var captchaWidgetmpFrm414cfa2e0970499faa2e59e09fae8d48; var mpCurrentScriptmpFrm414cfa2e0970499faa2e59e09fae8d48Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm414cfa2e0970499faa2e59e09fae8d48"; 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); mpFormmpFrm414cfa2e0970499faa2e59e09fae8d48Find(); } })(); function mpFormmpFrm414cfa2e0970499faa2e59e09fae8d48Find() { if(!mpCurrentScriptmpFrm414cfa2e0970499faa2e59e09fae8d48Container) return; if (mpCurrentScriptmpFrm414cfa2e0970499faa2e59e09fae8d48Container && mpCurrentScriptmpFrm414cfa2e0970499faa2e59e09fae8d48Container.nodeName && mpCurrentScriptmpFrm414cfa2e0970499faa2e59e09fae8d48Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm414cfa2e0970499faa2e59e09fae8d48" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm414cfa2e0970499faa2e59e09fae8d48Container.children).forEach(c => { if (c.id === "mpFrm414cfa2e0970499faa2e59e09fae8d48") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScriptf8d0dc9dab4941a0a0c79fa3ac1c24e8Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm414cfa2e0970499faa2e59e09fae8d48"; } } } } function mpFormf8d0dc9dab4941a0a0c79fa3ac1c24e8Check() { let checkBoxes = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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 mpFormf8d0dc9dab4941a0a0c79fa3ac1c24e8Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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-f8d0dc9dab4941a0a0c79fa3ac1c24e8')), 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: getTrackingIdf8d0dc9dab4941a0a0c79fa3ac1c24e8() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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) { mpFormf8d0dc9dab4941a0a0c79fa3ac1c24e8Check(); 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-f8d0dc9dab4941a0a0c79fa3ac1c24e8').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-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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-f8d0dc9dab4941a0a0c79fa3ac1c24e8').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm414cfa2e0970499faa2e59e09fae8d48); } else { mpFormf8d0dc9dab4941a0a0c79fa3ac1c24e8Check(); 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 mpmRecaptchaLoadedf8d0dc9dab4941a0a0c79fa3ac1c24e8() { captchaWidgetmpFrm414cfa2e0970499faa2e59e09fae8d48 = grecaptcha.render('mpmRecaptchampFrm414cfa2e0970499faa2e59e09fae8d48', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingIdf8d0dc9dab4941a0a0c79fa3ac1c24e8() { 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 mpmFormInitf8d0dc9dab4941a0a0c79fa3ac1c24e8 () { 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 finishedLoadingf8d0dc9dab4941a0a0c79fa3ac1c24e8() { window.mpFormLoading = false; let container = document.getElementById('mpFrm414cfa2e0970499faa2e59e09fae8d48'); if (!container) { mpFormmpFrm414cfa2e0970499faa2e59e09fae8d48Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm414cfa2e0970499faa2e59e09fae8d48'); return setTimeout(finishedLoadingf8d0dc9dab4941a0a0c79fa3ac1c24e8, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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-f8d0dc9dab4941a0a0c79fa3ac1c24e8").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=mpmRecaptchaLoadedf8d0dc9dab4941a0a0c79fa3ac1c24e8&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopupf8d0dc9dab4941a0a0c79fa3ac1c24e8() { let popups = document.getElementById("mpform-f8d0dc9dab4941a0a0c79fa3ac1c24e8").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInputf8d0dc9dab4941a0a0c79fa3ac1c24e8() { 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 () { finishedLoadingf8d0dc9dab4941a0a0c79fa3ac1c24e8(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoadingf8d0dc9dab4941a0a0c79fa3ac1c24e8(); } } 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); mploadTelInputf8d0dc9dab4941a0a0c79fa3ac1c24e8(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInitf8d0dc9dab4941a0a0c79fa3ac1c24e8(); } else { function waitForOtherFormsmpFrm414cfa2e0970499faa2e59e09fae8d48() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInitf8d0dc9dab4941a0a0c79fa3ac1c24e8(); } else { setTimeout(waitForOtherFormsmpFrm414cfa2e0970499faa2e59e09fae8d48,300); } } waitForOtherFormsmpFrm414cfa2e0970499faa2e59e09fae8d48(); }