usresourceassistant.com Open in urlscan Pro
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Form analysis
1 forms found in the DOM

POST

<form method="post" onclick="window._formSubmitted = true;" data-scope="44sary2whvb">
  <div class="row section-form">
    <div class="col-lg-12 col-md-12 col-sm-12 form-group " data-for="first-name" style="color:white !important;">
      <span class="field" data-field-name="first_name" style="display: inline;"><input class="form-control display-7" name="first_name" placeholder="First Name" style="color:white !important;" type="text" value=""></span>
      <span data-error-label-for="first_name" class="field-error-label field-error-label-error" style=""></span>
    </div>
    <div class="col-lg-12 col-md-12 col-sm-12 form-group" data-for="last-name" style="color:white !important;">
      <span class="field" data-field-name="last_name" style="display: inline;"><input class="form-control display-7" name="last_name" placeholder="Last Name" style="color:white !important;" type="text" value=""></span>
      <span data-error-label-for="last_name" class="field-error-label field-error-label-error" style=""></span>
    </div>
    <div data-for="email" class="col-lg-12 col-md-12 col-sm-12 form-group" style="color:white !important;">
      <span class="field" data-field-name="email" style="display: inline;"><input class="form-control display-7" name="email" placeholder="Email" style="color:white !important;" type="text" value=""></span>
      <span data-error-label-for="email" class="field-error-label field-error-label-error" style=""></span>
    </div>
    <div class="col-lg-12 col-md-12 col-sm-12 form-group" data-for="phone">
      <span class="field" data-field-name="phone" style="display: inline;"><input class="form-control display-7" name="phone" placeholder="Phone" style="color:white !important;" type="tel" value="">
        <script>
          new IMask(document.querySelector('[name=phone]'), {
            mask: "000-000-0000"
          });
        </script>
      </span>
      <span data-error-label-for="phone" class="field-error-label field-error-label-error" style=""></span>
    </div>
    <h5 class="mbr-fonts-style form-text align-left display-4" style="text-align:justify; color:white;">
      <span unchecked="" class="field" data-field-name="accept1" style="display: inline;"><input id="leadid_tcpa_disclosure" name="accept1" type="checkbox" value="true"></span>
      <label for="leadid_tcpa_disclosure"> By checking this box I agree that I’m a US resident over the age of 18 and I agree to the <a href="/privacy" target="_blank" style="font-weight:600;">Privacy Policy</a> and
        <a href="/terms" target="_blank" style="font-weight: 600;">Terms of Service</a>. Interactions with this web site may be monitored and recorded for the purposes of documenting consent. </label>
      <span data-error-label-for="accept1" class="field-error-label field-error-label-error" style="display: block; color: red; margin-top: 0; width: 100%; height: 18px;"></span>
    </h5>
    <h5 class="mbr-fonts-style form-text align-left display-4" style="text-align:justify; color:white;">
      <span unchecked="" class="field" data-field-name="accept2" style="display: inline;"><input name="accept2" type="checkbox" value="true"></span> I understand by submitting my email address that I will receive daily email from USResourceAssistant.
      <span data-error-label-for="accept2" class="field-error-label field-error-label-error" style="display: block; color: red; margin-top: 0; width: 100%; height: 18px;"></span>
    </h5>
    <div class="col-md-12 input-group-btn">
      <button type="submit" class="btn btn-md btn-form btn-info display-7">VIEW AVAILABLE FUNDS</button>
    </div>
  </div>
  <input name="__RequestVerificationToken" type="hidden" value="CfDJ8Nla5BhIGylAmyEzk9FnJMPchAyN-LVqqVhAHifppHz3ybsy9x2Na_a4DPrRPKJBa30BSxOWT3ywqvLQIqAPBVOjRHu-CMFQENPr94AeHoM7lMCd4yTEV29ebup2sA_xZYO9_1diBjzcW2Hn-h_GXkE">
  <script>
    var validators = [];
    validators.push({
      field: "first_name",
      required: "This field is required",
      value: function(form, name) {
        return form.querySelector('[name="' + name + '"]').value;
      },
      valid: function(value) {
        return null
      },
      depend: function(fields, name) {
        return true
      },
    });
    validators.push({
      field: "last_name",
      required: "This field is required",
      value: function(form, name) {
        return form.querySelector('[name="' + name + '"]').value;
      },
      valid: function(value) {
        return null
      },
      depend: function(fields, name) {
        return true
      },
    });
    validators.push({
      field: "email",
      required: "This field is required",
      value: function(form, name) {
        return form.querySelector('[name="' + name + '"]').value;
      },
      valid: function(value) {
        return (!/^[^\s@]+@[^\s@]+\.[^\s@]+$/.test(value) ? "Invalid email" : null)
      },
      depend: function(fields, name) {
        return true
      },
    });
    validators.push({
      field: "phone",
      required: "This field is required",
      value: function(form, name) {
        return form.querySelector('[name="' + name + '"]').value;
      },
      valid: function(value) {
        return (!/^\d\d\d-\d\d\d-\d\d\d\d$/.test(value) ? "Invalid phone" : null)
      },
      depend: function(fields, name) {
        return true
      },
    });
    validators.push({
      field: "accept1",
      required: "Please accept these terms to continue",
      value: function(form, name) {
        var field = form.querySelector('[name="' + name + '"]');
        return field && field.checked;
      },
      valid: function(value) {
        return null
      },
      depend: function(fields, name) {
        return true
      },
    });
    validators.push({
      field: "accept2",
      required: "Please accept these terms to continue",
      value: function(form, name) {
        var field = form.querySelector('[name="' + name + '"]');
        return field && field.checked;
      },
      valid: function(value) {
        return null
      },
      depend: function(fields, name) {
        return true
      },
    });
    var f = document.querySelector('[data-scope="44sary2whvb"]');

    function getVals() {
      var vals = {};
      for (var i in validators) {
        vals[validators[i].field] = validators[i].value(f, validators[i].field);
      }
      return vals;
    }

    function checkDeps() {
      for (var i in validators) {
        if (validators[i].depend) {
          var span = f.querySelector('[data-field-name="' + validators[i].field + '"]');
          if (validators[i].depend(getVals(), validators[i].field)) {
            span && (span.style.display = 'inline');
          } else {
            span && (span.style.display = 'none');
          }
        }
      }
    }
    checkDeps();
    for (var i in validators) {
      var el = f.querySelector('[name="' + validators[i].field + '"]');
      if (el) el.addEventListener('change', checkDeps);
    }
    window._formValidator = function(e) {
      window._formHasErrors = false;
      var values = getVals();
      var context = {
        client: true,
        values: values
      };
      for (var i in validators) {
        var em = null;
        var qs = f.querySelector('[name="' + validators[i].field + '"]');
        var fs = qs && qs.parentNode;
        if (fs) fs.classList.remove('field-with-error');
        var errorLabel = f.querySelector('[data-error-label-for="' + validators[i].field + '"]');
        if (errorLabel) errorLabel.innerHTML = "";
        var v = values[validators[i].field];
        if (!validators[i].depend(values, validators[i].field)) continue;
        if (!v) {
          if (validators[i].required) em = validators[i].required;
          else continue;
        } else {
          em = validators[i].valid(v, context);
        }
        if (em) {
          if (errorLabel) errorLabel.append(em);
          if (fs) fs.classList.add('field-with-error');
          e.preventDefault();
          e.stopImmediatePropagation();
          window._formHasErrors = true;
        }
      }
      /* if (window._formHasErrors) {
          var fwe = document.querySelector("span.field-with-error");
          if (fwe && fwe.scrollInfoView) fwe.scrollIntoView({ behavior: "smooth" });
      }*/
      return !window._formHasErrors;
    };
    f.addEventListener("submit", window._formValidator);
  </script><input id="leadid_token" name="universal_leadid" type="hidden" value="86AF0ACA-48AB-19DF-8331-23EAB002EA9F"><input type="hidden" name="xxTrustedFormCertUrl" value="https://cert.trustedform.com/c252c37b9671c5f478acbe35d8553061245b439d"
    id="xxTrustedFormCertUrl_0"><input type="hidden" name="xxTrustedFormToken" value="https://cert.trustedform.com/c252c37b9671c5f478acbe35d8553061245b439d" id="xxTrustedFormToken_0"><input type="hidden" name="xxTrustedFormPingUrl"
    value="https://ping.trustedform.com/0.WFB2Z83K_fDI8CrLI5el10dKvQnUdjZEX_oIlzv7-D_w5Wnxtyzo_2Mn2Vy5rLBTF9pv5xc.W41gbzpyRqol0DViNhOe-Q.j4fDKTkPb4CcPBY-_f684A" id="xxTrustedFormPingUrl_0">
</form>

Text Content

Mobirise Website Builder v4.10.6



EXPLORING YOUR OPTIONS?


THINK YOU CAN'T AFFORD IT?
GRANT PROGRAMS PROVIDE FINANCIAL ASSISTANCE TO THOSE WHO QUALIFY.

Unlike loans, you do not need to repay grants.

Grants and scholarships are awarded by the government and private organizations
to help eligible individuals start a business, pay for school, etc.

Things like your field, heritage, religious affiliation, grades, and other
factors could help you qualify for these programs.


FUNDS ARE AVAILABLE

FIND MONEY & SIGN UP!

BY CHECKING THIS BOX I AGREE THAT I’M A US RESIDENT OVER THE AGE OF 18 AND I
AGREE TO THE PRIVACY POLICY AND TERMS OF SERVICE. INTERACTIONS WITH THIS WEB
SITE MAY BE MONITORED AND RECORDED FOR THE PURPOSES OF DOCUMENTING CONSENT.

I UNDERSTAND BY SUBMITTING MY EMAIL ADDRESS THAT I WILL RECEIVE DAILY EMAIL FROM
USRESOURCEASSISTANT.

VIEW AVAILABLE FUNDS

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