var captchaWidgetmpFrm13ce9103a9654ac98a3b4b42d0b7326e; var mpCurrentScriptmpFrm13ce9103a9654ac98a3b4b42d0b7326eContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm13ce9103a9654ac98a3b4b42d0b7326e"; 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); }); } mpFormmpFrm13ce9103a9654ac98a3b4b42d0b7326eFind(); } 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); mpFormmpFrm13ce9103a9654ac98a3b4b42d0b7326eFind(); } })(); function mpFormmpFrm13ce9103a9654ac98a3b4b42d0b7326eFind() { if(!mpCurrentScriptmpFrm13ce9103a9654ac98a3b4b42d0b7326eContainer) return; if (mpCurrentScriptmpFrm13ce9103a9654ac98a3b4b42d0b7326eContainer && mpCurrentScriptmpFrm13ce9103a9654ac98a3b4b42d0b7326eContainer.nodeName && mpCurrentScriptmpFrm13ce9103a9654ac98a3b4b42d0b7326eContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm13ce9103a9654ac98a3b4b42d0b7326e" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm13ce9103a9654ac98a3b4b42d0b7326eContainer.children).forEach(c => { if (c.id === "mpFrm13ce9103a9654ac98a3b4b42d0b7326e") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript1d9dbdc995814359ae584d9401e6d8f4Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm13ce9103a9654ac98a3b4b42d0b7326e"; } } } } function mpForm1d9dbdc995814359ae584d9401e6d8f4Check() { let checkBoxes = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").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 mpForm1d9dbdc995814359ae584d9401e6d8f4Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").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-1d9dbdc995814359ae584d9401e6d8f4')), 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: getTrackingId1d9dbdc995814359ae584d9401e6d8f4() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").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-1d9dbdc995814359ae584d9401e6d8f4").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) { mpForm1d9dbdc995814359ae584d9401e6d8f4Check(); 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-1d9dbdc995814359ae584d9401e6d8f4').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-1d9dbdc995814359ae584d9401e6d8f4").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-1d9dbdc995814359ae584d9401e6d8f4').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm13ce9103a9654ac98a3b4b42d0b7326e); } else { mpForm1d9dbdc995814359ae584d9401e6d8f4Check(); 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 mpmRecaptchaLoaded1d9dbdc995814359ae584d9401e6d8f4() { captchaWidgetmpFrm13ce9103a9654ac98a3b4b42d0b7326e = grecaptcha.render('mpmRecaptchampFrm13ce9103a9654ac98a3b4b42d0b7326e', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId1d9dbdc995814359ae584d9401e6d8f4() { 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 mpmFormInit1d9dbdc995814359ae584d9401e6d8f4 () { 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 finishedLoading1d9dbdc995814359ae584d9401e6d8f4() { window.mpFormLoading = false; let container = document.getElementById('mpFrm13ce9103a9654ac98a3b4b42d0b7326e'); if (!container) { mpFormmpFrm13ce9103a9654ac98a3b4b42d0b7326eFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm13ce9103a9654ac98a3b4b42d0b7326e'); return setTimeout(finishedLoading1d9dbdc995814359ae584d9401e6d8f4, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").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-1d9dbdc995814359ae584d9401e6d8f4-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-1d9dbdc995814359ae584d9401e6d8f4-" + 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-1d9dbdc995814359ae584d9401e6d8f4").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-1d9dbdc995814359ae584d9401e6d8f4").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-1d9dbdc995814359ae584d9401e6d8f4").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=mpmRecaptchaLoaded1d9dbdc995814359ae584d9401e6d8f4&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup1d9dbdc995814359ae584d9401e6d8f4() { let popups = document.getElementById("mpform-1d9dbdc995814359ae584d9401e6d8f4").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput1d9dbdc995814359ae584d9401e6d8f4() { 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 () { finishedLoading1d9dbdc995814359ae584d9401e6d8f4(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading1d9dbdc995814359ae584d9401e6d8f4(); } } 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); mploadTelInput1d9dbdc995814359ae584d9401e6d8f4(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit1d9dbdc995814359ae584d9401e6d8f4(); } else { function waitForOtherFormsmpFrm13ce9103a9654ac98a3b4b42d0b7326e() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit1d9dbdc995814359ae584d9401e6d8f4(); } else { setTimeout(waitForOtherFormsmpFrm13ce9103a9654ac98a3b4b42d0b7326e,300); } } waitForOtherFormsmpFrm13ce9103a9654ac98a3b4b42d0b7326e(); }