var captchaWidgetmpFrm7826f716f95d4fb38568cf3f4f3e5f28; var mpCurrentScriptmpFrm7826f716f95d4fb38568cf3f4f3e5f28Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm7826f716f95d4fb38568cf3f4f3e5f28"; 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); }); } mpFormmpFrm7826f716f95d4fb38568cf3f4f3e5f28Find(); } 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); mpFormmpFrm7826f716f95d4fb38568cf3f4f3e5f28Find(); } })(); function mpFormmpFrm7826f716f95d4fb38568cf3f4f3e5f28Find() { if(!mpCurrentScriptmpFrm7826f716f95d4fb38568cf3f4f3e5f28Container) return; if (mpCurrentScriptmpFrm7826f716f95d4fb38568cf3f4f3e5f28Container && mpCurrentScriptmpFrm7826f716f95d4fb38568cf3f4f3e5f28Container.nodeName && mpCurrentScriptmpFrm7826f716f95d4fb38568cf3f4f3e5f28Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm7826f716f95d4fb38568cf3f4f3e5f28" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm7826f716f95d4fb38568cf3f4f3e5f28Container.children).forEach(c => { if (c.id === "mpFrm7826f716f95d4fb38568cf3f4f3e5f28") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript6a3306e70eea4f2dbf67467afbb63a90Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm7826f716f95d4fb38568cf3f4f3e5f28"; } } } } function mpForm6a3306e70eea4f2dbf67467afbb63a90Check() { let checkBoxes = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").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 mpForm6a3306e70eea4f2dbf67467afbb63a90Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").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-6a3306e70eea4f2dbf67467afbb63a90')), 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: getTrackingId6a3306e70eea4f2dbf67467afbb63a90() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").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-6a3306e70eea4f2dbf67467afbb63a90").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) { mpForm6a3306e70eea4f2dbf67467afbb63a90Check(); 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-6a3306e70eea4f2dbf67467afbb63a90').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-6a3306e70eea4f2dbf67467afbb63a90").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-6a3306e70eea4f2dbf67467afbb63a90').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm7826f716f95d4fb38568cf3f4f3e5f28); } else { mpForm6a3306e70eea4f2dbf67467afbb63a90Check(); 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 mpmRecaptchaLoaded6a3306e70eea4f2dbf67467afbb63a90() { captchaWidgetmpFrm7826f716f95d4fb38568cf3f4f3e5f28 = grecaptcha.render('mpmRecaptchampFrm7826f716f95d4fb38568cf3f4f3e5f28', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId6a3306e70eea4f2dbf67467afbb63a90() { 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 mpmFormInit6a3306e70eea4f2dbf67467afbb63a90 () { 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 finishedLoading6a3306e70eea4f2dbf67467afbb63a90() { window.mpFormLoading = false; let container = document.getElementById('mpFrm7826f716f95d4fb38568cf3f4f3e5f28'); if (!container) { mpFormmpFrm7826f716f95d4fb38568cf3f4f3e5f28Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm7826f716f95d4fb38568cf3f4f3e5f28'); return setTimeout(finishedLoading6a3306e70eea4f2dbf67467afbb63a90, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").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-6a3306e70eea4f2dbf67467afbb63a90").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-6a3306e70eea4f2dbf67467afbb63a90").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-6a3306e70eea4f2dbf67467afbb63a90").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=mpmRecaptchaLoaded6a3306e70eea4f2dbf67467afbb63a90&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup6a3306e70eea4f2dbf67467afbb63a90() { let popups = document.getElementById("mpform-6a3306e70eea4f2dbf67467afbb63a90").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput6a3306e70eea4f2dbf67467afbb63a90() { 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 () { finishedLoading6a3306e70eea4f2dbf67467afbb63a90(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading6a3306e70eea4f2dbf67467afbb63a90(); } } 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); mploadTelInput6a3306e70eea4f2dbf67467afbb63a90(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit6a3306e70eea4f2dbf67467afbb63a90(); } else { function waitForOtherFormsmpFrm7826f716f95d4fb38568cf3f4f3e5f28() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit6a3306e70eea4f2dbf67467afbb63a90(); } else { setTimeout(waitForOtherFormsmpFrm7826f716f95d4fb38568cf3f4f3e5f28,300); } } waitForOtherFormsmpFrm7826f716f95d4fb38568cf3f4f3e5f28(); }