var captchaWidgetmpFrm8b72332760ab4900bf75b01cc2961139; var mpCurrentScriptmpFrm8b72332760ab4900bf75b01cc2961139Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8b72332760ab4900bf75b01cc2961139"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm8b72332760ab4900bf75b01cc2961139Find(); } 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); mpFormmpFrm8b72332760ab4900bf75b01cc2961139Find(); } })(); function mpFormmpFrm8b72332760ab4900bf75b01cc2961139Find() { if(!mpCurrentScriptmpFrm8b72332760ab4900bf75b01cc2961139Container) return; if (mpCurrentScriptmpFrm8b72332760ab4900bf75b01cc2961139Container && mpCurrentScriptmpFrm8b72332760ab4900bf75b01cc2961139Container.nodeName && mpCurrentScriptmpFrm8b72332760ab4900bf75b01cc2961139Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8b72332760ab4900bf75b01cc2961139" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8b72332760ab4900bf75b01cc2961139Container.children).forEach(c => { if (c.id === "mpFrm8b72332760ab4900bf75b01cc2961139") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptb874dc1a50094c229e7be920a28da434Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8b72332760ab4900bf75b01cc2961139"; } } } } function mpFormb874dc1a50094c229e7be920a28da434Check() { let checkBoxes = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").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 mpFormb874dc1a50094c229e7be920a28da434Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").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-b874dc1a50094c229e7be920a28da434')), 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: getTrackingIdb874dc1a50094c229e7be920a28da434() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").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-b874dc1a50094c229e7be920a28da434").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) { mpFormb874dc1a50094c229e7be920a28da434Check(); 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-b874dc1a50094c229e7be920a28da434').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-b874dc1a50094c229e7be920a28da434").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-b874dc1a50094c229e7be920a28da434').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8b72332760ab4900bf75b01cc2961139); } else { mpFormb874dc1a50094c229e7be920a28da434Check(); 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 mpmRecaptchaLoadedb874dc1a50094c229e7be920a28da434() { captchaWidgetmpFrm8b72332760ab4900bf75b01cc2961139 = grecaptcha.render('mpmRecaptchampFrm8b72332760ab4900bf75b01cc2961139', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdb874dc1a50094c229e7be920a28da434() { 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 mpmFormInitb874dc1a50094c229e7be920a28da434 () { 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 finishedLoadingb874dc1a50094c229e7be920a28da434() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8b72332760ab4900bf75b01cc2961139'); if (!container) { mpFormmpFrm8b72332760ab4900bf75b01cc2961139Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8b72332760ab4900bf75b01cc2961139'); return setTimeout(finishedLoadingb874dc1a50094c229e7be920a28da434, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").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-b874dc1a50094c229e7be920a28da434").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-b874dc1a50094c229e7be920a28da434").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-b874dc1a50094c229e7be920a28da434").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=mpmRecaptchaLoadedb874dc1a50094c229e7be920a28da434&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupb874dc1a50094c229e7be920a28da434() { let popups = document.getElementById("mpform-b874dc1a50094c229e7be920a28da434").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputb874dc1a50094c229e7be920a28da434() { 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 () { finishedLoadingb874dc1a50094c229e7be920a28da434(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingb874dc1a50094c229e7be920a28da434(); } } 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); mploadTelInputb874dc1a50094c229e7be920a28da434(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitb874dc1a50094c229e7be920a28da434(); } else { function waitForOtherFormsmpFrm8b72332760ab4900bf75b01cc2961139() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitb874dc1a50094c229e7be920a28da434(); } else { setTimeout(waitForOtherFormsmpFrm8b72332760ab4900bf75b01cc2961139,300); } } waitForOtherFormsmpFrm8b72332760ab4900bf75b01cc2961139(); }