var captchaWidgetmpFrmbc54127c37d24434a9ce9e1bc9196a51; var mpCurrentScriptmpFrmbc54127c37d24434a9ce9e1bc9196a51Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmbc54127c37d24434a9ce9e1bc9196a51"; 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); }); } mpFormmpFrmbc54127c37d24434a9ce9e1bc9196a51Find(); } 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); mpFormmpFrmbc54127c37d24434a9ce9e1bc9196a51Find(); } })(); function mpFormmpFrmbc54127c37d24434a9ce9e1bc9196a51Find() { if(!mpCurrentScriptmpFrmbc54127c37d24434a9ce9e1bc9196a51Container) return; if (mpCurrentScriptmpFrmbc54127c37d24434a9ce9e1bc9196a51Container && mpCurrentScriptmpFrmbc54127c37d24434a9ce9e1bc9196a51Container.nodeName && mpCurrentScriptmpFrmbc54127c37d24434a9ce9e1bc9196a51Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmbc54127c37d24434a9ce9e1bc9196a51" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmbc54127c37d24434a9ce9e1bc9196a51Container.children).forEach(c => { if (c.id === "mpFrmbc54127c37d24434a9ce9e1bc9196a51") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6f892e7e824248be9b7f45d3ad0cf3dfContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmbc54127c37d24434a9ce9e1bc9196a51"; } } } } function mpForm6f892e7e824248be9b7f45d3ad0cf3dfCheck() { let checkBoxes = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").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 mpForm6f892e7e824248be9b7f45d3ad0cf3dfSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").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-6f892e7e824248be9b7f45d3ad0cf3df')), 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: getTrackingId6f892e7e824248be9b7f45d3ad0cf3df() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").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-6f892e7e824248be9b7f45d3ad0cf3df").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) { mpForm6f892e7e824248be9b7f45d3ad0cf3dfCheck(); 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-6f892e7e824248be9b7f45d3ad0cf3df').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-6f892e7e824248be9b7f45d3ad0cf3df").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-6f892e7e824248be9b7f45d3ad0cf3df').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmbc54127c37d24434a9ce9e1bc9196a51); } else { mpForm6f892e7e824248be9b7f45d3ad0cf3dfCheck(); 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 mpmRecaptchaLoaded6f892e7e824248be9b7f45d3ad0cf3df() { captchaWidgetmpFrmbc54127c37d24434a9ce9e1bc9196a51 = grecaptcha.render('mpmRecaptchampFrmbc54127c37d24434a9ce9e1bc9196a51', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6f892e7e824248be9b7f45d3ad0cf3df() { 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 mpmFormInit6f892e7e824248be9b7f45d3ad0cf3df () { 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 finishedLoading6f892e7e824248be9b7f45d3ad0cf3df() { window.mpFormLoading = false; let container = document.getElementById('mpFrmbc54127c37d24434a9ce9e1bc9196a51'); if (!container) { mpFormmpFrmbc54127c37d24434a9ce9e1bc9196a51Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmbc54127c37d24434a9ce9e1bc9196a51'); return setTimeout(finishedLoading6f892e7e824248be9b7f45d3ad0cf3df, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").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-6f892e7e824248be9b7f45d3ad0cf3df-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-6f892e7e824248be9b7f45d3ad0cf3df-" + 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-6f892e7e824248be9b7f45d3ad0cf3df").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-6f892e7e824248be9b7f45d3ad0cf3df").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-6f892e7e824248be9b7f45d3ad0cf3df").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=mpmRecaptchaLoaded6f892e7e824248be9b7f45d3ad0cf3df&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6f892e7e824248be9b7f45d3ad0cf3df() { let popups = document.getElementById("mpform-6f892e7e824248be9b7f45d3ad0cf3df").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6f892e7e824248be9b7f45d3ad0cf3df() { 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 () { finishedLoading6f892e7e824248be9b7f45d3ad0cf3df(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6f892e7e824248be9b7f45d3ad0cf3df(); } } 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); mploadTelInput6f892e7e824248be9b7f45d3ad0cf3df(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6f892e7e824248be9b7f45d3ad0cf3df(); } else { function waitForOtherFormsmpFrmbc54127c37d24434a9ce9e1bc9196a51() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6f892e7e824248be9b7f45d3ad0cf3df(); } else { setTimeout(waitForOtherFormsmpFrmbc54127c37d24434a9ce9e1bc9196a51,300); } } waitForOtherFormsmpFrmbc54127c37d24434a9ce9e1bc9196a51(); }