var captchaWidgetmpFrmec07e6fad114450286b1342e0d81c939; var mpCurrentScriptmpFrmec07e6fad114450286b1342e0d81c939Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmec07e6fad114450286b1342e0d81c939"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrmec07e6fad114450286b1342e0d81c939Find(); } else if(document.currentScript && document.currentScript.parentNode && document.currentScript.parentNode.nodeName && document.currentScript.parentNode.nodeName.toLowerCase() === "head") { document.addEventListener("DOMContentLoaded", (event) => { var bodyHolder = document.getElementsByTagName("body"); if (bodyHolder && bodyHolder[0]) { bodyHolder[0].appendChild(containerDiv); } }) } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); mpFormmpFrmec07e6fad114450286b1342e0d81c939Find(); } })(); function mpFormmpFrmec07e6fad114450286b1342e0d81c939Find() { if(!mpCurrentScriptmpFrmec07e6fad114450286b1342e0d81c939Container) return; if (mpCurrentScriptmpFrmec07e6fad114450286b1342e0d81c939Container && mpCurrentScriptmpFrmec07e6fad114450286b1342e0d81c939Container.nodeName && mpCurrentScriptmpFrmec07e6fad114450286b1342e0d81c939Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmec07e6fad114450286b1342e0d81c939" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmec07e6fad114450286b1342e0d81c939Container.children).forEach(c => { if (c.id === "mpFrmec07e6fad114450286b1342e0d81c939") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript458ca409f3d34ff6bad113cc04cfc1e3Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmec07e6fad114450286b1342e0d81c939"; } } } } function mpForm458ca409f3d34ff6bad113cc04cfc1e3Check() { let checkBoxes = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; var attr = checkBox.getAttribute('data-prevval'); if (typeof attr !== typeof undefined && attr !== false) { checkBox.value = checkBox.getAttribute("data-prevval"); checkBox.removeAttribute("data-prevval"); checkBox.removeAttribute("checked"); } } } } function mpForm458ca409f3d34ff6bad113cc04cfc1e3Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelectorAll('input[type="checkbox"]'); if(checkBoxes) { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; if( checkBox.checked == true ) { if(checkBox.getAttribute('data-prevval')) { checkBox.value = checkBox.getAttribute('data-prevval'); } else { checkBox.value = 1; } } else { checkBox.setAttribute('data-prevval',checkBox.value); checkBox.value = 0; } } } let form_data = Array.from( new FormData(document.getElementById('mpform-458ca409f3d34ff6bad113cc04cfc1e3')), function(e) { return { name: e[0], value: e[1] } } ) try { for(var i = 0; i < checkBoxes.length; i++) { let checkBox = checkBoxes[i]; let found = form_data.find(f=>f.name == checkBox.name) if(!found) { form_data.push({name: checkBox.name, value: checkBox.checked ? checkBox.value : "0"}) } } } catch(err){} try { form_data.push({ name: "mpTrkH", value: document.location.host }) form_data.push({ name: "mpTrkO", value: document.location.origin }) form_data.push({ name: "mpTrkP", value: document.location.pathname }) form_data.push({ name: "mpTrkQ", value: document.location.search }) form_data.push({ name: "mpTrkUUID", value: getTrackingId458ca409f3d34ff6bad113cc04cfc1e3() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInput = telInputs[i]; var iti = window.intlTelInputGlobals.getInstance(telInput); telInput.classList.remove("mpm-field-error"); if(iti.isValidNumber() == false && telInput.value && telInput.value.length) { telInput.classList.add("mpm-field-error"); failed = "Please enter a valid telephone number"; } else { let found = form_data.find(f=> f.name == telInput.name); if (found) { found.value = iti.getNumber(); // intenationally formatted version of the number } } } } if(failed != "") { mpMsg.innerHTML = failed; msgHlder.style.display = "block"; return; } let button = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelector('button'); if(button) { button.disabled = true; button.opacity = "0.5"; } mpMsg.innerHTML = 'Sending your details...'; var xhr = new XMLHttpRequest(); xhr.open("POST", "https://api.transpond.io/form?am=40129&fid=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm458ca409f3d34ff6bad113cc04cfc1e3Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; let response = JSON.parse(xhr.responseText); if (!response || (!response.download && !response.downloads)) { try { document.getElementById('mpform-458ca409f3d34ff6bad113cc04cfc1e3').reset(); } catch(e) {} } if(response) { if (response.redirect) { window.location.href = response.redirect; } else if (response.message) { if (response.download) window.open(response.download, '_blank'); if (response.downloads && response.downloads.length) { const parent = button.parentElement; response.downloads.forEach(link => { const hiddenButton = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'block'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-458ca409f3d34ff6bad113cc04cfc1e3').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmec07e6fad114450286b1342e0d81c939); } else { mpForm458ca409f3d34ff6bad113cc04cfc1e3Check(); button.disabled = false; button.style.opacity = "1"; mpMsg.innerHTML = ""; msgHlder.style.display = "block"; var error = "Error submitting form"; if (xhr.responseText) { const errorJson = JSON.parse(xhr.responseText); if(errorJson.error && typeof errorJson.error === 'string') { error = errorJson.error; } } mpMsg.innerHTML = error; grecaptcha.reset(); } }; let urlEncodedDataPairs = []; form_data.forEach((m, i) => { let name = m.name; if (name === 'capsule_note') { name += '_' + i; } urlEncodedDataPairs.push(encodeURIComponent(name)+ "=" + encodeURIComponent(m.value)); }); const urlEncodedData = urlEncodedDataPairs.join('&').replace(/%20/g, '+'); xhr.setRequestHeader('Content-type', 'application/x-www-form-urlencoded'); xhr.send(urlEncodedData); return; } function mpmRecaptchaLoaded458ca409f3d34ff6bad113cc04cfc1e3() { captchaWidgetmpFrmec07e6fad114450286b1342e0d81c939 = grecaptcha.render('mpmRecaptchampFrmec07e6fad114450286b1342e0d81c939', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId458ca409f3d34ff6bad113cc04cfc1e3() { try { let uuid = document.cookie.match('(^|;)\s*mpz\s*=\s*([^;]+)')?.pop() || ''; if(!uuid) { let found = document.cookie.split(';').find(c => c.indexOf('mpz=') > -1); if (found) uuid = found.split('=')[1]; } return uuid; } catch(e) { } }; function mpmFormInit458ca409f3d34ff6bad113cc04cfc1e3 () { var subscriberData = undefined; var form = '
First Name
Last Name
Email
Job Title
Company Name
Type of Provider
Number of Learners
If you don\'t want Cognassist to let you know when we publish new events and neuro-inclusion content, check this box
'; let failedCount = 0 function finishedLoading458ca409f3d34ff6bad113cc04cfc1e3() { window.mpFormLoading = false; let container = document.getElementById('mpFrmec07e6fad114450286b1342e0d81c939'); if (!container) { mpFormmpFrmec07e6fad114450286b1342e0d81c939Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmec07e6fad114450286b1342e0d81c939'); return setTimeout(finishedLoading458ca409f3d34ff6bad113cc04cfc1e3, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelectorAll('input[type=TELNO]'); if(telInputs) { for(var i = 0; i < telInputs.length; i++) { let telInp = telInputs[i]; telInp.style.width = "100%"; telInp.style.paddingLeft = "50px"; window.intlTelInput(telInp, { initialCountry: "us", utilsScript: "https://cdn1.ourmailsender.com/scripts/telinput/utils.js" } ); } } if(subscriberData) { let customFields = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelectorAll('input[name*="customField-"]') if(customFields) { for(var i = 0; i < customFields.length; i++) { let customField = customFields[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue } } } let customFieldsTextArea = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelectorAll('textarea[name*="customField-"]') if(customFieldsTextArea) { for(var i = 0; i < customFieldsTextArea.length; i++) { let customField = customFieldsTextArea[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; let newValue = ""; if(subscriberData.customFields[cfID]) newValue = subscriberData.customFields[cfID]; customField.value = newValue; } } } let emailAddressFields = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } var mpmRecaptchaScript = document.createElement("SCRIPT"); mpmRecaptchaScript.src = 'https://www.google.com/recaptcha/api.js?onload=mpmRecaptchaLoaded458ca409f3d34ff6bad113cc04cfc1e3&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup458ca409f3d34ff6bad113cc04cfc1e3() { let popups = document.getElementById("mpform-458ca409f3d34ff6bad113cc04cfc1e3").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput458ca409f3d34ff6bad113cc04cfc1e3() { if(!window.intlTelInput) { var script = document.createElement("SCRIPT"); script.src = 'https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.js'; script.type = 'text/javascript'; script.onload = function () { finishedLoading458ca409f3d34ff6bad113cc04cfc1e3(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading458ca409f3d34ff6bad113cc04cfc1e3(); } } var link = document.createElement("link"); link.href = "https://api.transpond.io/public/css/form.css"; link.type = "text/css"; link.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(link); var mTelI = document.createElement("link"); mTelI.href = "https://cdn1.ourmailsender.com/scripts/telinput/intlTelInput.min.css"; mTelI.type = "text/css"; mTelI.rel = "stylesheet"; document.getElementsByTagName("head")[0].appendChild(mTelI); mploadTelInput458ca409f3d34ff6bad113cc04cfc1e3(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit458ca409f3d34ff6bad113cc04cfc1e3(); } else { function waitForOtherFormsmpFrmec07e6fad114450286b1342e0d81c939() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit458ca409f3d34ff6bad113cc04cfc1e3(); } else { setTimeout(waitForOtherFormsmpFrmec07e6fad114450286b1342e0d81c939,300); } } waitForOtherFormsmpFrmec07e6fad114450286b1342e0d81c939(); }