var captchaWidgetmpFrmc01e78e91c6e4dfda2554d13f238114c; var mpCurrentScriptmpFrmc01e78e91c6e4dfda2554d13f238114cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc01e78e91c6e4dfda2554d13f238114c"; 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); mpFormmpFrmc01e78e91c6e4dfda2554d13f238114cFind(); } })(); function mpFormmpFrmc01e78e91c6e4dfda2554d13f238114cFind() { if(!mpCurrentScriptmpFrmc01e78e91c6e4dfda2554d13f238114cContainer) return; if (mpCurrentScriptmpFrmc01e78e91c6e4dfda2554d13f238114cContainer && mpCurrentScriptmpFrmc01e78e91c6e4dfda2554d13f238114cContainer.nodeName && mpCurrentScriptmpFrmc01e78e91c6e4dfda2554d13f238114cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc01e78e91c6e4dfda2554d13f238114c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc01e78e91c6e4dfda2554d13f238114cContainer.children).forEach(c => { if (c.id === "mpFrmc01e78e91c6e4dfda2554d13f238114c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte46e59434a7140f997459323b86a335bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc01e78e91c6e4dfda2554d13f238114c"; } } } } function mpForme46e59434a7140f997459323b86a335bCheck() { let checkBoxes = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").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 mpForme46e59434a7140f997459323b86a335bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").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-e46e59434a7140f997459323b86a335b')), 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: getTrackingIde46e59434a7140f997459323b86a335b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").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-e46e59434a7140f997459323b86a335b").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) { mpForme46e59434a7140f997459323b86a335bCheck(); 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-e46e59434a7140f997459323b86a335b').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-e46e59434a7140f997459323b86a335b").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-e46e59434a7140f997459323b86a335b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc01e78e91c6e4dfda2554d13f238114c); } else { mpForme46e59434a7140f997459323b86a335bCheck(); 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 mpmRecaptchaLoadede46e59434a7140f997459323b86a335b() { captchaWidgetmpFrmc01e78e91c6e4dfda2554d13f238114c = grecaptcha.render('mpmRecaptchampFrmc01e78e91c6e4dfda2554d13f238114c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde46e59434a7140f997459323b86a335b() { 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 mpmFormInite46e59434a7140f997459323b86a335b () { 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 finishedLoadinge46e59434a7140f997459323b86a335b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc01e78e91c6e4dfda2554d13f238114c'); if (!container) { mpFormmpFrmc01e78e91c6e4dfda2554d13f238114cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc01e78e91c6e4dfda2554d13f238114c'); return setTimeout(finishedLoadinge46e59434a7140f997459323b86a335b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").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-e46e59434a7140f997459323b86a335b").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-e46e59434a7140f997459323b86a335b").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-e46e59434a7140f997459323b86a335b").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=mpmRecaptchaLoadede46e59434a7140f997459323b86a335b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe46e59434a7140f997459323b86a335b() { let popups = document.getElementById("mpform-e46e59434a7140f997459323b86a335b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute46e59434a7140f997459323b86a335b() { 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 () { finishedLoadinge46e59434a7140f997459323b86a335b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge46e59434a7140f997459323b86a335b(); } } 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); mploadTelInpute46e59434a7140f997459323b86a335b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite46e59434a7140f997459323b86a335b(); } else { function waitForOtherFormsmpFrmc01e78e91c6e4dfda2554d13f238114c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite46e59434a7140f997459323b86a335b(); } else { setTimeout(waitForOtherFormsmpFrmc01e78e91c6e4dfda2554d13f238114c,300); } } waitForOtherFormsmpFrmc01e78e91c6e4dfda2554d13f238114c(); }