var captchaWidgetmpFrm64c157674d2f4913bd871681849e0093; var mpCurrentScriptmpFrm64c157674d2f4913bd871681849e0093Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm64c157674d2f4913bd871681849e0093"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41783"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm64c157674d2f4913bd871681849e0093Find(); } 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); mpFormmpFrm64c157674d2f4913bd871681849e0093Find(); } })(); function mpFormmpFrm64c157674d2f4913bd871681849e0093Find() { if(!mpCurrentScriptmpFrm64c157674d2f4913bd871681849e0093Container) return; if (mpCurrentScriptmpFrm64c157674d2f4913bd871681849e0093Container && mpCurrentScriptmpFrm64c157674d2f4913bd871681849e0093Container.nodeName && mpCurrentScriptmpFrm64c157674d2f4913bd871681849e0093Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm64c157674d2f4913bd871681849e0093" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm64c157674d2f4913bd871681849e0093Container.children).forEach(c => { if (c.id === "mpFrm64c157674d2f4913bd871681849e0093") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta863b37d41474dcaacd649e4d49272d9Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm64c157674d2f4913bd871681849e0093"; } } } } function mpForma863b37d41474dcaacd649e4d49272d9Check() { let checkBoxes = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").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 mpForma863b37d41474dcaacd649e4d49272d9Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").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-a863b37d41474dcaacd649e4d49272d9')), 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: getTrackingIda863b37d41474dcaacd649e4d49272d9() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").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-a863b37d41474dcaacd649e4d49272d9").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) { mpForma863b37d41474dcaacd649e4d49272d9Check(); 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-a863b37d41474dcaacd649e4d49272d9').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-a863b37d41474dcaacd649e4d49272d9").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-a863b37d41474dcaacd649e4d49272d9').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm64c157674d2f4913bd871681849e0093); } else { mpForma863b37d41474dcaacd649e4d49272d9Check(); 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 mpmRecaptchaLoadeda863b37d41474dcaacd649e4d49272d9() { captchaWidgetmpFrm64c157674d2f4913bd871681849e0093 = grecaptcha.render('mpmRecaptchampFrm64c157674d2f4913bd871681849e0093', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda863b37d41474dcaacd649e4d49272d9() { 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 mpmFormInita863b37d41474dcaacd649e4d49272d9 () { 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 finishedLoadinga863b37d41474dcaacd649e4d49272d9() { window.mpFormLoading = false; let container = document.getElementById('mpFrm64c157674d2f4913bd871681849e0093'); if (!container) { mpFormmpFrm64c157674d2f4913bd871681849e0093Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm64c157674d2f4913bd871681849e0093'); return setTimeout(finishedLoadinga863b37d41474dcaacd649e4d49272d9, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").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-a863b37d41474dcaacd649e4d49272d9-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-a863b37d41474dcaacd649e4d49272d9-" + 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-a863b37d41474dcaacd649e4d49272d9").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-a863b37d41474dcaacd649e4d49272d9").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-a863b37d41474dcaacd649e4d49272d9").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=mpmRecaptchaLoadeda863b37d41474dcaacd649e4d49272d9&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa863b37d41474dcaacd649e4d49272d9() { let popups = document.getElementById("mpform-a863b37d41474dcaacd649e4d49272d9").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa863b37d41474dcaacd649e4d49272d9() { 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 () { finishedLoadinga863b37d41474dcaacd649e4d49272d9(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga863b37d41474dcaacd649e4d49272d9(); } } 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); mploadTelInputa863b37d41474dcaacd649e4d49272d9(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita863b37d41474dcaacd649e4d49272d9(); } else { function waitForOtherFormsmpFrm64c157674d2f4913bd871681849e0093() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita863b37d41474dcaacd649e4d49272d9(); } else { setTimeout(waitForOtherFormsmpFrm64c157674d2f4913bd871681849e0093,300); } } waitForOtherFormsmpFrm64c157674d2f4913bd871681849e0093(); }