var captchaWidgetmpFrm5bfabdf70a694fafbc721d00e0f2d9bb; var mpCurrentScriptmpFrm5bfabdf70a694fafbc721d00e0f2d9bbContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5bfabdf70a694fafbc721d00e0f2d9bb"; 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); }); } mpFormmpFrm5bfabdf70a694fafbc721d00e0f2d9bbFind(); } 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); mpFormmpFrm5bfabdf70a694fafbc721d00e0f2d9bbFind(); } })(); function mpFormmpFrm5bfabdf70a694fafbc721d00e0f2d9bbFind() { if(!mpCurrentScriptmpFrm5bfabdf70a694fafbc721d00e0f2d9bbContainer) return; if (mpCurrentScriptmpFrm5bfabdf70a694fafbc721d00e0f2d9bbContainer && mpCurrentScriptmpFrm5bfabdf70a694fafbc721d00e0f2d9bbContainer.nodeName && mpCurrentScriptmpFrm5bfabdf70a694fafbc721d00e0f2d9bbContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5bfabdf70a694fafbc721d00e0f2d9bb" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5bfabdf70a694fafbc721d00e0f2d9bbContainer.children).forEach(c => { if (c.id === "mpFrm5bfabdf70a694fafbc721d00e0f2d9bb") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript851004dc1ee345028ee4da3a687352cdContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5bfabdf70a694fafbc721d00e0f2d9bb"; } } } } function mpForm851004dc1ee345028ee4da3a687352cdCheck() { let checkBoxes = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").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 mpForm851004dc1ee345028ee4da3a687352cdSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").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-851004dc1ee345028ee4da3a687352cd')), 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: getTrackingId851004dc1ee345028ee4da3a687352cd() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").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-851004dc1ee345028ee4da3a687352cd").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) { mpForm851004dc1ee345028ee4da3a687352cdCheck(); 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-851004dc1ee345028ee4da3a687352cd').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-851004dc1ee345028ee4da3a687352cd").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-851004dc1ee345028ee4da3a687352cd').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5bfabdf70a694fafbc721d00e0f2d9bb); } else { mpForm851004dc1ee345028ee4da3a687352cdCheck(); 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 mpmRecaptchaLoaded851004dc1ee345028ee4da3a687352cd() { captchaWidgetmpFrm5bfabdf70a694fafbc721d00e0f2d9bb = grecaptcha.render('mpmRecaptchampFrm5bfabdf70a694fafbc721d00e0f2d9bb', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId851004dc1ee345028ee4da3a687352cd() { 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 mpmFormInit851004dc1ee345028ee4da3a687352cd () { 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 finishedLoading851004dc1ee345028ee4da3a687352cd() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5bfabdf70a694fafbc721d00e0f2d9bb'); if (!container) { mpFormmpFrm5bfabdf70a694fafbc721d00e0f2d9bbFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5bfabdf70a694fafbc721d00e0f2d9bb'); return setTimeout(finishedLoading851004dc1ee345028ee4da3a687352cd, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").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-851004dc1ee345028ee4da3a687352cd").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-851004dc1ee345028ee4da3a687352cd").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-851004dc1ee345028ee4da3a687352cd").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=mpmRecaptchaLoaded851004dc1ee345028ee4da3a687352cd&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup851004dc1ee345028ee4da3a687352cd() { let popups = document.getElementById("mpform-851004dc1ee345028ee4da3a687352cd").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput851004dc1ee345028ee4da3a687352cd() { 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 () { finishedLoading851004dc1ee345028ee4da3a687352cd(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading851004dc1ee345028ee4da3a687352cd(); } } 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); mploadTelInput851004dc1ee345028ee4da3a687352cd(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit851004dc1ee345028ee4da3a687352cd(); } else { function waitForOtherFormsmpFrm5bfabdf70a694fafbc721d00e0f2d9bb() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit851004dc1ee345028ee4da3a687352cd(); } else { setTimeout(waitForOtherFormsmpFrm5bfabdf70a694fafbc721d00e0f2d9bb,300); } } waitForOtherFormsmpFrm5bfabdf70a694fafbc721d00e0f2d9bb(); }