var captchaWidgetmpFrm4b6f30d4830e4fee86e3b5ce59f81190; var mpCurrentScriptmpFrm4b6f30d4830e4fee86e3b5ce59f81190Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4b6f30d4830e4fee86e3b5ce59f81190"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); 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); mpFormmpFrm4b6f30d4830e4fee86e3b5ce59f81190Find(); } })(); function mpFormmpFrm4b6f30d4830e4fee86e3b5ce59f81190Find() { if(!mpCurrentScriptmpFrm4b6f30d4830e4fee86e3b5ce59f81190Container) return; if (mpCurrentScriptmpFrm4b6f30d4830e4fee86e3b5ce59f81190Container && mpCurrentScriptmpFrm4b6f30d4830e4fee86e3b5ce59f81190Container.nodeName && mpCurrentScriptmpFrm4b6f30d4830e4fee86e3b5ce59f81190Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4b6f30d4830e4fee86e3b5ce59f81190" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4b6f30d4830e4fee86e3b5ce59f81190Container.children).forEach(c => { if (c.id === "mpFrm4b6f30d4830e4fee86e3b5ce59f81190") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript69129fb2fc1e49d09b3a45f907ab6204Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4b6f30d4830e4fee86e3b5ce59f81190"; } } } } function mpForm69129fb2fc1e49d09b3a45f907ab6204Check() { let checkBoxes = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").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 mpForm69129fb2fc1e49d09b3a45f907ab6204Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").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-69129fb2fc1e49d09b3a45f907ab6204')), 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: getTrackingId69129fb2fc1e49d09b3a45f907ab6204() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").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-69129fb2fc1e49d09b3a45f907ab6204").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) { mpForm69129fb2fc1e49d09b3a45f907ab6204Check(); 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-69129fb2fc1e49d09b3a45f907ab6204').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-69129fb2fc1e49d09b3a45f907ab6204").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-69129fb2fc1e49d09b3a45f907ab6204').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4b6f30d4830e4fee86e3b5ce59f81190); } else { mpForm69129fb2fc1e49d09b3a45f907ab6204Check(); 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 mpmRecaptchaLoaded69129fb2fc1e49d09b3a45f907ab6204() { captchaWidgetmpFrm4b6f30d4830e4fee86e3b5ce59f81190 = grecaptcha.render('mpmRecaptchampFrm4b6f30d4830e4fee86e3b5ce59f81190', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId69129fb2fc1e49d09b3a45f907ab6204() { 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 mpmFormInit69129fb2fc1e49d09b3a45f907ab6204 () { 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 finishedLoading69129fb2fc1e49d09b3a45f907ab6204() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4b6f30d4830e4fee86e3b5ce59f81190'); if (!container) { mpFormmpFrm4b6f30d4830e4fee86e3b5ce59f81190Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4b6f30d4830e4fee86e3b5ce59f81190'); return setTimeout(finishedLoading69129fb2fc1e49d09b3a45f907ab6204, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").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-69129fb2fc1e49d09b3a45f907ab6204").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-69129fb2fc1e49d09b3a45f907ab6204").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-69129fb2fc1e49d09b3a45f907ab6204").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=mpmRecaptchaLoaded69129fb2fc1e49d09b3a45f907ab6204&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup69129fb2fc1e49d09b3a45f907ab6204() { let popups = document.getElementById("mpform-69129fb2fc1e49d09b3a45f907ab6204").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput69129fb2fc1e49d09b3a45f907ab6204() { 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 () { finishedLoading69129fb2fc1e49d09b3a45f907ab6204(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading69129fb2fc1e49d09b3a45f907ab6204(); } } 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); mploadTelInput69129fb2fc1e49d09b3a45f907ab6204(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit69129fb2fc1e49d09b3a45f907ab6204(); } else { function waitForOtherFormsmpFrm4b6f30d4830e4fee86e3b5ce59f81190() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit69129fb2fc1e49d09b3a45f907ab6204(); } else { setTimeout(waitForOtherFormsmpFrm4b6f30d4830e4fee86e3b5ce59f81190,300); } } waitForOtherFormsmpFrm4b6f30d4830e4fee86e3b5ce59f81190(); }