var captchaWidgetmpFrm5e71db0ba6994906a52142deff3c77dd; var mpCurrentScriptmpFrm5e71db0ba6994906a52142deff3c77ddContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5e71db0ba6994906a52142deff3c77dd"; 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); mpFormmpFrm5e71db0ba6994906a52142deff3c77ddFind(); } })(); function mpFormmpFrm5e71db0ba6994906a52142deff3c77ddFind() { if(!mpCurrentScriptmpFrm5e71db0ba6994906a52142deff3c77ddContainer) return; if (mpCurrentScriptmpFrm5e71db0ba6994906a52142deff3c77ddContainer && mpCurrentScriptmpFrm5e71db0ba6994906a52142deff3c77ddContainer.nodeName && mpCurrentScriptmpFrm5e71db0ba6994906a52142deff3c77ddContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5e71db0ba6994906a52142deff3c77dd" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5e71db0ba6994906a52142deff3c77ddContainer.children).forEach(c => { if (c.id === "mpFrm5e71db0ba6994906a52142deff3c77dd") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript256831fddb5c45ffade28b266a4f71bbContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5e71db0ba6994906a52142deff3c77dd"; } } } } function mpForm256831fddb5c45ffade28b266a4f71bbCheck() { let checkBoxes = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").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 mpForm256831fddb5c45ffade28b266a4f71bbSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").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-256831fddb5c45ffade28b266a4f71bb')), 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: getTrackingId256831fddb5c45ffade28b266a4f71bb() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").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-256831fddb5c45ffade28b266a4f71bb").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) { mpForm256831fddb5c45ffade28b266a4f71bbCheck(); 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-256831fddb5c45ffade28b266a4f71bb').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-256831fddb5c45ffade28b266a4f71bb").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-256831fddb5c45ffade28b266a4f71bb').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5e71db0ba6994906a52142deff3c77dd); } else { mpForm256831fddb5c45ffade28b266a4f71bbCheck(); 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 mpmRecaptchaLoaded256831fddb5c45ffade28b266a4f71bb() { captchaWidgetmpFrm5e71db0ba6994906a52142deff3c77dd = grecaptcha.render('mpmRecaptchampFrm5e71db0ba6994906a52142deff3c77dd', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId256831fddb5c45ffade28b266a4f71bb() { 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 mpmFormInit256831fddb5c45ffade28b266a4f71bb () { 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 finishedLoading256831fddb5c45ffade28b266a4f71bb() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5e71db0ba6994906a52142deff3c77dd'); if (!container) { mpFormmpFrm5e71db0ba6994906a52142deff3c77ddFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5e71db0ba6994906a52142deff3c77dd'); return setTimeout(finishedLoading256831fddb5c45ffade28b266a4f71bb, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").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-256831fddb5c45ffade28b266a4f71bb").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-256831fddb5c45ffade28b266a4f71bb").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-256831fddb5c45ffade28b266a4f71bb").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=mpmRecaptchaLoaded256831fddb5c45ffade28b266a4f71bb&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup256831fddb5c45ffade28b266a4f71bb() { let popups = document.getElementById("mpform-256831fddb5c45ffade28b266a4f71bb").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput256831fddb5c45ffade28b266a4f71bb() { 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 () { finishedLoading256831fddb5c45ffade28b266a4f71bb(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading256831fddb5c45ffade28b266a4f71bb(); } } 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); mploadTelInput256831fddb5c45ffade28b266a4f71bb(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit256831fddb5c45ffade28b266a4f71bb(); } else { function waitForOtherFormsmpFrm5e71db0ba6994906a52142deff3c77dd() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit256831fddb5c45ffade28b266a4f71bb(); } else { setTimeout(waitForOtherFormsmpFrm5e71db0ba6994906a52142deff3c77dd,300); } } waitForOtherFormsmpFrm5e71db0ba6994906a52142deff3c77dd(); }