var mpCurrentScriptmpFrm0ccbec19815d440bb5d90ed75248447dContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0ccbec19815d440bb5d90ed75248447d"; 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); } mpFormmpFrm0ccbec19815d440bb5d90ed75248447dFind(); } 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); mpFormmpFrm0ccbec19815d440bb5d90ed75248447dFind(); } })(); function mpFormmpFrm0ccbec19815d440bb5d90ed75248447dFind() { if(!mpCurrentScriptmpFrm0ccbec19815d440bb5d90ed75248447dContainer) return; if (mpCurrentScriptmpFrm0ccbec19815d440bb5d90ed75248447dContainer && mpCurrentScriptmpFrm0ccbec19815d440bb5d90ed75248447dContainer.nodeName && mpCurrentScriptmpFrm0ccbec19815d440bb5d90ed75248447dContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41955']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0ccbec19815d440bb5d90ed75248447d" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0ccbec19815d440bb5d90ed75248447dContainer.children).forEach(c => { if (c.id === "mpFrm0ccbec19815d440bb5d90ed75248447d") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptmpFrm0ccbec19815d440bb5d90ed75248447dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41955"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0ccbec19815d440bb5d90ed75248447d"; } } } } function mpForm04f61b6233d84719b629743f48c02055Check() { let checkBoxes = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").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 mpForm04f61b6233d84719b629743f48c02055Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055')), 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: getTrackingId04f61b6233d84719b629743f48c02055() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055").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) { mpForm04f61b6233d84719b629743f48c02055Check(); 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-04f61b6233d84719b629743f48c02055').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-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055').innerHTML = response.form } } } else { mpForm04f61b6233d84719b629743f48c02055Check(); 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 getTrackingId04f61b6233d84719b629743f48c02055() { 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 mpmFormInit04f61b6233d84719b629743f48c02055 () { 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 mpmEnsureMultiSelectStyles04f61b6233d84719b629743f48c02055() { 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 mpmEnhanceMultiSelects04f61b6233d84719b629743f48c02055(formEl) { if (!formEl) return; mpmEnsureMultiSelectStyles04f61b6233d84719b629743f48c02055(); 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 finishedLoading04f61b6233d84719b629743f48c02055() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0ccbec19815d440bb5d90ed75248447d'); if (!container) { mpFormmpFrm0ccbec19815d440bb5d90ed75248447dFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0ccbec19815d440bb5d90ed75248447d'); return setTimeout(finishedLoading04f61b6233d84719b629743f48c02055, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "none" } let telInputs = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-04f61b6233d84719b629743f48c02055-" + 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-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055").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-04f61b6233d84719b629743f48c02055").querySelectorAll('input[name$="emailAddress"]') if(emailAddressFields) { for(var i = 0; i < emailAddressFields.length; i++) { let emailAddressField = emailAddressFields[i]; emailAddressField.value = subscriberData.emailAddress; } } } mpmEnhanceMultiSelects04f61b6233d84719b629743f48c02055(document.getElementById("mpform-04f61b6233d84719b629743f48c02055")); } function mpmPopup04f61b6233d84719b629743f48c02055() { let popups = document.getElementById("mpform-04f61b6233d84719b629743f48c02055").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput04f61b6233d84719b629743f48c02055() { 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 () { finishedLoading04f61b6233d84719b629743f48c02055(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading04f61b6233d84719b629743f48c02055(); } } 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); mploadTelInput04f61b6233d84719b629743f48c02055(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit04f61b6233d84719b629743f48c02055(); } else { function waitForOtherFormsmpFrm0ccbec19815d440bb5d90ed75248447d() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit04f61b6233d84719b629743f48c02055(); } else { setTimeout(waitForOtherFormsmpFrm0ccbec19815d440bb5d90ed75248447d,300); } } waitForOtherFormsmpFrm0ccbec19815d440bb5d90ed75248447d(); }