var captchaWidgetmpFrma093c8e1e8204c3183c9ab0852d7ed02; var mpCurrentScriptmpFrma093c8e1e8204c3183c9ab0852d7ed02Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrma093c8e1e8204c3183c9ab0852d7ed02"; 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); }); } mpFormmpFrma093c8e1e8204c3183c9ab0852d7ed02Find(); } 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); mpFormmpFrma093c8e1e8204c3183c9ab0852d7ed02Find(); } })(); function mpFormmpFrma093c8e1e8204c3183c9ab0852d7ed02Find() { if(!mpCurrentScriptmpFrma093c8e1e8204c3183c9ab0852d7ed02Container) return; if (mpCurrentScriptmpFrma093c8e1e8204c3183c9ab0852d7ed02Container && mpCurrentScriptmpFrma093c8e1e8204c3183c9ab0852d7ed02Container.nodeName && mpCurrentScriptmpFrma093c8e1e8204c3183c9ab0852d7ed02Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrma093c8e1e8204c3183c9ab0852d7ed02" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrma093c8e1e8204c3183c9ab0852d7ed02Container.children).forEach(c => { if (c.id === "mpFrma093c8e1e8204c3183c9ab0852d7ed02") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8ad325331d7345ef8611fa481709ff63Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrma093c8e1e8204c3183c9ab0852d7ed02"; } } } } function mpForm8ad325331d7345ef8611fa481709ff63Check() { let checkBoxes = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").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 mpForm8ad325331d7345ef8611fa481709ff63Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").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-8ad325331d7345ef8611fa481709ff63')), 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: getTrackingId8ad325331d7345ef8611fa481709ff63() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").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-8ad325331d7345ef8611fa481709ff63").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) { mpForm8ad325331d7345ef8611fa481709ff63Check(); 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-8ad325331d7345ef8611fa481709ff63').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-8ad325331d7345ef8611fa481709ff63").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-8ad325331d7345ef8611fa481709ff63').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrma093c8e1e8204c3183c9ab0852d7ed02); } else { mpForm8ad325331d7345ef8611fa481709ff63Check(); 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 mpmRecaptchaLoaded8ad325331d7345ef8611fa481709ff63() { captchaWidgetmpFrma093c8e1e8204c3183c9ab0852d7ed02 = grecaptcha.render('mpmRecaptchampFrma093c8e1e8204c3183c9ab0852d7ed02', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8ad325331d7345ef8611fa481709ff63() { 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 mpmFormInit8ad325331d7345ef8611fa481709ff63 () { 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 finishedLoading8ad325331d7345ef8611fa481709ff63() { window.mpFormLoading = false; let container = document.getElementById('mpFrma093c8e1e8204c3183c9ab0852d7ed02'); if (!container) { mpFormmpFrma093c8e1e8204c3183c9ab0852d7ed02Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrma093c8e1e8204c3183c9ab0852d7ed02'); return setTimeout(finishedLoading8ad325331d7345ef8611fa481709ff63, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-8ad325331d7345ef8611fa481709ff63-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-8ad325331d7345ef8611fa481709ff63-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").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-8ad325331d7345ef8611fa481709ff63").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-8ad325331d7345ef8611fa481709ff63").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=mpmRecaptchaLoaded8ad325331d7345ef8611fa481709ff63&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8ad325331d7345ef8611fa481709ff63() { let popups = document.getElementById("mpform-8ad325331d7345ef8611fa481709ff63").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8ad325331d7345ef8611fa481709ff63() { 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 () { finishedLoading8ad325331d7345ef8611fa481709ff63(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8ad325331d7345ef8611fa481709ff63(); } } 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); mploadTelInput8ad325331d7345ef8611fa481709ff63(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8ad325331d7345ef8611fa481709ff63(); } else { function waitForOtherFormsmpFrma093c8e1e8204c3183c9ab0852d7ed02() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8ad325331d7345ef8611fa481709ff63(); } else { setTimeout(waitForOtherFormsmpFrma093c8e1e8204c3183c9ab0852d7ed02,300); } } waitForOtherFormsmpFrma093c8e1e8204c3183c9ab0852d7ed02(); }