var captchaWidgetmpFrm56b6131f82414e15a3aa0c984752ae2b; var mpCurrentScriptmpFrm56b6131f82414e15a3aa0c984752ae2bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm56b6131f82414e15a3aa0c984752ae2b"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm56b6131f82414e15a3aa0c984752ae2bFind(); } 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); mpFormmpFrm56b6131f82414e15a3aa0c984752ae2bFind(); } })(); function mpFormmpFrm56b6131f82414e15a3aa0c984752ae2bFind() { if(!mpCurrentScriptmpFrm56b6131f82414e15a3aa0c984752ae2bContainer) return; if (mpCurrentScriptmpFrm56b6131f82414e15a3aa0c984752ae2bContainer && mpCurrentScriptmpFrm56b6131f82414e15a3aa0c984752ae2bContainer.nodeName && mpCurrentScriptmpFrm56b6131f82414e15a3aa0c984752ae2bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm56b6131f82414e15a3aa0c984752ae2b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm56b6131f82414e15a3aa0c984752ae2bContainer.children).forEach(c => { if (c.id === "mpFrm56b6131f82414e15a3aa0c984752ae2b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript51cf52bffdcd4eba9e333923e089d96dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm56b6131f82414e15a3aa0c984752ae2b"; } } } } function mpForm51cf52bffdcd4eba9e333923e089d96dCheck() { let checkBoxes = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").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 mpForm51cf52bffdcd4eba9e333923e089d96dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").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-51cf52bffdcd4eba9e333923e089d96d')), 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: getTrackingId51cf52bffdcd4eba9e333923e089d96d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").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-51cf52bffdcd4eba9e333923e089d96d").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm51cf52bffdcd4eba9e333923e089d96dCheck(); 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-51cf52bffdcd4eba9e333923e089d96d').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-51cf52bffdcd4eba9e333923e089d96d").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-51cf52bffdcd4eba9e333923e089d96d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm56b6131f82414e15a3aa0c984752ae2b); } else { mpForm51cf52bffdcd4eba9e333923e089d96dCheck(); 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 mpmRecaptchaLoaded51cf52bffdcd4eba9e333923e089d96d() { captchaWidgetmpFrm56b6131f82414e15a3aa0c984752ae2b = grecaptcha.render('mpmRecaptchampFrm56b6131f82414e15a3aa0c984752ae2b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId51cf52bffdcd4eba9e333923e089d96d() { 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 mpmFormInit51cf52bffdcd4eba9e333923e089d96d () { 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 finishedLoading51cf52bffdcd4eba9e333923e089d96d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm56b6131f82414e15a3aa0c984752ae2b'); if (!container) { mpFormmpFrm56b6131f82414e15a3aa0c984752ae2bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm56b6131f82414e15a3aa0c984752ae2b'); return setTimeout(finishedLoading51cf52bffdcd4eba9e333923e089d96d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").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-51cf52bffdcd4eba9e333923e089d96d").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-51cf52bffdcd4eba9e333923e089d96d").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-51cf52bffdcd4eba9e333923e089d96d").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=mpmRecaptchaLoaded51cf52bffdcd4eba9e333923e089d96d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup51cf52bffdcd4eba9e333923e089d96d() { let popups = document.getElementById("mpform-51cf52bffdcd4eba9e333923e089d96d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput51cf52bffdcd4eba9e333923e089d96d() { 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 () { finishedLoading51cf52bffdcd4eba9e333923e089d96d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading51cf52bffdcd4eba9e333923e089d96d(); } } 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); mploadTelInput51cf52bffdcd4eba9e333923e089d96d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit51cf52bffdcd4eba9e333923e089d96d(); } else { function waitForOtherFormsmpFrm56b6131f82414e15a3aa0c984752ae2b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit51cf52bffdcd4eba9e333923e089d96d(); } else { setTimeout(waitForOtherFormsmpFrm56b6131f82414e15a3aa0c984752ae2b,300); } } waitForOtherFormsmpFrm56b6131f82414e15a3aa0c984752ae2b(); }