var captchaWidgetmpFrmd3dffa4321ae4989929df979a6bff2ab; var mpCurrentScriptmpFrmd3dffa4321ae4989929df979a6bff2abContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrmd3dffa4321ae4989929df979a6bff2ab"; 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); mpFormmpFrmd3dffa4321ae4989929df979a6bff2abFind(); } })(); function mpFormmpFrmd3dffa4321ae4989929df979a6bff2abFind() { if(!mpCurrentScriptmpFrmd3dffa4321ae4989929df979a6bff2abContainer) return; if (mpCurrentScriptmpFrmd3dffa4321ae4989929df979a6bff2abContainer && mpCurrentScriptmpFrmd3dffa4321ae4989929df979a6bff2abContainer.nodeName && mpCurrentScriptmpFrmd3dffa4321ae4989929df979a6bff2abContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41911']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrmd3dffa4321ae4989929df979a6bff2ab" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrmd3dffa4321ae4989929df979a6bff2abContainer.children).forEach(c => { if (c.id === "mpFrmd3dffa4321ae4989929df979a6bff2ab") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptdc07ecac01a44da5b8e588e7ee7727eaContainer.children).filter(e => e.dataset && e.dataset.mpid === "41911"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrmd3dffa4321ae4989929df979a6bff2ab"; } } } } function mpFormdc07ecac01a44da5b8e588e7ee7727eaCheck() { let checkBoxes = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").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 mpFormdc07ecac01a44da5b8e588e7ee7727eaSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").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-dc07ecac01a44da5b8e588e7ee7727ea')), 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: getTrackingIddc07ecac01a44da5b8e588e7ee7727ea() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").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-dc07ecac01a44da5b8e588e7ee7727ea").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) { mpFormdc07ecac01a44da5b8e588e7ee7727eaCheck(); 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-dc07ecac01a44da5b8e588e7ee7727ea').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-dc07ecac01a44da5b8e588e7ee7727ea").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-dc07ecac01a44da5b8e588e7ee7727ea').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrmd3dffa4321ae4989929df979a6bff2ab); } else { mpFormdc07ecac01a44da5b8e588e7ee7727eaCheck(); 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 mpmRecaptchaLoadeddc07ecac01a44da5b8e588e7ee7727ea() { captchaWidgetmpFrmd3dffa4321ae4989929df979a6bff2ab = grecaptcha.render('mpmRecaptchampFrmd3dffa4321ae4989929df979a6bff2ab', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIddc07ecac01a44da5b8e588e7ee7727ea() { 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 mpmFormInitdc07ecac01a44da5b8e588e7ee7727ea () { 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 finishedLoadingdc07ecac01a44da5b8e588e7ee7727ea() { window.mpFormLoading = false; let container = document.getElementById('mpFrmd3dffa4321ae4989929df979a6bff2ab'); if (!container) { mpFormmpFrmd3dffa4321ae4989929df979a6bff2abFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrmd3dffa4321ae4989929df979a6bff2ab'); return setTimeout(finishedLoadingdc07ecac01a44da5b8e588e7ee7727ea, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").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-dc07ecac01a44da5b8e588e7ee7727ea").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-dc07ecac01a44da5b8e588e7ee7727ea").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-dc07ecac01a44da5b8e588e7ee7727ea").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=mpmRecaptchaLoadeddc07ecac01a44da5b8e588e7ee7727ea&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupdc07ecac01a44da5b8e588e7ee7727ea() { let popups = document.getElementById("mpform-dc07ecac01a44da5b8e588e7ee7727ea").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputdc07ecac01a44da5b8e588e7ee7727ea() { 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 () { finishedLoadingdc07ecac01a44da5b8e588e7ee7727ea(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingdc07ecac01a44da5b8e588e7ee7727ea(); } } 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); mploadTelInputdc07ecac01a44da5b8e588e7ee7727ea(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitdc07ecac01a44da5b8e588e7ee7727ea(); } else { function waitForOtherFormsmpFrmd3dffa4321ae4989929df979a6bff2ab() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitdc07ecac01a44da5b8e588e7ee7727ea(); } else { setTimeout(waitForOtherFormsmpFrmd3dffa4321ae4989929df979a6bff2ab,300); } } waitForOtherFormsmpFrmd3dffa4321ae4989929df979a6bff2ab(); }