var captchaWidgetmpFrm565534e929464cfe9def702ebf5352c9; var mpCurrentScriptmpFrm565534e929464cfe9def702ebf5352c9Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm565534e929464cfe9def702ebf5352c9"; 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); mpFormmpFrm565534e929464cfe9def702ebf5352c9Find(); } })(); function mpFormmpFrm565534e929464cfe9def702ebf5352c9Find() { if(!mpCurrentScriptmpFrm565534e929464cfe9def702ebf5352c9Container) return; if (mpCurrentScriptmpFrm565534e929464cfe9def702ebf5352c9Container && mpCurrentScriptmpFrm565534e929464cfe9def702ebf5352c9Container.nodeName && mpCurrentScriptmpFrm565534e929464cfe9def702ebf5352c9Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm565534e929464cfe9def702ebf5352c9" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm565534e929464cfe9def702ebf5352c9Container.children).forEach(c => { if (c.id === "mpFrm565534e929464cfe9def702ebf5352c9") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptdd6442361fcb459a83285dc25f8c7cedContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm565534e929464cfe9def702ebf5352c9"; } } } } function mpFormdd6442361fcb459a83285dc25f8c7cedCheck() { let checkBoxes = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").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 mpFormdd6442361fcb459a83285dc25f8c7cedSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").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-dd6442361fcb459a83285dc25f8c7ced')), 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: getTrackingIddd6442361fcb459a83285dc25f8c7ced() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").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-dd6442361fcb459a83285dc25f8c7ced").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) { mpFormdd6442361fcb459a83285dc25f8c7cedCheck(); 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-dd6442361fcb459a83285dc25f8c7ced').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-dd6442361fcb459a83285dc25f8c7ced").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-dd6442361fcb459a83285dc25f8c7ced').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm565534e929464cfe9def702ebf5352c9); } else { mpFormdd6442361fcb459a83285dc25f8c7cedCheck(); 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 mpmRecaptchaLoadeddd6442361fcb459a83285dc25f8c7ced() { captchaWidgetmpFrm565534e929464cfe9def702ebf5352c9 = grecaptcha.render('mpmRecaptchampFrm565534e929464cfe9def702ebf5352c9', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIddd6442361fcb459a83285dc25f8c7ced() { 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 mpmFormInitdd6442361fcb459a83285dc25f8c7ced () { 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 finishedLoadingdd6442361fcb459a83285dc25f8c7ced() { window.mpFormLoading = false; let container = document.getElementById('mpFrm565534e929464cfe9def702ebf5352c9'); if (!container) { mpFormmpFrm565534e929464cfe9def702ebf5352c9Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm565534e929464cfe9def702ebf5352c9'); return setTimeout(finishedLoadingdd6442361fcb459a83285dc25f8c7ced, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").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-dd6442361fcb459a83285dc25f8c7ced").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-dd6442361fcb459a83285dc25f8c7ced").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-dd6442361fcb459a83285dc25f8c7ced").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=mpmRecaptchaLoadeddd6442361fcb459a83285dc25f8c7ced&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupdd6442361fcb459a83285dc25f8c7ced() { let popups = document.getElementById("mpform-dd6442361fcb459a83285dc25f8c7ced").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputdd6442361fcb459a83285dc25f8c7ced() { 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 () { finishedLoadingdd6442361fcb459a83285dc25f8c7ced(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingdd6442361fcb459a83285dc25f8c7ced(); } } 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); mploadTelInputdd6442361fcb459a83285dc25f8c7ced(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitdd6442361fcb459a83285dc25f8c7ced(); } else { function waitForOtherFormsmpFrm565534e929464cfe9def702ebf5352c9() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitdd6442361fcb459a83285dc25f8c7ced(); } else { setTimeout(waitForOtherFormsmpFrm565534e929464cfe9def702ebf5352c9,300); } } waitForOtherFormsmpFrm565534e929464cfe9def702ebf5352c9(); }