var captchaWidgetmpFrm379f4d1198094462a70f2dace16dd797; var mpCurrentScriptmpFrm379f4d1198094462a70f2dace16dd797Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm379f4d1198094462a70f2dace16dd797"; 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); }); } mpFormmpFrm379f4d1198094462a70f2dace16dd797Find(); } 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); mpFormmpFrm379f4d1198094462a70f2dace16dd797Find(); } })(); function mpFormmpFrm379f4d1198094462a70f2dace16dd797Find() { if(!mpCurrentScriptmpFrm379f4d1198094462a70f2dace16dd797Container) return; if (mpCurrentScriptmpFrm379f4d1198094462a70f2dace16dd797Container && mpCurrentScriptmpFrm379f4d1198094462a70f2dace16dd797Container.nodeName && mpCurrentScriptmpFrm379f4d1198094462a70f2dace16dd797Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm379f4d1198094462a70f2dace16dd797" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm379f4d1198094462a70f2dace16dd797Container.children).forEach(c => { if (c.id === "mpFrm379f4d1198094462a70f2dace16dd797") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta90974bd889444e38bbf09b25bd5e511Container.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm379f4d1198094462a70f2dace16dd797"; } } } } function mpForma90974bd889444e38bbf09b25bd5e511Check() { let checkBoxes = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").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 mpForma90974bd889444e38bbf09b25bd5e511Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").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-a90974bd889444e38bbf09b25bd5e511')), 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: getTrackingIda90974bd889444e38bbf09b25bd5e511() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").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-a90974bd889444e38bbf09b25bd5e511").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) { mpForma90974bd889444e38bbf09b25bd5e511Check(); 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-a90974bd889444e38bbf09b25bd5e511').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-a90974bd889444e38bbf09b25bd5e511").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-a90974bd889444e38bbf09b25bd5e511').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm379f4d1198094462a70f2dace16dd797); } else { mpForma90974bd889444e38bbf09b25bd5e511Check(); 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 mpmRecaptchaLoadeda90974bd889444e38bbf09b25bd5e511() { captchaWidgetmpFrm379f4d1198094462a70f2dace16dd797 = grecaptcha.render('mpmRecaptchampFrm379f4d1198094462a70f2dace16dd797', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda90974bd889444e38bbf09b25bd5e511() { 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 mpmFormInita90974bd889444e38bbf09b25bd5e511 () { 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 finishedLoadinga90974bd889444e38bbf09b25bd5e511() { window.mpFormLoading = false; let container = document.getElementById('mpFrm379f4d1198094462a70f2dace16dd797'); if (!container) { mpFormmpFrm379f4d1198094462a70f2dace16dd797Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm379f4d1198094462a70f2dace16dd797'); return setTimeout(finishedLoadinga90974bd889444e38bbf09b25bd5e511, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").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-a90974bd889444e38bbf09b25bd5e511").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-a90974bd889444e38bbf09b25bd5e511").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-a90974bd889444e38bbf09b25bd5e511").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=mpmRecaptchaLoadeda90974bd889444e38bbf09b25bd5e511&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa90974bd889444e38bbf09b25bd5e511() { let popups = document.getElementById("mpform-a90974bd889444e38bbf09b25bd5e511").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa90974bd889444e38bbf09b25bd5e511() { 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 () { finishedLoadinga90974bd889444e38bbf09b25bd5e511(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga90974bd889444e38bbf09b25bd5e511(); } } 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); mploadTelInputa90974bd889444e38bbf09b25bd5e511(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita90974bd889444e38bbf09b25bd5e511(); } else { function waitForOtherFormsmpFrm379f4d1198094462a70f2dace16dd797() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita90974bd889444e38bbf09b25bd5e511(); } else { setTimeout(waitForOtherFormsmpFrm379f4d1198094462a70f2dace16dd797,300); } } waitForOtherFormsmpFrm379f4d1198094462a70f2dace16dd797(); }