Apply Now

SH 1322

Personal Information
  • Body Type
    Athletic
  • Height
    5 ft 7 in
  • Weight
    140
  • Any recent change in weight?
    No
  • Bone structure
    Medium
  • Body and facial features
    Medium
  • Dexterity
    Right handed
Skin & Teeth
  • Tan ability
    Slight
  • Skin condition
    Combination
  • Dimples
    No
  • Teeth condition
    Fair
  • Orthodontic work?
    Yes
  • How old were you?
    12
Eyes, Vision and Hearing
  • Eye color
    Blue
  • Eye shape
    Oval
  • Eye size
    Large
  • Eye set
    Average
  • How is your vision?
    Good
  • Do you need glasses or contact or have had corrective laser surgery?
    No
  • Do you have astigmatism?
    No
  • How is your hearing?
    Good
Hair
  • Hair color
    Dark blonde
  • Hair texture
    Medium
  • Hair fullness
    Thick
  • Baldness
    No
  • Premature graying?
    No
Sexual History
  • Marital status
    Married
  • Living arrangement
    Living together with a sexual partner
  • Sexual orientation
    Heterosexual
  • Total number of sexual partners in the last month
    1
  • Total number of sexual partners in the last 6 months
    1
  • Total number of sexual partners in the last 5 years
    2
  • Current sexual practice
    Vaginal
  • Past sexual practice
    Vaginal, Oral given, Oral received
  • Have you had sexual contact with a person who has injected drugs for a non-medical reason? (includes intravenous, intramuscular or subcutaneous injections)
    No
  • Have you had sexual contact with a person who has hemophilia or another blood clotting disorder who may have received human derived blood clotting factors?
    No
Sexual History
  • Have you engaged in sexual contact in exchange for money or drugs?
    No
  • Have you engaged in sexual contact with a person who has had sex in exchange for money or drugs?
    No
  • Have you had sexual contact with any person known or suspected to have infection with HIV (AIDS), a positive HIV test, Hepatitis B infection, Hepatitis C infection, Zika Virus, or any other sexually transmitted infection?
    No
  • In the last year, have you had vaginal intercourse without the use of a condom?
    Yes
  • Have you had sexual contact with a man who is homosexual or bisexual?
    No
  • Have you had sexual contact with an individual who was born in or lived in any of the following countries since 1977: Cameroon, Central African Republic, Chad, Congo, Equatorial Guinea, Gabon, Niger or Nigeria?
    No
Race and Ethnicity
  • Race
    Caucasian
  • Are you adopted?
    No
  • Mother
    Unknown likely European
  • Maternal grandmother
    Unknown likely European
Race and Ethnicity
  • Maternal grandfather
    Unknown likely European
  • Paternal grandmother
    Norway
  • Paternal grandfather
    England
  • Religion
    Christianity
Menstrual
  • Age at which you had your first period
    11
  • I sometimes have bleeding after intercourse
    No
  • I sometimes have bleeding in between my normal periods
    No
  • Longest number of days of bleeding
    6
  • Shortest number of days of bleeding
    3
  • Longest time from the start of one period to the start of the next
    35
  • Shortest time from the start of one period to the start of the next
    26
Gynecologist visits
  • Have you ever been told you might have trouble having children?
    No
  • Have you ever had a pelvic exam?
    Yes
  • Have you ever had an abnormal PAP smear?
    No
Use of birth control
  • Oral Contraceptives (birth control pills)
    Currently
  • Birth Control Patches (Xulane)
    Never
  • Progesterone Injections (Depo-Provera)
    Never
  • Progesterone Implants (Implanon, Nexplanon)
    Never
  • Intrauterine Device (IUD) Paragard, Mirena, Kyleena, Liletta, Skyla
    Never
  • Barrier contraceptives (Condoms, Diaphragms, Cervical caps)
    Currently
  • Sterilization (tubal ligation, Essure tubal plugs)
    Never
Pregnancy History
  • Tell us about your pregnancy history
    I have never been pregnant and have never tried to become pregnant
Tattoos and Piercings
  • First time
    2010-08-01
  • Was this a Tattoo or Piercing?
    Piercing
  • Location on Body:
    ears
  • Location on Body:
    ears
  • Location on Body:
    ears
  • Was this a Tattoo or Piercing?
    Piercing
  • Location on Body:
    ears
Lifestyle
  • Athletic talents
    Gymnastics
  • Interests or Hobbies
    Art/Crafts, Outdoors, Music, Pets, Reading, Baking / Cooking, Interior Design
  • Amount of exercise
    Occasional
  • Type of exercise
    Biking, Dance, Yoga
  • Quality of diet
    Good
  • Type of diet
    Any
Drugs and Alcohol
  • Alcohol use
    Current use
  • Tobacco use
    Never
  • Heroin or opiates
    Never
  • Cocaine, crack
    Never
  • Crystal meth
    Never
  • LSD / Acid
    Never
  • PCP / Angel Dust
    Never
  • Other illegal drugs not listed above
    Never
Legal history
  • I have been in trouble with the law
    No
  • I have been arrested before, but not convicted.
    No
  • I have been convicted of a crime.
    No
  • I have spent at least one hour in jail or prison.
    No
  • I have spent more than 72 consecutive hours in prison in the last year.
    No
Medical History
  • Have you injected drugs for a non-medical reason in the last 5 years?
    No
  • Do you have hemophilia and/or received human-derived clotting factor concentrates in the last 5 years?
    No
  • Have you in the last 12 months lived in the same dwelling with another person with hepatitis B infection or hepatitis C infection?
    No
  • Have you been exposed in the preceding 12 months to known or suspected HIV (AIDS), Hepatitis B, and/or Hepatitis C infected blood through a needle stick or through contact with an open wound, non-intact skin, or mucous membrane?
    No
  • Have you ever been diagnosed with any form of hepatitis?
    No
  • In the last 12 months, have you gotten a new tattoo, ear piercing or body piercing, or had acupuncture treatment in which NON STERILE instruments may have been used?
    No
  • In the last 8 weeks, did you receive a smallpox vaccination (vaccinia virus)?
    No
  • In the last 12 months, have you had any contact with someone who received a smallpox vaccination or who was diagnosed with smallpox?
    No
  • Have you ever been diagnosed with smallpox?
    No
Defects
  • Birth defects / Congenital abnormalities
    None
  • Chromosome abnormalities
    None
  • Specific genetic mutations and variants
    None
  • Cancer
    None
  • Cancer (Other)
    cancer-other
CJD - Creutzfeldt–Jakob disease
  • Has one or more blood relatives been diagnosed with CJD?
    No
  • Have you ever received injections of human pituitary-derived growth hormone?
    No
  • Have you ever received a dura mater transplant?
    No
  • Have you ever been diagnosed with dementia or any degenerative or demyelinating disease of the central nervous system (CNS) or other neurological disease of unknown etiology?
    No
Medical History
  • In the last 12 months, were you diagnosed with or treated for West Nile Virus?
    No
  • In the last 12 months, were you diagnosed with or treated for Syphilis?
    No
  • In the last 12 months, were you diagnosed with or treated for Chlamydia or gonorrhea infection?
    No
  • Have you ever received a blood transfusion?
    No
  • Have you ever been turned down to be a blood donor?
    No
  • Have you ever received a transplant of any tissue, cells or fluids from a non-human, animal source?
    No
  • Have you ever had intimate contact with a recipient of a transplant of any tissue, cells or fluids from a non-human, animal source?
    No
  • Were you born in or did you live in any of the following countries since 1977?
    No
  • Did you have a blood transfusion or have any medical treatment involving blood in any of the following countries since 1977?
    No
  • Have you been vaccinated in the last 6 months?
    No
Other Risk Factors
  • Neurologic problems
    None
  • Diseases with genetic risk factors
    None
  • Infectious diseases
    infectious-diseases
  • Problems that affect fertility
    None
CJD - Creutzfeldt–Jakob disease
  • Have you ever been diagnosed with vCJD or any other form of CJD?
    No
  • Have you received any transfusion of blood or blood components in the U.K. or France between 1980 to the present?
    No
  • Have you lived cumulatively for 5 years or more in Europe from 1980 until the Present?
    No
  • Are you a current or former U.S. military member, civilian military employee, or dependent of a military member or civilian employee who resided at U.S. military bases in
    No
  • Have you spent three months or more cumulatively in the U.K. from the beginning of 1980 through the end of 1996?
    No
Family Medical
  • Family Birth defects / Congenital abnormalities
    None
  • Family Chromosome abnormalities
    None
  • Family - Specific genetic mutations and variants
    None
Table
  • Family - Cancer
    Breast Cancer, Lung cancer
  • Family cancer comments
    My grandparents were heavy smokers. We have no reason to believe it is hereditary or genetic
  • Family - Neurologic problems
    None
  • Family - Diseases with genetic risk factors
    High Blood Pressure
  • Family disease comments
    HBP only present in smokers
  • Family - Problems that affect fertility
    None
Education
  • High school
    Graduated high school
  • College
    Attended but did not graduate
  • What is/was your college major?
    Performance/Event Management
  • Trade school
    I did not attend a trade school
Education
  • How many languages do you speak
    1
  • Which languages do you speak?
    English; not fluent but understand quite a bit of Spanish and French
  • Musical training or talents
    Other
  • Musical training or talents (other)
    Musical Theatre
  • Artistic training or talents
    Other
  • Artistic training or talents (other)
    Contemporary Dance and Drum Corps Color Guard
  • Current employment (other)
    unstable employment due to pandemic
  • Current employment
    Other
Donor Info
  • Egg donation experience
    More than 1 previous egg donation
  • If you have donated before, how many times?
    2
  • Personal statement

    As a young woman, I’m enjoying the journey of life with all its twists, turns, detours, and pit stops. I’d like to think I’m taking the scenic route, unexpected and awe inspiring.

    Here in xxx Florida, my local weekend adventures usually lead me to a beach. I find it so refreshing to get away from the city. The smell of the salt water always brings back memories of attending college classes in xxx xxx xxx where I was on scholarship for my university’s Dance Performance program. While I haven’t danced competitively since auditioning and being cast in my dream role, I don’t believe dancing ever truly leaves your soul. I know it will stay with me forever. I’ve been living my dream since 2013 and it has been my biggest blessing, and an even bigger lesson in patience. It’s so hard to describe exactly what I do, mostly because it is different almost every day, but it is the perfect combination of dancing, storytelling, teaching, and most importantly, I get to love on children of all ages and backgrounds.  It truly has been a perfect fit.

    Because I never know what my day might hold, I like to always carry a Sudoku puzzle book or some light historical fiction, or even just an empty notebook with me to pass time. When I stay home, I usually turn to a movie from my collection while I make a mess in the kitchen with a new recipe. I’m always looking forward to my next turn to host game nights with my friends. I like to think of myself as a social homebody. My guest room is always ready for any friend or family member visiting, and I try to keep my home a welcoming place people want to be. I’m lucky enough to live near a beautiful state park, with a backyard that backs up to someone’s farm. Their horses and cows frequently visit with my rescued Shepard mix through the fence. As our own little joke, we refer to them as “The cowncil meetings.” I also recently adopted a kitten and the two together bring me so much joy and laughter.

    The next chapter of my life should be an exciting one. As my fiancé and I plan our upcoming wedding, we certainly have a lot of opportunities to explore. I was recently offered a position as event manager of our church campus. I’m looking forward to exercising my logistic and communication background in a very different context. I hoping to finish my degree in the upcoming semesters, but haven’t quite committed to studying business or early child development. We dream of someday moving home to Texas to raise our future family and start our own traditions.

    My flexible schedule, healthy genetic make up, active lifestyle, love of travel, and willingness to give make me the ideal candidate for donation. You'll hopefully find my physical appearance pleasing and my medical history will show that my family has not had any illnesses that may be passed on. My previous donations have been very successful and an enriching experience. I’m excited to start my next cycle. I hope my diverse interests will help me stand out among other candidates. Mostly, I'm so happy to help sweet and loving families like yours!

Donor Info
  • I am interested in becoming a donor because:
    I know someone with infertility and always wanted to help, I think it would be a rewarding experience for me
  • Access to the office
    Far away
  • Donor Type
    Known Donors

You May Also Be Interested In

IVF1Match

c/o Naperville Fertility Center
5 North Dr. Randy Morris Drive
Naperville, IL 60540
1-630-357-6540

Prospective Parents

Egg Donors

Resources

Skip to content