var captchaWidgetmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45; var mpCurrentScriptmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm3ffd3b1ccc9c49d8b28b13319bebaa45"; 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); }); } mpFormmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Find(); } 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); mpFormmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Find(); } })(); function mpFormmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Find() { if(!mpCurrentScriptmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Container) return; if (mpCurrentScriptmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Container && mpCurrentScriptmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Container.nodeName && mpCurrentScriptmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm3ffd3b1ccc9c49d8b28b13319bebaa45" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Container.children).forEach(c => { if (c.id === "mpFrm3ffd3b1ccc9c49d8b28b13319bebaa45") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript203120aa2716430b8827897c9891efa5Container.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm3ffd3b1ccc9c49d8b28b13319bebaa45"; } } } } function mpForm203120aa2716430b8827897c9891efa5Check() { let checkBoxes = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").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 mpForm203120aa2716430b8827897c9891efa5Submit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").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-203120aa2716430b8827897c9891efa5')), 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: getTrackingId203120aa2716430b8827897c9891efa5() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").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-203120aa2716430b8827897c9891efa5").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) { mpForm203120aa2716430b8827897c9891efa5Check(); 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-203120aa2716430b8827897c9891efa5').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-203120aa2716430b8827897c9891efa5").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-203120aa2716430b8827897c9891efa5').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45); } else { mpForm203120aa2716430b8827897c9891efa5Check(); 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 mpmRecaptchaLoaded203120aa2716430b8827897c9891efa5() { captchaWidgetmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45 = grecaptcha.render('mpmRecaptchampFrm3ffd3b1ccc9c49d8b28b13319bebaa45', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId203120aa2716430b8827897c9891efa5() { 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 mpmFormInit203120aa2716430b8827897c9891efa5 () { 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 finishedLoading203120aa2716430b8827897c9891efa5() { window.mpFormLoading = false; let container = document.getElementById('mpFrm3ffd3b1ccc9c49d8b28b13319bebaa45'); if (!container) { mpFormmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm3ffd3b1ccc9c49d8b28b13319bebaa45'); return setTimeout(finishedLoading203120aa2716430b8827897c9891efa5, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").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-203120aa2716430b8827897c9891efa5").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-203120aa2716430b8827897c9891efa5").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-203120aa2716430b8827897c9891efa5").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=mpmRecaptchaLoaded203120aa2716430b8827897c9891efa5&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup203120aa2716430b8827897c9891efa5() { let popups = document.getElementById("mpform-203120aa2716430b8827897c9891efa5").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput203120aa2716430b8827897c9891efa5() { 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 () { finishedLoading203120aa2716430b8827897c9891efa5(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading203120aa2716430b8827897c9891efa5(); } } 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); mploadTelInput203120aa2716430b8827897c9891efa5(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit203120aa2716430b8827897c9891efa5(); } else { function waitForOtherFormsmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit203120aa2716430b8827897c9891efa5(); } else { setTimeout(waitForOtherFormsmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45,300); } } waitForOtherFormsmpFrm3ffd3b1ccc9c49d8b28b13319bebaa45(); }