var captchaWidgetmpFrmd42b79df4ecc4a7b9039372a6613ea9c; var mpCurrentScriptmpFrmd42b79df4ecc4a7b9039372a6613ea9cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd42b79df4ecc4a7b9039372a6613ea9c"; 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); mpFormmpFrmd42b79df4ecc4a7b9039372a6613ea9cFind(); } })(); function mpFormmpFrmd42b79df4ecc4a7b9039372a6613ea9cFind() { if(!mpCurrentScriptmpFrmd42b79df4ecc4a7b9039372a6613ea9cContainer) return; if (mpCurrentScriptmpFrmd42b79df4ecc4a7b9039372a6613ea9cContainer && mpCurrentScriptmpFrmd42b79df4ecc4a7b9039372a6613ea9cContainer.nodeName && mpCurrentScriptmpFrmd42b79df4ecc4a7b9039372a6613ea9cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd42b79df4ecc4a7b9039372a6613ea9c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd42b79df4ecc4a7b9039372a6613ea9cContainer.children).forEach(c => { if (c.id === "mpFrmd42b79df4ecc4a7b9039372a6613ea9c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8e2de02adf3945ddaac58a4402fae55bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd42b79df4ecc4a7b9039372a6613ea9c"; } } } } function mpForm8e2de02adf3945ddaac58a4402fae55bCheck() { let checkBoxes = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").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 mpForm8e2de02adf3945ddaac58a4402fae55bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").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-8e2de02adf3945ddaac58a4402fae55b')), 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: getTrackingId8e2de02adf3945ddaac58a4402fae55b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").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-8e2de02adf3945ddaac58a4402fae55b").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) { mpForm8e2de02adf3945ddaac58a4402fae55bCheck(); 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-8e2de02adf3945ddaac58a4402fae55b').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-8e2de02adf3945ddaac58a4402fae55b").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-8e2de02adf3945ddaac58a4402fae55b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd42b79df4ecc4a7b9039372a6613ea9c); } else { mpForm8e2de02adf3945ddaac58a4402fae55bCheck(); 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 mpmRecaptchaLoaded8e2de02adf3945ddaac58a4402fae55b() { captchaWidgetmpFrmd42b79df4ecc4a7b9039372a6613ea9c = grecaptcha.render('mpmRecaptchampFrmd42b79df4ecc4a7b9039372a6613ea9c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8e2de02adf3945ddaac58a4402fae55b() { 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 mpmFormInit8e2de02adf3945ddaac58a4402fae55b () { 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 finishedLoading8e2de02adf3945ddaac58a4402fae55b() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd42b79df4ecc4a7b9039372a6613ea9c'); if (!container) { mpFormmpFrmd42b79df4ecc4a7b9039372a6613ea9cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd42b79df4ecc4a7b9039372a6613ea9c'); return setTimeout(finishedLoading8e2de02adf3945ddaac58a4402fae55b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").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-8e2de02adf3945ddaac58a4402fae55b").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-8e2de02adf3945ddaac58a4402fae55b").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-8e2de02adf3945ddaac58a4402fae55b").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=mpmRecaptchaLoaded8e2de02adf3945ddaac58a4402fae55b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8e2de02adf3945ddaac58a4402fae55b() { let popups = document.getElementById("mpform-8e2de02adf3945ddaac58a4402fae55b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8e2de02adf3945ddaac58a4402fae55b() { 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 () { finishedLoading8e2de02adf3945ddaac58a4402fae55b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8e2de02adf3945ddaac58a4402fae55b(); } } 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); mploadTelInput8e2de02adf3945ddaac58a4402fae55b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8e2de02adf3945ddaac58a4402fae55b(); } else { function waitForOtherFormsmpFrmd42b79df4ecc4a7b9039372a6613ea9c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8e2de02adf3945ddaac58a4402fae55b(); } else { setTimeout(waitForOtherFormsmpFrmd42b79df4ecc4a7b9039372a6613ea9c,300); } } waitForOtherFormsmpFrmd42b79df4ecc4a7b9039372a6613ea9c(); }