var captchaWidgetmpFrm4896b9c952b842ae81893b0ffa696d27; var mpCurrentScriptmpFrm4896b9c952b842ae81893b0ffa696d27Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm4896b9c952b842ae81893b0ffa696d27"; 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); mpFormmpFrm4896b9c952b842ae81893b0ffa696d27Find(); } })(); function mpFormmpFrm4896b9c952b842ae81893b0ffa696d27Find() { if(!mpCurrentScriptmpFrm4896b9c952b842ae81893b0ffa696d27Container) return; if (mpCurrentScriptmpFrm4896b9c952b842ae81893b0ffa696d27Container && mpCurrentScriptmpFrm4896b9c952b842ae81893b0ffa696d27Container.nodeName && mpCurrentScriptmpFrm4896b9c952b842ae81893b0ffa696d27Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm4896b9c952b842ae81893b0ffa696d27" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm4896b9c952b842ae81893b0ffa696d27Container.children).forEach(c => { if (c.id === "mpFrm4896b9c952b842ae81893b0ffa696d27") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript3f369b9790384330a3fca4b7735592ccContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm4896b9c952b842ae81893b0ffa696d27"; } } } } function mpForm3f369b9790384330a3fca4b7735592ccCheck() { let checkBoxes = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").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 mpForm3f369b9790384330a3fca4b7735592ccSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").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-3f369b9790384330a3fca4b7735592cc')), 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: getTrackingId3f369b9790384330a3fca4b7735592cc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").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-3f369b9790384330a3fca4b7735592cc").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) { mpForm3f369b9790384330a3fca4b7735592ccCheck(); 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-3f369b9790384330a3fca4b7735592cc').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-3f369b9790384330a3fca4b7735592cc").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-3f369b9790384330a3fca4b7735592cc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm4896b9c952b842ae81893b0ffa696d27); } else { mpForm3f369b9790384330a3fca4b7735592ccCheck(); 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 mpmRecaptchaLoaded3f369b9790384330a3fca4b7735592cc() { captchaWidgetmpFrm4896b9c952b842ae81893b0ffa696d27 = grecaptcha.render('mpmRecaptchampFrm4896b9c952b842ae81893b0ffa696d27', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId3f369b9790384330a3fca4b7735592cc() { 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 mpmFormInit3f369b9790384330a3fca4b7735592cc () { 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 finishedLoading3f369b9790384330a3fca4b7735592cc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm4896b9c952b842ae81893b0ffa696d27'); if (!container) { mpFormmpFrm4896b9c952b842ae81893b0ffa696d27Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm4896b9c952b842ae81893b0ffa696d27'); return setTimeout(finishedLoading3f369b9790384330a3fca4b7735592cc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").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-3f369b9790384330a3fca4b7735592cc").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-3f369b9790384330a3fca4b7735592cc").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-3f369b9790384330a3fca4b7735592cc").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=mpmRecaptchaLoaded3f369b9790384330a3fca4b7735592cc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup3f369b9790384330a3fca4b7735592cc() { let popups = document.getElementById("mpform-3f369b9790384330a3fca4b7735592cc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput3f369b9790384330a3fca4b7735592cc() { 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 () { finishedLoading3f369b9790384330a3fca4b7735592cc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading3f369b9790384330a3fca4b7735592cc(); } } 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); mploadTelInput3f369b9790384330a3fca4b7735592cc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit3f369b9790384330a3fca4b7735592cc(); } else { function waitForOtherFormsmpFrm4896b9c952b842ae81893b0ffa696d27() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit3f369b9790384330a3fca4b7735592cc(); } else { setTimeout(waitForOtherFormsmpFrm4896b9c952b842ae81893b0ffa696d27,300); } } waitForOtherFormsmpFrm4896b9c952b842ae81893b0ffa696d27(); }