var captchaWidgetmpFrm28356245014f430a9c37487936200a4c; var mpCurrentScriptmpFrm28356245014f430a9c37487936200a4cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm28356245014f430a9c37487936200a4c"; 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); }); } mpFormmpFrm28356245014f430a9c37487936200a4cFind(); } 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); mpFormmpFrm28356245014f430a9c37487936200a4cFind(); } })(); function mpFormmpFrm28356245014f430a9c37487936200a4cFind() { if(!mpCurrentScriptmpFrm28356245014f430a9c37487936200a4cContainer) return; if (mpCurrentScriptmpFrm28356245014f430a9c37487936200a4cContainer && mpCurrentScriptmpFrm28356245014f430a9c37487936200a4cContainer.nodeName && mpCurrentScriptmpFrm28356245014f430a9c37487936200a4cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm28356245014f430a9c37487936200a4c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm28356245014f430a9c37487936200a4cContainer.children).forEach(c => { if (c.id === "mpFrm28356245014f430a9c37487936200a4c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript2eb21d9fde484f5eb78f9e89f691fb4fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm28356245014f430a9c37487936200a4c"; } } } } function mpForm2eb21d9fde484f5eb78f9e89f691fb4fCheck() { let checkBoxes = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").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 mpForm2eb21d9fde484f5eb78f9e89f691fb4fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").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-2eb21d9fde484f5eb78f9e89f691fb4f')), 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: getTrackingId2eb21d9fde484f5eb78f9e89f691fb4f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").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-2eb21d9fde484f5eb78f9e89f691fb4f").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) { mpForm2eb21d9fde484f5eb78f9e89f691fb4fCheck(); 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-2eb21d9fde484f5eb78f9e89f691fb4f').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-2eb21d9fde484f5eb78f9e89f691fb4f").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-2eb21d9fde484f5eb78f9e89f691fb4f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm28356245014f430a9c37487936200a4c); } else { mpForm2eb21d9fde484f5eb78f9e89f691fb4fCheck(); 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 mpmRecaptchaLoaded2eb21d9fde484f5eb78f9e89f691fb4f() { captchaWidgetmpFrm28356245014f430a9c37487936200a4c = grecaptcha.render('mpmRecaptchampFrm28356245014f430a9c37487936200a4c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId2eb21d9fde484f5eb78f9e89f691fb4f() { 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 mpmFormInit2eb21d9fde484f5eb78f9e89f691fb4f () { 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 finishedLoading2eb21d9fde484f5eb78f9e89f691fb4f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm28356245014f430a9c37487936200a4c'); if (!container) { mpFormmpFrm28356245014f430a9c37487936200a4cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm28356245014f430a9c37487936200a4c'); return setTimeout(finishedLoading2eb21d9fde484f5eb78f9e89f691fb4f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").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-2eb21d9fde484f5eb78f9e89f691fb4f").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-2eb21d9fde484f5eb78f9e89f691fb4f").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-2eb21d9fde484f5eb78f9e89f691fb4f").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=mpmRecaptchaLoaded2eb21d9fde484f5eb78f9e89f691fb4f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup2eb21d9fde484f5eb78f9e89f691fb4f() { let popups = document.getElementById("mpform-2eb21d9fde484f5eb78f9e89f691fb4f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput2eb21d9fde484f5eb78f9e89f691fb4f() { 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 () { finishedLoading2eb21d9fde484f5eb78f9e89f691fb4f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading2eb21d9fde484f5eb78f9e89f691fb4f(); } } 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); mploadTelInput2eb21d9fde484f5eb78f9e89f691fb4f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit2eb21d9fde484f5eb78f9e89f691fb4f(); } else { function waitForOtherFormsmpFrm28356245014f430a9c37487936200a4c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit2eb21d9fde484f5eb78f9e89f691fb4f(); } else { setTimeout(waitForOtherFormsmpFrm28356245014f430a9c37487936200a4c,300); } } waitForOtherFormsmpFrm28356245014f430a9c37487936200a4c(); }