var captchaWidgetmpFrmee500acba64c4278aca556f16e065495; var mpCurrentScriptmpFrmee500acba64c4278aca556f16e065495Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmee500acba64c4278aca556f16e065495"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); 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); mpFormmpFrmee500acba64c4278aca556f16e065495Find(); } })(); function mpFormmpFrmee500acba64c4278aca556f16e065495Find() { if(!mpCurrentScriptmpFrmee500acba64c4278aca556f16e065495Container) return; if (mpCurrentScriptmpFrmee500acba64c4278aca556f16e065495Container && mpCurrentScriptmpFrmee500acba64c4278aca556f16e065495Container.nodeName && mpCurrentScriptmpFrmee500acba64c4278aca556f16e065495Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmee500acba64c4278aca556f16e065495" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmee500acba64c4278aca556f16e065495Container.children).forEach(c => { if (c.id === "mpFrmee500acba64c4278aca556f16e065495") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3b154523d1c44e09ac7f0ecae0ca3475Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmee500acba64c4278aca556f16e065495"; } } } } function mpForm3b154523d1c44e09ac7f0ecae0ca3475Check() { let checkBoxes = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").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 mpForm3b154523d1c44e09ac7f0ecae0ca3475Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").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-3b154523d1c44e09ac7f0ecae0ca3475')), 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: getTrackingId3b154523d1c44e09ac7f0ecae0ca3475() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").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-3b154523d1c44e09ac7f0ecae0ca3475").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) { mpForm3b154523d1c44e09ac7f0ecae0ca3475Check(); 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-3b154523d1c44e09ac7f0ecae0ca3475').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-3b154523d1c44e09ac7f0ecae0ca3475").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-3b154523d1c44e09ac7f0ecae0ca3475').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmee500acba64c4278aca556f16e065495); } else { mpForm3b154523d1c44e09ac7f0ecae0ca3475Check(); 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 mpmRecaptchaLoaded3b154523d1c44e09ac7f0ecae0ca3475() { captchaWidgetmpFrmee500acba64c4278aca556f16e065495 = grecaptcha.render('mpmRecaptchampFrmee500acba64c4278aca556f16e065495', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3b154523d1c44e09ac7f0ecae0ca3475() { 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 mpmFormInit3b154523d1c44e09ac7f0ecae0ca3475 () { 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 finishedLoading3b154523d1c44e09ac7f0ecae0ca3475() { window.mpFormLoading = false; let container = document.getElementById('mpFrmee500acba64c4278aca556f16e065495'); if (!container) { mpFormmpFrmee500acba64c4278aca556f16e065495Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmee500acba64c4278aca556f16e065495'); return setTimeout(finishedLoading3b154523d1c44e09ac7f0ecae0ca3475, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").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-3b154523d1c44e09ac7f0ecae0ca3475").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-3b154523d1c44e09ac7f0ecae0ca3475").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-3b154523d1c44e09ac7f0ecae0ca3475").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=mpmRecaptchaLoaded3b154523d1c44e09ac7f0ecae0ca3475&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3b154523d1c44e09ac7f0ecae0ca3475() { let popups = document.getElementById("mpform-3b154523d1c44e09ac7f0ecae0ca3475").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3b154523d1c44e09ac7f0ecae0ca3475() { 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 () { finishedLoading3b154523d1c44e09ac7f0ecae0ca3475(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3b154523d1c44e09ac7f0ecae0ca3475(); } } 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); mploadTelInput3b154523d1c44e09ac7f0ecae0ca3475(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3b154523d1c44e09ac7f0ecae0ca3475(); } else { function waitForOtherFormsmpFrmee500acba64c4278aca556f16e065495() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3b154523d1c44e09ac7f0ecae0ca3475(); } else { setTimeout(waitForOtherFormsmpFrmee500acba64c4278aca556f16e065495,300); } } waitForOtherFormsmpFrmee500acba64c4278aca556f16e065495(); }