ITV Student Profile
Sheet: Winter 1999
ANTH 370: Third World Communities
Directions: Please take a few minutes to fill out this form. When
you have finished, please leave it in the mail tray in the Computer
Lab. You may return it immediately to the Instructional Television
Network or mail to ITV before the first class meeting. The ITV
office is located on the CSUB campus in the Stiern Library, Lower
Level , east entrance only. If you prefer mailing your profile
sheet , please return it to the address below.
Social Security Number: ______________________________
Name:_________________________________________________
Address:______________________________________________
............(City)...................(State).....(Zip)
E-Mail Address: ______________________________________
On-Campus Student: Yes ______ No ______
Home Cable Enrollment: Yes ______ No ______
Home Phone: ( ) ______________________________________
Work Phone: ( ) ______________________________________
Fax Phone: ( ) _______________________________________
Please indicate any cross-cultural experiences that you have had
(e.g. travel in other countries):______________________________________________
_________________________________________________________________________
Have you previously taken
a cultural anthropology course?
Yes _____ No _____
If yes, specify: _________________________________________________________________
Reason for enrolling in this course:
General Education Credit _______________
Liberal Studies Major __________________
Other? _________________________________
Instructional Television Network
California State University, Bakersfield
9001 Stockdale Highway, Bakersfield, CA 93311-1099