var captchaWidgetmpFrm542709966ee74a3aa7c24cdfff5f7000; var mpCurrentScriptmpFrm542709966ee74a3aa7c24cdfff5f7000Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm542709966ee74a3aa7c24cdfff5f7000"; 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); mpFormmpFrm542709966ee74a3aa7c24cdfff5f7000Find(); } })(); function mpFormmpFrm542709966ee74a3aa7c24cdfff5f7000Find() { if(!mpCurrentScriptmpFrm542709966ee74a3aa7c24cdfff5f7000Container) return; if (mpCurrentScriptmpFrm542709966ee74a3aa7c24cdfff5f7000Container && mpCurrentScriptmpFrm542709966ee74a3aa7c24cdfff5f7000Container.nodeName && mpCurrentScriptmpFrm542709966ee74a3aa7c24cdfff5f7000Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41783']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm542709966ee74a3aa7c24cdfff5f7000" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm542709966ee74a3aa7c24cdfff5f7000Container.children).forEach(c => { if (c.id === "mpFrm542709966ee74a3aa7c24cdfff5f7000") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript110d504012ee45429ccd6e46a295c5edContainer.children).filter(e => e.dataset && e.dataset.mpid === "41783"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm542709966ee74a3aa7c24cdfff5f7000"; } } } } function mpForm110d504012ee45429ccd6e46a295c5edCheck() { let checkBoxes = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").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 mpForm110d504012ee45429ccd6e46a295c5edSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").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-110d504012ee45429ccd6e46a295c5ed')), 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: getTrackingId110d504012ee45429ccd6e46a295c5ed() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").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-110d504012ee45429ccd6e46a295c5ed").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) { mpForm110d504012ee45429ccd6e46a295c5edCheck(); 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-110d504012ee45429ccd6e46a295c5ed').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-110d504012ee45429ccd6e46a295c5ed").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-110d504012ee45429ccd6e46a295c5ed').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm542709966ee74a3aa7c24cdfff5f7000); } else { mpForm110d504012ee45429ccd6e46a295c5edCheck(); 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 mpmRecaptchaLoaded110d504012ee45429ccd6e46a295c5ed() { captchaWidgetmpFrm542709966ee74a3aa7c24cdfff5f7000 = grecaptcha.render('mpmRecaptchampFrm542709966ee74a3aa7c24cdfff5f7000', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId110d504012ee45429ccd6e46a295c5ed() { 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 mpmFormInit110d504012ee45429ccd6e46a295c5ed () { 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 finishedLoading110d504012ee45429ccd6e46a295c5ed() { window.mpFormLoading = false; let container = document.getElementById('mpFrm542709966ee74a3aa7c24cdfff5f7000'); if (!container) { mpFormmpFrm542709966ee74a3aa7c24cdfff5f7000Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm542709966ee74a3aa7c24cdfff5f7000'); return setTimeout(finishedLoading110d504012ee45429ccd6e46a295c5ed, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").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-110d504012ee45429ccd6e46a295c5ed").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-110d504012ee45429ccd6e46a295c5ed").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-110d504012ee45429ccd6e46a295c5ed").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=mpmRecaptchaLoaded110d504012ee45429ccd6e46a295c5ed&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup110d504012ee45429ccd6e46a295c5ed() { let popups = document.getElementById("mpform-110d504012ee45429ccd6e46a295c5ed").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput110d504012ee45429ccd6e46a295c5ed() { 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 () { finishedLoading110d504012ee45429ccd6e46a295c5ed(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading110d504012ee45429ccd6e46a295c5ed(); } } 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); mploadTelInput110d504012ee45429ccd6e46a295c5ed(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit110d504012ee45429ccd6e46a295c5ed(); } else { function waitForOtherFormsmpFrm542709966ee74a3aa7c24cdfff5f7000() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit110d504012ee45429ccd6e46a295c5ed(); } else { setTimeout(waitForOtherFormsmpFrm542709966ee74a3aa7c24cdfff5f7000,300); } } waitForOtherFormsmpFrm542709966ee74a3aa7c24cdfff5f7000(); }