var captchaWidgetmpFrm079af9ec554b430c983f043fa10ec78c; var mpCurrentScriptmpFrm079af9ec554b430c983f043fa10ec78cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm079af9ec554b430c983f043fa10ec78c"; 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); mpFormmpFrm079af9ec554b430c983f043fa10ec78cFind(); } })(); function mpFormmpFrm079af9ec554b430c983f043fa10ec78cFind() { if(!mpCurrentScriptmpFrm079af9ec554b430c983f043fa10ec78cContainer) return; if (mpCurrentScriptmpFrm079af9ec554b430c983f043fa10ec78cContainer && mpCurrentScriptmpFrm079af9ec554b430c983f043fa10ec78cContainer.nodeName && mpCurrentScriptmpFrm079af9ec554b430c983f043fa10ec78cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm079af9ec554b430c983f043fa10ec78c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm079af9ec554b430c983f043fa10ec78cContainer.children).forEach(c => { if (c.id === "mpFrm079af9ec554b430c983f043fa10ec78c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript4e5c7483ef2743dd8fdbbc8af12130d7Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm079af9ec554b430c983f043fa10ec78c"; } } } } function mpForm4e5c7483ef2743dd8fdbbc8af12130d7Check() { let checkBoxes = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").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 mpForm4e5c7483ef2743dd8fdbbc8af12130d7Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").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-4e5c7483ef2743dd8fdbbc8af12130d7')), 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: getTrackingId4e5c7483ef2743dd8fdbbc8af12130d7() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").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-4e5c7483ef2743dd8fdbbc8af12130d7").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) { mpForm4e5c7483ef2743dd8fdbbc8af12130d7Check(); 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-4e5c7483ef2743dd8fdbbc8af12130d7').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-4e5c7483ef2743dd8fdbbc8af12130d7").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-4e5c7483ef2743dd8fdbbc8af12130d7').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm079af9ec554b430c983f043fa10ec78c); } else { mpForm4e5c7483ef2743dd8fdbbc8af12130d7Check(); 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 mpmRecaptchaLoaded4e5c7483ef2743dd8fdbbc8af12130d7() { captchaWidgetmpFrm079af9ec554b430c983f043fa10ec78c = grecaptcha.render('mpmRecaptchampFrm079af9ec554b430c983f043fa10ec78c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId4e5c7483ef2743dd8fdbbc8af12130d7() { 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 mpmFormInit4e5c7483ef2743dd8fdbbc8af12130d7 () { 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 finishedLoading4e5c7483ef2743dd8fdbbc8af12130d7() { window.mpFormLoading = false; let container = document.getElementById('mpFrm079af9ec554b430c983f043fa10ec78c'); if (!container) { mpFormmpFrm079af9ec554b430c983f043fa10ec78cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm079af9ec554b430c983f043fa10ec78c'); return setTimeout(finishedLoading4e5c7483ef2743dd8fdbbc8af12130d7, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").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-4e5c7483ef2743dd8fdbbc8af12130d7").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-4e5c7483ef2743dd8fdbbc8af12130d7").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-4e5c7483ef2743dd8fdbbc8af12130d7").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=mpmRecaptchaLoaded4e5c7483ef2743dd8fdbbc8af12130d7&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup4e5c7483ef2743dd8fdbbc8af12130d7() { let popups = document.getElementById("mpform-4e5c7483ef2743dd8fdbbc8af12130d7").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput4e5c7483ef2743dd8fdbbc8af12130d7() { 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 () { finishedLoading4e5c7483ef2743dd8fdbbc8af12130d7(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading4e5c7483ef2743dd8fdbbc8af12130d7(); } } 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); mploadTelInput4e5c7483ef2743dd8fdbbc8af12130d7(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit4e5c7483ef2743dd8fdbbc8af12130d7(); } else { function waitForOtherFormsmpFrm079af9ec554b430c983f043fa10ec78c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit4e5c7483ef2743dd8fdbbc8af12130d7(); } else { setTimeout(waitForOtherFormsmpFrm079af9ec554b430c983f043fa10ec78c,300); } } waitForOtherFormsmpFrm079af9ec554b430c983f043fa10ec78c(); }