var captchaWidgetmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3; var mpCurrentScriptmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm37bfc5369d8c4e7896a6f7bbf21b09b3"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41955"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Find(); } 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); mpFormmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Find(); } })(); function mpFormmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Find() { if(!mpCurrentScriptmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Container) return; if (mpCurrentScriptmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Container && mpCurrentScriptmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Container.nodeName && mpCurrentScriptmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm37bfc5369d8c4e7896a6f7bbf21b09b3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Container.children).forEach(c => { if (c.id === "mpFrm37bfc5369d8c4e7896a6f7bbf21b09b3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript94055aac0d6640c7a8efbf88eed54366Container.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm37bfc5369d8c4e7896a6f7bbf21b09b3"; } } } } function mpForm94055aac0d6640c7a8efbf88eed54366Check() { let checkBoxes = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").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 mpForm94055aac0d6640c7a8efbf88eed54366Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").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-94055aac0d6640c7a8efbf88eed54366')), 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: getTrackingId94055aac0d6640c7a8efbf88eed54366() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").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-94055aac0d6640c7a8efbf88eed54366").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) { mpForm94055aac0d6640c7a8efbf88eed54366Check(); 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-94055aac0d6640c7a8efbf88eed54366').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-94055aac0d6640c7a8efbf88eed54366").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-94055aac0d6640c7a8efbf88eed54366').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3); } else { mpForm94055aac0d6640c7a8efbf88eed54366Check(); 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 mpmRecaptchaLoaded94055aac0d6640c7a8efbf88eed54366() { captchaWidgetmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3 = grecaptcha.render('mpmRecaptchampFrm37bfc5369d8c4e7896a6f7bbf21b09b3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId94055aac0d6640c7a8efbf88eed54366() { 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 mpmFormInit94055aac0d6640c7a8efbf88eed54366 () { 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 finishedLoading94055aac0d6640c7a8efbf88eed54366() { window.mpFormLoading = false; let container = document.getElementById('mpFrm37bfc5369d8c4e7896a6f7bbf21b09b3'); if (!container) { mpFormmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm37bfc5369d8c4e7896a6f7bbf21b09b3'); return setTimeout(finishedLoading94055aac0d6640c7a8efbf88eed54366, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").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-94055aac0d6640c7a8efbf88eed54366-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-94055aac0d6640c7a8efbf88eed54366-" + 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-94055aac0d6640c7a8efbf88eed54366").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-94055aac0d6640c7a8efbf88eed54366").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-94055aac0d6640c7a8efbf88eed54366").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=mpmRecaptchaLoaded94055aac0d6640c7a8efbf88eed54366&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup94055aac0d6640c7a8efbf88eed54366() { let popups = document.getElementById("mpform-94055aac0d6640c7a8efbf88eed54366").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput94055aac0d6640c7a8efbf88eed54366() { 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 () { finishedLoading94055aac0d6640c7a8efbf88eed54366(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading94055aac0d6640c7a8efbf88eed54366(); } } 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); mploadTelInput94055aac0d6640c7a8efbf88eed54366(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit94055aac0d6640c7a8efbf88eed54366(); } else { function waitForOtherFormsmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit94055aac0d6640c7a8efbf88eed54366(); } else { setTimeout(waitForOtherFormsmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3,300); } } waitForOtherFormsmpFrm37bfc5369d8c4e7896a6f7bbf21b09b3(); }