var captchaWidgetmpFrm52e949ac104b4a59810bd274638e02f7; var mpCurrentScriptmpFrm52e949ac104b4a59810bd274638e02f7Container = document.currentScript.parentNode; (function () { var containerDiv = document.createElement('div'); containerDiv.id = "mpFrm52e949ac104b4a59810bd274638e02f7"; 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); }); } mpFormmpFrm52e949ac104b4a59810bd274638e02f7Find(); } 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); mpFormmpFrm52e949ac104b4a59810bd274638e02f7Find(); } })(); function mpFormmpFrm52e949ac104b4a59810bd274638e02f7Find() { if(!mpCurrentScriptmpFrm52e949ac104b4a59810bd274638e02f7Container) return; if (mpCurrentScriptmpFrm52e949ac104b4a59810bd274638e02f7Container && mpCurrentScriptmpFrm52e949ac104b4a59810bd274638e02f7Container.nodeName && mpCurrentScriptmpFrm52e949ac104b4a59810bd274638e02f7Container.nodeName.toLowerCase() === "head") { var mpFind = document.querySelectorAll("[data-mpid='41939']"); if (mpFind.length && !mpFind[0].innerHTML) { mpFind[0].id = "mpFrm52e949ac104b4a59810bd274638e02f7" } } else { var mpFound = false; Array.from(mpCurrentScriptmpFrm52e949ac104b4a59810bd274638e02f7Container.children).forEach(c => { if (c.id === "mpFrm52e949ac104b4a59810bd274638e02f7") mpFound = true; }) if (!mpFound) { var mpOthers = Array.from(mpCurrentScript0851d8537b3e49f7bba3114286ae4daaContainer.children).filter(e => e.dataset && e.dataset.mpid === "41939"); if (mpOthers.length === 1) { mpOthers[0].id = "mpFrm52e949ac104b4a59810bd274638e02f7"; } } } } function mpForm0851d8537b3e49f7bba3114286ae4daaCheck() { let checkBoxes = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").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 mpForm0851d8537b3e49f7bba3114286ae4daaSubmit(event) { event.preventDefault(); let msgHlder = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").querySelector('[id=mpmessageholder]'); let mpMsg = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").querySelector('[id=mpmessage]'); let checkBoxes = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").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-0851d8537b3e49f7bba3114286ae4daa')), 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: getTrackingId0851d8537b3e49f7bba3114286ae4daa() }) } catch(err){} //check valid telnos var failed = ""; if(msgHlder) { msgHlder.style.display = "none"; } let telInputs = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").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-0851d8537b3e49f7bba3114286ae4daa").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) { mpForm0851d8537b3e49f7bba3114286ae4daaCheck(); 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-0851d8537b3e49f7bba3114286ae4daa').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-0851d8537b3e49f7bba3114286ae4daa").querySelector("a[href='" + link.replace + "']"); if (hiddenButton) { hiddenButton.href = link.link; hiddenButton.closest('[data-type="FORMFILE"]').style.display = 'flex'; } }); parent.style.display = "none"; } mpMsg.innerHTML = response.message; } else if (response.replace) { document.getElementById('mpform-0851d8537b3e49f7bba3114286ae4daa').innerHTML = response.form } } grecaptcha.reset(captchaWidgetmpFrm52e949ac104b4a59810bd274638e02f7); } else { mpForm0851d8537b3e49f7bba3114286ae4daaCheck(); 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 mpmRecaptchaLoaded0851d8537b3e49f7bba3114286ae4daa() { captchaWidgetmpFrm52e949ac104b4a59810bd274638e02f7 = grecaptcha.render('mpmRecaptchampFrm52e949ac104b4a59810bd274638e02f7', { 'sitekey' : '6LdEC_YZAAAAAGTcHXOaYInDU-pdY1cbJBEbmin2' }); } function getTrackingId0851d8537b3e49f7bba3114286ae4daa() { 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 mpmFormInit0851d8537b3e49f7bba3114286ae4daa () { 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 finishedLoading0851d8537b3e49f7bba3114286ae4daa() { window.mpFormLoading = false; let container = document.getElementById('mpFrm52e949ac104b4a59810bd274638e02f7'); if (!container) { mpFormmpFrm52e949ac104b4a59810bd274638e02f7Find(); failedCount++; if(failedCount > 10) return console.log('Form failed too many times mpFrm52e949ac104b4a59810bd274638e02f7'); return setTimeout(finishedLoading0851d8537b3e49f7bba3114286ae4daa, 300) } container.innerHTML = form; let containerChildren = container.childNodes; let msgHlder = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").querySelector('[id=mpmessageholder]'); if(msgHlder) { msgHlder.style.display = "hide" } let telInputs = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").querySelectorAll('input[type=TELNO]'); if(telInputs) { let telInputCSSOver = ""; 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", customContainer: "mpm-tel-input-container-0851d8537b3e49f7bba3114286ae4daa-" + i } ); let tmpMargin = ""; if(telInp.style.margin) { tmpMargin = telInp.style.margin; telInputCSSOver += ".mpm-tel-input-container-0851d8537b3e49f7bba3114286ae4daa-" + i + " { margin: " + tmpMargin + " } " } } if(telInputCSSOver) { let style = document.createElement("style"); style.innerHTML = telInputCSSOver; document.getElementsByTagName("head")[0].appendChild(style); } } if(subscriberData) { let customFields = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").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-0851d8537b3e49f7bba3114286ae4daa").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-0851d8537b3e49f7bba3114286ae4daa").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=mpmRecaptchaLoaded0851d8537b3e49f7bba3114286ae4daa&render=explicit'; mpmRecaptchaScript.type = 'text/javascript'; mpmRecaptchaScript.async = "async"; mpmRecaptchaScript.defer = "defer"; document.getElementsByTagName("head")[0].appendChild(mpmRecaptchaScript); } function mpmPopup0851d8537b3e49f7bba3114286ae4daa() { let popups = document.getElementById("mpform-0851d8537b3e49f7bba3114286ae4daa").getElementsByClassName("mpm-popup"); if(popups) { for(var i = 0; i < popups.length; i++) { let popup = popups[i]; popup.classList.toggle("show"); } } } function mploadTelInput0851d8537b3e49f7bba3114286ae4daa() { 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 () { finishedLoading0851d8537b3e49f7bba3114286ae4daa(); }; document.getElementsByTagName("head")[0].appendChild(script); } else { finishedLoading0851d8537b3e49f7bba3114286ae4daa(); } } 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); mploadTelInput0851d8537b3e49f7bba3114286ae4daa(); } if(!window.mpFormLoading){ window.mpFormLoading = true; mpmFormInit0851d8537b3e49f7bba3114286ae4daa(); } else { function waitForOtherFormsmpFrm52e949ac104b4a59810bd274638e02f7() { if(window.mpFormLoading == false) { console.log("Form Loaded"); mpmFormInit0851d8537b3e49f7bba3114286ae4daa(); } else { setTimeout(waitForOtherFormsmpFrm52e949ac104b4a59810bd274638e02f7,300); } } waitForOtherFormsmpFrm52e949ac104b4a59810bd274638e02f7(); }