var mpmCaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2 = ''; var mpmCaptchaTrustedOriginmpFrm3f4d4dd5b58e4c569a004996593a35a2 = 'https://api.transpond.io'; (function () { window.addEventListener('message', function (e) { if (!e.data || e.data.eleId !== 'mpFrm3f4d4dd5b58e4c569a004996593a35a2') return; var trusted = mpmCaptchaTrustedOriginmpFrm3f4d4dd5b58e4c569a004996593a35a2; if (e.origin !== trusted && e.origin !== trusted.replace('https://', 'http://')) return; if (e.data.type === 'mpmRecaptcha') { mpmCaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2 = e.data.token || ''; var inp = document.getElementById('mpmRecaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2'); if (inp) inp.value = mpmCaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2; } if (e.data.type === 'mpmRecaptchaExpired') { mpmCaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2 = ''; var expiredInp = document.getElementById('mpmRecaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2'); if (expiredInp) expiredInp.value = ''; } if (e.data.type === 'mpmRecaptchaResize') { var resizeHost = document.getElementById('mpmRecaptchaEmbedmpFrm3f4d4dd5b58e4c569a004996593a35a2'); var resizeFrame = resizeHost && resizeHost.querySelector('iframe'); if (resizeFrame && e.data.height) { var resizeMinH = resizeHost.getAttribute('data-size') === 'compact' ? 144 : 78; var resizeMinW = resizeHost.getAttribute('data-size') === 'compact' ? 164 : 304; var resizeH = Math.min(650, Math.max(resizeMinH, parseInt(e.data.height, 10) || resizeMinH)); var resizeW = Math.min(420, Math.max(resizeMinW, parseInt(e.data.width, 10) || resizeMinW)); resizeFrame.style.height = resizeH + 'px'; resizeHost.style.height = resizeH + 'px'; resizeHost.style.minHeight = resizeH + 'px'; resizeFrame.style.width = resizeW + 'px'; resizeFrame.style.maxWidth = '100%'; resizeFrame.style.overflow = 'hidden'; } } }); })(); function mpmLoadCaptchaIframempFrm3f4d4dd5b58e4c569a004996593a35a2() { var host = document.getElementById('mpmRecaptchaEmbedmpFrm3f4d4dd5b58e4c569a004996593a35a2'); if (!host || host.querySelector('iframe')) return; var theme = host.getAttribute('data-theme') || 'light'; var size = host.getAttribute('data-size') || 'normal'; var frameHeight = size === 'compact' ? 144 : 78; host.style.minHeight = frameHeight + 'px'; var iframe = document.createElement('iframe'); iframe.title = 'Captcha'; iframe.src = mpmCaptchaTrustedOriginmpFrm3f4d4dd5b58e4c569a004996593a35a2 + '/form/captcha-frame?am=40129&fid=41943&ele=mpFrm3f4d4dd5b58e4c569a004996593a35a2&theme=' + encodeURIComponent(theme) + '&size=' + encodeURIComponent(size) + '&origin=' + encodeURIComponent(document.location.origin); iframe.style.border = '0'; iframe.style.width = '304px'; iframe.style.height = frameHeight + 'px'; iframe.style.overflow = 'hidden'; iframe.style.display = 'block'; host.style.overflow = 'visible'; host.appendChild(iframe); } function mpmResetCaptchaEmbedmpFrm3f4d4dd5b58e4c569a004996593a35a2() { mpmCaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2 = ''; var tokenInp = document.getElementById('mpmRecaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2'); if (tokenInp) tokenInp.value = ''; var embedHost = document.getElementById('mpmRecaptchaEmbedmpFrm3f4d4dd5b58e4c569a004996593a35a2'); if (embedHost) embedHost.innerHTML = ''; mpmLoadCaptchaIframempFrm3f4d4dd5b58e4c569a004996593a35a2(); } var mpCurrentScriptmpFrm3f4d4dd5b58e4c569a004996593a35a2Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3f4d4dd5b58e4c569a004996593a35a2"; 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); } mpFormmpFrm3f4d4dd5b58e4c569a004996593a35a2Find(); } 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); mpFormmpFrm3f4d4dd5b58e4c569a004996593a35a2Find(); } })(); function mpFormmpFrm3f4d4dd5b58e4c569a004996593a35a2Find() { if(!mpCurrentScriptmpFrm3f4d4dd5b58e4c569a004996593a35a2Container) return; if (mpCurrentScriptmpFrm3f4d4dd5b58e4c569a004996593a35a2Container && mpCurrentScriptmpFrm3f4d4dd5b58e4c569a004996593a35a2Container.nodeName && mpCurrentScriptmpFrm3f4d4dd5b58e4c569a004996593a35a2Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41943']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3f4d4dd5b58e4c569a004996593a35a2" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3f4d4dd5b58e4c569a004996593a35a2Container.children).forEach(c => { if (c.id === "mpFrm3f4d4dd5b58e4c569a004996593a35a2") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm3f4d4dd5b58e4c569a004996593a35a2Container.children).filter(e => e.dataset && e.dataset.mpid === "41943"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3f4d4dd5b58e4c569a004996593a35a2"; } } } } function mpForme5d10af3d2954c23b07663b8990a6228Check() { let checkBoxes = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").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 mpForme5d10af3d2954c23b07663b8990a6228Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").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-e5d10af3d2954c23b07663b8990a6228')), 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: getTrackingIde5d10af3d2954c23b07663b8990a6228() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").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; } if (!mpmCaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2) { mpMsg.innerHTML = 'Please complete the captcha'; if (msgHlder) msgHlder.style.display = "block"; return; } form_data = form_data.filter(function (f) { return f.name !== 'g-recaptcha-response'; }); form_data.push({ name: 'g-recaptcha-response', value: mpmCaptchaTokenmpFrm3f4d4dd5b58e4c569a004996593a35a2 }); let button = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").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) { mpForme5d10af3d2954c23b07663b8990a6228Check(); 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-e5d10af3d2954c23b07663b8990a6228').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-e5d10af3d2954c23b07663b8990a6228").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-e5d10af3d2954c23b07663b8990a6228').innerHTML = response.form } } mpmResetCaptchaEmbedmpFrm3f4d4dd5b58e4c569a004996593a35a2(); } else { mpForme5d10af3d2954c23b07663b8990a6228Check(); 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; mpmResetCaptchaEmbedmpFrm3f4d4dd5b58e4c569a004996593a35a2(); } }; 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 getTrackingIde5d10af3d2954c23b07663b8990a6228() { 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 mpmFormInite5d10af3d2954c23b07663b8990a6228 () { 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 finishedLoadinge5d10af3d2954c23b07663b8990a6228() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3f4d4dd5b58e4c569a004996593a35a2'); if (!container) { mpFormmpFrm3f4d4dd5b58e4c569a004996593a35a2Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3f4d4dd5b58e4c569a004996593a35a2'); return setTimeout(finishedLoadinge5d10af3d2954c23b07663b8990a6228, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").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-e5d10af3d2954c23b07663b8990a6228-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-e5d10af3d2954c23b07663b8990a6228-" + 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-e5d10af3d2954c23b07663b8990a6228").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-e5d10af3d2954c23b07663b8990a6228").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-e5d10af3d2954c23b07663b8990a6228").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } mpmLoadCaptchaIframempFrm3f4d4dd5b58e4c569a004996593a35a2(); } function mpmPopupe5d10af3d2954c23b07663b8990a6228() { let popups = document.getElementById("mpform-e5d10af3d2954c23b07663b8990a6228").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute5d10af3d2954c23b07663b8990a6228() { 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 () { finishedLoadinge5d10af3d2954c23b07663b8990a6228(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge5d10af3d2954c23b07663b8990a6228(); } } 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); mploadTelInpute5d10af3d2954c23b07663b8990a6228(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite5d10af3d2954c23b07663b8990a6228(); } else { function waitForOtherFormsmpFrm3f4d4dd5b58e4c569a004996593a35a2() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite5d10af3d2954c23b07663b8990a6228(); } else { setTimeout(waitForOtherFormsmpFrm3f4d4dd5b58e4c569a004996593a35a2,300); } } waitForOtherFormsmpFrm3f4d4dd5b58e4c569a004996593a35a2(); }