var captchaWidgetmpFrm0483fe68e8ef44d185a4bd63bc3b0de6; var mpCurrentScriptmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0483fe68e8ef44d185a4bd63bc3b0de6"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); 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); mpFormmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Find(); } })(); function mpFormmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Find() { if(!mpCurrentScriptmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Container) return; if (mpCurrentScriptmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Container && mpCurrentScriptmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Container.nodeName && mpCurrentScriptmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0483fe68e8ef44d185a4bd63bc3b0de6" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Container.children).forEach(c => { if (c.id === "mpFrm0483fe68e8ef44d185a4bd63bc3b0de6") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript7e202e084f904169a1f4411867921795Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0483fe68e8ef44d185a4bd63bc3b0de6"; } } } } function mpForm7e202e084f904169a1f4411867921795Check() { let checkBoxes = document.getElementById("mpform-7e202e084f904169a1f4411867921795").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 mpForm7e202e084f904169a1f4411867921795Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-7e202e084f904169a1f4411867921795").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-7e202e084f904169a1f4411867921795").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-7e202e084f904169a1f4411867921795").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-7e202e084f904169a1f4411867921795')), 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: getTrackingId7e202e084f904169a1f4411867921795() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-7e202e084f904169a1f4411867921795").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-7e202e084f904169a1f4411867921795").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=41783", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm7e202e084f904169a1f4411867921795Check(); 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-7e202e084f904169a1f4411867921795').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-7e202e084f904169a1f4411867921795").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-7e202e084f904169a1f4411867921795').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0483fe68e8ef44d185a4bd63bc3b0de6); } else { mpForm7e202e084f904169a1f4411867921795Check(); 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 mpmRecaptchaLoaded7e202e084f904169a1f4411867921795() { captchaWidgetmpFrm0483fe68e8ef44d185a4bd63bc3b0de6 = grecaptcha.render('mpmRecaptchampFrm0483fe68e8ef44d185a4bd63bc3b0de6', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId7e202e084f904169a1f4411867921795() { 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 mpmFormInit7e202e084f904169a1f4411867921795 () { 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 finishedLoading7e202e084f904169a1f4411867921795() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0483fe68e8ef44d185a4bd63bc3b0de6'); if (!container) { mpFormmpFrm0483fe68e8ef44d185a4bd63bc3b0de6Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0483fe68e8ef44d185a4bd63bc3b0de6'); return setTimeout(finishedLoading7e202e084f904169a1f4411867921795, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-7e202e084f904169a1f4411867921795").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-7e202e084f904169a1f4411867921795").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-7e202e084f904169a1f4411867921795").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-7e202e084f904169a1f4411867921795").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-7e202e084f904169a1f4411867921795").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=mpmRecaptchaLoaded7e202e084f904169a1f4411867921795&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup7e202e084f904169a1f4411867921795() { let popups = document.getElementById("mpform-7e202e084f904169a1f4411867921795").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput7e202e084f904169a1f4411867921795() { 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 () { finishedLoading7e202e084f904169a1f4411867921795(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading7e202e084f904169a1f4411867921795(); } } 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); mploadTelInput7e202e084f904169a1f4411867921795(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit7e202e084f904169a1f4411867921795(); } else { function waitForOtherFormsmpFrm0483fe68e8ef44d185a4bd63bc3b0de6() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit7e202e084f904169a1f4411867921795(); } else { setTimeout(waitForOtherFormsmpFrm0483fe68e8ef44d185a4bd63bc3b0de6,300); } } waitForOtherFormsmpFrm0483fe68e8ef44d185a4bd63bc3b0de6(); }