var captchaWidgetmpFrm926994a6fb7649c3a868a54037630fdc; var mpCurrentScriptmpFrm926994a6fb7649c3a868a54037630fdcContainer = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm926994a6fb7649c3a868a54037630fdc"; 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); mpFormmpFrm926994a6fb7649c3a868a54037630fdcFind(); } })(); function mpFormmpFrm926994a6fb7649c3a868a54037630fdcFind() { if(!mpCurrentScriptmpFrm926994a6fb7649c3a868a54037630fdcContainer) return; if (mpCurrentScriptmpFrm926994a6fb7649c3a868a54037630fdcContainer && mpCurrentScriptmpFrm926994a6fb7649c3a868a54037630fdcContainer.nodeName && mpCurrentScriptmpFrm926994a6fb7649c3a868a54037630fdcContainer.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm926994a6fb7649c3a868a54037630fdc" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm926994a6fb7649c3a868a54037630fdcContainer.children).forEach(c => { if (c.id === "mpFrm926994a6fb7649c3a868a54037630fdc") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScripte79ad3ebd6074bc7975bab9842a4965dContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm926994a6fb7649c3a868a54037630fdc"; } } } } function mpForme79ad3ebd6074bc7975bab9842a4965dCheck() { let checkBoxes = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").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 mpForme79ad3ebd6074bc7975bab9842a4965dSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").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-e79ad3ebd6074bc7975bab9842a4965d')), 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: getTrackingIde79ad3ebd6074bc7975bab9842a4965d() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").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-e79ad3ebd6074bc7975bab9842a4965d").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) { mpForme79ad3ebd6074bc7975bab9842a4965dCheck(); 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-e79ad3ebd6074bc7975bab9842a4965d').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-e79ad3ebd6074bc7975bab9842a4965d").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-e79ad3ebd6074bc7975bab9842a4965d').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm926994a6fb7649c3a868a54037630fdc); } else { mpForme79ad3ebd6074bc7975bab9842a4965dCheck(); 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 mpmRecaptchaLoadede79ad3ebd6074bc7975bab9842a4965d() { captchaWidgetmpFrm926994a6fb7649c3a868a54037630fdc = grecaptcha.render('mpmRecaptchampFrm926994a6fb7649c3a868a54037630fdc', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIde79ad3ebd6074bc7975bab9842a4965d() { 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 mpmFormInite79ad3ebd6074bc7975bab9842a4965d () { 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 finishedLoadinge79ad3ebd6074bc7975bab9842a4965d() { window.mpFormLoading = false; let container = document.getElementById('mpFrm926994a6fb7649c3a868a54037630fdc'); if (!container) { mpFormmpFrm926994a6fb7649c3a868a54037630fdcFind(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm926994a6fb7649c3a868a54037630fdc'); return setTimeout(finishedLoadinge79ad3ebd6074bc7975bab9842a4965d, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").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-e79ad3ebd6074bc7975bab9842a4965d").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-e79ad3ebd6074bc7975bab9842a4965d").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-e79ad3ebd6074bc7975bab9842a4965d").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=mpmRecaptchaLoadede79ad3ebd6074bc7975bab9842a4965d&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupe79ad3ebd6074bc7975bab9842a4965d() { let popups = document.getElementById("mpform-e79ad3ebd6074bc7975bab9842a4965d").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInpute79ad3ebd6074bc7975bab9842a4965d() { 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 () { finishedLoadinge79ad3ebd6074bc7975bab9842a4965d(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadinge79ad3ebd6074bc7975bab9842a4965d(); } } 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); mploadTelInpute79ad3ebd6074bc7975bab9842a4965d(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInite79ad3ebd6074bc7975bab9842a4965d(); } else { function waitForOtherFormsmpFrm926994a6fb7649c3a868a54037630fdc() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInite79ad3ebd6074bc7975bab9842a4965d(); } else { setTimeout(waitForOtherFormsmpFrm926994a6fb7649c3a868a54037630fdc,300); } } waitForOtherFormsmpFrm926994a6fb7649c3a868a54037630fdc(); }