var mpCurrentScriptmpFrmbe6e7eccf80140eea6c0f7c63e0d33afContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbe6e7eccf80140eea6c0f7c63e0d33af"; 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); } mpFormmpFrmbe6e7eccf80140eea6c0f7c63e0d33afFind(); } 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); mpFormmpFrmbe6e7eccf80140eea6c0f7c63e0d33afFind(); } })(); function mpFormmpFrmbe6e7eccf80140eea6c0f7c63e0d33afFind() { if(!mpCurrentScriptmpFrmbe6e7eccf80140eea6c0f7c63e0d33afContainer) return; if (mpCurrentScriptmpFrmbe6e7eccf80140eea6c0f7c63e0d33afContainer && mpCurrentScriptmpFrmbe6e7eccf80140eea6c0f7c63e0d33afContainer.nodeName && mpCurrentScriptmpFrmbe6e7eccf80140eea6c0f7c63e0d33afContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbe6e7eccf80140eea6c0f7c63e0d33af" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbe6e7eccf80140eea6c0f7c63e0d33afContainer.children).forEach(c => { if (c.id === "mpFrmbe6e7eccf80140eea6c0f7c63e0d33af") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrmbe6e7eccf80140eea6c0f7c63e0d33afContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbe6e7eccf80140eea6c0f7c63e0d33af"; } } } } function mpForm4a93a679d9b94d9b8ef1c80bc0a389efCheck() { let checkBoxes = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").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 mpForm4a93a679d9b94d9b8ef1c80bc0a389efSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").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-4a93a679d9b94d9b8ef1c80bc0a389ef')), 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: getTrackingId4a93a679d9b94d9b8ef1c80bc0a389ef() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").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-4a93a679d9b94d9b8ef1c80bc0a389ef").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) { mpForm4a93a679d9b94d9b8ef1c80bc0a389efCheck(); 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-4a93a679d9b94d9b8ef1c80bc0a389ef').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-4a93a679d9b94d9b8ef1c80bc0a389ef").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-4a93a679d9b94d9b8ef1c80bc0a389ef').innerHTML = response.form } } } else { mpForm4a93a679d9b94d9b8ef1c80bc0a389efCheck(); 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; } }; 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 getTrackingId4a93a679d9b94d9b8ef1c80bc0a389ef() { 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 mpmFormInit4a93a679d9b94d9b8ef1c80bc0a389ef () { 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 mpmEnsureMultiSelectStyles4a93a679d9b94d9b8ef1c80bc0a389ef() { if (document.getElementById('mpm-ms-styles')) return; var style = document.createElement('style'); style.id = 'mpm-ms-styles'; style.innerHTML = [ '.mpm-ms{position:relative;width:100%;box-sizing:border-box;}', '.mpm-ms-native{position:absolute!important;width:1px!important;height:1px!important;padding:0!important;margin:-1px!important;overflow:hidden!important;clip:rect(0,0,0,0)!important;white-space:nowrap!important;border:0!important;opacity:0!important;pointer-events:none!important;}', '.mpm-ms-trigger{display:flex;align-items:center;justify-content:space-between;gap:8px;width:100%;box-sizing:border-box;cursor:pointer;text-align:left;appearance:none;-webkit-appearance:none;background-image:none;}', '.mpm-ms-trigger-label{flex:1;min-width:0;overflow:hidden;text-overflow:ellipsis;white-space:nowrap;}', '.mpm-ms-trigger-chevron{flex:0 0 auto;width:0;height:0;border-left:5px solid transparent;border-right:5px solid transparent;border-top:6px solid currentColor;opacity:0.7;}', '.mpm-ms.open .mpm-ms-trigger-chevron{transform:rotate(180deg);}', '.mpm-ms-panel{display:none;position:absolute;left:0;right:0;top:100%;z-index:1000;margin-top:1px;max-height:220px;overflow:auto;box-sizing:border-box;background:#fff;border:1px solid #ccc;border-radius:4px;box-shadow:0 4px 14px rgba(0,0,0,0.12);font-family:-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,"Helvetica Neue",Arial,sans-serif;font-size:14px;line-height:1.4;color:#222;-webkit-font-smoothing:antialiased;}', '.mpm-ms.open .mpm-ms-panel{display:block;}', '.mpm-ms-option{display:flex;align-items:center;gap:8px;padding:9px 12px;cursor:pointer;font:inherit;color:inherit;margin:0;letter-spacing:0.01em;}', '.mpm-ms-option:hover{background:#f3f4f6;}', '.mpm-ms-option input{margin:0;flex:0 0 auto;}', '.mpm-ms-option-text{flex:1;min-width:0;}' ].join(''); document.getElementsByTagName('head')[0].appendChild(style); } function mpmEnhanceMultiSelects4a93a679d9b94d9b8ef1c80bc0a389ef(formEl) { if (!formEl) return; mpmEnsureMultiSelectStyles4a93a679d9b94d9b8ef1c80bc0a389ef(); var selects = formEl.querySelectorAll('select[multiple]'); for (var i = 0; i < selects.length; i++) { (function (select) { if (select.getAttribute('data-mpm-ms') === '1') return; select.setAttribute('data-mpm-ms', '1'); var placeholder = 'Choose options'; var options = []; var optionByValue = {}; for (var o = 0; o < select.options.length; o++) { var opt = select.options[o]; if (!opt.value) { if (opt.selected) opt.selected = false; if (opt.disabled) { var ph = (opt.textContent || '').trim(); if (ph) placeholder = ph; continue; } } options.push(opt); optionByValue[opt.value] = opt; } var wrapper = document.createElement('div'); wrapper.className = 'mpm-ms'; select.parentNode.insertBefore(wrapper, select); wrapper.appendChild(select); select.className = (select.className ? select.className + ' ' : '') + 'mpm-ms-native'; select.setAttribute('tabindex', '-1'); select.setAttribute('aria-hidden', 'true'); var trigger = document.createElement('button'); trigger.type = 'button'; trigger.className = 'mpm-ms-trigger'; trigger.setAttribute('aria-haspopup', 'listbox'); trigger.setAttribute('aria-expanded', 'false'); if (select.getAttribute('style')) { trigger.setAttribute('style', select.getAttribute('style')); } trigger.style.display = 'flex'; trigger.style.width = '100%'; trigger.style.boxSizing = 'border-box'; trigger.style.cursor = 'pointer'; trigger.style.textAlign = 'left'; var labelEl = document.createElement('span'); labelEl.className = 'mpm-ms-trigger-label'; var chevron = document.createElement('span'); chevron.className = 'mpm-ms-trigger-chevron'; chevron.setAttribute('aria-hidden', 'true'); trigger.appendChild(labelEl); trigger.appendChild(chevron); var panel = document.createElement('div'); panel.className = 'mpm-ms-panel'; panel.setAttribute('role', 'listbox'); panel.setAttribute('aria-multiselectable', 'true'); for (var oi = 0; oi < options.length; oi++) { (function (opt) { var row = document.createElement('label'); row.className = 'mpm-ms-option'; var cb = document.createElement('input'); cb.type = 'checkbox'; cb.value = opt.value; cb.checked = opt.selected; if (select.disabled) cb.disabled = true; var text = document.createElement('span'); text.className = 'mpm-ms-option-text'; text.textContent = opt.textContent || opt.value; row.appendChild(cb); row.appendChild(text); panel.appendChild(row); cb.addEventListener('change', function () { opt.selected = cb.checked; updateLabel(); trigger.classList.remove('mpm-field-error'); try { select.dispatchEvent(new Event('change', { bubbles: true })); } catch (e) { var ev = document.createEvent('Event'); ev.initEvent('change', true, true); select.dispatchEvent(ev); } }); })(options[oi]); } function updateLabel() { var selected = []; for (var s = 0; s < select.options.length; s++) { if (select.options[s].selected && select.options[s].value !== '') { selected.push((select.options[s].textContent || select.options[s].value).trim()); } } if (!selected.length) { labelEl.textContent = placeholder; labelEl.style.opacity = '0.65'; } else if (selected.length <= 2) { labelEl.textContent = selected.join(', '); labelEl.style.opacity = '1'; } else { labelEl.textContent = selected.length + ' selected'; labelEl.style.opacity = '1'; } } function setOpen(open) { if (open) { wrapper.classList.add('open'); trigger.setAttribute('aria-expanded', 'true'); } else { wrapper.classList.remove('open'); trigger.setAttribute('aria-expanded', 'false'); } } trigger.addEventListener('click', function (e) { e.preventDefault(); if (select.disabled) return; setOpen(!wrapper.classList.contains('open')); }); select.addEventListener('invalid', function () { trigger.classList.add('mpm-field-error'); setOpen(true); }); wrapper.appendChild(trigger); wrapper.appendChild(panel); updateLabel(); select._mpmMsSync = function () { var cbs = panel.querySelectorAll('input[type="checkbox"]'); for (var c = 0; c < cbs.length; c++) { var match = optionByValue[cbs[c].value]; if (match) cbs[c].checked = match.selected; } updateLabel(); trigger.classList.remove('mpm-field-error'); }; })(selects[i]); } if (formEl.getAttribute('data-mpm-ms-bound') === '1') return; formEl.setAttribute('data-mpm-ms-bound', '1'); document.addEventListener('click', function (e) { var openMenus = formEl.querySelectorAll('.mpm-ms.open'); for (var n = 0; n < openMenus.length; n++) { if (!openMenus[n].contains(e.target)) { openMenus[n].classList.remove('open'); var btn = openMenus[n].querySelector('.mpm-ms-trigger'); if (btn) btn.setAttribute('aria-expanded', 'false'); } } }); document.addEventListener('keydown', function (e) { if (e.key !== 'Escape' && e.keyCode !== 27) return; var openMenus = formEl.querySelectorAll('.mpm-ms.open'); for (var n = 0; n < openMenus.length; n++) { openMenus[n].classList.remove('open'); var btn = openMenus[n].querySelector('.mpm-ms-trigger'); if (btn) btn.setAttribute('aria-expanded', 'false'); } }); formEl.addEventListener('reset', function () { setTimeout(function () { var enhanced = formEl.querySelectorAll('select[data-mpm-ms="1"]'); for (var r = 0; r < enhanced.length; r++) { var sel = enhanced[r]; for (var ro = 0; ro < sel.options.length; ro++) { if (!sel.options[ro].value) sel.options[ro].selected = false; } if (typeof sel._mpmMsSync === 'function') sel._mpmMsSync(); } }, 0); }); } function finishedLoading4a93a679d9b94d9b8ef1c80bc0a389ef() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbe6e7eccf80140eea6c0f7c63e0d33af'); if (!container) { mpFormmpFrmbe6e7eccf80140eea6c0f7c63e0d33afFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbe6e7eccf80140eea6c0f7c63e0d33af'); return setTimeout(finishedLoading4a93a679d9b94d9b8ef1c80bc0a389ef, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").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-4a93a679d9b94d9b8ef1c80bc0a389ef-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-4a93a679d9b94d9b8ef1c80bc0a389ef-" + 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-4a93a679d9b94d9b8ef1c80bc0a389ef").querySelectorAll('input[name*="customField-"]') if(customFields) { var processedRadioNames = {}; 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]; if (customField.type === 'radio') { if (!processedRadioNames[customField.name]) { processedRadioNames[customField.name] = true; if (newValue !== "") { var radioGroup = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").querySelectorAll('input[type="radio"][name="' + customField.name + '"]'); for (var j = 0; j < radioGroup.length; j++) { radioGroup[j].checked = radioGroup[j].getAttribute('value') == newValue; } } } } else if (customField.type === 'checkbox') { customField.checked = newValue === true || newValue === 'true' || newValue === '1' || newValue === 1; } else { customField.value = newValue; } } } } let customFieldsTextArea = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").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 customFieldsSelect = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").querySelectorAll('select[name*="customField-"]') if(customFieldsSelect) { for(var i = 0; i < customFieldsSelect.length; i++) { let customField = customFieldsSelect[i]; var cfID = customField.name; if(cfID) { cfID = cfID.split("-")[1]; var newValue = subscriberData.customFields[cfID]; if (newValue === undefined || newValue === null || newValue === '') continue; if (customField.multiple && Array.isArray(newValue)) { for (var j = 0; j < customField.options.length; j++) { customField.options[j].selected = newValue.indexOf(customField.options[j].value) > -1; } } else { customField.value = newValue; } } } } let emailAddressFields = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } mpmEnhanceMultiSelects4a93a679d9b94d9b8ef1c80bc0a389ef(document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef")); } function mpmPopup4a93a679d9b94d9b8ef1c80bc0a389ef() { let popups = document.getElementById("mpform-4a93a679d9b94d9b8ef1c80bc0a389ef").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4a93a679d9b94d9b8ef1c80bc0a389ef() { 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 () { finishedLoading4a93a679d9b94d9b8ef1c80bc0a389ef(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4a93a679d9b94d9b8ef1c80bc0a389ef(); } } 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); mploadTelInput4a93a679d9b94d9b8ef1c80bc0a389ef(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4a93a679d9b94d9b8ef1c80bc0a389ef(); } else { function waitForOtherFormsmpFrmbe6e7eccf80140eea6c0f7c63e0d33af() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4a93a679d9b94d9b8ef1c80bc0a389ef(); } else { setTimeout(waitForOtherFormsmpFrmbe6e7eccf80140eea6c0f7c63e0d33af,300); } } waitForOtherFormsmpFrmbe6e7eccf80140eea6c0f7c63e0d33af(); }