var captchaWidgetmpFrmcb0fc03bf5de47a99c2d74d548804a5b; var mpCurrentScriptmpFrmcb0fc03bf5de47a99c2d74d548804a5bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmcb0fc03bf5de47a99c2d74d548804a5b"; 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); }); } mpFormmpFrmcb0fc03bf5de47a99c2d74d548804a5bFind(); } 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); mpFormmpFrmcb0fc03bf5de47a99c2d74d548804a5bFind(); } })(); function mpFormmpFrmcb0fc03bf5de47a99c2d74d548804a5bFind() { if(!mpCurrentScriptmpFrmcb0fc03bf5de47a99c2d74d548804a5bContainer) return; if (mpCurrentScriptmpFrmcb0fc03bf5de47a99c2d74d548804a5bContainer && mpCurrentScriptmpFrmcb0fc03bf5de47a99c2d74d548804a5bContainer.nodeName && mpCurrentScriptmpFrmcb0fc03bf5de47a99c2d74d548804a5bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmcb0fc03bf5de47a99c2d74d548804a5b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmcb0fc03bf5de47a99c2d74d548804a5bContainer.children).forEach(c => { if (c.id === "mpFrmcb0fc03bf5de47a99c2d74d548804a5b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript831257148df642738465ad1bb28b280dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmcb0fc03bf5de47a99c2d74d548804a5b"; } } } } function mpForm831257148df642738465ad1bb28b280dCheck() { let checkBoxes = document.getElementById("mpform-831257148df642738465ad1bb28b280d").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 mpForm831257148df642738465ad1bb28b280dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-831257148df642738465ad1bb28b280d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-831257148df642738465ad1bb28b280d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-831257148df642738465ad1bb28b280d").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-831257148df642738465ad1bb28b280d')), 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: getTrackingId831257148df642738465ad1bb28b280d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-831257148df642738465ad1bb28b280d").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-831257148df642738465ad1bb28b280d").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) { mpForm831257148df642738465ad1bb28b280dCheck(); 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-831257148df642738465ad1bb28b280d').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-831257148df642738465ad1bb28b280d").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-831257148df642738465ad1bb28b280d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmcb0fc03bf5de47a99c2d74d548804a5b); } else { mpForm831257148df642738465ad1bb28b280dCheck(); 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 mpmRecaptchaLoaded831257148df642738465ad1bb28b280d() { captchaWidgetmpFrmcb0fc03bf5de47a99c2d74d548804a5b = grecaptcha.render('mpmRecaptchampFrmcb0fc03bf5de47a99c2d74d548804a5b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId831257148df642738465ad1bb28b280d() { 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 mpmFormInit831257148df642738465ad1bb28b280d () { 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 finishedLoading831257148df642738465ad1bb28b280d() { window.mpFormLoading = false; let container = document.getElementById('mpFrmcb0fc03bf5de47a99c2d74d548804a5b'); if (!container) { mpFormmpFrmcb0fc03bf5de47a99c2d74d548804a5bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmcb0fc03bf5de47a99c2d74d548804a5b'); return setTimeout(finishedLoading831257148df642738465ad1bb28b280d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-831257148df642738465ad1bb28b280d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-831257148df642738465ad1bb28b280d").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-831257148df642738465ad1bb28b280d").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-831257148df642738465ad1bb28b280d").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-831257148df642738465ad1bb28b280d").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=mpmRecaptchaLoaded831257148df642738465ad1bb28b280d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup831257148df642738465ad1bb28b280d() { let popups = document.getElementById("mpform-831257148df642738465ad1bb28b280d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput831257148df642738465ad1bb28b280d() { 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 () { finishedLoading831257148df642738465ad1bb28b280d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading831257148df642738465ad1bb28b280d(); } } 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); mploadTelInput831257148df642738465ad1bb28b280d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit831257148df642738465ad1bb28b280d(); } else { function waitForOtherFormsmpFrmcb0fc03bf5de47a99c2d74d548804a5b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit831257148df642738465ad1bb28b280d(); } else { setTimeout(waitForOtherFormsmpFrmcb0fc03bf5de47a99c2d74d548804a5b,300); } } waitForOtherFormsmpFrmcb0fc03bf5de47a99c2d74d548804a5b(); }