var captchaWidgetmpFrm44e5969bd6b44443ab6ffac61bf3db5a; var mpCurrentScriptmpFrm44e5969bd6b44443ab6ffac61bf3db5aContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm44e5969bd6b44443ab6ffac61bf3db5a"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); 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); mpFormmpFrm44e5969bd6b44443ab6ffac61bf3db5aFind(); } })(); function mpFormmpFrm44e5969bd6b44443ab6ffac61bf3db5aFind() { if(!mpCurrentScriptmpFrm44e5969bd6b44443ab6ffac61bf3db5aContainer) return; if (mpCurrentScriptmpFrm44e5969bd6b44443ab6ffac61bf3db5aContainer && mpCurrentScriptmpFrm44e5969bd6b44443ab6ffac61bf3db5aContainer.nodeName && mpCurrentScriptmpFrm44e5969bd6b44443ab6ffac61bf3db5aContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm44e5969bd6b44443ab6ffac61bf3db5a" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm44e5969bd6b44443ab6ffac61bf3db5aContainer.children).forEach(c => { if (c.id === "mpFrm44e5969bd6b44443ab6ffac61bf3db5a") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripta49637b3804045dfaf3a4e05af7c2195Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm44e5969bd6b44443ab6ffac61bf3db5a"; } } } } function mpForma49637b3804045dfaf3a4e05af7c2195Check() { let checkBoxes = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").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 mpForma49637b3804045dfaf3a4e05af7c2195Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").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-a49637b3804045dfaf3a4e05af7c2195')), 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: getTrackingIda49637b3804045dfaf3a4e05af7c2195() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").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-a49637b3804045dfaf3a4e05af7c2195").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=41939", true); xhr.onreadystatechange = function () { if (xhr.readyState === 4 && xhr.status === 200) { mpForma49637b3804045dfaf3a4e05af7c2195Check(); 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-a49637b3804045dfaf3a4e05af7c2195').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-a49637b3804045dfaf3a4e05af7c2195").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-a49637b3804045dfaf3a4e05af7c2195').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm44e5969bd6b44443ab6ffac61bf3db5a); } else { mpForma49637b3804045dfaf3a4e05af7c2195Check(); 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 mpmRecaptchaLoadeda49637b3804045dfaf3a4e05af7c2195() { captchaWidgetmpFrm44e5969bd6b44443ab6ffac61bf3db5a = grecaptcha.render('mpmRecaptchampFrm44e5969bd6b44443ab6ffac61bf3db5a', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIda49637b3804045dfaf3a4e05af7c2195() { 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 mpmFormInita49637b3804045dfaf3a4e05af7c2195 () { 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 finishedLoadinga49637b3804045dfaf3a4e05af7c2195() { window.mpFormLoading = false; let container = document.getElementById('mpFrm44e5969bd6b44443ab6ffac61bf3db5a'); if (!container) { mpFormmpFrm44e5969bd6b44443ab6ffac61bf3db5aFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm44e5969bd6b44443ab6ffac61bf3db5a'); return setTimeout(finishedLoadinga49637b3804045dfaf3a4e05af7c2195, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").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-a49637b3804045dfaf3a4e05af7c2195").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-a49637b3804045dfaf3a4e05af7c2195").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-a49637b3804045dfaf3a4e05af7c2195").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=mpmRecaptchaLoadeda49637b3804045dfaf3a4e05af7c2195&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupa49637b3804045dfaf3a4e05af7c2195() { let popups = document.getElementById("mpform-a49637b3804045dfaf3a4e05af7c2195").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputa49637b3804045dfaf3a4e05af7c2195() { 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 () { finishedLoadinga49637b3804045dfaf3a4e05af7c2195(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinga49637b3804045dfaf3a4e05af7c2195(); } } 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); mploadTelInputa49637b3804045dfaf3a4e05af7c2195(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInita49637b3804045dfaf3a4e05af7c2195(); } else { function waitForOtherFormsmpFrm44e5969bd6b44443ab6ffac61bf3db5a() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInita49637b3804045dfaf3a4e05af7c2195(); } else { setTimeout(waitForOtherFormsmpFrm44e5969bd6b44443ab6ffac61bf3db5a,300); } } waitForOtherFormsmpFrm44e5969bd6b44443ab6ffac61bf3db5a(); }