your academic strengths? English and Math
What accomplishments are you particularly proud of? My proudest accomplishment is being an assistant preschool teacher for two years.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I am honored to be able to help them start a family and am blessed to be a part of their journey.
Have you ever been an egg donor? Yes
If yes, when and with what clinic/doctor: North Star Fertility/Everie Egg Bank Dec 2023
If yes, number of times you’ve donated: 1 Donation
Have you ever been pregnant? No
How many children do you have? None
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).