var captchaWidgetmpFrm8151a6a1895e4136b5674c5140879996; var mpCurrentScriptmpFrm8151a6a1895e4136b5674c5140879996Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm8151a6a1895e4136b5674c5140879996"; 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); mpFormmpFrm8151a6a1895e4136b5674c5140879996Find(); } })(); function mpFormmpFrm8151a6a1895e4136b5674c5140879996Find() { if(!mpCurrentScriptmpFrm8151a6a1895e4136b5674c5140879996Container) return; if (mpCurrentScriptmpFrm8151a6a1895e4136b5674c5140879996Container && mpCurrentScriptmpFrm8151a6a1895e4136b5674c5140879996Container.nodeName && mpCurrentScriptmpFrm8151a6a1895e4136b5674c5140879996Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm8151a6a1895e4136b5674c5140879996" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm8151a6a1895e4136b5674c5140879996Container.children).forEach(c => { if (c.id === "mpFrm8151a6a1895e4136b5674c5140879996") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript5ff5af6829ae4d92899af9c0a6f4b16cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm8151a6a1895e4136b5674c5140879996"; } } } } function mpForm5ff5af6829ae4d92899af9c0a6f4b16cCheck() { let checkBoxes = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").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 mpForm5ff5af6829ae4d92899af9c0a6f4b16cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").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-5ff5af6829ae4d92899af9c0a6f4b16c')), 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: getTrackingId5ff5af6829ae4d92899af9c0a6f4b16c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").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-5ff5af6829ae4d92899af9c0a6f4b16c").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) { mpForm5ff5af6829ae4d92899af9c0a6f4b16cCheck(); 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-5ff5af6829ae4d92899af9c0a6f4b16c').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-5ff5af6829ae4d92899af9c0a6f4b16c").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-5ff5af6829ae4d92899af9c0a6f4b16c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm8151a6a1895e4136b5674c5140879996); } else { mpForm5ff5af6829ae4d92899af9c0a6f4b16cCheck(); 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 mpmRecaptchaLoaded5ff5af6829ae4d92899af9c0a6f4b16c() { captchaWidgetmpFrm8151a6a1895e4136b5674c5140879996 = grecaptcha.render('mpmRecaptchampFrm8151a6a1895e4136b5674c5140879996', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId5ff5af6829ae4d92899af9c0a6f4b16c() { 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 mpmFormInit5ff5af6829ae4d92899af9c0a6f4b16c () { 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 finishedLoading5ff5af6829ae4d92899af9c0a6f4b16c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm8151a6a1895e4136b5674c5140879996'); if (!container) { mpFormmpFrm8151a6a1895e4136b5674c5140879996Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm8151a6a1895e4136b5674c5140879996'); return setTimeout(finishedLoading5ff5af6829ae4d92899af9c0a6f4b16c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").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-5ff5af6829ae4d92899af9c0a6f4b16c").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-5ff5af6829ae4d92899af9c0a6f4b16c").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-5ff5af6829ae4d92899af9c0a6f4b16c").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=mpmRecaptchaLoaded5ff5af6829ae4d92899af9c0a6f4b16c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup5ff5af6829ae4d92899af9c0a6f4b16c() { let popups = document.getElementById("mpform-5ff5af6829ae4d92899af9c0a6f4b16c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput5ff5af6829ae4d92899af9c0a6f4b16c() { 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 () { finishedLoading5ff5af6829ae4d92899af9c0a6f4b16c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading5ff5af6829ae4d92899af9c0a6f4b16c(); } } 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); mploadTelInput5ff5af6829ae4d92899af9c0a6f4b16c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit5ff5af6829ae4d92899af9c0a6f4b16c(); } else { function waitForOtherFormsmpFrm8151a6a1895e4136b5674c5140879996() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit5ff5af6829ae4d92899af9c0a6f4b16c(); } else { setTimeout(waitForOtherFormsmpFrm8151a6a1895e4136b5674c5140879996,300); } } waitForOtherFormsmpFrm8151a6a1895e4136b5674c5140879996(); }