var captchaWidgetmpFrmabed2232c55b4b45bade02b9b316d954; var mpCurrentScriptmpFrmabed2232c55b4b45bade02b9b316d954Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmabed2232c55b4b45bade02b9b316d954"; 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); mpFormmpFrmabed2232c55b4b45bade02b9b316d954Find(); } })(); function mpFormmpFrmabed2232c55b4b45bade02b9b316d954Find() { if(!mpCurrentScriptmpFrmabed2232c55b4b45bade02b9b316d954Container) return; if (mpCurrentScriptmpFrmabed2232c55b4b45bade02b9b316d954Container && mpCurrentScriptmpFrmabed2232c55b4b45bade02b9b316d954Container.nodeName && mpCurrentScriptmpFrmabed2232c55b4b45bade02b9b316d954Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmabed2232c55b4b45bade02b9b316d954" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmabed2232c55b4b45bade02b9b316d954Container.children).forEach(c => { if (c.id === "mpFrmabed2232c55b4b45bade02b9b316d954") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript40c7f4e016db4d06a14a11321292e88eContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmabed2232c55b4b45bade02b9b316d954"; } } } } function mpForm40c7f4e016db4d06a14a11321292e88eCheck() { let checkBoxes = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").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 mpForm40c7f4e016db4d06a14a11321292e88eSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").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-40c7f4e016db4d06a14a11321292e88e')), 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: getTrackingId40c7f4e016db4d06a14a11321292e88e() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").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-40c7f4e016db4d06a14a11321292e88e").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) { mpForm40c7f4e016db4d06a14a11321292e88eCheck(); 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-40c7f4e016db4d06a14a11321292e88e').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-40c7f4e016db4d06a14a11321292e88e").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-40c7f4e016db4d06a14a11321292e88e').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmabed2232c55b4b45bade02b9b316d954); } else { mpForm40c7f4e016db4d06a14a11321292e88eCheck(); 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 mpmRecaptchaLoaded40c7f4e016db4d06a14a11321292e88e() { captchaWidgetmpFrmabed2232c55b4b45bade02b9b316d954 = grecaptcha.render('mpmRecaptchampFrmabed2232c55b4b45bade02b9b316d954', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId40c7f4e016db4d06a14a11321292e88e() { 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 mpmFormInit40c7f4e016db4d06a14a11321292e88e () { 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 finishedLoading40c7f4e016db4d06a14a11321292e88e() { window.mpFormLoading = false; let container = document.getElementById('mpFrmabed2232c55b4b45bade02b9b316d954'); if (!container) { mpFormmpFrmabed2232c55b4b45bade02b9b316d954Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmabed2232c55b4b45bade02b9b316d954'); return setTimeout(finishedLoading40c7f4e016db4d06a14a11321292e88e, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").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-40c7f4e016db4d06a14a11321292e88e").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-40c7f4e016db4d06a14a11321292e88e").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-40c7f4e016db4d06a14a11321292e88e").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=mpmRecaptchaLoaded40c7f4e016db4d06a14a11321292e88e&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup40c7f4e016db4d06a14a11321292e88e() { let popups = document.getElementById("mpform-40c7f4e016db4d06a14a11321292e88e").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput40c7f4e016db4d06a14a11321292e88e() { 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 () { finishedLoading40c7f4e016db4d06a14a11321292e88e(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading40c7f4e016db4d06a14a11321292e88e(); } } 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); mploadTelInput40c7f4e016db4d06a14a11321292e88e(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit40c7f4e016db4d06a14a11321292e88e(); } else { function waitForOtherFormsmpFrmabed2232c55b4b45bade02b9b316d954() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit40c7f4e016db4d06a14a11321292e88e(); } else { setTimeout(waitForOtherFormsmpFrmabed2232c55b4b45bade02b9b316d954,300); } } waitForOtherFormsmpFrmabed2232c55b4b45bade02b9b316d954(); }