var captchaWidgetmpFrm5c12a073f4404c0783cc273734984605; var mpCurrentScriptmpFrm5c12a073f4404c0783cc273734984605Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm5c12a073f4404c0783cc273734984605"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41911"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm5c12a073f4404c0783cc273734984605Find(); } 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); mpFormmpFrm5c12a073f4404c0783cc273734984605Find(); } })(); function mpFormmpFrm5c12a073f4404c0783cc273734984605Find() { if(!mpCurrentScriptmpFrm5c12a073f4404c0783cc273734984605Container) return; if (mpCurrentScriptmpFrm5c12a073f4404c0783cc273734984605Container && mpCurrentScriptmpFrm5c12a073f4404c0783cc273734984605Container.nodeName && mpCurrentScriptmpFrm5c12a073f4404c0783cc273734984605Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm5c12a073f4404c0783cc273734984605" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm5c12a073f4404c0783cc273734984605Container.children).forEach(c => { if (c.id === "mpFrm5c12a073f4404c0783cc273734984605") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptccefc5525ba14f25a5ace85fefa2fafeContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm5c12a073f4404c0783cc273734984605"; } } } } function mpFormccefc5525ba14f25a5ace85fefa2fafeCheck() { let checkBoxes = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").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 mpFormccefc5525ba14f25a5ace85fefa2fafeSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").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-ccefc5525ba14f25a5ace85fefa2fafe')), 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: getTrackingIdccefc5525ba14f25a5ace85fefa2fafe() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").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-ccefc5525ba14f25a5ace85fefa2fafe").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) { mpFormccefc5525ba14f25a5ace85fefa2fafeCheck(); 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-ccefc5525ba14f25a5ace85fefa2fafe').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-ccefc5525ba14f25a5ace85fefa2fafe").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-ccefc5525ba14f25a5ace85fefa2fafe').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm5c12a073f4404c0783cc273734984605); } else { mpFormccefc5525ba14f25a5ace85fefa2fafeCheck(); 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 mpmRecaptchaLoadedccefc5525ba14f25a5ace85fefa2fafe() { captchaWidgetmpFrm5c12a073f4404c0783cc273734984605 = grecaptcha.render('mpmRecaptchampFrm5c12a073f4404c0783cc273734984605', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdccefc5525ba14f25a5ace85fefa2fafe() { 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 mpmFormInitccefc5525ba14f25a5ace85fefa2fafe () { 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 finishedLoadingccefc5525ba14f25a5ace85fefa2fafe() { window.mpFormLoading = false; let container = document.getElementById('mpFrm5c12a073f4404c0783cc273734984605'); if (!container) { mpFormmpFrm5c12a073f4404c0783cc273734984605Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm5c12a073f4404c0783cc273734984605'); return setTimeout(finishedLoadingccefc5525ba14f25a5ace85fefa2fafe, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").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-ccefc5525ba14f25a5ace85fefa2fafe").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-ccefc5525ba14f25a5ace85fefa2fafe").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-ccefc5525ba14f25a5ace85fefa2fafe").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=mpmRecaptchaLoadedccefc5525ba14f25a5ace85fefa2fafe&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupccefc5525ba14f25a5ace85fefa2fafe() { let popups = document.getElementById("mpform-ccefc5525ba14f25a5ace85fefa2fafe").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputccefc5525ba14f25a5ace85fefa2fafe() { 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 () { finishedLoadingccefc5525ba14f25a5ace85fefa2fafe(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingccefc5525ba14f25a5ace85fefa2fafe(); } } 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); mploadTelInputccefc5525ba14f25a5ace85fefa2fafe(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitccefc5525ba14f25a5ace85fefa2fafe(); } else { function waitForOtherFormsmpFrm5c12a073f4404c0783cc273734984605() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitccefc5525ba14f25a5ace85fefa2fafe(); } else { setTimeout(waitForOtherFormsmpFrm5c12a073f4404c0783cc273734984605,300); } } waitForOtherFormsmpFrm5c12a073f4404c0783cc273734984605(); }