var captchaWidgetmpFrmaba6172409e84028b729d0ff680bf716; var mpCurrentScriptmpFrmaba6172409e84028b729d0ff680bf716Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmaba6172409e84028b729d0ff680bf716"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); if (window.self !== window.top) { if (document.currentScript?.parentNode?.nodeName?.toLowerCase() === 'head') { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener('DOMContentLoaded', () => { document.body.appendChild(containerDiv); }); } } else { document.currentScript.parentNode.insertBefore(containerDiv, document.currentScript); } mpFormmpFrmaba6172409e84028b729d0ff680bf716Find(); } 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); mpFormmpFrmaba6172409e84028b729d0ff680bf716Find(); } })(); function mpFormmpFrmaba6172409e84028b729d0ff680bf716Find() { if(!mpCurrentScriptmpFrmaba6172409e84028b729d0ff680bf716Container) return; if (mpCurrentScriptmpFrmaba6172409e84028b729d0ff680bf716Container && mpCurrentScriptmpFrmaba6172409e84028b729d0ff680bf716Container.nodeName && mpCurrentScriptmpFrmaba6172409e84028b729d0ff680bf716Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmaba6172409e84028b729d0ff680bf716" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmaba6172409e84028b729d0ff680bf716Container.children).forEach(c => { if (c.id === "mpFrmaba6172409e84028b729d0ff680bf716") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrmaba6172409e84028b729d0ff680bf716Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmaba6172409e84028b729d0ff680bf716"; } } } } function mpForm6ebb95fc6b274b2fa98152b8fb339c79Check() { let checkBoxes = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").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 mpForm6ebb95fc6b274b2fa98152b8fb339c79Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").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-6ebb95fc6b274b2fa98152b8fb339c79')), 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: getTrackingId6ebb95fc6b274b2fa98152b8fb339c79() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").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-6ebb95fc6b274b2fa98152b8fb339c79").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=41943", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm6ebb95fc6b274b2fa98152b8fb339c79Check(); 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-6ebb95fc6b274b2fa98152b8fb339c79').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-6ebb95fc6b274b2fa98152b8fb339c79").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } if(response.hideForm){ let mpMsgParent = msgHlder.parentElement; if(mpMsgParent && msgHlder){ mpMsg.innerHTML = response.message; mpMsgParent.innerHTML = msgHlder.innerHTML; } } else { mpMsg.innerHTML = response.message; } } else if (response.replace) { document.getElementById('mpform-6ebb95fc6b274b2fa98152b8fb339c79').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmaba6172409e84028b729d0ff680bf716); } else { mpForm6ebb95fc6b274b2fa98152b8fb339c79Check(); 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 mpmRecaptchaLoaded6ebb95fc6b274b2fa98152b8fb339c79() { captchaWidgetmpFrmaba6172409e84028b729d0ff680bf716 = grecaptcha.render('mpmRecaptchampFrmaba6172409e84028b729d0ff680bf716', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6ebb95fc6b274b2fa98152b8fb339c79() { 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 mpmFormInit6ebb95fc6b274b2fa98152b8fb339c79 () { 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 finishedLoading6ebb95fc6b274b2fa98152b8fb339c79() { window.mpFormLoading = false; let container = document.getElementById('mpFrmaba6172409e84028b729d0ff680bf716'); if (!container) { mpFormmpFrmaba6172409e84028b729d0ff680bf716Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmaba6172409e84028b729d0ff680bf716'); return setTimeout(finishedLoading6ebb95fc6b274b2fa98152b8fb339c79, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").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-6ebb95fc6b274b2fa98152b8fb339c79-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-6ebb95fc6b274b2fa98152b8fb339c79-" + 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-6ebb95fc6b274b2fa98152b8fb339c79").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-6ebb95fc6b274b2fa98152b8fb339c79").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-6ebb95fc6b274b2fa98152b8fb339c79").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=mpmRecaptchaLoaded6ebb95fc6b274b2fa98152b8fb339c79&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6ebb95fc6b274b2fa98152b8fb339c79() { let popups = document.getElementById("mpform-6ebb95fc6b274b2fa98152b8fb339c79").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6ebb95fc6b274b2fa98152b8fb339c79() { 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 () { finishedLoading6ebb95fc6b274b2fa98152b8fb339c79(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6ebb95fc6b274b2fa98152b8fb339c79(); } } 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); mploadTelInput6ebb95fc6b274b2fa98152b8fb339c79(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6ebb95fc6b274b2fa98152b8fb339c79(); } else { function waitForOtherFormsmpFrmaba6172409e84028b729d0ff680bf716() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6ebb95fc6b274b2fa98152b8fb339c79(); } else { setTimeout(waitForOtherFormsmpFrmaba6172409e84028b729d0ff680bf716,300); } } waitForOtherFormsmpFrmaba6172409e84028b729d0ff680bf716(); }