var captchaWidgetmpFrmab7a949eebe247fa915aa9e54bd5b39d; var mpCurrentScriptmpFrmab7a949eebe247fa915aa9e54bd5b39dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmab7a949eebe247fa915aa9e54bd5b39d"; 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); }); } mpFormmpFrmab7a949eebe247fa915aa9e54bd5b39dFind(); } 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); mpFormmpFrmab7a949eebe247fa915aa9e54bd5b39dFind(); } })(); function mpFormmpFrmab7a949eebe247fa915aa9e54bd5b39dFind() { if(!mpCurrentScriptmpFrmab7a949eebe247fa915aa9e54bd5b39dContainer) return; if (mpCurrentScriptmpFrmab7a949eebe247fa915aa9e54bd5b39dContainer && mpCurrentScriptmpFrmab7a949eebe247fa915aa9e54bd5b39dContainer.nodeName && mpCurrentScriptmpFrmab7a949eebe247fa915aa9e54bd5b39dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmab7a949eebe247fa915aa9e54bd5b39d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmab7a949eebe247fa915aa9e54bd5b39dContainer.children).forEach(c => { if (c.id === "mpFrmab7a949eebe247fa915aa9e54bd5b39d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptac16d400243b40a990a4c072afc5e42cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmab7a949eebe247fa915aa9e54bd5b39d"; } } } } function mpFormac16d400243b40a990a4c072afc5e42cCheck() { let checkBoxes = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").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 mpFormac16d400243b40a990a4c072afc5e42cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").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-ac16d400243b40a990a4c072afc5e42c')), 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: getTrackingIdac16d400243b40a990a4c072afc5e42c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").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-ac16d400243b40a990a4c072afc5e42c").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) { mpFormac16d400243b40a990a4c072afc5e42cCheck(); 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-ac16d400243b40a990a4c072afc5e42c').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-ac16d400243b40a990a4c072afc5e42c").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-ac16d400243b40a990a4c072afc5e42c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmab7a949eebe247fa915aa9e54bd5b39d); } else { mpFormac16d400243b40a990a4c072afc5e42cCheck(); 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 mpmRecaptchaLoadedac16d400243b40a990a4c072afc5e42c() { captchaWidgetmpFrmab7a949eebe247fa915aa9e54bd5b39d = grecaptcha.render('mpmRecaptchampFrmab7a949eebe247fa915aa9e54bd5b39d', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdac16d400243b40a990a4c072afc5e42c() { 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 mpmFormInitac16d400243b40a990a4c072afc5e42c () { 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 finishedLoadingac16d400243b40a990a4c072afc5e42c() { window.mpFormLoading = false; let container = document.getElementById('mpFrmab7a949eebe247fa915aa9e54bd5b39d'); if (!container) { mpFormmpFrmab7a949eebe247fa915aa9e54bd5b39dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmab7a949eebe247fa915aa9e54bd5b39d'); return setTimeout(finishedLoadingac16d400243b40a990a4c072afc5e42c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").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-ac16d400243b40a990a4c072afc5e42c").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-ac16d400243b40a990a4c072afc5e42c").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-ac16d400243b40a990a4c072afc5e42c").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=mpmRecaptchaLoadedac16d400243b40a990a4c072afc5e42c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupac16d400243b40a990a4c072afc5e42c() { let popups = document.getElementById("mpform-ac16d400243b40a990a4c072afc5e42c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputac16d400243b40a990a4c072afc5e42c() { 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 () { finishedLoadingac16d400243b40a990a4c072afc5e42c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingac16d400243b40a990a4c072afc5e42c(); } } 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); mploadTelInputac16d400243b40a990a4c072afc5e42c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitac16d400243b40a990a4c072afc5e42c(); } else { function waitForOtherFormsmpFrmab7a949eebe247fa915aa9e54bd5b39d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitac16d400243b40a990a4c072afc5e42c(); } else { setTimeout(waitForOtherFormsmpFrmab7a949eebe247fa915aa9e54bd5b39d,300); } } waitForOtherFormsmpFrmab7a949eebe247fa915aa9e54bd5b39d(); }