var captchaWidgetmpFrm069aab1600f14219bed628395aae407c; var mpCurrentScriptmpFrm069aab1600f14219bed628395aae407cContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm069aab1600f14219bed628395aae407c"; 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); }); } mpFormmpFrm069aab1600f14219bed628395aae407cFind(); } 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); mpFormmpFrm069aab1600f14219bed628395aae407cFind(); } })(); function mpFormmpFrm069aab1600f14219bed628395aae407cFind() { if(!mpCurrentScriptmpFrm069aab1600f14219bed628395aae407cContainer) return; if (mpCurrentScriptmpFrm069aab1600f14219bed628395aae407cContainer && mpCurrentScriptmpFrm069aab1600f14219bed628395aae407cContainer.nodeName && mpCurrentScriptmpFrm069aab1600f14219bed628395aae407cContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm069aab1600f14219bed628395aae407c" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm069aab1600f14219bed628395aae407cContainer.children).forEach(c => { if (c.id === "mpFrm069aab1600f14219bed628395aae407c") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptd84d189c1fb24f33a82bc27c2af64640Container.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm069aab1600f14219bed628395aae407c"; } } } } function mpFormd84d189c1fb24f33a82bc27c2af64640Check() { let checkBoxes = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").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 mpFormd84d189c1fb24f33a82bc27c2af64640Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").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-d84d189c1fb24f33a82bc27c2af64640')), 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: getTrackingIdd84d189c1fb24f33a82bc27c2af64640() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").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-d84d189c1fb24f33a82bc27c2af64640").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) { mpFormd84d189c1fb24f33a82bc27c2af64640Check(); 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-d84d189c1fb24f33a82bc27c2af64640').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-d84d189c1fb24f33a82bc27c2af64640").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-d84d189c1fb24f33a82bc27c2af64640').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm069aab1600f14219bed628395aae407c); } else { mpFormd84d189c1fb24f33a82bc27c2af64640Check(); 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 mpmRecaptchaLoadedd84d189c1fb24f33a82bc27c2af64640() { captchaWidgetmpFrm069aab1600f14219bed628395aae407c = grecaptcha.render('mpmRecaptchampFrm069aab1600f14219bed628395aae407c', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdd84d189c1fb24f33a82bc27c2af64640() { 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 mpmFormInitd84d189c1fb24f33a82bc27c2af64640 () { 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 finishedLoadingd84d189c1fb24f33a82bc27c2af64640() { window.mpFormLoading = false; let container = document.getElementById('mpFrm069aab1600f14219bed628395aae407c'); if (!container) { mpFormmpFrm069aab1600f14219bed628395aae407cFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm069aab1600f14219bed628395aae407c'); return setTimeout(finishedLoadingd84d189c1fb24f33a82bc27c2af64640, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").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-d84d189c1fb24f33a82bc27c2af64640").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-d84d189c1fb24f33a82bc27c2af64640").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-d84d189c1fb24f33a82bc27c2af64640").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=mpmRecaptchaLoadedd84d189c1fb24f33a82bc27c2af64640&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupd84d189c1fb24f33a82bc27c2af64640() { let popups = document.getElementById("mpform-d84d189c1fb24f33a82bc27c2af64640").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputd84d189c1fb24f33a82bc27c2af64640() { 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 () { finishedLoadingd84d189c1fb24f33a82bc27c2af64640(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingd84d189c1fb24f33a82bc27c2af64640(); } } 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); mploadTelInputd84d189c1fb24f33a82bc27c2af64640(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitd84d189c1fb24f33a82bc27c2af64640(); } else { function waitForOtherFormsmpFrm069aab1600f14219bed628395aae407c() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitd84d189c1fb24f33a82bc27c2af64640(); } else { setTimeout(waitForOtherFormsmpFrm069aab1600f14219bed628395aae407c,300); } } waitForOtherFormsmpFrm069aab1600f14219bed628395aae407c(); }