var captchaWidgetmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3; var mpCurrentScriptmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4170ef11a28e4ce98bfd7206b2b7f5b3"; 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); mpFormmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Find(); } })(); function mpFormmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Find() { if(!mpCurrentScriptmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Container) return; if (mpCurrentScriptmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Container && mpCurrentScriptmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Container.nodeName && mpCurrentScriptmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4170ef11a28e4ce98bfd7206b2b7f5b3" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Container.children).forEach(c => { if (c.id === "mpFrm4170ef11a28e4ce98bfd7206b2b7f5b3") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3211280a540246949d8b11934ece179bContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4170ef11a28e4ce98bfd7206b2b7f5b3"; } } } } function mpForm3211280a540246949d8b11934ece179bCheck() { let checkBoxes = document.getElementById("mpform-3211280a540246949d8b11934ece179b").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 mpForm3211280a540246949d8b11934ece179bSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3211280a540246949d8b11934ece179b").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3211280a540246949d8b11934ece179b").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3211280a540246949d8b11934ece179b").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-3211280a540246949d8b11934ece179b')), 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: getTrackingId3211280a540246949d8b11934ece179b() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3211280a540246949d8b11934ece179b").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-3211280a540246949d8b11934ece179b").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) { mpForm3211280a540246949d8b11934ece179bCheck(); 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-3211280a540246949d8b11934ece179b').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-3211280a540246949d8b11934ece179b").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-3211280a540246949d8b11934ece179b').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3); } else { mpForm3211280a540246949d8b11934ece179bCheck(); 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 mpmRecaptchaLoaded3211280a540246949d8b11934ece179b() { captchaWidgetmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3 = grecaptcha.render('mpmRecaptchampFrm4170ef11a28e4ce98bfd7206b2b7f5b3', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3211280a540246949d8b11934ece179b() { 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 mpmFormInit3211280a540246949d8b11934ece179b () { 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 finishedLoading3211280a540246949d8b11934ece179b() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4170ef11a28e4ce98bfd7206b2b7f5b3'); if (!container) { mpFormmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4170ef11a28e4ce98bfd7206b2b7f5b3'); return setTimeout(finishedLoading3211280a540246949d8b11934ece179b, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3211280a540246949d8b11934ece179b").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3211280a540246949d8b11934ece179b").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-3211280a540246949d8b11934ece179b").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-3211280a540246949d8b11934ece179b").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-3211280a540246949d8b11934ece179b").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=mpmRecaptchaLoaded3211280a540246949d8b11934ece179b&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3211280a540246949d8b11934ece179b() { let popups = document.getElementById("mpform-3211280a540246949d8b11934ece179b").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3211280a540246949d8b11934ece179b() { 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 () { finishedLoading3211280a540246949d8b11934ece179b(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3211280a540246949d8b11934ece179b(); } } 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); mploadTelInput3211280a540246949d8b11934ece179b(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3211280a540246949d8b11934ece179b(); } else { function waitForOtherFormsmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3211280a540246949d8b11934ece179b(); } else { setTimeout(waitForOtherFormsmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3,300); } } waitForOtherFormsmpFrm4170ef11a28e4ce98bfd7206b2b7f5b3(); }