Interviewer Name:________________________________________________________________

E-Mail Address:   ________________________________________________________________
 

Interviewee's Name:_______________________________________________________________

E-Mail Address:   ________________________________________________________________

Present Job/title:__________________________________________________________________

School name and level:_____________________________________________________________

From (city, state):_________________________________________________________________
 

One interesting thing that was seen or happened on the way from home to CSU, Chico:

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One favorite website or use of Internet/telecommunications:

______________________________________________________________________________

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