var captchaWidgetmpFrm0199c669dc8f4bc8b912fb4d76c569b4; var mpCurrentScriptmpFrm0199c669dc8f4bc8b912fb4d76c569b4Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0199c669dc8f4bc8b912fb4d76c569b4"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm0199c669dc8f4bc8b912fb4d76c569b4Find(); } })(); function mpFormmpFrm0199c669dc8f4bc8b912fb4d76c569b4Find() { if(!mpCurrentScriptmpFrm0199c669dc8f4bc8b912fb4d76c569b4Container) return; if (mpCurrentScriptmpFrm0199c669dc8f4bc8b912fb4d76c569b4Container && mpCurrentScriptmpFrm0199c669dc8f4bc8b912fb4d76c569b4Container.nodeName && mpCurrentScriptmpFrm0199c669dc8f4bc8b912fb4d76c569b4Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0199c669dc8f4bc8b912fb4d76c569b4" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0199c669dc8f4bc8b912fb4d76c569b4Container.children).forEach(c => { if (c.id === "mpFrm0199c669dc8f4bc8b912fb4d76c569b4") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripteecedb471b5e43feaaeb2ac42244b177Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0199c669dc8f4bc8b912fb4d76c569b4"; } } } } function mpFormeecedb471b5e43feaaeb2ac42244b177Check() { let checkBoxes = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").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 mpFormeecedb471b5e43feaaeb2ac42244b177Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").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-eecedb471b5e43feaaeb2ac42244b177')), 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: getTrackingIdeecedb471b5e43feaaeb2ac42244b177() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").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-eecedb471b5e43feaaeb2ac42244b177").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpFormeecedb471b5e43feaaeb2ac42244b177Check(); 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-eecedb471b5e43feaaeb2ac42244b177').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-eecedb471b5e43feaaeb2ac42244b177").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-eecedb471b5e43feaaeb2ac42244b177').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0199c669dc8f4bc8b912fb4d76c569b4); } else { mpFormeecedb471b5e43feaaeb2ac42244b177Check(); 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 mpmRecaptchaLoadedeecedb471b5e43feaaeb2ac42244b177() { captchaWidgetmpFrm0199c669dc8f4bc8b912fb4d76c569b4 = grecaptcha.render('mpmRecaptchampFrm0199c669dc8f4bc8b912fb4d76c569b4', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdeecedb471b5e43feaaeb2ac42244b177() { 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 mpmFormIniteecedb471b5e43feaaeb2ac42244b177 () { 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 finishedLoadingeecedb471b5e43feaaeb2ac42244b177() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0199c669dc8f4bc8b912fb4d76c569b4'); if (!container) { mpFormmpFrm0199c669dc8f4bc8b912fb4d76c569b4Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0199c669dc8f4bc8b912fb4d76c569b4'); return setTimeout(finishedLoadingeecedb471b5e43feaaeb2ac42244b177, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").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-eecedb471b5e43feaaeb2ac42244b177").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-eecedb471b5e43feaaeb2ac42244b177").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-eecedb471b5e43feaaeb2ac42244b177").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=mpmRecaptchaLoadedeecedb471b5e43feaaeb2ac42244b177&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupeecedb471b5e43feaaeb2ac42244b177() { let popups = document.getElementById("mpform-eecedb471b5e43feaaeb2ac42244b177").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputeecedb471b5e43feaaeb2ac42244b177() { 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 () { finishedLoadingeecedb471b5e43feaaeb2ac42244b177(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingeecedb471b5e43feaaeb2ac42244b177(); } } 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); mploadTelInputeecedb471b5e43feaaeb2ac42244b177(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormIniteecedb471b5e43feaaeb2ac42244b177(); } else { function waitForOtherFormsmpFrm0199c669dc8f4bc8b912fb4d76c569b4() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormIniteecedb471b5e43feaaeb2ac42244b177(); } else { setTimeout(waitForOtherFormsmpFrm0199c669dc8f4bc8b912fb4d76c569b4,300); } } waitForOtherFormsmpFrm0199c669dc8f4bc8b912fb4d76c569b4(); }