Age: 19

Location: Orlando, FL

Ethnicity: Hispanic or Latino

Compensation: $8,000.00

Available: Now

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? Yes
If yes, what language(s)? Spanish
Religion: Catholic
Are you practicing? Yes
Height: 5’3”
Weight: 130
Eye Color: Brown
Hair Color: Black
Skin tone: Medium Brown
Blood type if known: A +
Left or Right handed: Right Handed
Distinguishing features (Dimples, Cleft chin etc...): One dimple on my right cheek
Number of Siblings: 0
Sisters: 0
Brothers: 0
Are you adopted? No

Family Member	Age	Height	Weight	Hair Color	Eye Color
Biological Mother	39	5'0"	130	Dark Brown	Brown
Biological Father	40	5'6"	179	Black	Brown
Sibling
Sibling
Sibling
Sibling
Grandmother (mother's side)	58	5'2"	150	Blonde	Green
Grandfather (mother's side)	60	5'6"	190	Black	Brown
Grandmother (father's side)	56	5'2"	130	Black	Green
Grandfather (father's side)	62	5'6"	176	Black	Brown

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: Science and Math
Current Occupation & summary of job duties: Waiter - I seat and serve guests, take orders, remove dinner ware with practice pacing. Staffed bar and mixed drinks for bar patrons. Ensured cleanliness of dining and bar area throughout the day. Complied nightly sales numbers and profits.
Any exposure to chemicals? No
If yes, what chemicals: N/A
What are your future career plans & goals? I want to become a business owner.
What are your educational goals? I want to study economics, and business administration.

Level of Education	Name of School	Date Completed (MM/YYYY)
GED	Department of Education	August 14, 2024
High School
College/University
Bachelor's Degree
Associate Degree
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? I have not had one
Are you currently using birth control? Yes
If yes, which type & for how long? Ethinyl Estradiol - 2 ½ Months
Do you have a regular monthly menstrual cycle (every 21-35 days)? No
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? Yes - Aunt on Fathers side had Polycystic Ovaries.
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 - Paternal Grandfather has diabetes
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? Yes - Dads side of the family, all have a common small birth mark on the right side of their lower back.
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 positive person who enjoys listening to others and cares deeply for my loved ones. I am also a determined individual who always strives to achieve every goal I set for myself.
What are your hobbies, interests and talents? I love to travel and meet new people, trying new foods, and enjoying the little moments in life.
Do you play a musical instrument? No If yes, what? N/A
Do you have any particular athletic abilities? No
Please explain: N/A
Do you have any artistic talents? No Please explain: N/A
What do you like to do in your spare time? I enjoy spending time with my family and friends. Exploring different restaurants, trying new foods, and discovering new activities like pilates or cooking classes.
Why do you want to be an Egg Donor? I would like to become an egg donor because I truly empathize with the struggles of parents facing fertility and I want to help them realize their dream of becoming parents.
What are your favorite books? The 48 laws of power, The richest man in Babylon, and Metaphysics.
What are your academic strengths? Discipline, communication, time management and leadership.
What accomplishments are you particularly proud of? I am proud of how far I’ve come in my process to heal myself in my spiritual, physical, and mental way. I know that it is a never stopping process and that I will always learn and heal more.
If you could pass on a message to the recipient(s) of your egg donation, what would that message be? Thank you for allowing me to be apart of your future family. I wish you and your family nothing but the best and success. I will always be willing to donate in the future, if you decide on an additional child. It makes me really happy to be able to help you during such an important part of your life.
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? N/A
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).