PHYSICAL CHARACTERISTICS
| Height: 6' 0" | Weight: 185 | Hair Color: Blond |
| Eye Color: Brown | Hair Type: Straight | Complexion: Fair |
| Race: Caucasian | Mother's Ethnic Background: German
Father's Ethnic Background: German |
|
| Blood Type: A + | ||
FAMILY AND MEDICAL HISTORY
For each item below, if there is a history of the condition,
the condition poses a risk of one percent or less to offspring.
The family relationship is indicated.
| Alcoholism: | Edema: | Mental disorders: |
| Allergy: | Emphysema: | Mental retardation: |
| Anemia: | Epilepsy: | Miscarriages: |
| Asthma: | Glaucoma: | Stillbirths: |
| Blindness: | Goiter: | Migraine: |
| Cancer: | Gout: | Muscular dystrophy: |
| Cataracts: | Heart attack: | Myasthenia gravis: |
| Cirrhosis: | Heart disease: | Paraplegia: |
| Cleft palate or lip: | Hemophilia: | Parkinson's: |
| Club foot: | Hermaphroditism: | Psoriasis: |
| Color blindness: | Hernia, inguinal: | Sickle cell anemia: |
| Cystic fibrosis: | Huntington's chorea: | Tay Sachs disease: |
| Deafness: | Hypertension: | Thalassemia: |
| Diabetes: | Jaundice: | Undescended testicles: |
| Dislocated hip: | Juvenile arthritis: | |
| Eczema: | Lymphedema: |
ABBREVIATIONS: M=Mother, or Maternal S=Sibling
F,P=Father, or Paternal
N=Nephew or Niece GF, GM=Grandfather, Grandmother
A=Aunt U=Uncle C=Cousin
MEDICAL HISTORY COMMENTS: No history of any of the above.
| EDUCATION: | Subject of study | Location of University | Type of University |
| > 1 year college | |||
| Baccalaureate Degree | Finance | Oregon | large state university |
| Master's Degree | |||
| Professional Degree |
OCCUPATION: Systems Network Engineer
STATE OF BIRTH: Oregon YEAR OF BIRTH: 1971 RELIGION: N/A
Social History:
1. Do you have any special talents?
Very musical and athletic. Made all-conference in high school for Oregon.
2. Are there any special talents that seem to run in your family? (athletics, music, artistic, etc.)
Both sides of family very athletic. Uncles played sports in college
and high school.
3. What are your interests and hobbies?
Golf: playing in tournaments.
Olympic Weight Lifting: about 3 years.
Computers: for 6 to 7 years.
Music: percussion and piano; instructing: 10 years.
4. What did you enjoy studying in high school and college?
Finance, economics, learning how money creates money.
5. High School GPA 3.5 College GPA 3.25 I.Q.
6. How would you describe your personality characteristics?
Have a sense of humor, with a sense of stubborn nature. More of a leader
than a follower. Considerate of others but take charge. Very competitive,
do not like to lose.
7. Undergraduate major: Finance
Graduate major:
Additional Descriptive Characteristics:
Handedness: Foot/Shoe Size:
Hairy Chest: Hairy: Beard Color:
Any Distinguishing Features (Dimples, Cleft Chin, Roman Nose, Freckles,
etc.):
Acne problems:
Reactivity/Sensitivity to sun exposure:
Do you smoke?
No
Family Social History:
| Education | Occupation | Interests | |
| PGF | high school | manager of Onion Shed | retirement |
| PGM | high school | secretary | retirement |
| MGF | high school | post master | retirement traveling |
| MGM | college | high school teacher | retirement traveling |
| Father | college | owns many farming businesses | farming |
| Mother | AA | employed at Boeing | crocheting |
| Cousin | college | head pro/golf | golfing |
| Cousin | college | club pro/golf | golfing |
| Aunt | college | stock broker | social events |
| Aunt | college | instructor for Boeing Athletic Club | fitness |
| Aunt | high school | owns decorating business | fashion design |
| Uncle | college | nurse for ICU | children |
| Uncle | college | manager of Onion Shed | golfing |
| Uncle | college | programmer for Boeing Space Center | new horse |