var captchaWidgetmpFrm254b87b4d90747d885def8be1dbf6c1b; var mpCurrentScriptmpFrm254b87b4d90747d885def8be1dbf6c1bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm254b87b4d90747d885def8be1dbf6c1b"; 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); }); } mpFormmpFrm254b87b4d90747d885def8be1dbf6c1bFind(); } 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); mpFormmpFrm254b87b4d90747d885def8be1dbf6c1bFind(); } })(); function mpFormmpFrm254b87b4d90747d885def8be1dbf6c1bFind() { if(!mpCurrentScriptmpFrm254b87b4d90747d885def8be1dbf6c1bContainer) return; if (mpCurrentScriptmpFrm254b87b4d90747d885def8be1dbf6c1bContainer && mpCurrentScriptmpFrm254b87b4d90747d885def8be1dbf6c1bContainer.nodeName && mpCurrentScriptmpFrm254b87b4d90747d885def8be1dbf6c1bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm254b87b4d90747d885def8be1dbf6c1b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm254b87b4d90747d885def8be1dbf6c1bContainer.children).forEach(c => { if (c.id === "mpFrm254b87b4d90747d885def8be1dbf6c1b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript80c92eb941cb43238cff41468abc06d8Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm254b87b4d90747d885def8be1dbf6c1b"; } } } } function mpForm80c92eb941cb43238cff41468abc06d8Check() { let checkBoxes = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").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 mpForm80c92eb941cb43238cff41468abc06d8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").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-80c92eb941cb43238cff41468abc06d8')), 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: getTrackingId80c92eb941cb43238cff41468abc06d8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").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-80c92eb941cb43238cff41468abc06d8").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) { mpForm80c92eb941cb43238cff41468abc06d8Check(); 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-80c92eb941cb43238cff41468abc06d8').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-80c92eb941cb43238cff41468abc06d8").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-80c92eb941cb43238cff41468abc06d8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm254b87b4d90747d885def8be1dbf6c1b); } else { mpForm80c92eb941cb43238cff41468abc06d8Check(); 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 mpmRecaptchaLoaded80c92eb941cb43238cff41468abc06d8() { captchaWidgetmpFrm254b87b4d90747d885def8be1dbf6c1b = grecaptcha.render('mpmRecaptchampFrm254b87b4d90747d885def8be1dbf6c1b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId80c92eb941cb43238cff41468abc06d8() { 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 mpmFormInit80c92eb941cb43238cff41468abc06d8 () { 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 finishedLoading80c92eb941cb43238cff41468abc06d8() { window.mpFormLoading = false; let container = document.getElementById('mpFrm254b87b4d90747d885def8be1dbf6c1b'); if (!container) { mpFormmpFrm254b87b4d90747d885def8be1dbf6c1bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm254b87b4d90747d885def8be1dbf6c1b'); return setTimeout(finishedLoading80c92eb941cb43238cff41468abc06d8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").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-80c92eb941cb43238cff41468abc06d8").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-80c92eb941cb43238cff41468abc06d8").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-80c92eb941cb43238cff41468abc06d8").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=mpmRecaptchaLoaded80c92eb941cb43238cff41468abc06d8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup80c92eb941cb43238cff41468abc06d8() { let popups = document.getElementById("mpform-80c92eb941cb43238cff41468abc06d8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput80c92eb941cb43238cff41468abc06d8() { 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 () { finishedLoading80c92eb941cb43238cff41468abc06d8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading80c92eb941cb43238cff41468abc06d8(); } } 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); mploadTelInput80c92eb941cb43238cff41468abc06d8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit80c92eb941cb43238cff41468abc06d8(); } else { function waitForOtherFormsmpFrm254b87b4d90747d885def8be1dbf6c1b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit80c92eb941cb43238cff41468abc06d8(); } else { setTimeout(waitForOtherFormsmpFrm254b87b4d90747d885def8be1dbf6c1b,300); } } waitForOtherFormsmpFrm254b87b4d90747d885def8be1dbf6c1b(); }