var mpCurrentScriptmpFrm3c0195a2214c40cc96595df2a1193ceaContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3c0195a2214c40cc96595df2a1193cea"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); } mpFormmpFrm3c0195a2214c40cc96595df2a1193ceaFind(); } 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); mpFormmpFrm3c0195a2214c40cc96595df2a1193ceaFind(); } })(); function mpFormmpFrm3c0195a2214c40cc96595df2a1193ceaFind() { if(!mpCurrentScriptmpFrm3c0195a2214c40cc96595df2a1193ceaContainer) return; if (mpCurrentScriptmpFrm3c0195a2214c40cc96595df2a1193ceaContainer && mpCurrentScriptmpFrm3c0195a2214c40cc96595df2a1193ceaContainer.nodeName && mpCurrentScriptmpFrm3c0195a2214c40cc96595df2a1193ceaContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3c0195a2214c40cc96595df2a1193cea" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3c0195a2214c40cc96595df2a1193ceaContainer.children).forEach(c => { if (c.id === "mpFrm3c0195a2214c40cc96595df2a1193cea") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm3c0195a2214c40cc96595df2a1193ceaContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3c0195a2214c40cc96595df2a1193cea"; } } } } function mpForme306855ae86a492ca70113467ec6324eCheck() { let checkBoxes = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").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 mpForme306855ae86a492ca70113467ec6324eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e')), 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: getTrackingIde306855ae86a492ca70113467ec6324e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e").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=41955", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForme306855ae86a492ca70113467ec6324eCheck(); 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-e306855ae86a492ca70113467ec6324e').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-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e').innerHTML = response.form } } } else { mpForme306855ae86a492ca70113467ec6324eCheck(); 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 getTrackingIde306855ae86a492ca70113467ec6324e() { 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 mpmFormInite306855ae86a492ca70113467ec6324e () { 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 mpmEnsureMultiSelectStylese306855ae86a492ca70113467ec6324e() { 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 mpmEnhanceMultiSelectse306855ae86a492ca70113467ec6324e(formEl) { if (!formEl) return; mpmEnsureMultiSelectStylese306855ae86a492ca70113467ec6324e(); 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 finishedLoadinge306855ae86a492ca70113467ec6324e() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3c0195a2214c40cc96595df2a1193cea'); if (!container) { mpFormmpFrm3c0195a2214c40cc96595df2a1193ceaFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3c0195a2214c40cc96595df2a1193cea'); return setTimeout(finishedLoadinge306855ae86a492ca70113467ec6324e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-e306855ae86a492ca70113467ec6324e-" + 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-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e").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-e306855ae86a492ca70113467ec6324e").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } mpmEnhanceMultiSelectse306855ae86a492ca70113467ec6324e(document.getElementById("mpform-e306855ae86a492ca70113467ec6324e")); } function mpmPopupe306855ae86a492ca70113467ec6324e() { let popups = document.getElementById("mpform-e306855ae86a492ca70113467ec6324e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute306855ae86a492ca70113467ec6324e() { 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 () { finishedLoadinge306855ae86a492ca70113467ec6324e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge306855ae86a492ca70113467ec6324e(); } } 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); mploadTelInpute306855ae86a492ca70113467ec6324e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite306855ae86a492ca70113467ec6324e(); } else { function waitForOtherFormsmpFrm3c0195a2214c40cc96595df2a1193cea() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite306855ae86a492ca70113467ec6324e(); } else { setTimeout(waitForOtherFormsmpFrm3c0195a2214c40cc96595df2a1193cea,300); } } waitForOtherFormsmpFrm3c0195a2214c40cc96595df2a1193cea(); }