var captchaWidgetmpFrm84cf2032ec8044f6bf51664419a76950; var mpCurrentScriptmpFrm84cf2032ec8044f6bf51664419a76950Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm84cf2032ec8044f6bf51664419a76950"; 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); }); } mpFormmpFrm84cf2032ec8044f6bf51664419a76950Find(); } 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); mpFormmpFrm84cf2032ec8044f6bf51664419a76950Find(); } })(); function mpFormmpFrm84cf2032ec8044f6bf51664419a76950Find() { if(!mpCurrentScriptmpFrm84cf2032ec8044f6bf51664419a76950Container) return; if (mpCurrentScriptmpFrm84cf2032ec8044f6bf51664419a76950Container && mpCurrentScriptmpFrm84cf2032ec8044f6bf51664419a76950Container.nodeName && mpCurrentScriptmpFrm84cf2032ec8044f6bf51664419a76950Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm84cf2032ec8044f6bf51664419a76950" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm84cf2032ec8044f6bf51664419a76950Container.children).forEach(c => { if (c.id === "mpFrm84cf2032ec8044f6bf51664419a76950") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript9220661f87c94daa8ead56d80c25bd8fContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm84cf2032ec8044f6bf51664419a76950"; } } } } function mpForm9220661f87c94daa8ead56d80c25bd8fCheck() { let checkBoxes = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").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 mpForm9220661f87c94daa8ead56d80c25bd8fSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").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-9220661f87c94daa8ead56d80c25bd8f')), 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: getTrackingId9220661f87c94daa8ead56d80c25bd8f() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").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-9220661f87c94daa8ead56d80c25bd8f").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) { mpForm9220661f87c94daa8ead56d80c25bd8fCheck(); 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-9220661f87c94daa8ead56d80c25bd8f').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-9220661f87c94daa8ead56d80c25bd8f").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-9220661f87c94daa8ead56d80c25bd8f').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm84cf2032ec8044f6bf51664419a76950); } else { mpForm9220661f87c94daa8ead56d80c25bd8fCheck(); 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 mpmRecaptchaLoaded9220661f87c94daa8ead56d80c25bd8f() { captchaWidgetmpFrm84cf2032ec8044f6bf51664419a76950 = grecaptcha.render('mpmRecaptchampFrm84cf2032ec8044f6bf51664419a76950', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId9220661f87c94daa8ead56d80c25bd8f() { 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 mpmFormInit9220661f87c94daa8ead56d80c25bd8f () { 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 finishedLoading9220661f87c94daa8ead56d80c25bd8f() { window.mpFormLoading = false; let container = document.getElementById('mpFrm84cf2032ec8044f6bf51664419a76950'); if (!container) { mpFormmpFrm84cf2032ec8044f6bf51664419a76950Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm84cf2032ec8044f6bf51664419a76950'); return setTimeout(finishedLoading9220661f87c94daa8ead56d80c25bd8f, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-9220661f87c94daa8ead56d80c25bd8f-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-9220661f87c94daa8ead56d80c25bd8f-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").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-9220661f87c94daa8ead56d80c25bd8f").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-9220661f87c94daa8ead56d80c25bd8f").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=mpmRecaptchaLoaded9220661f87c94daa8ead56d80c25bd8f&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup9220661f87c94daa8ead56d80c25bd8f() { let popups = document.getElementById("mpform-9220661f87c94daa8ead56d80c25bd8f").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput9220661f87c94daa8ead56d80c25bd8f() { 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 () { finishedLoading9220661f87c94daa8ead56d80c25bd8f(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading9220661f87c94daa8ead56d80c25bd8f(); } } 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); mploadTelInput9220661f87c94daa8ead56d80c25bd8f(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit9220661f87c94daa8ead56d80c25bd8f(); } else { function waitForOtherFormsmpFrm84cf2032ec8044f6bf51664419a76950() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit9220661f87c94daa8ead56d80c25bd8f(); } else { setTimeout(waitForOtherFormsmpFrm84cf2032ec8044f6bf51664419a76950,300); } } waitForOtherFormsmpFrm84cf2032ec8044f6bf51664419a76950(); }