var captchaWidgetmpFrmc7a5a2fb7ca841ea8af63bf011def48b; var mpCurrentScriptmpFrmc7a5a2fb7ca841ea8af63bf011def48bContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmc7a5a2fb7ca841ea8af63bf011def48b"; 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); }); } mpFormmpFrmc7a5a2fb7ca841ea8af63bf011def48bFind(); } 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); mpFormmpFrmc7a5a2fb7ca841ea8af63bf011def48bFind(); } })(); function mpFormmpFrmc7a5a2fb7ca841ea8af63bf011def48bFind() { if(!mpCurrentScriptmpFrmc7a5a2fb7ca841ea8af63bf011def48bContainer) return; if (mpCurrentScriptmpFrmc7a5a2fb7ca841ea8af63bf011def48bContainer && mpCurrentScriptmpFrmc7a5a2fb7ca841ea8af63bf011def48bContainer.nodeName && mpCurrentScriptmpFrmc7a5a2fb7ca841ea8af63bf011def48bContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmc7a5a2fb7ca841ea8af63bf011def48b" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmc7a5a2fb7ca841ea8af63bf011def48bContainer.children).forEach(c => { if (c.id === "mpFrmc7a5a2fb7ca841ea8af63bf011def48b") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6840f544c2bb44f3a24871eb87bf70b2Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmc7a5a2fb7ca841ea8af63bf011def48b"; } } } } function mpForm6840f544c2bb44f3a24871eb87bf70b2Check() { let checkBoxes = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").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 mpForm6840f544c2bb44f3a24871eb87bf70b2Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").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-6840f544c2bb44f3a24871eb87bf70b2')), 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: getTrackingId6840f544c2bb44f3a24871eb87bf70b2() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").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-6840f544c2bb44f3a24871eb87bf70b2").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) { mpForm6840f544c2bb44f3a24871eb87bf70b2Check(); 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-6840f544c2bb44f3a24871eb87bf70b2').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-6840f544c2bb44f3a24871eb87bf70b2").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-6840f544c2bb44f3a24871eb87bf70b2').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmc7a5a2fb7ca841ea8af63bf011def48b); } else { mpForm6840f544c2bb44f3a24871eb87bf70b2Check(); 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 mpmRecaptchaLoaded6840f544c2bb44f3a24871eb87bf70b2() { captchaWidgetmpFrmc7a5a2fb7ca841ea8af63bf011def48b = grecaptcha.render('mpmRecaptchampFrmc7a5a2fb7ca841ea8af63bf011def48b', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6840f544c2bb44f3a24871eb87bf70b2() { 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 mpmFormInit6840f544c2bb44f3a24871eb87bf70b2 () { 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 finishedLoading6840f544c2bb44f3a24871eb87bf70b2() { window.mpFormLoading = false; let container = document.getElementById('mpFrmc7a5a2fb7ca841ea8af63bf011def48b'); if (!container) { mpFormmpFrmc7a5a2fb7ca841ea8af63bf011def48bFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmc7a5a2fb7ca841ea8af63bf011def48b'); return setTimeout(finishedLoading6840f544c2bb44f3a24871eb87bf70b2, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").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-6840f544c2bb44f3a24871eb87bf70b2").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-6840f544c2bb44f3a24871eb87bf70b2").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-6840f544c2bb44f3a24871eb87bf70b2").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=mpmRecaptchaLoaded6840f544c2bb44f3a24871eb87bf70b2&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6840f544c2bb44f3a24871eb87bf70b2() { let popups = document.getElementById("mpform-6840f544c2bb44f3a24871eb87bf70b2").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6840f544c2bb44f3a24871eb87bf70b2() { 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 () { finishedLoading6840f544c2bb44f3a24871eb87bf70b2(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6840f544c2bb44f3a24871eb87bf70b2(); } } 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); mploadTelInput6840f544c2bb44f3a24871eb87bf70b2(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6840f544c2bb44f3a24871eb87bf70b2(); } else { function waitForOtherFormsmpFrmc7a5a2fb7ca841ea8af63bf011def48b() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6840f544c2bb44f3a24871eb87bf70b2(); } else { setTimeout(waitForOtherFormsmpFrmc7a5a2fb7ca841ea8af63bf011def48b,300); } } waitForOtherFormsmpFrmc7a5a2fb7ca841ea8af63bf011def48b(); }