Age: 19

Location: Humble, TX

Ethnicity: Hispanic or Latino

Compensation: $8000.00

Available: Yes

Previous: No

Proven: NO

Age (at time of application): 19
Ethnicity: Hispanic or Latino
Mother's Ethnicity: Hispanic or Latino
Father's Ethnicity: Hispanic or Latino
Do you speak any language(s) other than English? No
Religion: Catholic
Are you practicing? Yes
Height: 5’4
Weight: 153lbs
Eye Color: Brown
Hair Color: Black
Skin tone: Neutral
Blood type if known: Unknown
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): Dimples
Number of Siblings: 0
Sisters: 0
Brothers: 0
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	43	5'2	135lbs	Black	Brown
Biological Father	38	6'2	235lbs	Brown	Hazel
Sibling
Sibling
Sibling
Sibling
Grandmother (mother's side)
Grandfather (mother's side)
Grandmother (father's side)		5'1	300lbs	Brown	Green
Grandfather (father's side)

College/University/Vocational School: N/A
Did you take the SAT or ACT? Yes
If yes, score-
SAT: 1240
ACT: N/A
Favorite subjects in school: Math
Current Occupation & summary of job duties: Unemployed
Any exposure to chemicals? No
What are your future career plans & goals? I plan on going to the navy in about a year
What are your educational goals? I want to get my bachelors through the navy in a law enforcement position

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	Tomball Memorial High School	2023
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? Results were normal on 02/16/2019
Are you currently using birth control? No
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? 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 a very outgoing and kind person very talkative, I make friends with everyone and everywhere.
What are your hobbies, interests and talents? My hobbies is doing nails and going to the gym.
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 love to go outside take my pets on a walk.
Why do you want to be an Egg Donor? I want to be an egg donor because I love helping people and just knowing that I will be helping a family out there makes me very happy and proud of myself.
What are your favorite books? I do not like to read it makes me sleepy I am a very active person.
What are your academic strengths? My academic strengths are any mathematical things like calculus algebra or geometry.
What accomplishments are you particularly proud of? Some of my accomplishments that I am mostly proud of is being licensed as a nail technician at the age of 19 and as well as being licensed as a tax preparer it makes me really proud to say and I am very thankful for what I have.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? Everything will work out have faith.
Have you ever been an egg donor? No
Have you ever been pregnant? No
How many children do you have? 0
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).