Friend Referral

Hello & Welcome

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

"*" indicates required fields

Name*

First Last

Consent*

We will use the information below to help guide you. This form is not an application. If you decide to apply, you will need to fill out an application 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

Let us know who referred you.

Feel free to include comments or questions (optional).

Name

This field is for validation purposes and should be left unchanged.