var captchaWidgetmpFrm9802e89fdfe94da38fd444c6b9ac807c; var mpCurrentScriptmpFrm9802e89fdfe94da38fd444c6b9ac807cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm9802e89fdfe94da38fd444c6b9ac807c"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41943"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm9802e89fdfe94da38fd444c6b9ac807cFind(); } 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); mpFormmpFrm9802e89fdfe94da38fd444c6b9ac807cFind(); } })(); function mpFormmpFrm9802e89fdfe94da38fd444c6b9ac807cFind() { if(!mpCurrentScriptmpFrm9802e89fdfe94da38fd444c6b9ac807cContainer) return; if (mpCurrentScriptmpFrm9802e89fdfe94da38fd444c6b9ac807cContainer && mpCurrentScriptmpFrm9802e89fdfe94da38fd444c6b9ac807cContainer.nodeName && mpCurrentScriptmpFrm9802e89fdfe94da38fd444c6b9ac807cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm9802e89fdfe94da38fd444c6b9ac807c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm9802e89fdfe94da38fd444c6b9ac807cContainer.children).forEach(c => { if (c.id === "mpFrm9802e89fdfe94da38fd444c6b9ac807c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5922ccb12b9145cdb671a82e63ef0b40Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm9802e89fdfe94da38fd444c6b9ac807c"; } } } } function mpForm5922ccb12b9145cdb671a82e63ef0b40Check() { let checkBoxes = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").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 mpForm5922ccb12b9145cdb671a82e63ef0b40Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").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-5922ccb12b9145cdb671a82e63ef0b40')), 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: getTrackingId5922ccb12b9145cdb671a82e63ef0b40() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").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-5922ccb12b9145cdb671a82e63ef0b40").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) { mpForm5922ccb12b9145cdb671a82e63ef0b40Check(); 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-5922ccb12b9145cdb671a82e63ef0b40').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-5922ccb12b9145cdb671a82e63ef0b40").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-5922ccb12b9145cdb671a82e63ef0b40').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm9802e89fdfe94da38fd444c6b9ac807c); } else { mpForm5922ccb12b9145cdb671a82e63ef0b40Check(); 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 mpmRecaptchaLoaded5922ccb12b9145cdb671a82e63ef0b40() { captchaWidgetmpFrm9802e89fdfe94da38fd444c6b9ac807c = grecaptcha.render('mpmRecaptchampFrm9802e89fdfe94da38fd444c6b9ac807c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5922ccb12b9145cdb671a82e63ef0b40() { 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 mpmFormInit5922ccb12b9145cdb671a82e63ef0b40 () { 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 finishedLoading5922ccb12b9145cdb671a82e63ef0b40() { window.mpFormLoading = false; let container = document.getElementById('mpFrm9802e89fdfe94da38fd444c6b9ac807c'); if (!container) { mpFormmpFrm9802e89fdfe94da38fd444c6b9ac807cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm9802e89fdfe94da38fd444c6b9ac807c'); return setTimeout(finishedLoading5922ccb12b9145cdb671a82e63ef0b40, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").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-5922ccb12b9145cdb671a82e63ef0b40-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-5922ccb12b9145cdb671a82e63ef0b40-" + 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-5922ccb12b9145cdb671a82e63ef0b40").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-5922ccb12b9145cdb671a82e63ef0b40").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-5922ccb12b9145cdb671a82e63ef0b40").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=mpmRecaptchaLoaded5922ccb12b9145cdb671a82e63ef0b40&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5922ccb12b9145cdb671a82e63ef0b40() { let popups = document.getElementById("mpform-5922ccb12b9145cdb671a82e63ef0b40").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5922ccb12b9145cdb671a82e63ef0b40() { 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 () { finishedLoading5922ccb12b9145cdb671a82e63ef0b40(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5922ccb12b9145cdb671a82e63ef0b40(); } } 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); mploadTelInput5922ccb12b9145cdb671a82e63ef0b40(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5922ccb12b9145cdb671a82e63ef0b40(); } else { function waitForOtherFormsmpFrm9802e89fdfe94da38fd444c6b9ac807c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5922ccb12b9145cdb671a82e63ef0b40(); } else { setTimeout(waitForOtherFormsmpFrm9802e89fdfe94da38fd444c6b9ac807c,300); } } waitForOtherFormsmpFrm9802e89fdfe94da38fd444c6b9ac807c(); }