CINXE.COM

Receive Education Updates | Mayo Clinic Executive Education

<!DOCTYPE html> <html lang="en"> <head> <script src="//tagdelivery.mayoclinic.org/execedu/prod/utag.sync.js" type="text/javascript"></script> <script type="text/javascript" src="//nexus.ensighten.com/mayo_clinic/execeduprod/Bootstrap.js"></script> <script type="text/javascript" src="//executiveeducation.mayo.edu/template/_default/js/jquery/jquery-3.2.0.min.js"></script> <script type="text/javascript"> window.jquery_cm = jQuery.noConflict(true); </script> <script type="text/javascript" src="//executiveeducation.mayo.edu/template/_default/js/js-cookie/js.cookie.js"></script> <script type="text/javascript"> window.cookies_cm = Cookies.noConflict(); </script> <meta name="description" content="To stay connected about education opportunities from Mayo Clinic, please enter your contact information below."/> <style>.cm-visuallyhidden { border: 0; clip: rect(0 0 0 0); height: 1px; margin: -1px; overflow: hidden; padding: 0; position: absolute; width: 1px; } </style> <title>Receive Education Updates | Mayo Clinic Executive Education</title> <link rel="apple-touch-icon" href="//executiveeducation.mayo.edu/template/mclin/images/apple-touch-icon-152x152.png" /> <link rel="icon" href="//executiveeducation.mayo.edu/template/mclin/images/favicon.png" /> <link rel="stylesheet" href="//executiveeducation.mayo.edu/template/mclin/styles/markup-style.css" /> <link rel="stylesheet" href="//executiveeducation.mayo.edu/template/mclin/styles/dropdown-style.css" /> <!-- Course Merchant Styles --> <link rel="stylesheet" href="//executiveeducation.mayo.edu/template/mclin/css/cm-main.css"> <!-- Course Merchant Pro Font Awesome 6 --> <script src="https://kit.fontawesome.com/775fb8d07b.js" crossorigin="anonymous"></script> <script src="//executiveeducation.mayo.edu/template/mclin/js/jquery1110min.js" type="text/javascript"></script> <script> function resizeIframe(obj) { obj.style.height = obj.contentWindow.document.documentElement.scrollHeight + 'px'; } </script> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <meta name="google-site-verification" content="DtPBOkLKVzC_MiV1ZLJs3jSFUCeJg2xDRHJ9Cr_kvpk" /> <style> [class^='icon'].accreditation { background-image: url(//executiveeducation.mayo.edu/template/mclin/images/svg/accreditation.svg); } .landing-promo.bg-black .text-link { color: #fff; } .landing-promo.bg-gray .text-link { color: #000; } </style> <script>(window.BOOMR_mq=window.BOOMR_mq||[]).push(["addVar",{"rua.upush":"false","rua.cpush":"false","rua.upre":"false","rua.cpre":"false","rua.uprl":"false","rua.cprl":"false","rua.cprf":"false","rua.trans":"","rua.cook":"false","rua.ims":"false","rua.ufprl":"false","rua.cfprl":"false","rua.isuxp":"false","rua.texp":"norulematch","rua.ceh":"false","rua.ueh":"false","rua.ieh.st":"0"}]);</script> <script>!function(e){var n="https://s.go-mpulse.net/boomerang/";if("False"=="True")e.BOOMR_config=e.BOOMR_config||{},e.BOOMR_config.PageParams=e.BOOMR_config.PageParams||{},e.BOOMR_config.PageParams.pci=!0,n="https://s2.go-mpulse.net/boomerang/";if(window.BOOMR_API_key="H2L5B-34GFP-5UZSA-ZST5S-HUF9C",function(){function e(){if(!o){var e=document.createElement("script");e.id="boomr-scr-as",e.src=window.BOOMR.url,e.async=!0,i.parentNode.appendChild(e),o=!0}}function t(e){o=!0;var n,t,a,r,d=document,O=window;if(window.BOOMR.snippetMethod=e?"if":"i",t=function(e,n){var t=d.createElement("script");t.id=n||"boomr-if-as",t.src=window.BOOMR.url,BOOMR_lstart=(new Date).getTime(),e=e||d.body,e.appendChild(t)},!window.addEventListener&&window.attachEvent&&navigator.userAgent.match(/MSIE [67]\./))return window.BOOMR.snippetMethod="s",void t(i.parentNode,"boomr-async");a=document.createElement("IFRAME"),a.src="about:blank",a.title="",a.role="presentation",a.loading="eager",r=(a.frameElement||a).style,r.width=0,r.height=0,r.border=0,r.display="none",i.parentNode.appendChild(a);try{O=a.contentWindow,d=O.document.open()}catch(_){n=document.domain,a.src="javascript:var d=document.open();d.domain='"+n+"';void(0);",O=a.contentWindow,d=O.document.open()}if(n)d._boomrl=function(){this.domain=n,t()},d.write("<bo"+"dy onload='document._boomrl();'>");else if(O._boomrl=function(){t()},O.addEventListener)O.addEventListener("load",O._boomrl,!1);else if(O.attachEvent)O.attachEvent("onload",O._boomrl);d.close()}function a(e){window.BOOMR_onload=e&&e.timeStamp||(new Date).getTime()}if(!window.BOOMR||!window.BOOMR.version&&!window.BOOMR.snippetExecuted){window.BOOMR=window.BOOMR||{},window.BOOMR.snippetStart=(new Date).getTime(),window.BOOMR.snippetExecuted=!0,window.BOOMR.snippetVersion=12,window.BOOMR.url=n+"H2L5B-34GFP-5UZSA-ZST5S-HUF9C";var i=document.currentScript||document.getElementsByTagName("script")[0],o=!1,r=document.createElement("link");if(r.relList&&"function"==typeof r.relList.supports&&r.relList.supports("preload")&&"as"in r)window.BOOMR.snippetMethod="p",r.href=window.BOOMR.url,r.rel="preload",r.as="script",r.addEventListener("load",e),r.addEventListener("error",function(){t(!0)}),setTimeout(function(){if(!o)t(!0)},3e3),BOOMR_lstart=(new Date).getTime(),i.parentNode.appendChild(r);else t(!1);if(window.addEventListener)window.addEventListener("load",a,!1);else if(window.attachEvent)window.attachEvent("onload",a)}}(),"".length>0)if(e&&"performance"in e&&e.performance&&"function"==typeof e.performance.setResourceTimingBufferSize)e.performance.setResourceTimingBufferSize();!function(){if(BOOMR=e.BOOMR||{},BOOMR.plugins=BOOMR.plugins||{},!BOOMR.plugins.AK){var n=""=="true"?1:0,t="",a="bdpnbeqxgy5n2z5yscnq-f-8556629ba-clientnsv4-s.akamaihd.net",i="false"=="true"?2:1,o={"ak.v":"39","ak.cp":"1462803","ak.ai":parseInt("910149",10),"ak.ol":"0","ak.cr":4,"ak.ipv":4,"ak.proto":"http/1.1","ak.rid":"2c83c5f4","ak.r":37669,"ak.a2":n,"ak.m":"","ak.n":"essl","ak.bpcip":"8.222.208.0","ak.cport":40464,"ak.gh":"23.53.33.190","ak.quicv":"","ak.tlsv":"tls1.2","ak.0rtt":"","ak.0rtt.ed":"","ak.csrc":"-","ak.acc":"reno","ak.t":"1740148891","ak.ak":"hOBiQwZUYzCg5VSAfCLimQ==ae0OCP8A9IW2/ivqy5D+ED5AbJlPItyTa5BoVFkBU28+Wgo8tQ/xdkWMxIBVjqp7w98oitMZyKN9OjoVdvimeMoqdKmx6QYH/OhjbFTyU0o6N23MdxOpYtFNomMKii+2nkRzJvLez5OSd1IGS2VKw7woKbksY+SaYi7yyJ0s3mUNo0/WTsYG3KCx4L1kn3Tx98U8gbjfVDTOWe9hLxjv9n+CfG90zUj8cINjYZdsSaSYehhsxSrKkZojqOem8K3TFbfe27YduP99xvtZ+Ws1NRwVOB4DBu8KjIx5IOgP7l2vbkVY+s6Bq0H6Tmw1EF3h9jzbe06+/p7urZEThPbaksZcY7GbRtzF8rfqOkAnWFNClz9eGsHjqzrFhODjyiR+GWadXhna1npR+vY8UjGZAedYXy7U5k1cnT9d32LQFTw=","ak.pv":"1","ak.dpoabenc":"","ak.tf":i};if(""!==t)o["ak.ruds"]=t;var r={i:!1,av:function(n){var t="http.initiator";if(n&&(!n[t]||"spa_hard"===n[t]))o["ak.feo"]=void 0!==e.aFeoApplied?1:0,BOOMR.addVar(o)},rv:function(){var e=["ak.bpcip","ak.cport","ak.cr","ak.csrc","ak.gh","ak.ipv","ak.m","ak.n","ak.ol","ak.proto","ak.quicv","ak.tlsv","ak.0rtt","ak.0rtt.ed","ak.r","ak.acc","ak.t","ak.tf"];BOOMR.removeVar(e)}};BOOMR.plugins.AK={akVars:o,akDNSPreFetchDomain:a,init:function(){if(!r.i){var e=BOOMR.subscribe;e("before_beacon",r.av,null,null),e("onbeacon",r.rv,null,null),r.i=!0}return this},is_complete:function(){return!0}}}}()}(window);</script></head> <body class=""> <!-- Tealium Universal Tag --> <script type="text/javascript"> (function(a,b,c,d) { a='//tagdelivery.mayoclinic.org/execedu/prod/utag.js '; b=document;c='script';d=b.createElement(c);d.src=a; d.type='text/java'+c;d.async=true; a=b.getElementsByTagName(c)[0];a.parentNode.insertBefore(d,a)})(); </script> <div class="row full-width"> <div class="sub-full-bleed"> <div class="sub-placeholder"> <div class="contentbox"> <script> document.addEventListener('DOMContentLoaded', () => { const menuButton = document.querySelector('.menu-button button'); const mainNav = document.querySelector('.mainnav'); const mainClose = document.querySelector('.mainnav button'); function toggleMenu() { mainNav.classList.toggle('on'); } menuButton.addEventListener('click', toggleMenu); mainClose.addEventListener('click', toggleMenu); }); </script> <style> .mainnav.on { display: block; } </style> <header class="navigation accessible-hor-nav" id="header"> <div class="container"> <div class="logo"> <div class="align-center"> <a href="/" ><img src="//executiveeducation.mayo.edu/template/mclin/images/mccms-logo-black.svg" alt="Mayo Clinic Healthcare logo" /></a> </div> </div> <div class="menu-items"> <div class="align-center"> <nav> <ul id="menu-main-menu" class="menu desktop-menu"> <li><a href="/">Home</a></li> <li class="nav-group"> <a href="#" class="dropdown-parent">For Individuals</a> <div class="dropdown"> <div class="dropdown-container"> <ul role="menu" class="submenu"> <ul> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Courses" class="sidebar_category_link selected_sidebar_category_link">All Courses</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=ClinicalTranslationalScience" class="sidebar_category_link">Clinical and Translational Science</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=DigitalHealth" class="sidebar_category_link">Digital Health</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=HospitalManagement" class="sidebar_category_link">Hospital Management</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Leadership" class="sidebar_category_link">Leadership</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Quality" class="sidebar_category_link">Quality</a> </li> </ul> </ul> </div> </div> </li> <li class="nav-group"> <a href="#" class="dropdown-parent">For Organizations</a> <div class="dropdown"> <div class="dropdown-container"> <ul role="menu" class="submenu"> <ul> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=about-us" class="sidebar_category_link selected_sidebar_category_link">About Us</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=medical-education-consulting" class="sidebar_category_link">Medical Education Consulting</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Meet_Our_Academic_Consultants" class="sidebar_category_link">Meet Our Academic Consultants</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Custom-Programming" class="sidebar_category_link">Custom Programming</a> </li> </ul> </ul> </div> </div> </li> <li class="nav-group"> <a href="#" class="dropdown-parent">About</a> <div class="dropdown"> <div class="dropdown-container"> <ul role="menu" class="submenu"> <ul> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=why-mayo-clinic" class="sidebar_category_link">Why Mayo Clinic</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Get-Updates" class="sidebar_category_link">Get Updates</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Contact_Us" class="sidebar_category_link">Contact</a> </li> </ul> </ul> </div> </div> </li> <li><a href="https://executiveeducation.mayo.edu/account?action=login&amp;login_return=https%3A%2F%2Fexecutiveeducation.mayo.edu%2Fcatalog%3Fpagename%3DGet-Updates">Login</a></li> <li class="cm-cart-widget-small"> <a class="cart-no-products" href="https://executiveeducation.mayo.edu/cart?action=viewcart"><i class="fal fa-shopping-cart"></i></a> </li> <li class="cm-search-outer"><div class="cm-search"> <form id="search_box" action="https://executiveeducation.mayo.edu/" method="get"> <input type="hidden" value="Courses" name="pagename" id="pagename"> <input type="text" aria-label="Search" placeholder="Search" name="query" id="search_box_keyword"> <input id="search_box_submit" type="submit" name="search" value="&#xf002;" aria-label="Search" > </form> </div></li> </ul> </nav> </div> </div> <div class="menu-button"> <div class="align-center"> <button>Menu</button> </div> </div> </div> </header> <script type="text/javascript" src="//executiveeducation.mayo.edu/template/mclin/js/language.js"></script> <div class="mainnav"> <button>Close</button> <nav> <ul class="slide-menu"> <li><a href="/">Home</a></li> <li class="nav-group"> <a href="#" class="dropdown-parent">For Individuals</a><i class="fa-solid fa-chevron-right drop-down-arrow"></i> <div class="dropdown"> <div class="dropdown-container"> <ul role="menu" class="submenu" style="padding: 0;"> <ul> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Courses" class="sidebar_category_link selected_sidebar_category_link">All Courses</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=ClinicalTranslationalScience" class="sidebar_category_link">Clinical and Translational Science</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=DigitalHealth" class="sidebar_category_link">Digital Health</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=HospitalManagement" class="sidebar_category_link">Hospital Management</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Leadership" class="sidebar_category_link">Leadership</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Quality" class="sidebar_category_link">Quality</a> </li> </ul> </ul> </div> </div> </li> <li class="nav-group"> <a href="#" class="dropdown-parent">For Organizations</a><i class="fa-solid fa-chevron-right drop-down-arrow"></i> <div class="dropdown"> <div class="dropdown-container"> <ul role="menu" class="submenu" style="padding: 0;"> <ul> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=about-us" class="sidebar_category_link selected_sidebar_category_link">About Us</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=medical-education-consulting" class="sidebar_category_link">Medical Education Consulting</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Meet_Our_Academic_Consultants" class="sidebar_category_link">Meet Our Academic Consultants</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Custom-Programming" class="sidebar_category_link">Custom Programming</a> </li> </ul> </ul> </div> </div> </li> <li class="nav-group"> <a href="#" class="dropdown-parent">About</a><i class="fa-solid fa-chevron-right drop-down-arrow"></i> <div class="dropdown"> <div class="dropdown-container"> <ul role="menu" class="submenu" style="padding: 0;"> <ul> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=why-mayo-clinic" class="sidebar_category_link">Why Mayo Clinic</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Get-Updates" class="sidebar_category_link">Get Updates</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Contact_Us" class="sidebar_category_link">Contact</a> </li> </ul> </ul> </div> </div> </li> <li><a href="https://executiveeducation.mayo.edu/account?action=login&amp;login_return=https%3A%2F%2Fexecutiveeducation.mayo.edu%2Fcatalog%3Fpagename%3DGet-Updates">Login</a></li> <li class="cm-cart-widget-small"> <a class="cart-no-products" href="https://executiveeducation.mayo.edu/cart?action=viewcart"><i class="fal fa-shopping-cart"></i></a> </li> </ul> <div href="#" class="text-icon cm-mobile-search"> <div class="cm-search"> <form id="search_box" action="https://executiveeducation.mayo.edu/" method="get"> <input type="hidden" value="Courses" name="pagename" id="pagename"> <input type="text" aria-label="Search" placeholder="Search" name="query" id="search_box_keyword"> <input id="search_box_submit" type="submit" name="search" value="&#xf002;" aria-label="Search" > </form> </div> </div> </nav> </div> </div> <div class="contentbox"> <style> .flex-container .item img { aspect-ratio: 1 / 1; object-fit: contain; } </style> <main> <article class="landing" style=" margin-top: 2.5rem;"> <section> <div class="wrapper cm-content cm-contact-template"> <h1 class="cm-large-title">Receive Education Updates</h1> <p>I would like to receive information about upcoming courses and updates on Executive Education from Mayo Clinic.</p> <!--<iframe scrolling="no" src="/custom/mclin/crm_forms/course_application" width="100%" style="border:0;" allowfullscreen="" loading="lazy" onload="resizeIframe(this)"></iframe>--> <style type="text/css"> .elq-form .elq-required { color: red !important; display: inline; float: none; font-weight: 700; margin: 0; padding: 0 } .elq-form #elq-FormLastRow { position: absolute; left: -80%; top: -80% } .elq-form .elq-label { display: inline-block; max-width: 100%; font-weight: 400; box-sizing: border-box; margin-bottom: 0 } .elq-form .elq-label-top { padding-bottom: 3px } .elq-form .elq-item-label { max-width: 100%; font-weight: 400; box-sizing: border-box } .elq-form .list-order { margin-left: 0; white-space: nowrap; overflow: hidden; text-overflow: ellipsis } .elq-form .one-column { width: 100%; clear: both } .elq-form .two-column { float: left; width: 38% } .elq-form .three-column { float: left; width: 30% } .elq-form .elq-item-textarea { resize: vertical; min-height: 48px; max-height: 360px; box-sizing: border-box } .elq-form .elq-item-input, .elq-form .elq-item-select, .elq-form .elq-item-textarea { font-family: inherit; font-size: inherit; line-height: inherit; color: inherit; font: inherit; margin: 0 } .elq-form .elq-item-select { text-transform: none } .elq-form .row.single-checkbox-row { margin-left: 0 } .elq-form .elq-field-style { padding-bottom: 10px } .elq-form .elq-field-style input[type=submit] { -webkit-appearance: button } @-webkit-keyframes spin { 0% { -webkit-transform: rotate(0deg) } to { -webkit-transform: rotate(1turn) } } @keyframes spin { 0% { transform: rotate(0deg) } to { transform: rotate(1turn) } } .elq-form .loader { vertical-align: middle; display: inline-block; margin-left: 10px; border: 3px solid #f3f3f3; border-radius: 50%; border-top: 3px solid #3498db; width: 20px; height: 20px; -webkit-animation: spin 2s linear infinite; animation: spin 2s linear infinite } .elq-form input[type=checkbox], .elq-form input[type=radio] { margin: 0 } .elq-form .list-order input[type=radio] { margin-left: 1px } .elq-form *, .elq-form :after, .elq-form :before { box-sizing: border-box } .elq-form html { font-size: 10px; -webkit-tap-highlight-color: transparent } .elq-form body { font-family: Helvetica Neue, Helvetica, Arial, sans-serif; font-size: 14px; line-height: 1.42857; color: #333; background-color: #fff } .elq-form button, .elq-form input, .elq-form select, .elq-form textarea { font-family: inherit; font-size: inherit; line-height: inherit } .elq-form a { color: #337ab7; text-decoration: none } .elq-form a:focus, .elq-form a:hover { color: #23527c; text-decoration: underline } .elq-form a:focus { outline: 5px auto -webkit-focus-ring-color; outline-offset: -2px } .elq-form figure { margin: 0 } .elq-form img { vertical-align: middle } .elq-form .img-responsive { display: block; max-width: 100%; height: auto } .elq-form .img-rounded { border-radius: 6px } .elq-form .img-thumbnail { padding: 4px; line-height: 1.42857; background-color: #fff; border: 1px solid #ddd; border-radius: 4px; transition: all .2s ease-in-out; display: inline-block; max-width: 100%; height: auto } .elq-form .img-circle { border-radius: 50% } .elq-form hr { margin-top: 20px; margin-bottom: 20px; border: 0; border-top: 1px solid #eee } .elq-form .sr-only { position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); border: 0 } .elq-form .sr-only-focusable:active, .elq-form .sr-only-focusable:focus { position: static; width: auto; height: auto; margin: 0; overflow: visible; clip: auto } .elq-form [role=button] { cursor: pointer } .elq-form .container { padding-right: 15px; padding-left: 15px; margin-right: auto; margin-left: auto } .elq-form .container:after, .elq-form .container:before { display: table; content: " " } .elq-form .container:after { clear: both } @media (min-width:768px) { .elq-form .container { width: 750px } } @media (min-width:992px) { .elq-form .container { width: 970px } } @media (min-width:1200px) { .elq-form .container { width: 1170px } } .elq-form .container-fluid { padding-right: 15px; padding-left: 15px; margin-right: auto; margin-left: auto } .elq-form .container-fluid:after, .elq-form .container-fluid:before { display: table; content: " " } .elq-form .container-fluid:after { clear: both } .elq-form .row { margin-right: -15px; margin-left: -15px } .elq-form .row:after, .elq-form .row:before { display: table; content: " " } .elq-form .row:after { clear: both } .elq-form .row-no-gutters { margin-right: 0; margin-left: 0 } .elq-form .row-no-gutters [class*=col-] { padding-right: 0; padding-left: 0 } .elq-form .col-lg-1, .elq-form .col-lg-2, .elq-form .col-lg-3, .elq-form .col-lg-4, .elq-form .col-lg-5, .elq-form .col-lg-6, .elq-form .col-lg-7, .elq-form .col-lg-8, .elq-form .col-lg-9, .elq-form .col-lg-10, .elq-form .col-lg-11, .elq-form .col-lg-12, .elq-form .col-md-1, .elq-form .col-md-2, .elq-form .col-md-3, .elq-form .col-md-4, .elq-form .col-md-5, .elq-form .col-md-6, .elq-form .col-md-7, .elq-form .col-md-8, .elq-form .col-md-9, .elq-form .col-md-10, .elq-form .col-md-11, .elq-form .col-md-12, .elq-form .col-sm-1, .elq-form .col-sm-2, .elq-form .col-sm-3, .elq-form .col-sm-4, .elq-form .col-sm-5, .elq-form .col-sm-6, .elq-form .col-sm-7, .elq-form .col-sm-8, .elq-form .col-sm-9, .elq-form .col-sm-10, .elq-form .col-sm-11, .elq-form .col-sm-12, .elq-form .col-xs-1, .elq-form .col-xs-2, .elq-form .col-xs-3, .elq-form .col-xs-4, .elq-form .col-xs-5, .elq-form .col-xs-6, .elq-form .col-xs-7, .elq-form .col-xs-8, .elq-form .col-xs-9, .elq-form .col-xs-10, .elq-form .col-xs-11, .elq-form .col-xs-12 { position: relative; min-height: 1px; padding-right: 15px; padding-left: 15px } .elq-form .col-xs-1, .elq-form .col-xs-2, .elq-form .col-xs-3, .elq-form .col-xs-4, .elq-form .col-xs-5, .elq-form .col-xs-6, .elq-form .col-xs-7, .elq-form .col-xs-8, .elq-form .col-xs-9, .elq-form .col-xs-10, .elq-form .col-xs-11, .elq-form .col-xs-12 { float: left } .elq-form .col-xs-1 { width: 8.33333% } .elq-form .col-xs-2 { width: 16.66667% } .elq-form .col-xs-3 { width: 25% } .elq-form .col-xs-4 { width: 33.33333% } .elq-form .col-xs-5 { width: 41.66667% } .elq-form .col-xs-6 { width: 50% } .elq-form .col-xs-7 { width: 58.33333% } .elq-form .col-xs-8 { width: 66.66667% } .elq-form .col-xs-9 { width: 75% } .elq-form .col-xs-10 { width: 83.33333% } .elq-form .col-xs-11 { width: 91.66667% } .elq-form .col-xs-12 { width: 100% } .elq-form .col-xs-pull-0 { right: auto } .elq-form .col-xs-pull-1 { right: 8.33333% } .elq-form .col-xs-pull-2 { right: 16.66667% } .elq-form .col-xs-pull-3 { right: 25% } .elq-form .col-xs-pull-4 { right: 33.33333% } .elq-form .col-xs-pull-5 { right: 41.66667% } .elq-form .col-xs-pull-6 { right: 50% } .elq-form .col-xs-pull-7 { right: 58.33333% } .elq-form .col-xs-pull-8 { right: 66.66667% } .elq-form .col-xs-pull-9 { right: 75% } .elq-form .col-xs-pull-10 { right: 83.33333% } .elq-form .col-xs-pull-11 { right: 91.66667% } .elq-form .col-xs-pull-12 { right: 100% } .elq-form .col-xs-push-0 { left: auto } .elq-form .col-xs-push-1 { left: 8.33333% } .elq-form .col-xs-push-2 { left: 16.66667% } .elq-form .col-xs-push-3 { left: 25% } .elq-form .col-xs-push-4 { left: 33.33333% } .elq-form .col-xs-push-5 { left: 41.66667% } .elq-form .col-xs-push-6 { left: 50% } .elq-form .col-xs-push-7 { left: 58.33333% } .elq-form .col-xs-push-8 { left: 66.66667% } .elq-form .col-xs-push-9 { left: 75% } .elq-form .col-xs-push-10 { left: 83.33333% } .elq-form .col-xs-push-11 { left: 91.66667% } .elq-form .col-xs-push-12 { left: 100% } .elq-form .col-xs-offset-0 { margin-left: 0 } .elq-form .col-xs-offset-1 { margin-left: 8.33333% } .elq-form .col-xs-offset-2 { margin-left: 16.66667% } .elq-form .col-xs-offset-3 { margin-left: 25% } .elq-form .col-xs-offset-4 { margin-left: 33.33333% } .elq-form .col-xs-offset-5 { margin-left: 41.66667% } .elq-form .col-xs-offset-6 { margin-left: 50% } .elq-form .col-xs-offset-7 { margin-left: 58.33333% } .elq-form .col-xs-offset-8 { margin-left: 66.66667% } .elq-form .col-xs-offset-9 { margin-left: 75% } .elq-form .col-xs-offset-10 { margin-left: 83.33333% } .elq-form .col-xs-offset-11 { margin-left: 91.66667% } .elq-form .col-xs-offset-12 { margin-left: 100% } @media (min-width:768px) { .elq-form .col-sm-1, .elq-form .col-sm-2, .elq-form .col-sm-3, .elq-form .col-sm-4, .elq-form .col-sm-5, .elq-form .col-sm-6, .elq-form .col-sm-7, .elq-form .col-sm-8, .elq-form .col-sm-9, .elq-form .col-sm-10, .elq-form .col-sm-11, .elq-form .col-sm-12 { float: left } .elq-form .col-sm-1 { width: 8.33333% } .elq-form .col-sm-2 { width: 16.66667% } .elq-form .col-sm-3 { width: 25% } .elq-form .col-sm-4 { width: 33.33333% } .elq-form .col-sm-5 { width: 41.66667% } .elq-form .col-sm-6 { width: 50% } .elq-form .col-sm-7 { width: 58.33333% } .elq-form .col-sm-8 { width: 66.66667% } .elq-form .col-sm-9 { width: 75% } .elq-form .col-sm-10 { width: 83.33333% } .elq-form .col-sm-11 { width: 91.66667% } .elq-form .col-sm-12 { width: 100% } .elq-form .col-sm-pull-0 { right: auto } .elq-form .col-sm-pull-1 { right: 8.33333% } .elq-form .col-sm-pull-2 { right: 16.66667% } .elq-form .col-sm-pull-3 { right: 25% } .elq-form .col-sm-pull-4 { right: 33.33333% } .elq-form .col-sm-pull-5 { right: 41.66667% } .elq-form .col-sm-pull-6 { right: 50% } .elq-form .col-sm-pull-7 { right: 58.33333% } .elq-form .col-sm-pull-8 { right: 66.66667% } .elq-form .col-sm-pull-9 { right: 75% } .elq-form .col-sm-pull-10 { right: 83.33333% } .elq-form .col-sm-pull-11 { right: 91.66667% } .elq-form .col-sm-pull-12 { right: 100% } .elq-form .col-sm-push-0 { left: auto } .elq-form .col-sm-push-1 { left: 8.33333% } .elq-form .col-sm-push-2 { left: 16.66667% } .elq-form .col-sm-push-3 { left: 25% } .elq-form .col-sm-push-4 { left: 33.33333% } .elq-form .col-sm-push-5 { left: 41.66667% } .elq-form .col-sm-push-6 { left: 50% } .elq-form .col-sm-push-7 { left: 58.33333% } .elq-form .col-sm-push-8 { left: 66.66667% } .elq-form .col-sm-push-9 { left: 75% } .elq-form .col-sm-push-10 { left: 83.33333% } .elq-form .col-sm-push-11 { left: 91.66667% } .elq-form .col-sm-push-12 { left: 100% } .elq-form .col-sm-offset-0 { margin-left: 0 } .elq-form .col-sm-offset-1 { margin-left: 8.33333% } .elq-form .col-sm-offset-2 { margin-left: 16.66667% } .elq-form .col-sm-offset-3 { margin-left: 25% } .elq-form .col-sm-offset-4 { margin-left: 33.33333% } .elq-form .col-sm-offset-5 { margin-left: 41.66667% } .elq-form .col-sm-offset-6 { margin-left: 50% } .elq-form .col-sm-offset-7 { margin-left: 58.33333% } .elq-form .col-sm-offset-8 { margin-left: 66.66667% } .elq-form .col-sm-offset-9 { margin-left: 75% } .elq-form .col-sm-offset-10 { margin-left: 83.33333% } .elq-form .col-sm-offset-11 { margin-left: 91.66667% } .elq-form .col-sm-offset-12 { margin-left: 100% } } @media (min-width:992px) { .elq-form .col-md-1, .elq-form .col-md-2, .elq-form .col-md-3, .elq-form .col-md-4, .elq-form .col-md-5, .elq-form .col-md-6, .elq-form .col-md-7, .elq-form .col-md-8, .elq-form .col-md-9, .elq-form .col-md-10, .elq-form .col-md-11, .elq-form .col-md-12 { float: left } .elq-form .col-md-1 { width: 8.33333% } .elq-form .col-md-2 { width: 16.66667% } .elq-form .col-md-3 { width: 25% } .elq-form .col-md-4 { width: 33.33333% } .elq-form .col-md-5 { width: 41.66667% } .elq-form .col-md-6 { width: 50% } .elq-form .col-md-7 { width: 58.33333% } .elq-form .col-md-8 { width: 66.66667% } .elq-form .col-md-9 { width: 75% } .elq-form .col-md-10 { width: 83.33333% } .elq-form .col-md-11 { width: 91.66667% } .elq-form .col-md-12 { width: 100% } .elq-form .col-md-pull-0 { right: auto } .elq-form .col-md-pull-1 { right: 8.33333% } .elq-form .col-md-pull-2 { right: 16.66667% } .elq-form .col-md-pull-3 { right: 25% } .elq-form .col-md-pull-4 { right: 33.33333% } .elq-form .col-md-pull-5 { right: 41.66667% } .elq-form .col-md-pull-6 { right: 50% } .elq-form .col-md-pull-7 { right: 58.33333% } .elq-form .col-md-pull-8 { right: 66.66667% } .elq-form .col-md-pull-9 { right: 75% } .elq-form .col-md-pull-10 { right: 83.33333% } .elq-form .col-md-pull-11 { right: 91.66667% } .elq-form .col-md-pull-12 { right: 100% } .elq-form .col-md-push-0 { left: auto } .elq-form .col-md-push-1 { left: 8.33333% } .elq-form .col-md-push-2 { left: 16.66667% } .elq-form .col-md-push-3 { left: 25% } .elq-form .col-md-push-4 { left: 33.33333% } .elq-form .col-md-push-5 { left: 41.66667% } .elq-form .col-md-push-6 { left: 50% } .elq-form .col-md-push-7 { left: 58.33333% } .elq-form .col-md-push-8 { left: 66.66667% } .elq-form .col-md-push-9 { left: 75% } .elq-form .col-md-push-10 { left: 83.33333% } .elq-form .col-md-push-11 { left: 91.66667% } .elq-form .col-md-push-12 { left: 100% } .elq-form .col-md-offset-0 { margin-left: 0 } .elq-form .col-md-offset-1 { margin-left: 8.33333% } .elq-form .col-md-offset-2 { margin-left: 16.66667% } .elq-form .col-md-offset-3 { margin-left: 25% } .elq-form .col-md-offset-4 { margin-left: 33.33333% } .elq-form .col-md-offset-5 { margin-left: 41.66667% } .elq-form .col-md-offset-6 { margin-left: 50% } .elq-form .col-md-offset-7 { margin-left: 58.33333% } .elq-form .col-md-offset-8 { margin-left: 66.66667% } .elq-form .col-md-offset-9 { margin-left: 75% } .elq-form .col-md-offset-10 { margin-left: 83.33333% } .elq-form .col-md-offset-11 { margin-left: 91.66667% } .elq-form .col-md-offset-12 { margin-left: 100% } } @media (min-width:1200px) { .elq-form .col-lg-1, .elq-form .col-lg-2, .elq-form .col-lg-3, .elq-form .col-lg-4, .elq-form .col-lg-5, .elq-form .col-lg-6, .elq-form .col-lg-7, .elq-form .col-lg-8, .elq-form .col-lg-9, .elq-form .col-lg-10, .elq-form .col-lg-11, .elq-form .col-lg-12 { float: left } .elq-form .col-lg-1 { width: 8.33333% } .elq-form .col-lg-2 { width: 16.66667% } .elq-form .col-lg-3 { width: 25% } .elq-form .col-lg-4 { width: 33.33333% } .elq-form .col-lg-5 { width: 41.66667% } .elq-form .col-lg-6 { width: 50% } .elq-form .col-lg-7 { width: 58.33333% } .elq-form .col-lg-8 { width: 66.66667% } .elq-form .col-lg-9 { width: 75% } .elq-form .col-lg-10 { width: 83.33333% } .elq-form .col-lg-11 { width: 91.66667% } .elq-form .col-lg-12 { width: 100% } .elq-form .col-lg-pull-0 { right: auto } .elq-form .col-lg-pull-1 { right: 8.33333% } .elq-form .col-lg-pull-2 { right: 16.66667% } .elq-form .col-lg-pull-3 { right: 25% } .elq-form .col-lg-pull-4 { right: 33.33333% } .elq-form .col-lg-pull-5 { right: 41.66667% } .elq-form .col-lg-pull-6 { right: 50% } .elq-form .col-lg-pull-7 { right: 58.33333% } .elq-form .col-lg-pull-8 { right: 66.66667% } .elq-form .col-lg-pull-9 { right: 75% } .elq-form .col-lg-pull-10 { right: 83.33333% } .elq-form .col-lg-pull-11 { right: 91.66667% } .elq-form .col-lg-pull-12 { right: 100% } .elq-form .col-lg-push-0 { left: auto } .elq-form .col-lg-push-1 { left: 8.33333% } .elq-form .col-lg-push-2 { left: 16.66667% } .elq-form .col-lg-push-3 { left: 25% } .elq-form .col-lg-push-4 { left: 33.33333% } .elq-form .col-lg-push-5 { left: 41.66667% } .elq-form .col-lg-push-6 { left: 50% } .elq-form .col-lg-push-7 { left: 58.33333% } .elq-form .col-lg-push-8 { left: 66.66667% } .elq-form .col-lg-push-9 { left: 75% } .elq-form .col-lg-push-10 { left: 83.33333% } .elq-form .col-lg-push-11 { left: 91.66667% } .elq-form .col-lg-push-12 { left: 100% } .elq-form .col-lg-offset-0 { margin-left: 0 } .elq-form .col-lg-offset-1 { margin-left: 8.33333% } .elq-form .col-lg-offset-2 { margin-left: 16.66667% } .elq-form .col-lg-offset-3 { margin-left: 25% } .elq-form .col-lg-offset-4 { margin-left: 33.33333% } .elq-form .col-lg-offset-5 { margin-left: 41.66667% } .elq-form .col-lg-offset-6 { margin-left: 50% } .elq-form .col-lg-offset-7 { margin-left: 58.33333% } .elq-form .col-lg-offset-8 { margin-left: 66.66667% } .elq-form .col-lg-offset-9 { margin-left: 75% } .elq-form .col-lg-offset-10 { margin-left: 83.33333% } .elq-form .col-lg-offset-11 { margin-left: 91.66667% } .elq-form .col-lg-offset-12 { margin-left: 100% } } .elq-form .row { display: inherit } .LV_invalid_field, input.LV_invalid_field:active, input.LV_invalid_field:hover, textarea.LV_invalid_field:active, textarea.LV_invalid_field:hover { outline: 1px solid #c00 } .LV_validation_message { font-weight: 700; margin: 0 0 0 5px } .LV_valid { display: none } .LV_invalid { color: #c00; font-size: 10px } .submit-button-style { padding: 7px 20px; border: 1px solid #979797; border-radius: 3px; background-color: #fff; color: #4a4a4a; cursor: pointer } .checkbox-aligned { margin-left: 5px; display: inline } .form-element-layout { padding: 5px 10px } .form-element-instruction { font-size: 10px } .form-element-form-text { margin: 0 } .form-field-visible-xs-block { display: none } .elq-form-design-field .list-order input[type=radio] { margin-left: 1px } @media (max-width:767px) { .form-field-visible-xs-block { display: block } } .form-field-hidden-xs { display: block } @media (max-width:767px) { .form-field-hidden-xs { display: none } } .custom-overlay { margin-left: 2px; background: #fff; box-shadow: 0 0 4px 0 #777; border-radius: 2px; max-width: 256px } </style> <form method="post" name="2022.Exec.Edu.ESU.KB.Sp-1705598239702" action="https://s74881809.t.eloqua.com/e/f2" onsubmit="return handleFormSubmit(this)" id="form492" class="elq-form"> <input value="2022.Exec.Edu.ESU.KB.Sp-1705598239702" type="hidden" name="elqFormName"> <input value="74881809" type="hidden" name="elqSiteId"> <input value="" type="hidden" id="elqFormSubmissionToken" name="elqFormSubmissionToken"> <input name="elqCampaignId" type="hidden"> <div class="layout container-fluid"> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement0" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4580">First Name <span class="elq-required">* </span> </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="firstName" id="fe4580" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement1" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4581">Last Name <span class="elq-required">* </span> </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="lastName" id="fe4581" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement2" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4582">Email Address <span class="elq-required">* </span> </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="emailAddress" id="fe4582" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement3" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4583">Organization </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="company" id="fe4583" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement4" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4584">Address 1 </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="address1" id="fe4584" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement5" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4585">Address 2 </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="address2" id="fe4585" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement6" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4586">City </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="city" id="fe4586" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement7" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4588">State or Province </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <select class="elq-item-select" id="fe4588" name="stateProv" style="width:100%;" data-value="~~eloqua..type--emailfield..syntax--State_Prov~~"> <option value="">Please select... </option> <option value="AK">Alaska </option> <option value="AL">Alabama </option> <option value="AR">Arkansas </option> <option value="AS">American Samoa </option> <option value="AZ">Arizona </option> <option value="CA">California </option> <option value="CO">Colorado </option> <option value="CT">Connecticut </option> <option value="DC">D.C. </option> <option value="DE">Delaware </option> <option value="FL">Florida </option> <option value="FM">Micronesia </option> <option value="GA">Georgia </option> <option value="GU">Guam </option> <option value="HI">Hawaii </option> <option value="IA">Iowa </option> <option value="ID">Idaho </option> <option value="IL">Illinois </option> <option value="IN">Indiana </option> <option value="KS">Kansas </option> <option value="KY">Kentucky </option> <option value="LA">Louisiana </option> <option value="MA">Massachusetts </option> <option value="MD">Maryland </option> <option value="ME">Maine </option> <option value="MH">Marshall Islands </option> <option value="MI">Michigan </option> <option value="MN">Minnesota </option> <option value="MO">Missouri </option> <option value="MP">Marianas </option> <option value="MS">Mississippi </option> <option value="MT">Montana </option> <option value="NC">North Carolina </option> <option value="ND">North Dakota </option> <option value="NE">Nebraska </option> <option value="NH">New Hampshire </option> <option value="NJ">New Jersey </option> <option value="NM">New Mexico </option> <option value="NV">Nevada </option> <option value="NY">New York </option> <option value="OH">Ohio </option> <option value="OK">Oklahoma </option> <option value="OR">Oregon </option> <option value="PA">Pennsylvania </option> <option value="PR">Puerto Rico </option> <option value="PW">Palau </option> <option value="RI">Rhode Island </option> <option value="SC">South Carolina </option> <option value="SD">South Dakota </option> <option value="TN">Tennessee </option> <option value="TX">Texas </option> <option value="UT">Utah </option> <option value="VA">Virginia </option> <option value="VI">Virgin Islands </option> <option value="VT">Vermont </option> <option value="WA">Washington </option> <option value="WI">Wisconsin </option> <option value="WV">West Virginia </option> <option value="WY">Wyoming </option> <option value="AA">Military Americas </option> <option value="AE">Military Europe/ME/Canada </option> <option value="AP">Military Pacific </option> <option value="AB">Alberta </option> <option value="MB">Manitoba </option> <option value="BC">British Columbia </option> <option value="NB">New Brunswick </option> <option value="NL">Newfoundland and Labrador </option> <option value="NS">Nova Scotia </option> <option value="NT">Northwest Territories </option> <option value="NU">Nunavut </option> <option value="ON">Ontario </option> <option value="PE">Prince Edward Island </option> <option value="QC">Quebec </option> <option value="SK">Saskatchewan </option> <option value="YT">Yukon Territory </option> </select> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement8" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4587">Zip or Postal Code </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="zipPostal" id="fe4587" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement9" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4589">Country/Region </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="country" id="fe4589" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement10" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4590">Job Category <span class="elq-required">* </span> </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper" id="fe4590"> <div class="list-order one-column"> <input type="radio" id="radio-Physician_32c2jdr7" value="Physician" name="job_category"> <label class="checkbox-aligned elq-item-label" for="radio-Physician_32c2jdr7">Physician </label> <br> </div> <div class="list-order one-column"> <input type="radio" id="radio-Advanced Practice Provider_xhnf46ip" value="Advanced Practice Provider" name="job_category"> <label class="checkbox-aligned elq-item-label" for="radio-Advanced Practice Provider_xhnf46ip">Advanced Practice Provider </label> <br> </div> <div class="list-order one-column"> <input type="radio" id="radio-Nurse_x8kjrww" value="Nurse" name="job_category"> <label class="checkbox-aligned elq-item-label" for="radio-Nurse_x8kjrww">Nurse </label> <br> </div> <div class="list-order one-column"> <input type="radio" id="radio-Allied Health_cm53o7ac" value="Allied Health" name="job_category"> <label class="checkbox-aligned elq-item-label" for="radio-Allied Health_cm53o7ac">Allied Health </label> <br> </div> <div class="list-order one-column"> <input type="radio" id="radio-Administrator / Administrative Services_mza5oe64" value="Administrator / Administrative Services" name="job_category"> <label class="checkbox-aligned elq-item-label" for="radio-Administrator / Administrative Services_mza5oe64">Administrator / Administrative Services </label> <br> </div> <div class="list-order one-column"> <input type="radio" id="radio-Other_8ndsv1o" value="Other" name="job_category"> <label class="checkbox-aligned elq-item-label" for="radio-Other_8ndsv1o">Other </label> <br> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement11" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4591">Job Title </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" class="elq-item-input" name="job_title" id="fe4591" value="" style="width:100%;"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement12" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4878">Area of Interest (select the most applicable) <span class="elq-required">* </span> </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <select class="elq-item-select" id="fe4878" name="aoi_picklist" style="width:100%;" data-value=""> <option value="Administration">Administration </option> <option value="Finance">Finance </option> <option value="Healthcare Innovation">Healthcare Innovation </option> <option value="Information Technology">Information Technology </option> <option value="Logistics &amp; Hospital Operations">Logistics &amp; Hospital Operations </option> <option value="Practice Leadership &amp; Clinical Services">Practice Leadership &amp; Clinical Services </option> <option value="Quality &amp; Patient Safety">Quality &amp; Patient Safety </option> <option value="Social Services">Social Services </option> <option value="Support Services">Support Services </option> <option value="Workforce Management (HR)">Workforce Management (HR) </option> </select> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement13" class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label " for="fe4841">Email/Paper Mail Delivery (Please select one which applies.) <span class="elq-required">* </span> </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper" id="fe4841"> <div class="list-order one-column"> <input type="radio" id="radio-Email_xy5zsor9" value="Email" name="email_paper_delivery"> <label class="checkbox-aligned elq-item-label" for="radio-Email_xy5zsor9">Email </label> <br> </div> <div class="list-order one-column"> <input type="radio" id="radio-Paper_n7orh3jf" value="Paper" name="email_paper_delivery"> <label class="checkbox-aligned elq-item-label" for="radio-Paper_n7orh3jf">Paper </label> <br> </div> <div class="list-order one-column"> <input type="radio" id="radio-Both_fehgend" value="Both" name="email_paper_delivery"> <label class="checkbox-aligned elq-item-label" for="radio-Both_fehgend">Both </label> <br> </div> </div> </div> </div> </div> </div> </div> </div> </div> <div id="elq-FormLastRow" class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div class="elq-field-style form-element-layout row"> <div style="text-align:left;" class="col-sm-12 col-xs-12"> <label class="elq-label">address3 </label> </div> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div class="field-control-wrapper"> <input type="text" value="" tabindex="-1" autocomplete="off" style="width:100%;" class="elq-item-input" name="address3" id="fe4878"> </div> </div> </div> </div> </div> </div> </div> </div> <div class="row"> <div class="grid-layout-col"> <div class="layout-col col-sm-12 col-xs-12"> <div id="formElement14" class="elq-field-style form-element-layout row"> <div class="col-sm-12 col-xs-12"> <div class="row"> <div class="col-xs-12"> <div> <input type="Submit" class="submit-button-style " value="Subscribe" id="fe4594"> </div> </div> </div> </div> </div> </div> </div> </div> <input type="hidden" name="page_url" id="fe4618" value=""> <input type="hidden" name="hiddenField" id="fe4842" value=""> </div> </form> <script type="text/javascript" src="https://img04.en25.com/i/livevalidation_standalone.compressed.js"> </script> <p style="font-size: 16px"><strong>NOTE:</strong> Regardless of your selection, we may still send you important updates on courses for which you registered.</p> <p style="font-size: 16px;">By clicking the Subscribe button, I consent to Mayo Clinic鈥檚 use of my personal data, including disclosure of my personal data to Mayo Clinic鈥檚 partners, for course registration and communications about upcoming courses based on my preferences. Please see our <a href="/catalog?pagename=Terms-and-Conditions" target="_blank">Terms of Use</a> and <a href="/catalog?pagename=Privacy-Policy" target="_blank">Privacy Policy</a> for more information and your rights.</p> <script> function handleFormSubmit(ele) { var submitButton = ele.querySelector('input[type=submit]'); var spinner = document.createElement('span'); spinner.setAttribute('class', 'loader'); submitButton.setAttribute('disabled', true); submitButton.style.cursor = 'wait'; submitButton.parentNode.appendChild(spinner); return true; } function resetSubmitButton(e) { var submitButtons = e.target.form.getElementsByClassName('submit-button'); for (var i = 0; i < submitButtons.length; i++) { submitButtons[i].disabled = false; } } function addChangeHandler(elements) { for (var i = 0; i < elements.length; i++) { elements[i].addEventListener('change', resetSubmitButton); } } var form = document.getElementById('form492'); addChangeHandler(form.getElementsByTagName('input')); addChangeHandler(form.getElementsByTagName('select')); addChangeHandler(form.getElementsByTagName('textarea')); var nodes = document.querySelectorAll('#form492 input[data-subscription]'); if (nodes) { for (var i = 0, len = nodes.length; i < len; i++) { var status = nodes[i].dataset ? nodes[i].dataset.subscription : nodes[i].getAttribute('data-subscription'); if (status === 'true') { nodes[i].checked = true; } } }; var nodes = document.querySelectorAll('#form492 select[data-value]'); if (nodes) { for (var i = 0; i < nodes.length; i++) { var node = nodes[i]; var selectedValue = node.dataset ? node.dataset.value : node.getAttribute('data-value'); if (selectedValue) { for (var j = 0; j < node.options.length; j++) { if (node.options[j].value === selectedValue) { node.options[j].selected = 'selected'; break; } } } } } this.getParentElement = function(list) { return list[list.length - 1].parentElement }; var dom0 = document.querySelector('#form492 #fe4580'); var fe4580 = new LiveValidation(dom0, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4580.add(Validate.Presence, { failureMessage: "This field is required" }); var dom1 = document.querySelector('#form492 #fe4581'); var fe4581 = new LiveValidation(dom1, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4581.add(Validate.Presence, { failureMessage: "This field is required" }); var dom2 = document.querySelector('#form492 #fe4582'); var fe4582 = new LiveValidation(dom2, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4582.add(Validate.Format, { pattern: /(^[A-Z0-9!#\$%&'\*\+\-\/=\?\^_`\{\|\}~][A-Z0-9!#\$%&'\*\+\-\/=\?\^_`\{\|\}~\.]{0,62}@(([A-Z0-9](?:[A-Z0-9\-]{0,61}[A-Z0-9])?)(\.[A-Z0-9](?:[A-Z0-9\-]{0,61}[A-Z0-9])?)+)$)/i, failureMessage: "A valid email address is required" }); fe4582.add(Validate.Format, { pattern: /\.\.|\.@/i, failureMessage: "A valid email address is required", negate: "true" }); fe4582.add(Validate.Presence, { failureMessage: "This field is required" }); var dom3 = document.querySelector('#form492 #fe4583'); var fe4583 = new LiveValidation(dom3, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); var dom4 = document.querySelector('#form492 #fe4584'); var fe4584 = new LiveValidation(dom4, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4584.add(Validate.Custom, { against: function(value) { return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i); }, failureMessage: "Value must not contain any URL's" }); fe4584.add(Validate.Custom, { against: function(value) { return !value.match(/(<([^>]+)>)/ig); }, failureMessage: "Value must not contain any HTML" }); fe4584.add(Validate.Length, { tooShortMessage: "Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35 }); var dom5 = document.querySelector('#form492 #fe4585'); var fe4585 = new LiveValidation(dom5, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4585.add(Validate.Custom, { against: function(value) { return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i); }, failureMessage: "Value must not contain any URL's" }); fe4585.add(Validate.Custom, { against: function(value) { return !value.match(/(<([^>]+)>)/ig); }, failureMessage: "Value must not contain any HTML" }); fe4585.add(Validate.Length, { tooShortMessage: "Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35 }); var dom6 = document.querySelector('#form492 #fe4586'); var fe4586 = new LiveValidation(dom6, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4586.add(Validate.Custom, { against: function(value) { return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i); }, failureMessage: "Value must not contain any URL's" }); fe4586.add(Validate.Custom, { against: function(value) { return !value.match(/(<([^>]+)>)/ig); }, failureMessage: "Value must not contain any HTML" }); fe4586.add(Validate.Length, { tooShortMessage: "Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35 }); var dom7 = document.querySelector('#form492 #fe4588'); var fe4588 = new LiveValidation(dom7, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); var dom8 = document.querySelector('#form492 #fe4587'); var fe4587 = new LiveValidation(dom8, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4587.add(Validate.Custom, { against: function(value) { return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i); }, failureMessage: "Value must not contain any URL's" }); fe4587.add(Validate.Custom, { against: function(value) { return !value.match(/(<([^>]+)>)/ig); }, failureMessage: "Value must not contain any HTML" }); fe4587.add(Validate.Length, { tooShortMessage: "Invalid length for field value", tooLongMessage: "Invalid length for field value", minimum: 0, maximum: 35 }); var dom9 = document.querySelector('#form492 #fe4589'); var fe4589 = new LiveValidation(dom9, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); var dom10 = document.querySelectorAll('#form492 [name="job_category"]'); var fe4590 = new LiveValidation(dom10, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false, insertAfterWhatNode: this.getParentElement(dom10), isGroup: true }, true); fe4590.add(Validate.Custom, { against: function(value) { return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i); }, failureMessage: "Value must not contain any URL's" }); fe4590.add(Validate.Custom, { against: function(value) { return !value.match(/(<([^>]+)>)/ig); }, failureMessage: "Value must not contain any HTML" }); fe4590.add(Validate.Presence, { failureMessage: "This field is required" }); var dom11 = document.querySelector('#form492 #fe4591'); var fe4591 = new LiveValidation(dom11, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); var dom12 = document.querySelector('#form492 #fe4878'); var fe4878 = new LiveValidation(dom12, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false }); fe4878.add(Validate.Presence, { failureMessage: "This field is required" }); var dom13 = document.querySelectorAll('#form492 [name="email_paper_delivery"]'); var fe4841 = new LiveValidation(dom13, { validMessage: "", onlyOnBlur: false, wait: 300, isPhoneField: false, insertAfterWhatNode: this.getParentElement(dom13), isGroup: true }, true); fe4841.add(Validate.Custom, { against: function(value) { return !value.match(/(telnet|ftp|https?):\/\/(?:[a-z0-9][a-z0-9-]{0,61}[a-z0-9]\.|[a-z0-9]\.)+[a-z]{2,63}/i); }, failureMessage: "Value must not contain any URL's" }); fe4841.add(Validate.Custom, { against: function(value) { return !value.match(/(<([^>]+)>)/ig); }, failureMessage: "Value must not contain any HTML" }); fe4841.add(Validate.Presence, { failureMessage: "This field is required" }); </script> <script> document.onload = handleDocumentLoad('form492', '74881809'); function handleDocumentLoad(b, a) { window.getElqFormSubmissionToken(b, a); window.processLastFormField() } function getElqFormSubmissionToken(g, c) { var e = new XMLHttpRequest(); var b = document.getElementById(g); if (b && b.elements.namedItem("elqFormSubmissionToken")) { var f = b.action; var a = window.getHostName(f); a = "https://" + a + "/e/formsubmittoken?elqSiteID=" + c; if (a) { e.onreadystatechange = function() { if (e.readyState === 4) { if (e.status === 200) { b.elements.namedItem("elqFormSubmissionToken").value = e.responseText } else { b.elements.namedItem("elqFormSubmissionToken").value = "" } } }; e.open("GET", a, true); e.send() } else { b.elements.namedItem("elqFormSubmissionToken").value = "" } } } function getHostName(b) { if (typeof window.URL === "function") { return new window.URL(b).hostname } else { var a = b.match(/:\/\/(www[0-9]?\.)?(.[^\/:]+)/i); if (a !== null && a.length > 2 && typeof a[2] === "string" && a[2].length > 0) { return a[2] } else { return null } } } function processLastFormField() { var form = document.getElementById("form492"); var lastFormField = form.querySelector("#elq-FormLastRow"); lastFormField.style.display = "none"; } </script> <script type='text/javascript'> <!--// var timerId = null, timeout = 5; // --> </script> <script type='text/javascript'> <!--// function WaitUntilCustomerGUIDIsRetrieved() { if (!!(timerId)) { if (timeout == 0) { return; } if (typeof this.GetElqCustomerGUID === 'function') { document.forms["2022.Exec.Edu.ESU.KB.Sp-1705598239702"].elements["elqCustomerGUID"].value = GetElqCustomerGUID(); return; } timeout -= 1; } timerId = setTimeout("WaitUntilCustomerGUIDIsRetrieved()", 500); return; } window.onload = WaitUntilCustomerGUIDIsRetrieved; _elqQ.push(['elqGetCustomerGUID']); // --> </script> </div> </section> <section class="bg-gray remove-margin-bottom"> <div class="wrapper" style="text-align: center;"> <a href="/" class="cm-button">Home</a> </div> </section> </article> </main> </div> </div> </div> <div class="sub-full-bleed"> <div class="sub-placeholder"></div> </div> </div> <div id="footer"> <footer role="contentinfo" aria-labelledby="mc-linksfooter"> <div class="back-top"> <div class="wrapper"> <a href="#header" class="text-icon text-link invert no-border">Back to top <div class="icon-sm back-to-top white"></div> </a> </div> </div> <div class="footer-section col-2"> <div class="wrapper"> <div class="footer-content"> <div class="col-2"> <div class="content flex-column-justify-center"> <ol class="links sm"> <li><a href="/">Home</a></li> <li><a href="/catalog?pagename=Terms-and-Conditions">Terms of Use</a> </li> <li><a href="https://executiveeducation.mayo.edu/catalog?pagename=Privacy-Policy">Privacy Policy</a></li> <li><a href="/catalog?pagename=Cancellation-and-Refunds">Cancellation & Refunds</a></li> <li><a href="/catalog?pagename=FAQs">FAQs</a></li> <li><a href="/catalog?pagename=Contact_Us">Contact Us</a></li> <li><a href="/catalog?pagename=Get-Updates">Get Updates</a></li> <li><a href="#/" id="privacyManageCookies">Manage Cookies</a></li> </ol> </div> <div class="social"> <div class="align-center"> <ol class="social-share-list"> <li> <a href="https://www.facebook.com/mayocliniccollege"> <span class="myc-visuallyhidden">Facebook</span> <div class="icon-lg white social-link"><i class="fa-brands fa-square-facebook"></i></div> </a> </li> <li> <a href="https://www.instagram.com/mayocliniccollege/"> <span class="myc-visuallyhidden">Instagram</span> <div class="icon-lg white social-link"><i class="fa-brands fa-instagram"></i></div> </a> </li> </ol> </div> </div> </div> </div> </div> </div> <div class="footer-section"> <div class="wrapper"> <div class="footer-content" style="border-bottom: none;"> <p> A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "Mayo Clinic Healthcare," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. </p> <p class="remove-margin-bottom"> 漏 1998-2024 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. </p> </div> </div> </div> </footer> </div> <script type="text/javascript" src="//executiveeducation.mayo.edu/template/mclin/js/accessibility.js"></script> <script type="text/javascript" src="//executiveeducation.mayo.edu/template/mclin/js/dropdown.js"></script> </body> </html>

Pages: 1 2 3 4 5 6 7 8 9 10