var captchaWidgetmpFrm0fa28c9e92aa43d2b1f095531c013246; var mpCurrentScriptmpFrm0fa28c9e92aa43d2b1f095531c013246Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm0fa28c9e92aa43d2b1f095531c013246"; 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); mpFormmpFrm0fa28c9e92aa43d2b1f095531c013246Find(); } })(); function mpFormmpFrm0fa28c9e92aa43d2b1f095531c013246Find() { if(!mpCurrentScriptmpFrm0fa28c9e92aa43d2b1f095531c013246Container) return; if (mpCurrentScriptmpFrm0fa28c9e92aa43d2b1f095531c013246Container && mpCurrentScriptmpFrm0fa28c9e92aa43d2b1f095531c013246Container.nodeName && mpCurrentScriptmpFrm0fa28c9e92aa43d2b1f095531c013246Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm0fa28c9e92aa43d2b1f095531c013246" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm0fa28c9e92aa43d2b1f095531c013246Container.children).forEach(c => { if (c.id === "mpFrm0fa28c9e92aa43d2b1f095531c013246") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript35fff4db9f3c428d905b70be1b0c30e8Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm0fa28c9e92aa43d2b1f095531c013246"; } } } } function mpForm35fff4db9f3c428d905b70be1b0c30e8Check() { let checkBoxes = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").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 mpForm35fff4db9f3c428d905b70be1b0c30e8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").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-35fff4db9f3c428d905b70be1b0c30e8')), 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: getTrackingId35fff4db9f3c428d905b70be1b0c30e8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").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-35fff4db9f3c428d905b70be1b0c30e8").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) { mpForm35fff4db9f3c428d905b70be1b0c30e8Check(); 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-35fff4db9f3c428d905b70be1b0c30e8').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-35fff4db9f3c428d905b70be1b0c30e8").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-35fff4db9f3c428d905b70be1b0c30e8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm0fa28c9e92aa43d2b1f095531c013246); } else { mpForm35fff4db9f3c428d905b70be1b0c30e8Check(); 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 mpmRecaptchaLoaded35fff4db9f3c428d905b70be1b0c30e8() { captchaWidgetmpFrm0fa28c9e92aa43d2b1f095531c013246 = grecaptcha.render('mpmRecaptchampFrm0fa28c9e92aa43d2b1f095531c013246', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId35fff4db9f3c428d905b70be1b0c30e8() { 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 mpmFormInit35fff4db9f3c428d905b70be1b0c30e8 () { 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 finishedLoading35fff4db9f3c428d905b70be1b0c30e8() { window.mpFormLoading = false; let container = document.getElementById('mpFrm0fa28c9e92aa43d2b1f095531c013246'); if (!container) { mpFormmpFrm0fa28c9e92aa43d2b1f095531c013246Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm0fa28c9e92aa43d2b1f095531c013246'); return setTimeout(finishedLoading35fff4db9f3c428d905b70be1b0c30e8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").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-35fff4db9f3c428d905b70be1b0c30e8").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-35fff4db9f3c428d905b70be1b0c30e8").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-35fff4db9f3c428d905b70be1b0c30e8").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=mpmRecaptchaLoaded35fff4db9f3c428d905b70be1b0c30e8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup35fff4db9f3c428d905b70be1b0c30e8() { let popups = document.getElementById("mpform-35fff4db9f3c428d905b70be1b0c30e8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput35fff4db9f3c428d905b70be1b0c30e8() { 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 () { finishedLoading35fff4db9f3c428d905b70be1b0c30e8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading35fff4db9f3c428d905b70be1b0c30e8(); } } 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); mploadTelInput35fff4db9f3c428d905b70be1b0c30e8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit35fff4db9f3c428d905b70be1b0c30e8(); } else { function waitForOtherFormsmpFrm0fa28c9e92aa43d2b1f095531c013246() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit35fff4db9f3c428d905b70be1b0c30e8(); } else { setTimeout(waitForOtherFormsmpFrm0fa28c9e92aa43d2b1f095531c013246,300); } } waitForOtherFormsmpFrm0fa28c9e92aa43d2b1f095531c013246(); }