Friend Referral

Hello & Welcome

You have arrived at our Friend Referral form. We’re glad you have an awesome friend who cared enough to share this link with you. If you are the awesome friend, use the social links above to share this page with your friends, family, and neighbors. They’ll thank you for it!

Let’s get things started! Complete this form to begin your eligibility check with Capital IDEA. We look forward to talking with you soon!

About Me

Name(Required)

First Last

Career interests(Required)

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

Highest level of education(Required)

County(Required)

City

Income eligibility status(Required)

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

Phone(Required)

Email(Required)

Preferred contact method(Required)

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

Who referred you?

Comments or questions (optional)

Comments

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