var captchaWidgetmpFrm6f2b3eced05b48e0b1b0b9dab93e954c; var mpCurrentScriptmpFrm6f2b3eced05b48e0b1b0b9dab93e954cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6f2b3eced05b48e0b1b0b9dab93e954c"; 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); } mpFormmpFrm6f2b3eced05b48e0b1b0b9dab93e954cFind(); } 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); mpFormmpFrm6f2b3eced05b48e0b1b0b9dab93e954cFind(); } })(); function mpFormmpFrm6f2b3eced05b48e0b1b0b9dab93e954cFind() { if(!mpCurrentScriptmpFrm6f2b3eced05b48e0b1b0b9dab93e954cContainer) return; if (mpCurrentScriptmpFrm6f2b3eced05b48e0b1b0b9dab93e954cContainer && mpCurrentScriptmpFrm6f2b3eced05b48e0b1b0b9dab93e954cContainer.nodeName && mpCurrentScriptmpFrm6f2b3eced05b48e0b1b0b9dab93e954cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6f2b3eced05b48e0b1b0b9dab93e954c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6f2b3eced05b48e0b1b0b9dab93e954cContainer.children).forEach(c => { if (c.id === "mpFrm6f2b3eced05b48e0b1b0b9dab93e954c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm6f2b3eced05b48e0b1b0b9dab93e954cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6f2b3eced05b48e0b1b0b9dab93e954c"; } } } } function mpForme53e1bbc96174c54b83aa8a82ff89010Check() { let checkBoxes = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").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 mpForme53e1bbc96174c54b83aa8a82ff89010Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").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-e53e1bbc96174c54b83aa8a82ff89010')), 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: getTrackingIde53e1bbc96174c54b83aa8a82ff89010() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").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-e53e1bbc96174c54b83aa8a82ff89010").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) { mpForme53e1bbc96174c54b83aa8a82ff89010Check(); 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-e53e1bbc96174c54b83aa8a82ff89010').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-e53e1bbc96174c54b83aa8a82ff89010").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-e53e1bbc96174c54b83aa8a82ff89010').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6f2b3eced05b48e0b1b0b9dab93e954c); } else { mpForme53e1bbc96174c54b83aa8a82ff89010Check(); 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 mpmRecaptchaLoadede53e1bbc96174c54b83aa8a82ff89010() { captchaWidgetmpFrm6f2b3eced05b48e0b1b0b9dab93e954c = grecaptcha.render('mpmRecaptchampFrm6f2b3eced05b48e0b1b0b9dab93e954c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde53e1bbc96174c54b83aa8a82ff89010() { 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 mpmFormInite53e1bbc96174c54b83aa8a82ff89010 () { 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 finishedLoadinge53e1bbc96174c54b83aa8a82ff89010() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6f2b3eced05b48e0b1b0b9dab93e954c'); if (!container) { mpFormmpFrm6f2b3eced05b48e0b1b0b9dab93e954cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6f2b3eced05b48e0b1b0b9dab93e954c'); return setTimeout(finishedLoadinge53e1bbc96174c54b83aa8a82ff89010, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").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-e53e1bbc96174c54b83aa8a82ff89010-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-e53e1bbc96174c54b83aa8a82ff89010-" + 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-e53e1bbc96174c54b83aa8a82ff89010").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-e53e1bbc96174c54b83aa8a82ff89010").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-e53e1bbc96174c54b83aa8a82ff89010").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=mpmRecaptchaLoadede53e1bbc96174c54b83aa8a82ff89010&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe53e1bbc96174c54b83aa8a82ff89010() { let popups = document.getElementById("mpform-e53e1bbc96174c54b83aa8a82ff89010").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute53e1bbc96174c54b83aa8a82ff89010() { 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 () { finishedLoadinge53e1bbc96174c54b83aa8a82ff89010(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge53e1bbc96174c54b83aa8a82ff89010(); } } 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); mploadTelInpute53e1bbc96174c54b83aa8a82ff89010(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite53e1bbc96174c54b83aa8a82ff89010(); } else { function waitForOtherFormsmpFrm6f2b3eced05b48e0b1b0b9dab93e954c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite53e1bbc96174c54b83aa8a82ff89010(); } else { setTimeout(waitForOtherFormsmpFrm6f2b3eced05b48e0b1b0b9dab93e954c,300); } } waitForOtherFormsmpFrm6f2b3eced05b48e0b1b0b9dab93e954c(); }