Welcome to OLGA s Extended Donor Profile

Similar documents
Recording Patient Medical History

PERSONAL PORTRAIT. Attach photo here. This document is designed to provide important and relevant information. This Portrait was created on..

PROVIDENCE MOUNT ST. VINCENT Hand In Hand Assisted Living Apartments Residency Application/Pre-Admission Assessment I.

Care Plan. I want to be communicated to in a way I can understand. I would like to be able to express my needs and wants

Pediatric Solid Organ Transplant Preparing and What to Expect

Friday NITE Friends (Nursing in a Tender Environment)

Build A Better World. It was the second day of my first week working at this tiny hospital in Southwest Louisiana.

Patient Information. Date of Birth Sex Marital Status / / Male Female Single Married Other. Address

CURRICULUM VITAE PERSONAL DETAILS. Date of Birth: November 22, No. of children: 1. Able to drive: Willing to learn:

Adobe Captivate Wednesday, August 17, 2016

Oregon Army National Guard NCOs Stay Busy Stateside

What to Expect on. Your Surgery Day. at Seattle Children s Bellevue Clinic and Surgery Center

Project Aerospace ACE Academy Application

LET IT BEGIN WITH YOU! SELF CARE TIP SHEET FOR NURSES

Tribal Healing to Wellness Court

National Patient Experience Survey South Tipperary General Hospital.

University of Oklahoma Libraries Western History Collections. Joseph Jania Collection

Advance Care Planning Workbook Ontario Edition

Blake 13. Lori Pugsley RN MEd Massachusetts General Hospital March 6, 2012

A Guide to Your Surgery

Ready Set Go: A Transition Inventory. This inventory belongs to: (Student Name) School: Room: Teacher: Period: Top three interests:

DECLARATION AND CONSENT TO TREATMENT

Website: / Availability : Anytime (New Maid)

Name: Last First Middle. Date of Birth: / / Place of Birth: Current Address: Street City State Zip # of years

Your Guide to the Birth Experience at Shady Grove Adventist Hospital

ALABAMA INDEPENDENT SCHOOL ASSOCIATION MEDICAL HISTORY FORM

For the teacher: Encourage children to locate Jammu and Kashmir on the map of India.

People with a Learning Disability. Don t Miss Out! Your Annual Health Check

Maternity and Family Education

Hello and welcome to Beacon Medical Group. We are the home of both Beacon Family Practice and Beacon Pediatrics.

Enderle-Severson Transition Rating Scale - ESTR-III (A transition plan for students with more disabilities.)

ROTC Representatives Share Lessons From Service

From: AR Center (Arkansas Center for the Study of Integrative Medicine)! PLEASE READ FIRST!!

National Patient Experience Survey UL Hospitals, Nenagh.

Caregiver s journey map

Photodynamic Therapy (PDT)

The Social and Academic Experience of Male St. Olaf Hockey Players

CAHPS : Health Care Quality From Your Point of View

ADMISSION INFORMATION CHECKLIST

Get Ready KIDS FUN PACK! * Preparedness tips * Fun activities * Comics * Games * More!

4/24/2018. Learning Objectives. FOUR cornerstones of safety for home visits. Home Visitor SAFETY Workshop

A Guide to Your Surgery

A Guide to Your Surgery

CARING FOR YOURSELF TABLE OF CONTENTS. My Well-Being Chart. Caregiver Bill of Rights. Inspirational Bookmarks

THIRD PARTY RIDE-A-LONG PROGRAM

Application for Admission Instruction Sheet

Application for Admission Instruction Sheet

English Placement Test (EPT) Study Guide

Better Together Partnership Opportunities

Anchor Academy Registration Form. Last Name: Middle Name: First Name: Name Used: Address: City: State: Zip Code:

*Family Chiropractic Care* New Patient Information Worksheet*

Requirements for Membership & Application

Welcome Women s & Children s Pavilion Guide to your delivery

Wellness along the Cancer Journey: Caregiving Revised October 2015

STUDENT HOMESTAY APPLICATION FORM 2017

PLEASE WRITE YOUR DETAILS IN CLEAR BLOCK CAPITALS / / Address: Partnership status: Single Separated Divorced Married Co-habiting Widowed

2015 HEALTHMATTERS PROGRAM. Help yourself to. good health

by Elizabeth Jaffe HOUGHTON MIFFLIN

KERR COUNTY FAIR ASSOCIATION, INC QUEEN S SCHOLARSHIP PAGEANT APPLICATION

Darrell and Jane Tissot 4-H Endowment Fund Scholarship

Please answer the survey questions about the care the patient received from this hospice: [NAME OF HOSPICE]

A Guide to Your Surgery

PATIENT INSTRUCTIONS FOR PAPERWORK

Midwife of the Month Li Yan

Family Birth Place at Baptist Hospital

Compliments Received in January 2018

The Bronson BirthPlace

Martin Nesbitt Tape 36. Q: You ve been NCNA s legislator of the year 3 times?

Library Celebrates Tutors, Learners

Your guide to surgery at Elmhurst Hospital

MedicAlert NYC Wanderer s Safety Program and CaringKind: The Heart of Alzheimer s Caregiving

2018 New Family and Childbirth Classes

Love delivered daily. Love delivered daily. NEW PARENT. Handbook

17 Quick and Easy Fundraising Ideas for Small Groups

NAME SS# ADDRESS CITY STATE ZIP. TELEPHONE (home) (business) Cell SEX M F BIRTH DATE PLACE OFBIRTH RACE ETHNICITY LANGUAGE

Mailing Address: Work Phone: City, State, Zip: Cell Phone: Age: Sex: address:

Augsburg University, Minneapolis

Entrance Case History (Please write or print clearly)

Developmental Pediatrics of Central Jersey

A Guide to Your Surgery

Welcome Maternity Center Tour

WELCOME. St. Joseph High School. Scholarship Information Session. Counsellors: Mrs. Becker, Mr. Neitz

Easter Bunny, egg hunt, more at Spring Fling

Renée Rinaldi, MD Dahlia Carr, MD Ami Ben-Artzi, MD

Welcome to Cedars-Sinai PATIENT AND FAMILY GUIDE

Toolbox Talks. Access

Dodge. County. Schools

THE CATHOLIC UNIVERSITY OF EASTERN AFRICA STUDENT S PERSONAL DETAILS FORM

Year-End Fundraising Essentials. A free fundraising guide from your friends at Network for Good

BAND WEEKLY August 17 th, 2016

Mauldin Police Youth Academy Enrollment Application

Topic 3. for the healthy lifestyle: noncommunicable diseases (NCDs) prevention and control module. Topic 3 - Community toolkit.

Love delivered daily.

PAYMENT IS REQUIRED AT THE TIME SERVICES ARE RENDERED. THANK YOU!

Same Day Surgery Prep Book

FUND & FOOD DRIVE TOOLKIT

Allan Street Children's Unit Care Home Service Children and Young People 41 Allan Street Dalmarnock Glasgow G40 4RF Telephone:

The Connor Montgomery Cloud Memorial Scholarship for Veterans

My time spent at Chris Jensen Health & Rehabilitation Center

Polar Plunge. Freezin For A Reason

Transcription:

Welcome to OLGA s Extended Donor Profile OLGA voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General Information and characteristics Height: 5 1 Weight: 123 lbs Build: Slim Shoe size: 6 Clothing size: Small Skin tone: Medium Facial shape: Oval Lips: Medium Eyebrows: Brown Hair: Brown, medium thick and wavy I m always able to keep calm under stressful situations. Words that describe me would be funny, nice and leaderly. OLGA wears prescription lenses. She doesn t have any allergies. She has no medical conditions or physical abnormalities. OLGA resembles the American actress Naya Rivera. Click here for photos of Naya. Academics OLGA went to school for a total of 18 years, including primary school. After she graduated from high school, she enrolled at a technical school, where she earned her certificate as a medical assistant. She is currently utilizing her certification by working as a medical assistant at a doctor s office. She has also returned to school for nursing, and she plans to spend an additional four years on her education in order to complete her Bachelor s Degree in Nursing. Eventually, OLGA wants to work as a registered nurse in a hospital setting. She has worked in various retail and restaurant positions in order to support herself while she was in school. OLGA s native language is Spanish, and she speaks English and Portuguese as well. I work as a medical assistant, and I m in school to become a registered nurse.

Q&A with OLGA OLGA answers questions about her life, experiences, and good memories Which words describe your personality? Funny, nice, leaderly, friendly, optimistic. Describe your strong sides: Multitasking, I can do multiple things at one time without getting stressed out or overwhelmed. I m also able to keep calm under stressful situations and at delegating tasks at work. Describe your weak sides: I tend to take on too much at one time. What is your marital status? In a relationship. Do you have any children? No. Which types of sport do you play or have played? Volleyball. Do you smoke? No. Do you ride a bicycle? Sometimes. How much alcohol do you drink on average per week? None. Which countries have you visited: Dominican Republic, The Netherlands, United States. Describe the best holiday you have had: When I got to spend Christmas with my family on a trip to New York. What do you like the most about your own country: Since I was born in Amsterdam, Netherlands from what I can remember the things I liked most were the sights and the very tall buildings. Which other types of sports are you interested in? Tennis, basketball. List any other hobbies you may have or have had: Exercising, hiking, running, reading, playing video games. List which musical instruments you play or have played: None. Religion: Pentecostal. How many hours of sleep do you get on an average night? 7. Do you eat healthy? I try.

Q&A with OLGA - continued OLGA s dreams, favorites and experiences Who are your idols/heroes/heroines? My mom and my sister are my biggest inspirations. They have always been there from me through the best and worst of times. They have taught me to always keep going even when I fall, they remind me to pick myself back up and to keep trying. What are your goals in life? My current goals in life include graduating from my nursing program and working as an registered nurse in a hospital. Eventually, I would like to get married. What is your favorite kind of pet: Dog, it s the best friend a human can have. What is your favorite time of year: Fall. What is your favorite book and/or author: There are too many to choose just one! What is your favorite movie and/or director: White Chicks. What were your childhood dreams: I always wanted to grow up and become a firefighter. Which values do you rank the highest? Family. Which childhood experience made the biggest impression on you? I vividly remember to church on Sundays with my mom and siblings. Which was your greatest experience or moment? Getting my own apartment. Happiest: Meeting my boyfriend. Funniest: Running through a muddy path with my sister and falling on my back. Scariest: Moving out on my own. Proudest: Becoming certified as a medical assistant. Most dangerous: Visiting a new country by myself. Greatest sorrow: Losing a good friend. What is your favorite color? Black, it matches with everything. What is your favorite animal? Giraffe, they can reach anything. What is your favorite kind of food? Mexican, it s spicy and delicious. What is your favorite kind of music: I like a little bit of everything, but I mostly listen to R&B, hiphop and rap music. What is your favorite kind of car: Jeep Wrangler, they re awesome.

OLGA s family tree Information about OLGA s siblings, parents and grandparents Paternal Grandfather Age: 80 Education: Dental School Occupation: Dentist Weight: 180 lbs Hair color: Dark Brown Eye color: Green Paternal Grandmother Age: 70 Education: High School Occupation: Homemaker Height: 5 2 Weight: 98 lbs Maternal Grandfather Age: 82 Occupation: Sales Weight: 205 lbs Maternal Grandmother Age: 73 Occupation: Homemaker Height: 5 0 Weight: 163 lbs Father Age: 50 Education: Police Academy Occupation: Security Weight: 200 lbs Eye color: Green Mother Age: 46 Education: Nursing Occupation: Nurse Height: 4 11 Weight: 110 lbs Sister Full or half: Full Age: 26 Education: Associate s Degree Occupation: Medical Assistant Height: 4 11 Weight: 135 lbs Brother Full or half: Full Age: 17 Occupation: Student Height: 5 9 Weight: 120 lbs

A personal message from OLGA My motivation for being a Cryos International donor Extended Profile data filled out on 17DEC2016 Layout and design modified on 07JAN2017