var captchaWidgetmpFrmd97883ec2e174e949d284efafac60028; var mpCurrentScriptmpFrmd97883ec2e174e949d284efafac60028Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd97883ec2e174e949d284efafac60028"; 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); mpFormmpFrmd97883ec2e174e949d284efafac60028Find(); } })(); function mpFormmpFrmd97883ec2e174e949d284efafac60028Find() { if(!mpCurrentScriptmpFrmd97883ec2e174e949d284efafac60028Container) return; if (mpCurrentScriptmpFrmd97883ec2e174e949d284efafac60028Container && mpCurrentScriptmpFrmd97883ec2e174e949d284efafac60028Container.nodeName && mpCurrentScriptmpFrmd97883ec2e174e949d284efafac60028Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd97883ec2e174e949d284efafac60028" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd97883ec2e174e949d284efafac60028Container.children).forEach(c => { if (c.id === "mpFrmd97883ec2e174e949d284efafac60028") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript831f267355b24fa987026d7adbe6e5d2Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd97883ec2e174e949d284efafac60028"; } } } } function mpForm831f267355b24fa987026d7adbe6e5d2Check() { let checkBoxes = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").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 mpForm831f267355b24fa987026d7adbe6e5d2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").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-831f267355b24fa987026d7adbe6e5d2')), 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: getTrackingId831f267355b24fa987026d7adbe6e5d2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").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-831f267355b24fa987026d7adbe6e5d2").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) { mpForm831f267355b24fa987026d7adbe6e5d2Check(); 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-831f267355b24fa987026d7adbe6e5d2').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-831f267355b24fa987026d7adbe6e5d2").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-831f267355b24fa987026d7adbe6e5d2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd97883ec2e174e949d284efafac60028); } else { mpForm831f267355b24fa987026d7adbe6e5d2Check(); 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 mpmRecaptchaLoaded831f267355b24fa987026d7adbe6e5d2() { captchaWidgetmpFrmd97883ec2e174e949d284efafac60028 = grecaptcha.render('mpmRecaptchampFrmd97883ec2e174e949d284efafac60028', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId831f267355b24fa987026d7adbe6e5d2() { 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 mpmFormInit831f267355b24fa987026d7adbe6e5d2 () { 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 finishedLoading831f267355b24fa987026d7adbe6e5d2() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd97883ec2e174e949d284efafac60028'); if (!container) { mpFormmpFrmd97883ec2e174e949d284efafac60028Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd97883ec2e174e949d284efafac60028'); return setTimeout(finishedLoading831f267355b24fa987026d7adbe6e5d2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").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-831f267355b24fa987026d7adbe6e5d2").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-831f267355b24fa987026d7adbe6e5d2").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-831f267355b24fa987026d7adbe6e5d2").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=mpmRecaptchaLoaded831f267355b24fa987026d7adbe6e5d2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup831f267355b24fa987026d7adbe6e5d2() { let popups = document.getElementById("mpform-831f267355b24fa987026d7adbe6e5d2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput831f267355b24fa987026d7adbe6e5d2() { 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 () { finishedLoading831f267355b24fa987026d7adbe6e5d2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading831f267355b24fa987026d7adbe6e5d2(); } } 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); mploadTelInput831f267355b24fa987026d7adbe6e5d2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit831f267355b24fa987026d7adbe6e5d2(); } else { function waitForOtherFormsmpFrmd97883ec2e174e949d284efafac60028() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit831f267355b24fa987026d7adbe6e5d2(); } else { setTimeout(waitForOtherFormsmpFrmd97883ec2e174e949d284efafac60028,300); } } waitForOtherFormsmpFrmd97883ec2e174e949d284efafac60028(); }