var captchaWidgetmpFrmfd706b454a3c4fcba1603615ab7bb6f2; var mpCurrentScriptmpFrmfd706b454a3c4fcba1603615ab7bb6f2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmfd706b454a3c4fcba1603615ab7bb6f2"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrmfd706b454a3c4fcba1603615ab7bb6f2Find(); } })(); function mpFormmpFrmfd706b454a3c4fcba1603615ab7bb6f2Find() { if(!mpCurrentScriptmpFrmfd706b454a3c4fcba1603615ab7bb6f2Container) return; if (mpCurrentScriptmpFrmfd706b454a3c4fcba1603615ab7bb6f2Container && mpCurrentScriptmpFrmfd706b454a3c4fcba1603615ab7bb6f2Container.nodeName && mpCurrentScriptmpFrmfd706b454a3c4fcba1603615ab7bb6f2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmfd706b454a3c4fcba1603615ab7bb6f2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmfd706b454a3c4fcba1603615ab7bb6f2Container.children).forEach(c => { if (c.id === "mpFrmfd706b454a3c4fcba1603615ab7bb6f2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta7a3b9354d56453a9046dcee284aa4a9Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmfd706b454a3c4fcba1603615ab7bb6f2"; } } } } function mpForma7a3b9354d56453a9046dcee284aa4a9Check() { let checkBoxes = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").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 mpForma7a3b9354d56453a9046dcee284aa4a9Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").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-a7a3b9354d56453a9046dcee284aa4a9')), 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: getTrackingIda7a3b9354d56453a9046dcee284aa4a9() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").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-a7a3b9354d56453a9046dcee284aa4a9").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) { mpForma7a3b9354d56453a9046dcee284aa4a9Check(); 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-a7a3b9354d56453a9046dcee284aa4a9').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-a7a3b9354d56453a9046dcee284aa4a9").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-a7a3b9354d56453a9046dcee284aa4a9').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmfd706b454a3c4fcba1603615ab7bb6f2); } else { mpForma7a3b9354d56453a9046dcee284aa4a9Check(); 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 mpmRecaptchaLoadeda7a3b9354d56453a9046dcee284aa4a9() { captchaWidgetmpFrmfd706b454a3c4fcba1603615ab7bb6f2 = grecaptcha.render('mpmRecaptchampFrmfd706b454a3c4fcba1603615ab7bb6f2', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda7a3b9354d56453a9046dcee284aa4a9() { 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 mpmFormInita7a3b9354d56453a9046dcee284aa4a9 () { 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 finishedLoadinga7a3b9354d56453a9046dcee284aa4a9() { window.mpFormLoading = false; let container = document.getElementById('mpFrmfd706b454a3c4fcba1603615ab7bb6f2'); if (!container) { mpFormmpFrmfd706b454a3c4fcba1603615ab7bb6f2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmfd706b454a3c4fcba1603615ab7bb6f2'); return setTimeout(finishedLoadinga7a3b9354d56453a9046dcee284aa4a9, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").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-a7a3b9354d56453a9046dcee284aa4a9").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-a7a3b9354d56453a9046dcee284aa4a9").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-a7a3b9354d56453a9046dcee284aa4a9").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=mpmRecaptchaLoadeda7a3b9354d56453a9046dcee284aa4a9&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa7a3b9354d56453a9046dcee284aa4a9() { let popups = document.getElementById("mpform-a7a3b9354d56453a9046dcee284aa4a9").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa7a3b9354d56453a9046dcee284aa4a9() { 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 () { finishedLoadinga7a3b9354d56453a9046dcee284aa4a9(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga7a3b9354d56453a9046dcee284aa4a9(); } } 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); mploadTelInputa7a3b9354d56453a9046dcee284aa4a9(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita7a3b9354d56453a9046dcee284aa4a9(); } else { function waitForOtherFormsmpFrmfd706b454a3c4fcba1603615ab7bb6f2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita7a3b9354d56453a9046dcee284aa4a9(); } else { setTimeout(waitForOtherFormsmpFrmfd706b454a3c4fcba1603615ab7bb6f2,300); } } waitForOtherFormsmpFrmfd706b454a3c4fcba1603615ab7bb6f2(); }