var captchaWidgetmpFrm878d1f74edf94328a66c3a195a16b122; var mpCurrentScriptmpFrm878d1f74edf94328a66c3a195a16b122Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm878d1f74edf94328a66c3a195a16b122"; 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); mpFormmpFrm878d1f74edf94328a66c3a195a16b122Find(); } })(); function mpFormmpFrm878d1f74edf94328a66c3a195a16b122Find() { if(!mpCurrentScriptmpFrm878d1f74edf94328a66c3a195a16b122Container) return; if (mpCurrentScriptmpFrm878d1f74edf94328a66c3a195a16b122Container && mpCurrentScriptmpFrm878d1f74edf94328a66c3a195a16b122Container.nodeName && mpCurrentScriptmpFrm878d1f74edf94328a66c3a195a16b122Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm878d1f74edf94328a66c3a195a16b122" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm878d1f74edf94328a66c3a195a16b122Container.children).forEach(c => { if (c.id === "mpFrm878d1f74edf94328a66c3a195a16b122") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript8cf95eb51750493895d982dad88430fcContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm878d1f74edf94328a66c3a195a16b122"; } } } } function mpForm8cf95eb51750493895d982dad88430fcCheck() { let checkBoxes = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").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 mpForm8cf95eb51750493895d982dad88430fcSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").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-8cf95eb51750493895d982dad88430fc')), 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: getTrackingId8cf95eb51750493895d982dad88430fc() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").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-8cf95eb51750493895d982dad88430fc").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) { mpForm8cf95eb51750493895d982dad88430fcCheck(); 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-8cf95eb51750493895d982dad88430fc').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-8cf95eb51750493895d982dad88430fc").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-8cf95eb51750493895d982dad88430fc').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm878d1f74edf94328a66c3a195a16b122); } else { mpForm8cf95eb51750493895d982dad88430fcCheck(); 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 mpmRecaptchaLoaded8cf95eb51750493895d982dad88430fc() { captchaWidgetmpFrm878d1f74edf94328a66c3a195a16b122 = grecaptcha.render('mpmRecaptchampFrm878d1f74edf94328a66c3a195a16b122', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId8cf95eb51750493895d982dad88430fc() { 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 mpmFormInit8cf95eb51750493895d982dad88430fc () { 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 finishedLoading8cf95eb51750493895d982dad88430fc() { window.mpFormLoading = false; let container = document.getElementById('mpFrm878d1f74edf94328a66c3a195a16b122'); if (!container) { mpFormmpFrm878d1f74edf94328a66c3a195a16b122Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm878d1f74edf94328a66c3a195a16b122'); return setTimeout(finishedLoading8cf95eb51750493895d982dad88430fc, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").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-8cf95eb51750493895d982dad88430fc").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-8cf95eb51750493895d982dad88430fc").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-8cf95eb51750493895d982dad88430fc").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=mpmRecaptchaLoaded8cf95eb51750493895d982dad88430fc&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup8cf95eb51750493895d982dad88430fc() { let popups = document.getElementById("mpform-8cf95eb51750493895d982dad88430fc").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput8cf95eb51750493895d982dad88430fc() { 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 () { finishedLoading8cf95eb51750493895d982dad88430fc(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading8cf95eb51750493895d982dad88430fc(); } } 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); mploadTelInput8cf95eb51750493895d982dad88430fc(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit8cf95eb51750493895d982dad88430fc(); } else { function waitForOtherFormsmpFrm878d1f74edf94328a66c3a195a16b122() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit8cf95eb51750493895d982dad88430fc(); } else { setTimeout(waitForOtherFormsmpFrm878d1f74edf94328a66c3a195a16b122,300); } } waitForOtherFormsmpFrm878d1f74edf94328a66c3a195a16b122(); }