var captchaWidgetmpFrm34d89aa6911a4a209beff9e3f08b33ed; var mpCurrentScriptmpFrm34d89aa6911a4a209beff9e3f08b33edContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm34d89aa6911a4a209beff9e3f08b33ed"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); 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); mpFormmpFrm34d89aa6911a4a209beff9e3f08b33edFind(); } })(); function mpFormmpFrm34d89aa6911a4a209beff9e3f08b33edFind() { if(!mpCurrentScriptmpFrm34d89aa6911a4a209beff9e3f08b33edContainer) return; if (mpCurrentScriptmpFrm34d89aa6911a4a209beff9e3f08b33edContainer && mpCurrentScriptmpFrm34d89aa6911a4a209beff9e3f08b33edContainer.nodeName && mpCurrentScriptmpFrm34d89aa6911a4a209beff9e3f08b33edContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm34d89aa6911a4a209beff9e3f08b33ed" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm34d89aa6911a4a209beff9e3f08b33edContainer.children).forEach(c => { if (c.id === "mpFrm34d89aa6911a4a209beff9e3f08b33ed") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript35365dbfc4a744e7b0f4a6994bddf946Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm34d89aa6911a4a209beff9e3f08b33ed"; } } } } function mpForm35365dbfc4a744e7b0f4a6994bddf946Check() { let checkBoxes = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").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 mpForm35365dbfc4a744e7b0f4a6994bddf946Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").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-35365dbfc4a744e7b0f4a6994bddf946')), 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: getTrackingId35365dbfc4a744e7b0f4a6994bddf946() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").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-35365dbfc4a744e7b0f4a6994bddf946").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) { mpForm35365dbfc4a744e7b0f4a6994bddf946Check(); 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-35365dbfc4a744e7b0f4a6994bddf946').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-35365dbfc4a744e7b0f4a6994bddf946").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-35365dbfc4a744e7b0f4a6994bddf946').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm34d89aa6911a4a209beff9e3f08b33ed); } else { mpForm35365dbfc4a744e7b0f4a6994bddf946Check(); 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 mpmRecaptchaLoaded35365dbfc4a744e7b0f4a6994bddf946() { captchaWidgetmpFrm34d89aa6911a4a209beff9e3f08b33ed = grecaptcha.render('mpmRecaptchampFrm34d89aa6911a4a209beff9e3f08b33ed', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId35365dbfc4a744e7b0f4a6994bddf946() { 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 mpmFormInit35365dbfc4a744e7b0f4a6994bddf946 () { 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 finishedLoading35365dbfc4a744e7b0f4a6994bddf946() { window.mpFormLoading = false; let container = document.getElementById('mpFrm34d89aa6911a4a209beff9e3f08b33ed'); if (!container) { mpFormmpFrm34d89aa6911a4a209beff9e3f08b33edFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm34d89aa6911a4a209beff9e3f08b33ed'); return setTimeout(finishedLoading35365dbfc4a744e7b0f4a6994bddf946, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").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-35365dbfc4a744e7b0f4a6994bddf946").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-35365dbfc4a744e7b0f4a6994bddf946").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-35365dbfc4a744e7b0f4a6994bddf946").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=mpmRecaptchaLoaded35365dbfc4a744e7b0f4a6994bddf946&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup35365dbfc4a744e7b0f4a6994bddf946() { let popups = document.getElementById("mpform-35365dbfc4a744e7b0f4a6994bddf946").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput35365dbfc4a744e7b0f4a6994bddf946() { 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 () { finishedLoading35365dbfc4a744e7b0f4a6994bddf946(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading35365dbfc4a744e7b0f4a6994bddf946(); } } 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); mploadTelInput35365dbfc4a744e7b0f4a6994bddf946(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit35365dbfc4a744e7b0f4a6994bddf946(); } else { function waitForOtherFormsmpFrm34d89aa6911a4a209beff9e3f08b33ed() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit35365dbfc4a744e7b0f4a6994bddf946(); } else { setTimeout(waitForOtherFormsmpFrm34d89aa6911a4a209beff9e3f08b33ed,300); } } waitForOtherFormsmpFrm34d89aa6911a4a209beff9e3f08b33ed(); }