var captchaWidgetmpFrm359da3caa1e04a83a3a4db93a9b719bc; var mpCurrentScriptmpFrm359da3caa1e04a83a3a4db93a9b719bcContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm359da3caa1e04a83a3a4db93a9b719bc"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); 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); mpFormmpFrm359da3caa1e04a83a3a4db93a9b719bcFind(); } })(); function mpFormmpFrm359da3caa1e04a83a3a4db93a9b719bcFind() { if(!mpCurrentScriptmpFrm359da3caa1e04a83a3a4db93a9b719bcContainer) return; if (mpCurrentScriptmpFrm359da3caa1e04a83a3a4db93a9b719bcContainer && mpCurrentScriptmpFrm359da3caa1e04a83a3a4db93a9b719bcContainer.nodeName && mpCurrentScriptmpFrm359da3caa1e04a83a3a4db93a9b719bcContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm359da3caa1e04a83a3a4db93a9b719bc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm359da3caa1e04a83a3a4db93a9b719bcContainer.children).forEach(c => { if (c.id === "mpFrm359da3caa1e04a83a3a4db93a9b719bc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript945dae26a6a545e693987f48c121a9cfContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm359da3caa1e04a83a3a4db93a9b719bc"; } } } } function mpForm945dae26a6a545e693987f48c121a9cfCheck() { let checkBoxes = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").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 mpForm945dae26a6a545e693987f48c121a9cfSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").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-945dae26a6a545e693987f48c121a9cf')), 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: getTrackingId945dae26a6a545e693987f48c121a9cf() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").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-945dae26a6a545e693987f48c121a9cf").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=41911", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForm945dae26a6a545e693987f48c121a9cfCheck(); 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-945dae26a6a545e693987f48c121a9cf').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-945dae26a6a545e693987f48c121a9cf").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-945dae26a6a545e693987f48c121a9cf').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm359da3caa1e04a83a3a4db93a9b719bc); } else { mpForm945dae26a6a545e693987f48c121a9cfCheck(); 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 mpmRecaptchaLoaded945dae26a6a545e693987f48c121a9cf() { captchaWidgetmpFrm359da3caa1e04a83a3a4db93a9b719bc = grecaptcha.render('mpmRecaptchampFrm359da3caa1e04a83a3a4db93a9b719bc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId945dae26a6a545e693987f48c121a9cf() { 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 mpmFormInit945dae26a6a545e693987f48c121a9cf () { 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 finishedLoading945dae26a6a545e693987f48c121a9cf() { window.mpFormLoading = false; let container = document.getElementById('mpFrm359da3caa1e04a83a3a4db93a9b719bc'); if (!container) { mpFormmpFrm359da3caa1e04a83a3a4db93a9b719bcFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm359da3caa1e04a83a3a4db93a9b719bc'); return setTimeout(finishedLoading945dae26a6a545e693987f48c121a9cf, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").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-945dae26a6a545e693987f48c121a9cf").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-945dae26a6a545e693987f48c121a9cf").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-945dae26a6a545e693987f48c121a9cf").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=mpmRecaptchaLoaded945dae26a6a545e693987f48c121a9cf&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup945dae26a6a545e693987f48c121a9cf() { let popups = document.getElementById("mpform-945dae26a6a545e693987f48c121a9cf").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput945dae26a6a545e693987f48c121a9cf() { 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 () { finishedLoading945dae26a6a545e693987f48c121a9cf(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading945dae26a6a545e693987f48c121a9cf(); } } 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); mploadTelInput945dae26a6a545e693987f48c121a9cf(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit945dae26a6a545e693987f48c121a9cf(); } else { function waitForOtherFormsmpFrm359da3caa1e04a83a3a4db93a9b719bc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit945dae26a6a545e693987f48c121a9cf(); } else { setTimeout(waitForOtherFormsmpFrm359da3caa1e04a83a3a4db93a9b719bc,300); } } waitForOtherFormsmpFrm359da3caa1e04a83a3a4db93a9b719bc(); }