var captchaWidgetmpFrmc67eb5f262b04bf88bdfc8dbe1a40dad; var mpCurrentScriptmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc67eb5f262b04bf88bdfc8dbe1a40dad"; 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); } mpFormmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadFind(); } 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); mpFormmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadFind(); } })(); function mpFormmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadFind() { if(!mpCurrentScriptmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadContainer) return; if (mpCurrentScriptmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadContainer && mpCurrentScriptmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadContainer.nodeName && mpCurrentScriptmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc67eb5f262b04bf88bdfc8dbe1a40dad" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadContainer.children).forEach(c => { if (c.id === "mpFrmc67eb5f262b04bf88bdfc8dbe1a40dad") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc67eb5f262b04bf88bdfc8dbe1a40dad"; } } } } function mpFormadda9548cab84615b1f513a574c837f6Check() { let checkBoxes = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").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 mpFormadda9548cab84615b1f513a574c837f6Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").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-adda9548cab84615b1f513a574c837f6')), 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: getTrackingIdadda9548cab84615b1f513a574c837f6() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").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-adda9548cab84615b1f513a574c837f6").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) { mpFormadda9548cab84615b1f513a574c837f6Check(); 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-adda9548cab84615b1f513a574c837f6').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-adda9548cab84615b1f513a574c837f6").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-adda9548cab84615b1f513a574c837f6').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc67eb5f262b04bf88bdfc8dbe1a40dad); } else { mpFormadda9548cab84615b1f513a574c837f6Check(); 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 mpmRecaptchaLoadedadda9548cab84615b1f513a574c837f6() { captchaWidgetmpFrmc67eb5f262b04bf88bdfc8dbe1a40dad = grecaptcha.render('mpmRecaptchampFrmc67eb5f262b04bf88bdfc8dbe1a40dad', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdadda9548cab84615b1f513a574c837f6() { 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 mpmFormInitadda9548cab84615b1f513a574c837f6 () { 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 finishedLoadingadda9548cab84615b1f513a574c837f6() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc67eb5f262b04bf88bdfc8dbe1a40dad'); if (!container) { mpFormmpFrmc67eb5f262b04bf88bdfc8dbe1a40dadFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc67eb5f262b04bf88bdfc8dbe1a40dad'); return setTimeout(finishedLoadingadda9548cab84615b1f513a574c837f6, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").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-adda9548cab84615b1f513a574c837f6-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-adda9548cab84615b1f513a574c837f6-" + 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-adda9548cab84615b1f513a574c837f6").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-adda9548cab84615b1f513a574c837f6").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-adda9548cab84615b1f513a574c837f6").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=mpmRecaptchaLoadedadda9548cab84615b1f513a574c837f6&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupadda9548cab84615b1f513a574c837f6() { let popups = document.getElementById("mpform-adda9548cab84615b1f513a574c837f6").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputadda9548cab84615b1f513a574c837f6() { 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 () { finishedLoadingadda9548cab84615b1f513a574c837f6(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingadda9548cab84615b1f513a574c837f6(); } } 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); mploadTelInputadda9548cab84615b1f513a574c837f6(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitadda9548cab84615b1f513a574c837f6(); } else { function waitForOtherFormsmpFrmc67eb5f262b04bf88bdfc8dbe1a40dad() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitadda9548cab84615b1f513a574c837f6(); } else { setTimeout(waitForOtherFormsmpFrmc67eb5f262b04bf88bdfc8dbe1a40dad,300); } } waitForOtherFormsmpFrmc67eb5f262b04bf88bdfc8dbe1a40dad(); }