Campus Advocates Project (CAP 2) Intake Form

  • IMPORTANT! IF YOU HAVE ANY CONCERNS FOR YOUR SAFETY OR BELIEVE YOU ARE IN DANGER, CALL 911 IMMEDIATELY

    PLEASE BE ADVISED THAT YOU WILL RECEIVE AN AUTOMATIC CONFIRMATION EMAIL AFTER COMPLETING AND SUBMITTING THIS FORM. IF YOU DO NOT BELIEVE OR ARE NOT SURE IF YOUR E-MAIL IS SECURE, PLEASE CALL 212-349-6009 EXTENSION 412 OR EXTENSION 251 DURING NORMAL BUSINESS HOURS.

  • Responses required for questions with an asterisk (*)

    If so, please indicate the name of your school and your current year below.

  • IMPORTANT

    PLEASE BE ADVISED THAT ANSWERS TO THE ABOVE QUESTIONS ARE CONFIDENTIAL. COMPLETION AND SUBMISSION OF THIS FORM, HOWEVER, DOES NOT GUARANTEE LEGAL REPRESENTATION AND/OR CREATE AN ATTORNEY-CLIENT RELATIONSHIP. IF YOU HAVE ANY CONCERNS FOR YOUR SAFETY OR BELIEVE YOU ARE IN DANGER, CALL 911 IMMEDIATELY.
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