Age: 20

Location: Newkirk, OK

Ethnicity: White

Compensation: $8,000.00

Available: Yes

Previous: No

Proven: No

Age (at time of application): 20
Ethnicity: White
Mother's Ethnicity: White
Father's Ethnicity: White
Do you speak any language(s) other than English? No
If yes, what language(s)? N/A
Religion: Christian
Are you practicing? Yes
Height: 5’6”
Weight: 130
Eye Color: Blue
Hair Color: Brown
Skin tone: Medium Light
Blood type if known: O -
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): No
Number of Siblings: 4
Sisters: 2
Brothers: 2
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	42	5'1"	110	Blonde	Blue
Biological Father	44	6'1"	190	Brown	Brown
Sibling/Male	17	6'0"	165	Brown	Brown
Sibling/Male	10	4'10	90	Brown	Brown
Sibling/Female	22	5'6"	120	Blonde	Brown
Sibling/Female	15	5'3"	120	Brown	Brown
Grandmother (mother's side)	68	5'6"	140	Blonde	Brown
Grandfather (mother's side)	72	6'2"	195	Brown	Blue
Grandmother (father's side)	66	5'10"	140	Blonde	Blue
Grandfather (father's side)	71	5'11"	200	Beown	Brown

College/University/Vocational School: Cowley College
Major: STEM
GPA: 4.0
Did you take the SAT or ACT? Yes
If yes, score-
SAT: N/A
ACT: 24
Favorite subjects in school: Health Science
Current Occupation & summary of job duties: Phlebotomist/Medical Assistant
Any exposure to chemicals? No
If yes, what chemicals: N/A
What are your future career plans & goals? Draw and transport blood of patients
What are your educational goals? Complete my Bachelors degree in a Health Science program

Level of Education	Name of School	Date Completed (MM/YYYY)
GED
High School	Newkirk High School	May/2022
College/University	Cowley College	May/2024
Bachelor's Degree
Associate Degree	Cowley College	May/2024
Master's Degree
Other:

Health History:
Have you ever been pregnant? No
If yes, when? N/A
Do you have any children? No
If yes, how many? N/A
Have you ever placed a child up for adoption? No
If yes, when? N/A
Any history of infertility in your family? No
If yes, what? N/A
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? Pill - 2 Months
Do you have a regular monthly menstrual cycle (every 21-35 days)? Yes
Do you smoke? No
Do you drink alcoholic beverages? No If yes, how often? N/A
Do you use recreational drugs? No If yes, explain: N/A
Are you currently taking any medications? No If yes, what medication? N/A
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 very outgoing and competitive. I care a lot about others and want others to feel heard. i am determined and committed to everything I do.
What are your hobbies, interests and talents? Anything to do with sports and activities. I recently learned to crochet, and love learning about the medical field. I am a 3 time state qualifier in track.
Do you play a musical instrument? Yes If yes, what? Ukulele
Do you have any particular athletic abilities? Yes Please explain: College Athlete in both Basketball and Track
Do you have any artistic talents? No Please explain:
What do you like to do in your spare time? I like to read psychological thrillers, spend time with my family, especially my siblings, i enjoy driving around and listening to good music.
Why do you want to be an Egg Donor? I believe everyone has the right to a family and if I can be of any help to anyone to help them in that process I would love to use my good health for their good.
What are your favorite books? My favorite book is anything by Lucinda Berry. But I enjoy any book that makes you think.
What are your academic strengths? I have a 4.0 college level GPA and have a lot of strength in Math and Science.
What accomplishments are you particularly proud of? I am proud of competing in 2 college sports and maintaining a perfect academic record as well.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I hope to be a step in your process to help you in any way I can. I hope you get all you have hoped for and I hope to make this journey a success for you!!
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? N/A
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).