Friend Referral

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Hello & Welcome!

You have arrived at our Friend Referral form. Complete this form to begin your eligibility check with Capital IDEA. We look forward to talking with you soon!

Name*
First Last
Consent*
Please be aware that the information you provide below will be used to guide a discussion about your interests and eligibility. This form is not an application. If you decide to apply, you will need to complete additional forms and submit documents to confirm your eligibility. Click below to give Capital IDEA permission to contact you.
I give permission for Capital IDEA to contact me.
About Me
My Career Interests*
Please list your top 1-3 careers. These can be specific degrees or job titles that interest you. If you need to review, our list of sponsored careers can be found in our Career Directory.
First Choice Second Choice Third Choice
My Highest Level of Education*
Where I Live
My County*
My City
Income Eligibility
My Income Eligibility Status*
Which best describes you?
- I'm pretty sure I'm income eligible
- I don't know if I'm income eligible
- I'm close to the maximum and unsure if I qualify
Contact Information
Phone*
Email*
My Preferred Contact Method*
How would you like us to reach out to you?
- Phone call is my first choice
- Text message is my first choice
- Email is my first choice
Send a comment or question (optional)

Friend Referral

About Me

Where I Live

Income Eligibility

Contact Information