var captchaWidgetmpFrm01af7992159b439f9e0134c6600604e7; var mpCurrentScriptmpFrm01af7992159b439f9e0134c6600604e7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm01af7992159b439f9e0134c6600604e7"; 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); }); } mpFormmpFrm01af7992159b439f9e0134c6600604e7Find(); } 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); mpFormmpFrm01af7992159b439f9e0134c6600604e7Find(); } })(); function mpFormmpFrm01af7992159b439f9e0134c6600604e7Find() { if(!mpCurrentScriptmpFrm01af7992159b439f9e0134c6600604e7Container) return; if (mpCurrentScriptmpFrm01af7992159b439f9e0134c6600604e7Container && mpCurrentScriptmpFrm01af7992159b439f9e0134c6600604e7Container.nodeName && mpCurrentScriptmpFrm01af7992159b439f9e0134c6600604e7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm01af7992159b439f9e0134c6600604e7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm01af7992159b439f9e0134c6600604e7Container.children).forEach(c => { if (c.id === "mpFrm01af7992159b439f9e0134c6600604e7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5467a0ad52244f1d9e90b5efa2c73ec7Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm01af7992159b439f9e0134c6600604e7"; } } } } function mpForm5467a0ad52244f1d9e90b5efa2c73ec7Check() { let checkBoxes = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").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 mpForm5467a0ad52244f1d9e90b5efa2c73ec7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").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-5467a0ad52244f1d9e90b5efa2c73ec7')), 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: getTrackingId5467a0ad52244f1d9e90b5efa2c73ec7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").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-5467a0ad52244f1d9e90b5efa2c73ec7").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) { mpForm5467a0ad52244f1d9e90b5efa2c73ec7Check(); 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-5467a0ad52244f1d9e90b5efa2c73ec7').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-5467a0ad52244f1d9e90b5efa2c73ec7").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-5467a0ad52244f1d9e90b5efa2c73ec7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm01af7992159b439f9e0134c6600604e7); } else { mpForm5467a0ad52244f1d9e90b5efa2c73ec7Check(); 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 mpmRecaptchaLoaded5467a0ad52244f1d9e90b5efa2c73ec7() { captchaWidgetmpFrm01af7992159b439f9e0134c6600604e7 = grecaptcha.render('mpmRecaptchampFrm01af7992159b439f9e0134c6600604e7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5467a0ad52244f1d9e90b5efa2c73ec7() { 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 mpmFormInit5467a0ad52244f1d9e90b5efa2c73ec7 () { 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 finishedLoading5467a0ad52244f1d9e90b5efa2c73ec7() { window.mpFormLoading = false; let container = document.getElementById('mpFrm01af7992159b439f9e0134c6600604e7'); if (!container) { mpFormmpFrm01af7992159b439f9e0134c6600604e7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm01af7992159b439f9e0134c6600604e7'); return setTimeout(finishedLoading5467a0ad52244f1d9e90b5efa2c73ec7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").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-5467a0ad52244f1d9e90b5efa2c73ec7-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-5467a0ad52244f1d9e90b5efa2c73ec7-" + 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-5467a0ad52244f1d9e90b5efa2c73ec7").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-5467a0ad52244f1d9e90b5efa2c73ec7").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-5467a0ad52244f1d9e90b5efa2c73ec7").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=mpmRecaptchaLoaded5467a0ad52244f1d9e90b5efa2c73ec7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5467a0ad52244f1d9e90b5efa2c73ec7() { let popups = document.getElementById("mpform-5467a0ad52244f1d9e90b5efa2c73ec7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5467a0ad52244f1d9e90b5efa2c73ec7() { 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 () { finishedLoading5467a0ad52244f1d9e90b5efa2c73ec7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5467a0ad52244f1d9e90b5efa2c73ec7(); } } 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); mploadTelInput5467a0ad52244f1d9e90b5efa2c73ec7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5467a0ad52244f1d9e90b5efa2c73ec7(); } else { function waitForOtherFormsmpFrm01af7992159b439f9e0134c6600604e7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5467a0ad52244f1d9e90b5efa2c73ec7(); } else { setTimeout(waitForOtherFormsmpFrm01af7992159b439f9e0134c6600604e7,300); } } waitForOtherFormsmpFrm01af7992159b439f9e0134c6600604e7(); }