Friend Referral

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Hello & Welcome!

You have arrived at our Friend Referral form. Complete this form to register your interest in Capital IDEA. We’ll use your answers to start your eligibility check and to provide you with more information. Once you’re done, hit submit, and we’ll be in touch soon!

Note: If you were not referred by a Capital IDEA student or graduate, please use our regular contact form to get in touch: Contact Us »

Name*
First Last
Consent*
The information provided in this form will be used to guide a discussion about your interests and eligibility. It is not an application. If you decide to apply, you will need to complete additional forms and submit supporting documents to confirm your eligibility. All information provided to Capital IDEA will be kept strictly confidential and will not be discussed or shared with outside persons or organizations. Click below to give Capital IDEA permission to contact you.
I give permission for Capital IDEA to contact me.
I was referred by...*
Please tell us the first and last name of the student or graduate who referred you.
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*
My Citizenship Status
My Family Size*
Include yourself, spouse/partner, and dependents. If you have roommates, do not include them.
Please enter a number from 1 to 12.
My Place of Residence
My County*
My Address*
Street Address Address Line 2 City State ZIP Code
Income Eligibility
Household Monthly Income*
What is the total monthly income for your household? Include your income and your spouse or partner's income. Do not include the income of your roommates or parents (for young adults living at home).
Please enter a number greater than or equal to 0.
Other Income*
Do you receive benefits or other support that be might be counted as income? Ex. child support, food stamps, etc.
- Yes
- No
- Unsure
Contact Information
Phone*
Email*
My Preferred Contact Method*
How would you like us to reach out to you?
- Phone
- Email
Send a comment or question (optional)

Friend Referral

About Me

My Place of Residence

Income Eligibility

Contact Information