var captchaWidgetmpFrm6c7a86fce90d41208c1059e0bb464641; var mpCurrentScriptmpFrm6c7a86fce90d41208c1059e0bb464641Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm6c7a86fce90d41208c1059e0bb464641"; containerDiv.classList.add("mpForm"); containerDiv.setAttribute("data-mpid", "41939"); if (window.self !== window.top) { if (document.body) { document.body.appendChild(containerDiv); } else { document.addEventListener("DOMContentLoaded", function() { document.body.appendChild(containerDiv); }); } mpFormmpFrm6c7a86fce90d41208c1059e0bb464641Find(); } 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); mpFormmpFrm6c7a86fce90d41208c1059e0bb464641Find(); } })(); function mpFormmpFrm6c7a86fce90d41208c1059e0bb464641Find() { if(!mpCurrentScriptmpFrm6c7a86fce90d41208c1059e0bb464641Container) return; if (mpCurrentScriptmpFrm6c7a86fce90d41208c1059e0bb464641Container && mpCurrentScriptmpFrm6c7a86fce90d41208c1059e0bb464641Container.nodeName && mpCurrentScriptmpFrm6c7a86fce90d41208c1059e0bb464641Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm6c7a86fce90d41208c1059e0bb464641" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm6c7a86fce90d41208c1059e0bb464641Container.children).forEach(c => { if (c.id === "mpFrm6c7a86fce90d41208c1059e0bb464641") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript06f045ca44d64970bac9871fae39882cContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm6c7a86fce90d41208c1059e0bb464641"; } } } } function mpForm06f045ca44d64970bac9871fae39882cCheck() { let checkBoxes = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").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 mpForm06f045ca44d64970bac9871fae39882cSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").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-06f045ca44d64970bac9871fae39882c')), 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: getTrackingId06f045ca44d64970bac9871fae39882c() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").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-06f045ca44d64970bac9871fae39882c").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) { mpForm06f045ca44d64970bac9871fae39882cCheck(); 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-06f045ca44d64970bac9871fae39882c').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-06f045ca44d64970bac9871fae39882c").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-06f045ca44d64970bac9871fae39882c').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm6c7a86fce90d41208c1059e0bb464641); } else { mpForm06f045ca44d64970bac9871fae39882cCheck(); 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 mpmRecaptchaLoaded06f045ca44d64970bac9871fae39882c() { captchaWidgetmpFrm6c7a86fce90d41208c1059e0bb464641 = grecaptcha.render('mpmRecaptchampFrm6c7a86fce90d41208c1059e0bb464641', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId06f045ca44d64970bac9871fae39882c() { 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 mpmFormInit06f045ca44d64970bac9871fae39882c () { 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 finishedLoading06f045ca44d64970bac9871fae39882c() { window.mpFormLoading = false; let container = document.getElementById('mpFrm6c7a86fce90d41208c1059e0bb464641'); if (!container) { mpFormmpFrm6c7a86fce90d41208c1059e0bb464641Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm6c7a86fce90d41208c1059e0bb464641'); return setTimeout(finishedLoading06f045ca44d64970bac9871fae39882c, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").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-06f045ca44d64970bac9871fae39882c").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-06f045ca44d64970bac9871fae39882c").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-06f045ca44d64970bac9871fae39882c").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=mpmRecaptchaLoaded06f045ca44d64970bac9871fae39882c&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup06f045ca44d64970bac9871fae39882c() { let popups = document.getElementById("mpform-06f045ca44d64970bac9871fae39882c").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput06f045ca44d64970bac9871fae39882c() { 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 () { finishedLoading06f045ca44d64970bac9871fae39882c(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading06f045ca44d64970bac9871fae39882c(); } } 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); mploadTelInput06f045ca44d64970bac9871fae39882c(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit06f045ca44d64970bac9871fae39882c(); } else { function waitForOtherFormsmpFrm6c7a86fce90d41208c1059e0bb464641() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit06f045ca44d64970bac9871fae39882c(); } else { setTimeout(waitForOtherFormsmpFrm6c7a86fce90d41208c1059e0bb464641,300); } } waitForOtherFormsmpFrm6c7a86fce90d41208c1059e0bb464641(); }