Age: 18

Location: New Holstein, WI

Ethnicity: Hispanic or Latino

Compensation: $8,000.00

Available: Now

Previous: No

Proven: No

Age (at time of application): 18
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
If yes, what language(s)? N/A
Religion: Christian
Are you practicing? Yes
Height: 5'0"
Weight: 109
Eye Color: Brown
Hair Color: Black
Skin tone: Light Brown
Blood type if known: Unknown
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): Freckles
Number of Siblings: 3
Sisters: 1
Brothers: 2
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	37	5'4"	200	Black	Brown
Biological Father	53	5'6"	170	Black	Brown
Sibling/Male	16	5'6"	190	Black	Brown
Sibling/Male	15	5'6"	167	Black	Brown
Sibling/Female	22	5'2"	191	Brown	Brown
Sibling
Grandmother (mother's side)
Grandfather (mother's side)
Grandmother (father's side)
Grandfather (father's side)

College/University/Vocational School: N/A
Major: N/A
GPA: N/A
Did you take the SAT or ACT? No
If yes, score-
SAT: N/A
ACT: N/A
Favorite subjects in school: N/A
Current Occupation & summary of job duties: Packing - I work in a factory packing kits of torches, cylinders for oxygen, propane and butane.
Any exposure to chemicals? No
If yes, what chemicals: N/A
What are your future career plans & goals? I would love to own my own business someday.
What are your educational goals? I would like to study business administration.

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	Vocacional Salvador Fuentes Valentin	3 years/Graduated Early
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: N/A
Were the results normal? N/A
Are you currently using birth control? Yes
If yes, which type & for how long? Skyla IUD - 14 Months, it lasts for 3 Years
Do you have a regular monthly menstrual cycle (every 21-35 days)? No - Because of the IUD
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 - My Grandfather
Arrhythmia? No
High cholesterol? No
Atherosclerosis? No
Diabetes? Yes - My Grandmother
Thyroid problems? No
Blood clotting disorder? No
Anemia? No
Learning disability/ies? No
Blindness? Yes - My brother and i wear glasses
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 Aunt
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 would say I am a person with strong character and am very sweet.
What are your hobbies, interests and talents? I like to write ( especially poetry), I love fairs and making cakes.
Do you play a musical instrument? No
Do you have any particular athletic abilities? Yes
Please explain: As a teenager I was into tennis, volleyball, soccer and competitions.
Do you have any artistic talents? No
What do you like to do in your spare time? Usually in the summer I like to go to fairs. I love adrenaline! In the winter I like ice skating and going to the movies.
Why do you want to be an Egg Donor? I always wanted a family, my boyfriend and I decided we will not have babies and dedicate our lives to ourselves. But I would like to help other families full fill their dream.
What are your favorite books? My favorite book is "Inquebrantables" in Spanish. It's about helping others at the same time helping yourself. It's inspirational.
What are your academic strengths? When I was 10 years old they gave me an IQ test and my results were 139, so I was gifted. I got high honors at my high school graduation.
What accomplishments are you particularly proud of? I Graduated from High School when I was 16 years old, in Puerto Rico. I had my own business making cakes and cupcakes.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? Enjoy the privilege of being able to give life, to be able to feel life and create life. It's just beautiful. I know it's everything you've ever wanted and you'll finally get it.
Have you ever been an egg donor? No
If yes, when and with what clinic/doctor: N/A
If yes, number of times you’ve donated: N/A
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 Anonymous (Intended Parents do not meet you or have your contact information. This is the most common form of egg donation).