var captchaWidgetmpFrm2853e6c247814bca994b600f281505b8; var mpCurrentScriptmpFrm2853e6c247814bca994b600f281505b8Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm2853e6c247814bca994b600f281505b8"; 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); mpFormmpFrm2853e6c247814bca994b600f281505b8Find(); } })(); function mpFormmpFrm2853e6c247814bca994b600f281505b8Find() { if(!mpCurrentScriptmpFrm2853e6c247814bca994b600f281505b8Container) return; if (mpCurrentScriptmpFrm2853e6c247814bca994b600f281505b8Container && mpCurrentScriptmpFrm2853e6c247814bca994b600f281505b8Container.nodeName && mpCurrentScriptmpFrm2853e6c247814bca994b600f281505b8Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm2853e6c247814bca994b600f281505b8" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm2853e6c247814bca994b600f281505b8Container.children).forEach(c => { if (c.id === "mpFrm2853e6c247814bca994b600f281505b8") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8748032edc6a41e381e1b5ccc902de44Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm2853e6c247814bca994b600f281505b8"; } } } } function mpForm8748032edc6a41e381e1b5ccc902de44Check() { let checkBoxes = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").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 mpForm8748032edc6a41e381e1b5ccc902de44Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").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-8748032edc6a41e381e1b5ccc902de44')), 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: getTrackingId8748032edc6a41e381e1b5ccc902de44() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").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-8748032edc6a41e381e1b5ccc902de44").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) { mpForm8748032edc6a41e381e1b5ccc902de44Check(); 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-8748032edc6a41e381e1b5ccc902de44').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-8748032edc6a41e381e1b5ccc902de44").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-8748032edc6a41e381e1b5ccc902de44').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm2853e6c247814bca994b600f281505b8); } else { mpForm8748032edc6a41e381e1b5ccc902de44Check(); 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 mpmRecaptchaLoaded8748032edc6a41e381e1b5ccc902de44() { captchaWidgetmpFrm2853e6c247814bca994b600f281505b8 = grecaptcha.render('mpmRecaptchampFrm2853e6c247814bca994b600f281505b8', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8748032edc6a41e381e1b5ccc902de44() { 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 mpmFormInit8748032edc6a41e381e1b5ccc902de44 () { 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 finishedLoading8748032edc6a41e381e1b5ccc902de44() { window.mpFormLoading = false; let container = document.getElementById('mpFrm2853e6c247814bca994b600f281505b8'); if (!container) { mpFormmpFrm2853e6c247814bca994b600f281505b8Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm2853e6c247814bca994b600f281505b8'); return setTimeout(finishedLoading8748032edc6a41e381e1b5ccc902de44, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").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-8748032edc6a41e381e1b5ccc902de44").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-8748032edc6a41e381e1b5ccc902de44").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-8748032edc6a41e381e1b5ccc902de44").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=mpmRecaptchaLoaded8748032edc6a41e381e1b5ccc902de44&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8748032edc6a41e381e1b5ccc902de44() { let popups = document.getElementById("mpform-8748032edc6a41e381e1b5ccc902de44").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8748032edc6a41e381e1b5ccc902de44() { 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 () { finishedLoading8748032edc6a41e381e1b5ccc902de44(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8748032edc6a41e381e1b5ccc902de44(); } } 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); mploadTelInput8748032edc6a41e381e1b5ccc902de44(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8748032edc6a41e381e1b5ccc902de44(); } else { function waitForOtherFormsmpFrm2853e6c247814bca994b600f281505b8() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8748032edc6a41e381e1b5ccc902de44(); } else { setTimeout(waitForOtherFormsmpFrm2853e6c247814bca994b600f281505b8,300); } } waitForOtherFormsmpFrm2853e6c247814bca994b600f281505b8(); }